<p>While more and more people have access to accurate, reliable information on sexual health issues – including pregnancy – many people are still a little fuzzy on the details when it comes to their pregnancy risk in specific scenarios. For example, have you ever wondered what the chances of getting pregnant are if: </p>
<ul>
<li aria-level="1">You use the pull-out method?</li>
<li aria-level="1">You’re close to having your period?</li>
<li aria-level="1">You put sperm into the vagina?</li>
<li aria-level="1">There is pre-cum, but no ejaculation?</li>
</ul>
<p>These are just a few of the questions that people can have. Let’s break them down one by one with simple, evidence-based answers. </p>
<h2>Can I Get Pregnant if He Pulls Out?</h2>
<p>Yes, you can get pregnant if your partner pulls their penis out before ejaculating — a.k.a. using the pull-out method. </p>
<p>Here are a few key points about the pull-out method, also known as the withdrawal method or <em>coitus interruptus</em>:</p>
<ul>
<li aria-level="1">It’s a method of birth control that seeks to prevent pregnancy by preventing sperm from entering the vagina. During sex, the penis is withdrawn from the vagina before ejaculation. </li>
<li aria-level="1">The pull-out method is accessible to everyone, free, has no side effects, and does not require any pre-planning (unlike condoms or other contraceptives). </li>
<li aria-level="1">It’s relatively common: around <a href="https://ncbi.nlm.nih.gov/pmc/articles/PMC4254803/">11% of women</a> use withdrawal as their primary method of pregnancy prevention, and <a href="https://ncbi.nlm.nih.gov/pmc/articles/PMC4254803/">33% use withdrawal</a> in addition to another contraceptive method (such as condoms and the fertility awareness method). </li>
</ul>
<p>However, it’s only moderately reliable at preventing pregnancy. With typical use, up to <a href="https://cks.nice.org.uk/topics/contraception-assessment/background-information/comparative-effectiveness-of-contraceptive-methods/">22% of couples will experience a pregnancy</a> within a year. When done perfectly every time, it results in pregnancy approximately <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4254803/">4% of the time</a>. This is <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC4254803/">roughly similar</a> to the efficacy of condom use (though the pull-out method does not protect against STIs). </p>
<p>The pull-out method also requires meticulous timing, self-control, and coordination to direct sperm away from the vagina, which may be difficult for some people when they’re sexually excited. It also requires strong trust and support between partners.</p>
<p>In short, the pull-out method is moderately effective, and while it may be a good option for some people (e.g., those who can’t use more effective methods due to side effects or access issues), there’s a <a href="https://www.nice.org.uk/cks-uk-only">decent chance</a> of becoming pregnant if it’s your primary contraceptive method. </p>
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<h2>Can I Get Pregnant From Precum?</h2>
<p>Yes, you can potentially get pregnant from precum, and here’s why:</p>
<ul>
<li aria-level="1">
<strong>Precum can contain sperm.</strong> Precum is a viscous substance secreted by the penis during sexual activity that helps serve as a lubricant. It doesn’t usually have sperm in it, but sometimes it does, and there’s no way of knowing it at the time.This means there's a chance of pregnancy from precum even if your partner pulls out before they ejaculate.</li>
<li aria-level="1">
<strong>Precum is tricky to see. </strong>Precum is released involuntarily, can’t always be felt, and can be difficult to see (it’s only a small amount of clearish fluid). Even if you can’t see precum, it may be present, and could therefore cause pregnancy if it comes into contact with the vagina.</li>
<li aria-level="1">
<strong>Sperm can survive in a partner’s body.</strong> After ejaculation, sperm can live inside the female reproductive tract for several days. Therefore, any sperm present in precum that enters the vagina can cause pregnancy even days later. </li>
</ul>
<p>Here’s a little more detail on precum. </p>
<p>Precum, more formally known as pre-ejaculate fluid, is released from the urethra of the penis during sexual <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3564677/">arousal</a>. It helps lubricate the penis during sex. Precum contains things like enzymes, mucus, and sometimes, sperm — which is why it may cause <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3564677/">pregnancy</a>. Some research shows that 41% of men have live sperm in their precum. Peeing before sex may help to flush out any viable sperm, but it’s not foolproof. </p>
<p>Fortunately, risk of pregnancy from precum can be easily managed with contraceptive methods such as birth control pills, condoms, or an IUD.</p>
<h2>Can I Get Pregnant if I Put Sperm in Me?</h2>
<p>Yes. Pregnancy can happen whenever semen has entered the vagina, even if it doesn’t go very far in.</p>
<p>Sperm can enter the vagina during sex (either via precum or ejaculation) but it can enter the vagina in other ways, too. Fingers, sex toys, or a damaged condom can all introduce sperm to the vagina. Deliberately introducing semen far into the vagina, medically known as “intrauterine insemination”, is sometimes used by couples who are actively trying to conceive. </p>
<p>However it happens, if sperm gets inside of the vagina, there could be a chance you will get pregnant. </p>
<h2>Can I Get Pregnant if it’s Close to my Period? </h2>
<p>It depends on your individual body and cycle, but the short answer is, yes, you can theoretically get pregnant before, during, and after your period if you are having unprotected sex. </p>
<p>A person can actually only become pregnant for about a few days out of the month, but the timing of those days varies widely from person to person. It depends on the timing of sex and on your menstrual cycle — specifically, when you ovulate. </p>
<p><a href="https://www.ncbi.nlm.nih.gov/books/NBK441996/">Ovulation</a> is when the ovaries release an egg into the uterus so that it’s available to be fertilised by a sperm, staying there for around 24-48 hours. This typically occurs 14 days before a person’s period starts. However, ovulation can be tricky to predict, as many people do not have a regular 28-day cycle, and even then, the timing of ovulation can vary. What’s more, some people have conditions like polycystic ovarian syndrome (PCOS) which can cause mid-cycle bleeding and spotting and/or irregular ovulation, making it additionally tricky to predict the time of ovulation. </p>
<p>The other side of the equation is, of course, the presence of sperm. After ejaculation, sperm can actually live for up to five days inside the female reproductive tract, and could cause pregnancy at any point within that.</p>
<p>What does all of this mean for chances of pregnancy surrounding your period? It means that, while the chances are low, you could theoretically become pregnant if you have sex within a few days of your period, particularly if you happen to ovulate close to the time you bleed. </p>
<h2>Bottom Line</h2>
<p>If you’re trying not to get pregnant, know that it’s possible even when you’re trying to be careful. </p>
<p>To protect yourself from unwanted pregnancy, consistent use of reliable contraception is essential. Consider options like IUDs, birth control pills, the implant, or a combination of methods. If you've had unprotected sex and do not wish to become pregnant, emergency contraception is a safe and effective way to prevent it if taken promptly.</p>

Can I Get Pregnant If…?

<p>Have you ever taken a mirror and looked between your legs? Have you wondered if everyone else’s anatomy looks like yours? Have you ever been worried yours isn’t “normal”? Have you ever been wowed by how complex and amazing genitals are?</p>
<p>Many people are curious about genitalia, but there’s a lot of misinformation out there. When people talk about the vagina, what they are often referring to actually has a different name – the <a href="https://ruh.nhs.uk/patients/services/physiotherapy/documents/PHY057_Anatomy_of_the_Vulva.pdf">vulva</a> – which refers to the external sexual anatomy of people with a vagina. </p>
<p>The vulva includes many anatomical structures, including the <a href="https://www.ruh.nhs.uk/patients/patient_information/PHY057_Anatomy_of_the_Vulva.pdf">labia</a>. In this article, we will talk about the labia in more detail.</p>
<h2>What is a Labia?</h2>
<p>The labia are what people often think of as the “lips of the vagina”. They are two sets of skin folds – the labia majora and the labia minora – on either side of the vulva, and they cover the vaginal opening. </p>
<p>The labia majora are the outer lips, and are usually larger, fleshy, and covered with pubic hair after puberty. The labia minora are the inner lips and usually feel a little thinner, more delicate, and can feel “wet”. Like any other body part, the labia come in a wide variety of shapes, sizes, colours, and textures. </p>
<h3>Labia vs. Vulva</h3>
<p>It can be helpful to start by situating exactly where the labia are and what they’re connected to. </p>
<p>Again, the labia are the inner and outer lips of the vulva, and the vulva includes everything genitals-wise that can be seen from the outside for people with vaginas. (If this is confusing, don’t worry: We have a whole <a href="https://yoxly.com/en-GB/blogs/yoxly-news/vulva-vs-vagina-what-s-the-difference">blog article</a> about the difference between the vulva and the vagina).</p>
<p>The vulva includes the labia as well as several other <a href="https://ourbodiesourselves.org/health-info/self-exam-vulva-and-vagina/">anatomical structures:</a></p>
<ul>
<li aria-level="1">Clitoris: This is a part of the vulva that people often talk about! It’s the sensitive, button-like organ at the top of the vulva, and is covered by a protective sheath called the clitoral hood. The clitoris plays a central role in sexual pleasure; stimulating it is generally a requirement for <a href="https://pubmed.ncbi.nlm.nih.gov/29079939/">many women to orgasm</a>. </li>
<li aria-level="1">Vaginal Opening: This is the entrance to the vagina and is surrounded by the labia minora. </li>
<li aria-level="1">Urethral Opening: This is the opening through which urine exits the body, located just above the vaginal opening.</li>
<li aria-level="1">
<a href="https://www.britannica.com/science/mons-pubis">Mons Pubis</a>: This is the fatty pad of tissue covering the pubic bone, and leads down into the labia majora. This area becomes covered with hair around puberty. </li>
<li aria-level="1">Perineum: This is the area between the vaginal opening and the anus. </li>
</ul>
<p>Each of these areas plays an important biological role for people with vaginas, and can also be uniquely sensitive and play roles in sexual pleasure too. </p>
<h2>Purpose of the Labia</h2>
<p>The labia serve multiple important purposes, including:</p>
<ul>
<li aria-level="1">Protection: The labia protect the vaginal and urethral openings from dirt, bacteria, and other potential contaminants.</li>
<li aria-level="1">Sexual Pleasure: The labia are filled with nerve endings and can be important components of people’s sexual arousal and pleasure. The labia become engorged with blood and may visibly swell when aroused. </li>
<li aria-level="1">Moisture Regulation: The sebaceous glands in the labia produce oils that keep the area lubricated, preventing dryness and irritation. </li>
</ul>
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<h2>Are My Labia Normal?</h2>
<p>You may be concerned about whether your labia are “normal”, but don’t worry! There is no definition for what "normal" labia should look like — labia can be all different sizes, shapes, and colours that are all healthy and unique to each individual. </p>
<p>While a few general “types” of labia may exist, there’s still wide variation within them. Embracing this natural diversity is important for embracing self-love and a positive body image. </p>
<h3> Labia Shape: Innies, Outies, and More</h3>
<p>Every labia is unique. A few ways that people’s labia shapes can vary include:</p>
<ul>
<li aria-level="1">Symmetry of inner lips — some labia minora are equal in length, while others have one lip that is longer than the other.</li>
<li aria-level="1">Length of outer lips — some people have labia majora that don’t extend far downward and are closer to their body, while others have longer, softer labia majora that are more prominent. </li>
<li aria-level="1">Open or closed appearance of outer lips — some people’s labia majora have a more open appearance, allowing the inner lips to be more visible, while others have a more closed appearance that covers more of the inner lips.</li>
<li aria-level="1">“Innie” — a vulva where the labia minora are shorter and don’t protrude past the labia majora.</li>
<li aria-level="1">“Outie” — a vulva where the labia minora protrudes past the labia majora. Some women have long, dangling inner lips, while others have it just peeking past the outer lips.</li>
</ul>
<p>“Innie” and “outie” are just slang terms for the labia’s general appearance, not medical designations. Both are normal and no cause for concern. You can read more about “innie” vs “outie” vaginas in our <a href="https://yoxly.com/en-GB/blogs/yoxly-news/innie-vs-outie-vaginas">blog article</a>. </p>
<h3>Labia Size</h3>
<p>There’s a wide range of labia sizes, too. A <a href="https://pubmed.ncbi.nlm.nih.gov/31918983/">study of over 200 women</a> found that the median width of the labia minora was 19.0 mm, and the median length was 35.5 mm — but the median only indicates the “middle” values of the full range, which is substantially more diverse. For example, <a href="https://obgyn.onlinelibrary.wiley.com/doi/full/10.1111/1471-0528.15387">another study conducted in 2018</a> recorded labia minora ranging from 5–100 mm in length and labia majora from 12–180 mm in length. To truly appreciate natural diversity, it's important to consider the range of “normal”.</p>
<h3>Labia Colour</h3>
<p>Labia can range in colour from pink to dark brown, depending on factors like genetics and hormone levels. It’s common for labia to appear darker than the rest of the body and to become darker when aroused. </p>
<h2>Common Labia Conditions</h2>
<p>Labia, like any other part of the body, can be affected by health conditions. Some common conditions include:</p>
<ul>
<li aria-level="1">
<a href="https://www.sciencedirect.com/science/article/pii/S235258781730044X">Labia Hypertrophy</a>: A benign condition where one or both labia grow larger than what might be considered desirable. While primarily an aesthetic concern, it can also cause discomfort, for example, when wearing certain clothing or during sports or sexual activity.</li>
<li aria-level="1">
<a href="https://www.nhs.uk/conditions/lichen-sclerosus/">Lichen Sclerosus</a>: A skin condition more prevalent in women over the age of 50, this is characterised by itchy white patches on the vulva, including the labia.</li>
<li aria-level="1">
<a href="https://www.nhs.uk/conditions/bartholins-cyst/">Bartholin's Cyst</a>: This is a fluid-filled sac that develops near the vaginal opening. Typically, it presents as a small, painless lump, but it can become infected or enlarged, which can be uncomfortable or painful.</li>
<li aria-level="1">
<a href="https://www.nhs.uk/conditions/vulvodynia/">Vulvodynia</a>: This condition is marked by chronic discomfort or pain in the vulva (including the labia), especially during penetrative sex.</li>
</ul>
<p>While it can be helpful to be aware of what kind of condition you might be experiencing, if you’re worried about your labia, it’s important to seek care from your primary care provider rather than self-diagnosing. They can help to confirm what’s going on and offer tools for treatment.</p>
<h2>Labia Nicknames and Labia Shame</h2>
<p>Like a lot of sexual organs, some creative (frequently icky) nicknames have been developed for the labia, including “beef curtains”, “flaps”, and “roast beef”. While it’s one thing for people to use affectionate nicknames for their own body parts, using negative or derogatory nicknames to describe parts of the body can contribute to distorted self-image and feelings of shame or embarrassment. </p>
<p>Some people still become dissatisfied with the natural appearance of their genitals. <a href="https://academic.oup.com/jsm/article-abstract/17/3/461/6973780?redirectedFrom=fulltext">Studies</a> have shown that the way people feel about their labia is closely linked to negative genital self-image. </p>
<p>While physical discomfort can influence these feelings (e.g., if long protruding labia minora become irritated during sex), unrealistic media representations in pornography also play <a href="https://pubmed.ncbi.nlm.nih.gov/18569538/">a key role</a> in skewing people’s perceptions of what is normal or desirable. </p>
<p>This can lead to mental and emotional health challenges, as well as the desire for elective cosmetic surgery to reduce labia size (<a href="https://www.nhs.uk/conditions/cosmetic-procedures/cosmetic-surgery/labiaplasty/">labiaplasty</a>). In reality, there is an enormous amount of diversity in the colour, size, and texture of the labia, and all can be healthy, sexy, and empowering.</p>
<h2>Promoting Labia Positivity</h2>
<p>Initiatives such as the <a href="https://www.labialibrary.org.au/labia_gallery/">Labia Library</a>, a vault of photos of 52 different vulvas, are helping to normalise how diverse labia appearances are and to combat the stigma surrounding female genitalia.</p>
<p><a href="https://www.bbc.co.uk/news/resources/idt-sh/Why_I_Photographed_100_Vulvas">Another project</a> dedicated to helping women embrace their labia was created by the UK-based photographer, Laura Dodsworth, after she saw a BBC documentary in which girls younger than 10 were seeking <a href="https://www.nhs.uk/conditions/cosmetic-procedures/cosmetic-surgery/labiaplasty/">labiaplasty</a>. The project aimed to challenge societal taboos, reduce stigma, and promote body positivity by showcasing the wide range of normal appearances of vulvas.</p>
<p>Promoting positive and respectful language when discussing the body can also help foster a healthier, more inclusive understanding of normal anatomy, empowering women to embrace their bodies without shame or judgement. </p>

What is a Labia? The Complete Guide.

<p>The term “chemsex” refers to having sex while under the influence of drugs. It’s also called “Party ‘n’ Play” or PnP. Although a variety of people enjoy the way drugs make them feel during sex, chemsex is a term with particular history and cultural associations surrounding men who have sex with men.</p>
<p>Whilst chemsex drugs – typically methamphetamines, GHB, GBL, and mephedrone – can enhance sexual experiences, using them can be harmful too. They may lead to riskier sexual behaviours, compromise consent, increase the risk of sexually transmitted infections (including HIV), and lead to drug addiction.</p>
<h2>What Does Chemsex Involve?</h2>
<p>Chemsex involves taking drugs (“chems”) during or before sexual activity. People take part in it for a variety of reasons, including to enhance pleasure, to feel more relaxed, or to lower sexual inhibitions. It’s also part of a cultural fixture which gay or bisexual men may use as a way to overcome <a href="https://www.emerald.com/insight/content/doi/10.1108/DAT-10-2018-0058/full/html">worries </a>associated with things like:</p>
<ul>
<li aria-level="1">Hook-up culture and body image</li>
<li aria-level="1">Societal/religious attitudes to sex between men</li>
<li aria-level="1">Fear of rejection and judgement</li>
<li aria-level="1">Stigma around HIV/AIDS</li>
</ul>
<p>Chemsex is more common in certain communities and spaces, including gay saunas, clubs, and sex parties. It can be part of spontaneous recreational sex or a paid encounter. Taking stimulant drugs can mean that this type of sexual activity can last for hours or days, and can make a person forget to sleep or eat. </p>
<p>An important aspect of chemsex is that it centres around lowered inhibitions. As a result, these encounters can involve things like sex with several partners or acts that a person may not normally take part in while sober. As such, an important element of safety and consent with chemsex is for participants to establish ground rules and boundaries ahead of time.</p>
<h2>Is Chemsex Just for the LGBTQ+ Community?</h2>
<p>Anyone may choose to take drugs as part of their sex life. However, the term “chemsex” evolved in gay and queer communities. It usually refers to men using specific types of drugs when having sex with other men.</p>
<p>For other couples, the terms <a href="https://www.sciencedirect.com/science/article/abs/pii/S1743609519304230">substance-linked sex</a> and <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3691819/">sex whilst intoxicated</a> have been used in scientific literature. As the types of drugs used, sexual practices, cultural norms, and risks are often different, it can be helpful to use different terminology.</p>
<h2>Which Drugs Are Commonly Used During Chemsex?</h2>
<p>Typically, there are three main drugs (chems) that are used during chemsex because of their ability to <a href="https://i-base.info/blog/wp-content/uploads/2014/12/ChemSex-definition-19dec14-FINAhttps:/i-base.info/blog/wp-content/uploads/2014/12/ChemSex-definition-19dec14-FINAL.pdf">cause sexual disinhibition</a>:</p>
<ul>
<li aria-level="1">Methamphetamines (crystal meth)</li>
<li aria-level="1">GHB (gamma hydroxybutyrate) and GBL (gamma butyrolactone)</li>
<li aria-level="1">Mephedrone</li>
</ul>
<p>Chems can be taken in a range of ways, including being snorted, smoked, swallowed, injected, inhaled, or <a href="https://d-scholarship.pitt.edu/44980/1/Generic%20Safer%20Boofing%20Handout%20-%20Saline.pdf">boofed</a> (squirted into the anus, also known as booty bumping).</p>
<p>Although other drugs like alcohol, cocaine, and ecstasy are sometimes used during sexual activity, these are not usually referred to as chemsex drugs because they <a href="https://www.emerald.com/insight/content/doi/10.1108/DAT-10-2018-0058/full/html">don’t give the same type or duration of high</a>, or level of sexual disinhibition.</p>
<p><strong>Methamphetamine (Crystal Meth)</strong></p>
<p><a href="https://www.talktofrank.com/drug/methamphetamine">Methamphetamine</a> is a stimulant drug that comes as a powder, tablets, or crystals. As a part of chemsex, it’s typically taken in the form of crystal meth (meth). It can make a person feel exhilarated and energised, raise the heart rate, and lower inhibitions. The high from meth can last for up to 12 hours and frequently causes reduced appetite and decreased need for sleep.</p>
<p>Depending on its form, meth can be smoked, snorted, swallowed, injected, or boofed.</p>
<p>Methamphetamine use comes with risks, like any drug. It’s also dangerous to mix meth with alcohol or with other amphetamine-type drugs. In some cases, long-term use can cause brain damage and <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6138095/">psychosis</a>. An overdose can lead to a <a href="https://www.ncbi.nlm.nih.gov/books/NBK430895/">stroke, organ damage, coma, and death</a>.</p>
<p><strong>GHB (Gamma Hydroxybutyrate) and GBL (Gamma Butyrolactone)</strong></p>
<p><a href="https://www.talktofrank.com/drug/ghb">GHB and GBL</a> are depressant drugs. They are both oily, colourless liquids that have sedative effects. Rarely, they also come as tablets, pastes, or powders. Their effects can make people feel relaxed, high, and sexually aroused. Both drugs work similarly, as GBL is broken down into GHB by the body.</p>
<p>Both drugs are very potent and carry risks - it’s easy to overdose after taking just a small amount. Many users prefer to use a syringe or pre-measured vial to prevent overdosing.</p>
<p>GHB/GBL is usually taken orally, but it can cause chemical burns in the mouth if taken undiluted. It’s common for people taking GHB/GBL to measure out the dose and then add it to a soft drink. Rarely, some people snort these drugs in powder form. GBL can’t be injected, but some people choose to inject GHB (although this is very risky). Overdose can lead to loss of consciousness and even death.</p>
<p><strong>Mephedrone (MCAT)</strong></p>
<p>A fine white or yellow-white powder, <a href="https://www.talktofrank.com/drug/mephedrone">mephedrone</a> is a powerful stimulant drug. Its effects can make people feel more confident, affectionate, and sensitive to physical touch. It’s usually snorted, but some people take it as tablets, swallow it wrapped in paper, or inject it (which is much more likely to lead to an overdose).</p>
<p>Mephedrone is addictive, and users tend to need to take increasing amounts to reach the same high. Some people struggle to sleep for several days after taking mephedrone and experience memory problems. </p>
<p>Serious side effects include heart and circulation problems, <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5771050/">hallucinations, fits, and overheating</a> (especially if mixed with other amphetamine-type drugs like methamphetamine or ecstasy).</p>
<p><strong>Other Drugs</strong></p>
<p>Some people also consider nitrites (poppers) as a chemsex drug, as they can cause lowered inhibitions, muscle relaxation (including those in the anus), and increased sex drive. It’s common for people to take multiple chemsex drugs together or along with other recreational drugs.</p>
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<h2>The Risks of Chemsex</h2>
<p>It’s possible to engage in chemsex and still practise safe sex, avoid developing an addiction, and experience limited health issues as a result. However, many people develop physical and psychological issues linked to chemsex.</p>
<p>We cover some of the drug-specific risks in this article, including the impacts they can have on your mental and physical health. For more information, check out the free resource <a href="https://www.talktofrank.com/">Frank</a>.</p>
<ol>
<li><strong> Addiction and Dependency</strong></li>
</ol>
<p>As with any drugs, chemsex drugs come with the very real risk of addiction, difficult comedowns, and withdrawal symptoms. As well as physical health problems, addiction can cause mental health issues, relationship problems, and financial difficulties.</p>
<p>Historically, due to things like stigma and lack of awareness, many drug and alcohol services were <a href="https://menrus.co.uk/wp-content/uploads/2019/11/Chemsex-origins-of-the-word-a-history-of-the-phenomenon-and-a-respect-to-the-culture-David-Stuart.pdf">poor at dealing with this type of drug addiction</a>. Thankfully, there are now <a href="https://www.letstalkaboutit.nhs.uk/directory-of-services/chemsex-support/">various NHS-run specialist services</a> that can offer effective and inclusive help.</p>
<ol start="2">
<li><strong> HIV, Hepatitis C, and Other Sexually Transmitted Infections (STIs)</strong></li>
</ol>
<p>STI transmission is a major risk of chemsex. Elements which may increase risk include:</p>
<ul>
<li aria-level="1">Sharing drug equipment, especially needles</li>
<li aria-level="1">Lower inhibitions, which make people <a href="https://journals.sagepub.com/doi/abs/10.1177/1757913918778872?journalCode=rshi">less likely to wear a condom</a>, engage in group sex, and have multiple partners</li>
<li aria-level="1">Longer-lasting and rougher sex, which increases the <a href="https://ajph.aphapublications.org/doi/full/10.2105/AJPH.2007.126383">risk of bleeding and transmitting blood-borne viruses</a>.</li>
</ul>
<ol start="3">
<li><strong> Issues Around Consent, Sex, and Relationships</strong></li>
</ol>
<p>Consent for sexual activity should be continuously and clearly communicated, and can be revoked at any time. However, this becomes problematic during chemsex as it can make people drowsy, intoxicated, and less able to consent to sex. One study found that <a href="https://sti.bmj.com/content/93/Suppl_1/A5.2">32% of men who’d engaged in chemsex</a> had been subjected to non-consensual sex. </p>
<p>Issues with relationships and daily life can occur, too. Some people who engage in chemsex regularly find it affects their ability to maintain relationships, go to work, and to have sex without taking drugs.</p>
<h2>How To Have Safer Chemsex</h2>
<p>By knowing the risks of chemsex and preparing, you can reduce your chances of having a negative experience or seriously impacting your health.</p>
<p><strong>Before</strong></p>
<p>Plan which drugs you intend to take, in what form, and in what dose. Purchase them from a supplier you know and trust if possible, and be sure to get your own supplies in advance (like syringes, mixing cups, and safe sex supplies).</p>
<p>Explicitly discuss and agree on boundaries with your sexual partner(s) before getting started. You might also consider taking <a href="https://www.nhs.uk/medicines/pre-exposure-prophylaxis-prep/about-pre-exposure-prophylaxis-prep/">PrEP</a> (pre-exposure prophylaxis against HIV)</p>
<p>It’s also a good idea to plan for a “babysitter” — someone who will be sober and nearby who can offer help if a problem arises (e.g., with consent or safety).</p>
<p><strong>During</strong></p>
<p>Don’t share equipment, and avoid mixing drugs with each other or with alcohol. Use a condom, and make sure to use plenty of lubricant to avoid skin tears. If you feel unsafe or out of control at any point, ask your partner(s) to stop so you can take a break from the situation.</p>
<p>If you are taking part in a long chemsex session, don’t forget to eat and drink even if you don’t feel hungry or thirsty.</p>
<p><strong>After </strong></p>
<p>Rest and recover in a safe space, ideally with someone you trust - you may struggle to sleep or have a difficult comedown. If you are not taking PrEP and you are worried about the risk of HIV, speak with a healthcare provider about <a href="https://www.tht.org.uk/hiv/protection/pep-post-exposure-prophylaxis-hiv">PEP</a> (post-exposure prophylaxis against HIV). PEP is not suitable for everyone and must be started within 72 hours of potential exposure to HIV. PEP can be obtained from emergency departments and sexual health clinics. If you’re having regular unprotected sex, make sure to <a href="https://yoxly.com/en-GB/products/comprehensive-sti-test-kit">test yourself for STIs</a> every 3 months.</p>

What Is Chemsex? Everything You Need To Know...

<p>We’ve come a long way towards sexual equality, but female sexual pleasure can sometimes still feel like a taboo topic — or at least, a sometimes confusing one.. Squirting is a prime example of this. It’s not included in sexual education, is unrealistically portrayed in porn, is even controversial among medical researchers, and is generally misunderstood by many. </p>
<p>We're here to help set the record straight. What is squirting exactly? Why do women squirt? Can all people with vulvas do it? How do you begin to dabble in this area of sexual pleasure? In this article, we’ll discuss squirting in detail, dispel some myths, and offer some top tips for exploring it.</p>
<p>Grab a bucket and a mop for this one, and let's get started!</p>
<h2>What Is Squirting?</h2>
<p>Squirting refers to the expulsion of a clear fluid from the urethra during sexual arousal or orgasm. It happens to people with vulvas, though not everyone experiences it.</p>
<p>Here are some fast facts about squirting:</p>
<ul>
<li aria-level="1">
<strong>Amount</strong>: Contrary to the gushing litres of fluid often depicted in porn, the amount of liquid expelled when squirting <a href="https://journals.sagepub.com/doi/full/10.1177/13634607211041095">can vary greatly</a>. Some people literally soak the sheets, releasing more than 100 ml of fluid, while others release closer to 15 ml. </li>
<li aria-level="1">
<strong>Timing</strong>: <a href="https://www.tandfonline.com/doi/full/10.1080/00224499.2023.2243939#d1e268">Squirting tends to occur</a> during sexual arousal as a person nears orgasm, during orgasm, or right after orgasm. </li>
<li aria-level="1">
<strong>Frequency</strong>: Some people experience squirting spontaneously and without effort; others can control their squirting; and others have not or find they cannot squirt. Each situation is normal, as arousal, our bodies, and our experience of pleasure are all highly individual. </li>
</ul>
<h3>Is squirting the same as peeing?</h3>
<p>I<a href="https://pubmed.ncbi.nlm.nih.gov/25545022/">t appears that </a>the fluid released during squirting (while similar in composition to urine) isn’t identical to urine. Like urine, squirted fluid contains urea, creatinine, and uric acid and comes from the urethra.</p>
<p>However! Fluid released during squirting also <a href="https://pubmed.ncbi.nlm.nih.gov/29285596/">contains </a>a substance called prostatic-specific antigen (PSA), a substance created in the Skene’s glands, which is not found in urine. In addition, <a href="https://pubmed.ncbi.nlm.nih.gov/25545022/">a study</a> exploring the nature of squirting assessed the fullness of women’s bladders before, during, and after sexual stimulation. Even though all participants had empty bladders before stimulation, the bladders of the ones who squirted filled rapidly right before squirting, and were empty after.</p>
<p>So, it’s possible that while squirted fluid passes through the bladder and urethra, and is similar to urine, it’s not exactly the same. What’s more, <a href="https://journals.sagepub.com/doi/full/10.1177/13634607211041095">most people note that </a>squirted fluid doesn’t taste or smell like urine.</p>
<h2>How Does Squirting Feel?</h2>
<p>Female sexual pleasure is much more nuanced and complex than portrayed in the media. Just like we all have different fingerprints, each person with a <a href="https://yoxly.com/blogs/yoxly-news/vulva-vs-vagina-what-s-the-difference">vulva</a> experiences squirting differently.</p>
<p><a href="https://www.tandfonline.com/doi/full/10.1080/00224499.2023.2243939#d1e268">Squirting can feel </a>orgasmic, intense, and deeply pleasurable — which makes sense, considering it tends to happen near orgasm. Many people also report feeling a sense of release, amazement, pride, and sexual satisfaction. </p>
<p>However, squirting can also be a multi-layered emotional journey depending on people’s relationship with sex, their bodies, and their partner. Some people report feeling humiliation, embarrassment, shock, and surprise. It can be emotionally intense, and some people report feeling overwhelmed by it. Still others experience squirting and then wonder what the big deal is.</p>
<p>Still, squirting can be beneficial for you beyond feeling aroused and pleasure, and <a href="https://pubmed.ncbi.nlm.nih.gov/23350685/">some couples state it improves their sex life</a>. <a href="https://academic.oup.com/jsm/advance-article/doi/10.1093/jsxmed/qdae065/7696405?login=false">Some young women explain</a> how gushing motivates them to communicate more effectively with their sex partners about their needs and expectations, which can help to build the foundations of a safe environment for healthy sexual experiences.</p>
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<h2>Squirting vs. Female Ejaculation: Are They the Same?</h2>
<p>The terms “squirting” and“female ejaculation” are often used interchangeably (both in day-to-day settings as well as in medical literature). But are they the same? </p>
<p>Nope — while they can be grouped together under “sexual fluid emission” (how romantic), squirting and female ejaculation are two different experiences: </p>
<table style="border-collapse: collapse; width: 100%;">
<tbody>
<tr>
<td style="width: 257.852px; border: 2px solid darkblue;">
<p><a href="https://pubmed.ncbi.nlm.nih.gov/36000809/"><strong>Squirting</strong></a></p>
</td>
<td style="width: 269.688px; border: 2px solid darkblue;">
<p><a href="https://pubmed.ncbi.nlm.nih.gov/29285596/"><strong>Female Ejaculation</strong></a></p>
</td>
</tr>
<tr>
<td style="width: 257.852px; border: 2px solid darkblue;">
<ul>
<li>The expulsion of often-copious clear-ish fluid (anywhere from <a href="https://journals.sagepub.com/doi/full/10.1177/13634607211041095">10-110 ml</a>)</li>
</ul>
</td>
<td style="width: 269.688px; border: 2px solid darkblue;">
<ul>
<li>The release of a small amount of a thicker, milky fluid (a few millilitres)</li>
</ul>
</td>
</tr>
<tr>
<td style="width: 257.852px; border: 2px solid darkblue;">
<ul>
<li>Passes through the bladder, and contains some input from the Skene's glands*</li>
</ul>
</td>
<td style="width: 269.688px; border: 2px solid darkblue;">
<ul>
<li>Comes from the Skene’s glands*</li>
</ul>
</td>
</tr>
<tr>
<td style="width: 257.852px; border: 2px solid darkblue;">
<ul>
<li>Contains urea, uric acid, creatinine, some prostatic-specific antigen (PSA), and is similar to urine.</li>
</ul>
</td>
<td style="width: 269.688px; border: 2px solid darkblue;">
<ul>
<li>Contains <a href="https://pubmed.ncbi.nlm.nih.gov/29285596/">prostate-specific antigen</a> (PSA), fructose, and glucose and is similar to <a href="https://yoxly.com/blogs/yoxly-news/5-tips-for-healthy-sperm">semen</a> in consistency.</li>
</ul>
</td>
</tr>
<tr>
<td style="width: 257.852px; border: 2px solid darkblue;">
<ul>
<li>Can happen when sexually aroused or surrounding orgasm</li>
</ul>
</td>
<td style="width: 269.688px; border: 2px solid darkblue;">
<ul>
<li>Is released during orgasm</li>
</ul>
</td>
</tr>
</tbody>
</table>
<p> </p>
<p>*The <a href="https://www.ncbi.nlm.nih.gov/books/NBK547703/">Skene’s glands</a> are also known as the female prostate, as they have some similarity to the male prostate. The Skene's glands are two glands located on either side of the female urethra. Their function isn’t fully understood, but they’re the source of female ejaculate and help to lubricate the vaginal opening. </p>
<p>Interestingly, not every person with a vulva seems to have them…one study only found them in <a href="https://pubmed.ncbi.nlm.nih.gov/21810187/">50-85%</a> of women assessed. </p>
<h2>How to Squirt</h2>
<p>Some people are old hats at squirting, while others have never experienced it before. Both are valid! </p>
<p>We should point out that not everyone is able to squirt or ejaculate. There’s no shame in either. A healthy, happy sex life is not about achieving milestones, but exploring and enjoying pleasure. </p>
<p>If squirting is something you’d like to experience, or would like to explore further, there are many ways to explore this area of sexual pleasure. </p>
<p>Let’s start with the basics:</p>
<h3>Step 1: Prepare Mentally</h3>
<p>Ever hear the common advice that in order to orgasm, you have to “relax and let go”? Well, it’s definitely true of squirting too. Many people who have squirted emphasise the importance of being relaxed, comfortable with a partner, and at ease with the idea of gushing. If you’re preoccupied, tense, or fixated on how your sexual partner might perceive you, it may make squirting more challenging for you. </p>
<p>Some common mental and emotional obstacles people face about squirting include:Ask yourself if any worries or beliefs are holding you back:</p>
<ul>
<li aria-level="1">Feeling insecure about the amount of fluid squirting releases or worried about making a mess. </li>
<li aria-level="1">Feeling pressured for squirting to happen in a certain way (i.e., based on norms in pornography or set by a previous partner).</li>
<li aria-level="1">What do you need to feel comfortable and safe right now?</li>
</ul>
<p>It can be difficult to move past these kinds of obstacles. Take a moment to explore your feelings, see what you can let go of, offer yourself some reassurance and self-love, and try to approach squirting as a fun experiment.</p>
<h3>Step 2: Prepare Your Body &amp; Surroundings</h3>
<p>Sex can be full of fun, unexpected, and messy things. Still worried about squirting making a mess? A few easy steps can help ease this:</p>
<ul>
<li aria-level="1">Empty your bladder beforehand</li>
<li aria-level="1">Spread a towel on the bed</li>
<li aria-level="1">Consider heading to a more wet-friendly environment, like the shower or bath</li>
</ul>
<p>Making sure you’re well hydrated is another good step when exploring squirting. <a href="https://www.nhsinform.scot/illnesses-and-conditions/nutritional/dehydration/">Dehydration impacts a variety of bodily fluid levels</a>, so hydrating well may help you to get wet more easily and optimise your odds of squirting. </p>
<p>And don’t forget: <a href="https://yoxly.com/blogs/yoxly-news/lube-look-alikes-your-insider-guide-to-all-the-alternatives-to-lube">lube</a> is your friend during all kinds of sex play! Keeping things smooth and slippery helps to keep things comfortable (helping to avoid making your vulva irritated or <a href="https://yoxly.com/blogs/yoxly-news/why-is-my-vagina-itchy">itchy</a>) and pleasurable. </p>
<h3>Step 3: Squirting Through Solo Play</h3>
<p>Solo play can be a great way to start to explore squirting, or even to expand your mastery if you’ve already experienced it. It can allow you to direct your full attention to your own feelings and bodily sensations before you consider a partner’s needs or experience.</p>
<p>A few basic pointers can help you to try squirting during solo play:</p>
<ul>
<li aria-level="1">Relax into your preferred setting for masturbation. If you’d like, lay a towel down in case of waterworks. Make sure you won’t be disturbed and that you have privacy.</li>
<li aria-level="1">Use your fingers or a <a href="https://yoxly.com/blogs/yoxly-news/keep-it-safe-keep-it-sexy-how-to-properly-clean-and-care-for-your-sex-toys">sex toy</a> to find your G-spot. (A friendly reminder: it’s inside the front wall of your vagina, a few inches deep. Its texture is often described as spongy or rough.)</li>
<li aria-level="1">Stimulate the G-spot gently. Experiment with rhythm, amounts of pressure, and movements that feel best. </li>
<li aria-level="1">As arousal builds, it’s common to feel the need to urinate. Relax into it and see how it interacts with your pleasure. </li>
<li aria-level="1">As you get more and more aroused, consider adding in a bit of clitoral stimulation with fingers or a sex toy at the same time.</li>
<li aria-level="1">You may squirt as your arousal builds and your pleasure intensifies.You may reach an orgasm, and squirt during or after it. You may not experience squirting at all. Try your best to relax your pelvic muscles and keep masturbating through your climax to promote release of fluid. </li>
</ul>
<p>A key point takeaway: take your time and don’t rush things. Make sure you’re relaxed and comfortable, let your pleasure build slowly, and see what happens.</p>
<h3>Step 4: Squirting With a Partner</h3>
<p>After experimenting with squirting during solo play, you can try it with a partner too. Or, you might be here because you’d like to help a partner squirt. Either way, here are a few basic tips:</p>
<ul>
<li aria-level="1">Be generous with the foreplay, using mouth, fingers, or sex toys to stimulate the G-spot and/or clitoris. </li>
<li aria-level="1">Communicate, check in, and ensure there is active listening and respect for each other’s "no". </li>
</ul>
<p>If you need inspiration for positions to try, we've got you! </p>
<ol>
<ol>
<li aria-level="1">
<strong>Doggy style </strong>makes it quite easy to hit the G-spot. As the receiving partner kneels down, they can reach between their legs and play with their clitoris, stimulating it with their hands or a sex toy.</li>
<li aria-level="1">
<strong>Reverse cowgirl</strong> might be helpful if the receiving partner prefers to sit up straight. It also allows both to play with the clitoris freely.</li>
<li aria-level="1">
<strong>Manual missionary</strong> is a variation on traditional missionary in which the receiving partner lies down and their partner stimulates their G-spot manually while they play with their clitoris. It also allows for intense eye contact.</li>
</ol>
</ol>
<p>While exploring squirting, try to remember: </p>
<ul>
<li aria-level="1">Can all people women squirt? Nope. </li>
<li aria-level="1">Does it mean they are worse at sex? Nope. </li>
<li aria-level="1">Can working together to experience squirting still enhance your shared experience? Yes!</li>
</ul>
<p>Think of squirting as a journey, not a destination. If it happens, it will be a deeply intimate moment, and so creating a safe space is essential for a good experience. If you’re here for your partner, remember to avoid putting on the pressure, and to offer plenty of reassurance.</p>
<h2>Safety First</h2>
<p>Like fastening your seatbelt before driving, it’s essential to discuss safety measures before jumping into sexual exploration with a partner.</p>
<p>The majority of <a href="https://www.nhs.uk/conditions/sexually-transmitted-infections-stis/">sexually transmitted infections (STIs)</a>, including gonorrhoea, chlamydia, and HIV, are transmitted through bodily fluids (yes, that includes fluid released during squirting). Enable yourself to fully enjoy your experience by:</p>
<ul>
<li aria-level="1">Making sure both partners are STI-free (keep things simple by using <a href="https://yoxly.com/#our-at-home-kits">our at-home STI kits),</a>
</li>
<li aria-level="1">Staying safer from infection by using a condom, a dental dam, and/or gloves.</li>
</ul>
<h2>Have Fun!</h2>
<p>Well done! Sexual education is an important investment in sexual self-care and wellness. Now that you understand some basic facts and tips about squirting, you're ready to go! Stay safe, communicate openly, and enjoy every moment.</p>

Squirting 101: What It Is, What It’s Not, and How To Do It

<p>September is Pleasure Your Mate Month, which means it’s time to think about friends with benefits! (It isn’t just a meh movie starring Justin Timberlake and Mila Kunis). Many people enjoy sex outside relationships in real life, including with friends. </p>
<p>If you’re not sure what’s involved or how to make this situation work, keep reading. Here we’ll discuss what friends with benefits are, how to find one, and how to make it work for both of you.</p>
<h2>Defining ‘Friends With Benefits’</h2>
<p>What are friends with benefits (FWB), anyway? It may seem obvious, but different people define FWB differently. For some, it’s an existing friend who they then have sex with. This type of FWB can offer the familiarity, comfort, and trust of a friendship alongside sexual satisfaction. If the situation runs its course, you’ll ideally be able to return to being friends (but this isn’t always the case, e.g., if one person develops deeper romantic feelings). </p>
<p>For others, an FWB is someone befriended for sex specifically. This type of FWB is closer to a fuck buddy — a relationship which prioritises sex. There’s no expectation that you maintain a friendship outside of the bedroom (though people often become more and more comfortable with one another as time goes on). If this type of FWB situation runs its course, chances are the relationship will end entirely, and you’ll go your separate ways.</p>
<p>Because definitions can vary, it’s important to get on the same page with your FWB. This is where clear communication about expectations and boundaries comes in.</p>
<h2>How to Make Friends With Benefits or Fuck Buddy Work</h2>
<p>A key to making an FWB or fuck buddy work is setting boundaries that protect your physical, emotional, and mental health. One way of achieving this is by making sure you both agree on a shared set of expectations to reduce the chances of frustrations or disappointments. </p>
<p>Some considerations when defining boundaries can include:</p>
<ul>
<li>If you expect to do things as friends outside the bedroom</li>
<li>How you’ll communicate, and how frequently</li>
<li>Whether you’ll tell others about your relationship, and who that may be</li>
<li>If you’ll spend the night</li>
<li>How often you’ll see each other</li>
<li>Whether you can see other people, and if it’s okay to discuss them with each other</li>
<li>If any activities are off-limits</li>
<li>How quickly you expect replies to calls or messages</li>
<li>What kind of <a href="https://yoxly.com/pages/contraception-information">contraception</a> you plan to use</li>
<li>Where you’ll hook up</li>
<li>What you’ll do if someone develops deeper feelings</li>
<li>How to handle pregnancy and STI scares</li>
<li>If public displays of affection are allowed</li>
<li>Whether you’ll kiss or cuddle</li>
<li>How much emotional support you’ll provide</li>
<li>If you’ll go on dates</li>
<li>How much space you need if going back to being friends</li>
</ul>
<p>Talking about these issues ahead of time makes them easier to deal with if and when they come up. It also helps you both to avoid assumptions that may lead to misunderstandings or hurt feelings.</p>
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<h2>Where to Find a Fuck Buddy or Friend With Benefits</h2>
<p>If you’re looking for an FWB arrangement, consider your existing friend group. Some people avoid having sex with close friends because they don’t want to risk the friendship. However, someone who is only an acquaintance might make an ideal friend with benefits. Have you got a mate who is hot but perhaps a little dull? That’s perfect for a fuck buddy or FWB!</p>
<p>Finding a fuck buddy can be a little different. Dating apps are a straightforward option for finding casual and no-strings-attached (NSA) sex partners like fuck buddies. Tinder was created to facilitate this, and other apps like OkCupid and Bumble have introduced filters for casual hookups, too. Grindr, a hookup app originally started for men who have sex with men, has opened its doors to people of all sexualities — so there’s no shortage of apps that can help you to find a fuck buddy.</p>
<p>You’ll be in good company if you’re looking for sex online. One study found that <a href="https://sti.bmj.com/content/sextrans/93/8/572.full.pdf">16% of men and 10% of women</a> had found a sexual partner online in the last year. According to this study, the age range of people most likely to find a sex partner online was between 35 and 44 years old. It was also more common for people to be looking for sex other than heterosexual sex — but people of all ages and sexualities use hookup and dating apps.</p>
<h2>Do People Prefer Friends With Benefits Over Relationships?</h2>
<p>While many people enjoy having fuck buddies, plenty of others are still interested in something more serious. In fact, surveys from dating sites Match.com and OkCupid show that people are more interested in finding a serious relationship now than they were before the pandemic. </p>
<p>Still, plenty of people seek casual sex. One study found that <a href="https://www.natsal.ac.uk/sites/default/files/2020-11/natsal-3-reference-tables.pdf">61% of men and 45% of women think it’s fine to have sex with someone without being in love with them</a>.</p>
<p>Occasionally, people start as friends with benefits or fuck buddies and then decide to formalise their relationship and make things official. However, it’s generally not a good idea to use casual sex as a way to get someone to date you, as it’s likely to result in bruised feelings. No-strings-attached sex only works if everyone involved is on the same page.</p>
<h2>How to Manage the Risks of Sex With Fuck Buddies and FWB </h2>
<p>Even when sex is casual, it still carries the same risks as any sexual activity or encounter with someone you don’t know well. This can include:</p>
<ul>
<li aria-level="1">Unintended pregnancy</li>
<li aria-level="1">Sexually transmitted infections (STIs), which can be transmitted orally, vaginally, or anally by people of all genders and sexual orientations</li>
<li aria-level="1">Safety risks of being alone with someone who is potentially a stranger</li>
</ul>
<p>Using common sense can go a long way in mitigating certain risks of being with someone new. Plus, being vigilant about using condoms and dental dams is a cornerstone of having safe sex and avoiding STIs. Some STIs, like human papillomavirus (HPV), aren’t 100% prevented by using condoms — so it’s worth considering other protections, such as the<a href="https://vaccineknowledge.ox.ac.uk/hpv-vaccine#Key-facts-about-the-HPV-Vaccine"> HPV vaccine</a>.</p>
<p>It’s worth noting that people who find sex partners online may be <a href="https://sti.bmj.com/content/sextrans/93/8/572.full.pdf">more likely to have sex without a condom</a>, have multiple relationships at the same time, and have more partners in the previous year than people who don’t find partners online. Interestingly, research also finds that men in this group are more likely to get tested for STIs, so sexual responsibility can still be possible. </p>
<p>You can care for your sexual health and that of your partners by getting a regular STI screening. Sharing STI results with a new fuck buddy or FWB means you both know your real risk and have the opportunity to consent to sex — or not. You can even add it to your discussions about boundaries and compatibility. </p>
<p>For fuck buddies and FWB who want to be sexually responsible, consider a trip to the clinic together. It’s your responsibility to care for your sexual health and your right to ask the same of any partner.</p>
<p>Fortunately, STI testing is easier than ever with <a href="https://yoxly.com/#our-at-home-kits">at-home testing kits through the mail</a>. And if someone doesn’t want to get tested or share their results, it’s a good sign that they’re not worth the risk of having sex with.</p>
<p>Check out <a href="https://yoxly.com/#our-at-home-kits">Yoxly’s STI testing kit</a> to take control of your sexual health so you can safely enjoy having casual sex with fuck buddies and friends with benefits!</p>

Friends With Benefits, F*ck Buddies, and More: Making Casual Sex Work

<p>Many women experience vaginal dryness at some point in their lives. This uncomfortable condition, which can impact sex, tampon use, and general daily comfort, can be due to hormones, an underlying health condition, or a lack of sexual arousal. </p>
<p>Additional lubrication can help make sex more comfortable, but there are other types of treatment depending on the cause of the dryness.</p>
<h2>What Is Vaginal Dryness?</h2>
<p>Women’s vaginas are pretty amazing. Not only can they expand to give birth to a child, facilitate menstruation, and offer sexual pleasure, but they also self-clean and self-lubricate.</p>
<p>Normally, the walls of the vagina are kept lubricated by <a href="https://www.nhs.uk/conditions/vaginal-discharge/">a thin fluid</a> that helps reduce friction and protect from infections like thrush, bacterial vaginosis, and <a href="https://yoxly.com/en-GB/">sexually transmitted infections</a> (STIs). It’s known as vaginal discharge or secretions, and it’s a normal, important part of having a vagina.</p>
<p>Vaginal secretions are produced all the time, but the production process is affected by things like a person’s hydration status, the hormone oestrogen, and overall mental and physical health. For example, during sexual arousal, more blood flows to the vagina, causing <a href="https://link.springer.com/chapter/10.1007/978-3-031-18432-1_2#:~:text=6.1%20Female%20Genital%20Sexual%20Response&amp;text=The%20vagina%20lengthens%20and%20dilates,congestion%20of%20the%20inner%20lips.">extra fluid to pass through the vaginal walls</a> to lubricate the vagina before sex. But if oestrogen levels, blood flow, or the sexual arousal process are interrupted, it can lead to vaginal dryness.</p>
<h2>Symptoms of Vaginal Dryness</h2>
<p>Vaginal dryness affects every person differently, but some of the most common symptoms include:</p>
<ul>
<li aria-level="1" data-sanitized-aria-level="1">A painful or itchy vagina, including around the vaginal opening (introitus)</li>
<li aria-level="1" data-sanitized-aria-level="1">Painful or uncomfortable sex/masturbation</li>
<li aria-level="1" data-sanitized-aria-level="1">Bleeding or pain after sex</li>
<li aria-level="1" data-sanitized-aria-level="1">Recurring UTIs (urinary tract infections) or needing to pee more often</li>
<li aria-level="1" data-sanitized-aria-level="1">Abnormal vaginal discharge/less discharge than normal</li>
</ul>
<p>These symptoms can both put women off having sex as well as lead to discomfort during normal daily activities.</p>
<h2>What Causes Vaginal Dryness?</h2>
<p><em>Low oestrogen levels</em></p>
<p>Around <a href="https://www.sciencedirect.com/topics/nursing-and-health-professions/vaginal-dryness">50% of women</a> who have gone through menopause experience vaginal dryness. Oestrogen levels drop as a normal part of ageing and the menopausal transition, which causes the lining of the vagina to become thinner, drier, and less elastic. This condition is known as vaginal atrophy.</p>
<p>Other <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6459457/">causes of low oestrogen</a> can also lead to vaginal atrophy and dryness, including the use of hormonal contraceptives, removal of the ovaries, hormonal shifts following childbirth, and hormonal changes during lactation.</p>
<p><em>Health conditions and medications</em></p>
<p>Hormonal contraceptives not only affect oestrogen levels (thus contributing to dryness), but they can also decrease libido, leading to mental and emotional contributions to vaginal dryness surrounding sexual activity. <a href="https://pubmed.ncbi.nlm.nih.gov/27622561/">Studies suggest</a> that not all women experience these side effects, but if you think your contraception is affecting your libido, it may be worth trying a different type. There are a wide variety of contraceptive options available that can suit different bodies and lifestyles.</p>
<p>There’s <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6459457/">some evidence</a> that other medications like antidepressants, cold medicines, antihistamines, and chemotherapy drugs can also cause libido changes and/or vaginal dryness.</p>
<p>Interestingly, several studies have also found a <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3783773/">link between diabetes and  reduced vaginal lubrication</a>, possibly due to nerve and blood vessel damage associated with this condition. Vaginal dryness is often also experienced in <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7516088/">women with Sjogren’s syndrome</a> – a rare autoimmune condition that can damage the body’s blood vessels and fluid-producing organs.</p>
<p><em>Psychological and emotional causes</em></p>
<p>Sexual arousal has both physical and emotional aspects. Many women find they need to become mentally aroused before they can experience physical arousal, including vaginal lubrication. Stress, relationship issues, and poor mental health are just some of the causes of low libido. <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2887768/">A woman’s menstrual cycle</a> can also impact libido and, consequently, the level of vaginal lubrication.</p>
<p><em>Lifestyle causes</em></p>
<p>Despite product claims, any kind of ”feminine hygiene” product is generally considered bad for vaginal health. <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7075398/#ref18">Douching</a>, or cleaning inside of the vagina, can wash away the vagina’s natural secretions and upset the delicate bacterial and pH balance, leading to vaginal dryness. Washing in or around the vagina with scented soaps, wipes, and washes can have similar effects.</p>
<p>Smoking may also increase the risk of vaginal dryness, possibly due to the impact it has on <a href="https://www.sciencedirect.com/science/article/abs/pii/000293789090420C">how oestrogen is metabolised by the body</a> or by affecting blood flow.</p>
<p>The body needs to be properly hydrated to produce vaginal secretions, so <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6459457/">dehydration is another cause of vaginal dryness</a>.</p>
<h2>Treatments for Vaginal Dryness</h2>
<p>Vaginal dryness is uncomfortable and can significantly impact a woman’s sex life and emotional well-being, especially as it may feel like an embarrassing or isolating topic to discuss. However, it’s a very common condition, and fortunately, there are ways to treat it.</p>
<h3>General Best Practices</h3>
<p>Regardless of the cause, anyone experiencing vaginal dryness should avoid:</p>
<ul>
<li aria-level="1" data-sanitized-aria-level="1">Douching or washing inside the vagina</li>
<li aria-level="1" data-sanitized-aria-level="1">Using strong or perfumed soaps and washes around the vulva and vagina</li>
</ul>
<p>Washing with just warm water is the best way to stay clean whilst avoiding irritation and dryness.</p>
<p><a href="https://www.tandfonline.com/doi/full/10.1080/14787210.2020.1822166">Water-based lubricants</a> can improve pleasure and comfort during sex or when masturbating. These types of lubricants can be used safely with condoms and most sex toys. However, these may contain irritating ingredients and preservatives, so you may have to try a few to find one that suits your skin type. It’s best to avoid using body or hand moisturisers, baby oil, petroleum jelly, mineral oils, and vegetable oils, as they can damage condoms and <a href="https://journals.lww.com/greenjournal/abstract/2013/04000/intravaginal_practices_and_risk_of_bacterial.12.aspx">increase the risk of infections</a>.</p>
<p>Depending on the cause, there are also more specific treatments available.</p>
<h3>Treating Vaginal Dryness Caused by Low Oestrogen</h3>
<p><a href="https://www.nhsinform.scot/tests-and-treatments/medicines-and-medical-aids/types-of-medicine/hormone-replacement-therapy-hrt/">Hormone replacement therapy</a> (HRT) is used to replace oestrogen in women who are going through menopause or who no longer have periods, as well as postpartum women experiencing vaginal dryness and atrophy. HRT is available in various forms, but a topical cream is typically prescribed for dryness. Other local HRT options include vaginal tablets, pessaries, gels, and rings that are inserted into the vagina.</p>
<p>If localised HRT doesn’t work, your doctor may suggest other forms of HRT or a type of medication called a selective oestrogen receptor modulator (SERM). These treatments may result in side effects and aren’t suitable for everyone, so it’s important to discuss the options with your doctor.</p>
<p>Non-hormonal moisturisers and gels designed specifically for the vagina may also help with vaginal dryness caused by low oestrogen levels. Make sure to use medically approved brands – ask a healthcare professional for advice if you’re unsure.</p>
<h3>Treating Vaginal Dryness Caused by Medication or Health Conditions</h3>
<p>If you’re worried that your medication could be causing your vaginal dryness, speak to your GP. They may switch you to an alternative medication or suggest treatments to help with the lack of lubrication, like vaginal moisturisers or creams.</p>
<p>Similarly, if your medical condition could be affecting your vaginal lubrication or tissue elasticity, your doctor may be able to help manage the condition better or suggest suitable treatments.</p>
<p>In some cases, vaginal dryness can be caused by an infection. If you may have an STI, order a<a href="https://yoxly.com/en-GB/products/comprehensive-sti-test-kit">home-testing kit from Yoxly</a> or visit your local sexual health clinic.</p>
<h3>Treating Vaginal Dryness Caused by Emotional Factors</h3>
<p>If you think your lack of lubrication could be due to how you’re feeling mentally or emotionally, talking about it can help. Discussing your sex life with your partner could be the first step. What aspects of your sex life do you enjoy? Are there any things you’d like your partner to do differently? Are you feeling connected, or has there been a recent source of strain or distance? Everyone is different, and emotions surrounding sex can be complex. Don’t be afraid to explore the topic together and ask for what you need.</p>
<p>Relationship counselling can help you identify and work through issues in all aspects of your relationship, including sex. If you’re considering sex and relationship counselling, the organisation <a href="https://www.relate.org.uk/">Relate</a> is a great place to start. They have advice on everything from mismatched sexual fantasies to abusive relationships and can put you in touch with licensed psychosexual therapists and counsellors.</p>
<p>If you may be suffering from a mental health issue, it's important to connect with your doctor as well. They can offer advice on medications and support, including psychotherapies like <a href="https://www.nhs.uk/mental-health/talking-therapies-medicine-treatments/talking-therapies-and-counselling/cognitive-behavioural-therapy-cbt/overview/">CBT (cognitive behavioural therapy).</a></p>
<h3>Summary</h3>
<p>Vaginal dryness can be uncomfortable and even painful. If you’ve been struggling for more than a few weeks, are experiencing abnormal bleeding (including after sex), or find that vaginal dryness is affecting your daily life, speak to your GP. It's common but not something you have to live with, as treatments and tools may be able to help.</p>

How To Treat a Dry Vagina

<p>One of the most common (and valid!) concerns about sex is the possibility of catching or transmitting a <a href="https://www.ncbi.nlm.nih.gov/books/NBK560808/">sexually transmitted infection (STI)</a>. While more and more of us are taking control of our sexual health with regular STI testing, there can still be major <a href="https://pubmed.ncbi.nlm.nih.gov/32762851/">social stigma</a> around testing, and it can be tricky to find reliable information about how frequently you should have an STI test. </p>
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<h2>The Importance of Regular STI Testing</h2>
<p>STI testing is more than just a check-up; it is an active step towards preserving both your health and that of your <a href="https://meridian.allenpress.com/aplm/article/144/11/1344/442555/Point-of-Care-Testing-for-Sexually-Transmitted">partners</a>. Since <a href="https://www.tandfonline.com/doi/full/10.3109/00365513.2014.936691">most STIs can exist without noticeable symptoms</a>, testing is the only foolproof way to know your STI status. In addition, some STIs can take weeks to months to be reliably detected, which means repeat testing may be required. Left undetected and untreated, some STIs may cause serious complications, so it’s essential to get tested regularly.</p>
<h2>How Often To Test for STIs</h2>
<p>Recommendations for how often to be tested for STIs depend on a few factors, including how many partners you have, the nature of your relationships, and the type of sex you have. </p>
<p>Some guidance applies to everyone: any time you have sex with someone who tells you they have an STI, or if you notice symptoms of an STI, you should get tested.</p>
<h3>If You Are In a Long-Term Monogamous Relationship</h3>
<p>People who have one long-term mutually exclusive partner are recommended to test at the start of the relationship, making sure any window periods have passed from the last episode of unprotected sex. Check out our <a href="https://yoxly.com/en-GB/pages/window-period-calculator">window period calculator</a> to help figure this out! </p>
<h3>If You Have Short-Term or Casual Relationships</h3>
<p>The basic rule of thumb for sexually active people who are having condomless sex with new or casual partners is to <a href="https://sti.bmj.com/content/95/Suppl_1/A215.3">get tested at least once annually</a>, and after any partner change.</p>
<h3>If You Are a Man Who Has Sex With Men</h3>
<p>If you are a man who has sex with men (e.g., gay or bisexual) and you are having condomless sex with new or casual partners, you should <a href="https://sti.bmj.com/content/95/Suppl_1/A215.3">get tested at least once annually</a> and after any partner change.</p>
<p>Certain STI rates are higher among men who have sex with men, so testing recommendations can sometimes vary. People in this group can consider having more frequent STI checks depending on their lifestyle and number of partners.</p>
<h3>If You Have Multiple or Anonymous Partners</h3>
<p>People who have multiple partners may have a <a href="https://academic.oup.com/ije/article/48/1/228/5238853">significantly higher risk</a> of having an STI than monogamous people. If you are sexually active with more than 10 partners in a year or have anonymous partners, it is recommended to get tested <a href="https://www.bashh.org/_userfiles/pages/files/resources/bashh_summary_guidance_on_stis_testing_2023.pdf">every three months</a>.</p>
<h3>If You Are on PrEP</h3>
<p>People who take pre-exposure prophylaxis against HIV (PrEP) are required to have an STI test <a href="https://www.letstalkaboutit.nhs.uk/hiv-services/hiv-prep/">every three months</a>. </p>
<h3>If You Engage in Higher-Risk Sex</h3>
<p>If you engage in sex that may have a higher risk of transmitting an STI, you may be recommended to do more frequent testing, usually every three months. This includes:</p>
<ul>
<li aria-level="1">People who use drugs alongside sex (“chemsex”)</li>
<li aria-level="1">People who are involved in selling sex</li>
<li aria-level="1">People who have been diagnosed with certain STIs within the last year (e.g., chlamydia, gonorrhoea, and syphilis)</li>
<li aria-level="1">People who have multiple or anonymous partners</li>
</ul>
<p>It’s important to note that the above guidelines may not apply to everyone. Your local sexual health clinic can give specific advice on how often to get tested for STIs that is tailored to your individual circumstances.</p>
<h2>Should I Get an STI Test Now?</h2>
<p>There are several circumstances in which it is recommended to test as soon as possible for STIs, including:</p>
<ul>
<li aria-level="1">Symptoms: If you have symptoms that may be caused by an STI, it is recommended that you speak with a healthcare provider as soon as possible. </li>
<li aria-level="1">STI diagnosis: If you have been diagnosed with an STI, it is important to test for other STIs too, as co-infections are common. </li>
<li aria-level="1">Partner With an STI: If you have had unprotected sex with a partner who has an STI or who has symptoms of an STI, it is recommended to seek advice from your local sexual health clinic.</li>
<li aria-level="1">Pregnancy: Routine STI testing is offered to all pregnant women at the start of their pregnancy. STIs during pregnancy can have severe consequences for the health of the infant and the safety of childbirth.</li>
</ul>
<h2>When to Get Tested For STIs</h2>
<p>When considering when to test for STIs, it’s important to understand that each infection has a <a href="https://yoxly.com/en-GB/blogs/yoxly-news/your-guide-to-incubation-latency-and-window-periods">window period</a>. This is the time between potential exposure to an STI (e.g., through unprotected sex) and when an STI test can accurately detect (or rule out) the infection. </p>
<p>For example, chlamydia and gonorrhoea tests are accurate two weeks after potential exposure, most HIV tests are accurate after six weeks, and syphilis tests are accurate after three months.</p>
<p>If you test soon after unprotected sex, there is a risk the test will show a negative result when you do actually have the infection (called a “false negative”). </p>
<p>To ensure an accurate result, STI testing should be done at the right time. Yoxly’s <a href="https://yoxly.com/en-GB/pages/window-period-calculator">Window Period Calculator</a> makes determining the right time to test easy! Simply input when you last had unprotected sex, and it will suggest when is the ideal time to test. </p>
<h2>How do I Get Tested For STIs?</h2>
<p>Depending on your needs and concerns, there are two options for checking if you have an STI: at-home testing kits and clinic visits.</p>
<h3>At-Home Testing Kits:</h3>
<p>Need easy access and discretion? Don’t have time to go to a clinic? Consider a do-it-yourself home testing kit. Yoxly has a range of <a href="https://yoxly.com/en-GB#our-at-home-kits">home STI test kits</a> that are posted discreetly to your address, which you can do at your convenience. <a href="https://yoxly.com/#our-at-home-kits">Yoxly’s kits</a> are private, simple to use, and are accompanied by easy-to-follow instructions. Take our <a href="https://yoxly.com/en-GB/quiz">quiz</a> to see which kit is right for you!</p>
<h3>Clinic Visits:</h3>
<p>Prefer face-to-face consultations? Your local sexual health clinic can help you with all your STI-testing needs. Clinics are also a chance to talk with a healthcare professional about any worries and discuss safer sex in a non-judgmental setting.</p>
<h2>Summary</h2>
<p>At <a href="https://yoxly.com/blogs/yoxly-news/do-men-and-women-get-different-sti-symptoms">Yoxly</a>, our goal is to provide all people with the knowledge and tools to help them take control of their sexual health. Regular STI checks are a key part of this. Testing recommendations vary depending on the types of relationships a person has and how often they change partners.</p>

How Often Should I Get Tested for STIs?

<p>Discussions about “sperm cramps”, or painful sensations in the testicles after ejaculation, have been popping up all over the internet lately—but you’re not alone if you’ve never heard of them. It’s a little-known and surprisingly common issue, but the term has only recently been coined. </p>
<p>We're here to teach you all about what sperm cramps are, their symptoms, potential causes, prevention strategies, and tips for living with them. We'll also debunk some of the more common myths surrounding this condition.</p>
<h2>What Are Sperm Cramps?</h2>
<p>"Sperm cramps", despite the name, have nothing to do with sperm. In fact, it’s a fairly nebulous term that isn’t clearly defined or even an official medical condition. The term “sperm cramps” has become a kind of catch-all term for various testicular conditions, especially pain and tenderness in the testicles or pelvic area in the time surrounding an erection.</p>
<p>Reports about sperm cramps vary. Some people experience symptoms regularly, while others only occasionally. Some experience pain in their general pelvic area and others feel discomfort in their testicles. However, one common trend is timing; sperm cramps seem to occur when the person is aroused, during sex, or after ejaculation.</p>
<p>It’s important to note that sperm cramps tend to be relatively mild and gradual in nature. If you've experienced sharp, sudden testicular pain, or if you're having frequent pain, seek immediate medical advice. </p>
<h2>Are Sperm Cramps Real?</h2>
<p>This is a tough one to answer. The symptoms that “sperm cramps” refer to are real, and people experience true discomfort. However, medically speaking, sperm cramps have never been described, identified, or researched. The only evidence surrounding them is anecdotal. </p>
<p>While the term “sperm cramps” may be a useful way of referring to various types of testicular and pelvic pain related to arousal, it’s a slang term that <a href="https://trends.google.com/trends/explore?date=today%205-y&amp;q=sperm%20cramps#cmpt=q">first came into use in 2022</a>.</p>
<p>Additionally, the term itself isn’t quite accurate because <a href="https://www.britannica.com/science/semen">sperm can't cramp</a> and aren’t linked to cramping—cramps are a muscular issue.</p>
<p>Yet despite its misleading name, the growing popularity of this term may be having a positive impact. Sexual health is a topic that many people avoid, <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10210481/">especially men</a>. So, while it’s not the most medically-vetted term out there, it just may be that “sperm cramps” are opening a door for men to seek support and care they need.</p>
<h2>Symptoms of Sperm Cramps</h2>
<p>Sperm cramps are used to describe symptoms that include:</p>
<ul>
<li aria-level="1">A dull ache or a pain in one or both testicles that gets worse during sex or after orgasm</li>
<li aria-level="1">Frequent testicular pain</li>
<li aria-level="1">Pain that intensifies after ejaculation and that can last from hours to days</li>
<li aria-level="1">Pain during ejaculation</li>
<li aria-level="1">Testicular pain when erect</li>
<li aria-level="1">Pain in the groin, scrotum, perineum, lower back, or buttocks</li>
<li aria-level="1">A cramping sensation in the lower abdomen, followed by pain in one or both testicles</li>
<li aria-level="1">Testicle pain accompanied by nausea or vomiting</li>
</ul>
<p>As we've mentioned, sperm cramps aren't a recognised medical condition. However, these symptoms often overlap with recognised conditions, such as <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5001999/">postorgasmic illness syndrome</a> (POIS) <a href="https://academic.oup.com/jsm/article/20/Supplement_2/qdad061.046/7165512">or epididymal hypertension</a> (also known as blue balls).</p>
<h2>Possible Causes of Sperm Cramps</h2>
<p>Sperm cramps can occur randomly. If you've only experienced symptoms once with minimal pain, it’s likely there’s nothing to worry about. However, if there is persistent pain, it could be related to:</p>
<ul>
<li aria-level="1">
<strong>Epididymitis:</strong> Epididymitis is inflammation of the epididymis, a tube behind the testicles that stores sperm. It can result in swollen testicles, testicular pain, pain or discomfort during sex, and an inflamed scrotum.<a href="https://www.nhs.uk/conditions/epididymitis/">Epididymitis is caused by a bacterial infection</a> that can occur after a sexually transmitted infection (STI) or a urinary tract infection (UTI)—which many people don't realise<a href="https://yoxly.com/en-GB/blogs/yoxly-news/can-men-get-a-uti">men can contract too, not just women</a>. Epididymitis is usually treated with a short course of antibiotics.</li>
<li aria-level="1">
<strong>Prostatitis: </strong>Prostatitis is inflammation of the prostate, which can result in pain during ejaculation and pelvic pain affecting one or both testicles, scrotum, perineum, lower back, and buttocks. Prostatitis is caused by a bacterial infection, bladder infection, or an STI, such as <a href="https://yoxly.com/en-GB/blogs/yoxly-news/5-ways-to-reduce-your-risk-of-getting-an-sti">chlamydia or gonorrhoea</a>. Treatment may require antibiotics.</li>
<li aria-level="1">
<strong>Varicocele: </strong>A varicocele is a swollen vein within the scrotum that can lead to aching pain in the testicles, scrotum, and groin, and may cause the testicles to appear swollen and tender. Treatment is largely supportive; however, in some cases, a varicocele may require surgery.</li>
<li aria-level="1">
<strong>Testicular torsion: </strong>Testicular torsion is a medical emergency in which the testicle twists, cutting off its blood supply and twisting the spermatic cord. It causes intense, sharp pain and testicular swelling and requires immediate medical attention. It may occur after an injury or even while asleep.</li>
<li aria-level="1">
<strong>Injury or trauma: </strong>Sperm cramp symptomscan occur as a result of an injury to the testicles, trauma from an accident or, in some cases, vigorous sex.</li>
<li aria-level="1">
<strong>Post orgasmic illness syndrome (POIS):</strong> POIS is a condition that causes flu-like symptoms in men after ejaculation, including<a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5001999/"> muscle fatigue, aches and pains all over the body, cramping, nausea, and vomiting</a>. Symptoms can appear immediately and last for days.</li>
<li aria-level="1">
<strong>Epididymal hypertension: </strong>Epididymal hypertension (blue balls) occurs when a man is sexually aroused for an extended period of time and doesn't ejaculate. It can cause discomfort or pain in the testicles, and the increased blood volume can cause the testicles to feel heavy, tender, or swollen. Epididymal hypertension is not dangerous, does not require medical treatment, and will subside on its own.</li>
<li aria-level="1">
<strong>Male dysorgasmia: </strong>Dysorgasmia refers to any problem with orgasm, which may include pain or discomfort during or after ejaculation. It can result in sharp or aching pain in the testicles, perineum, or lower abdomen, and may occur following an STI or UTI or due to other underlying issues.</li>
</ul>
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<h2>Debunking Common Sperm Cramps Myths</h2>
<p>While there hasn’t been specific research to investigate sperm cramps, there are some things we do know—and there's a lot of misinformation online about sperm cramps. Let’s break down some of the biggest myths.</p>
<h3>Myth: Sperm Cramps Occur Because of a Buildup of Sperm</h3>
<p>One of the biggest myths circulated online is that sperm cramps are caused by abstinence and a build-up of unejaculated sperm. <a href="https://www.nature.com/articles/213594a0">This is scientifically false</a>. When the body produces sperm, it eventually moves into the epididymis, where it matures and is then stored. The body has its own mechanism for preventing buildup of stored sperm: white blood cells in the epididymis reabsorb older sperm into the body through a process called <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7158304/">phagocytosis</a>. This helps maintain a healthy balance of sperm and prevents any kind of a “buildup”.</p>
<h3>Myth: Sperm Cramps Only Occur in Young Men</h3>
<p>Some people believe that sperm cramps only affect younger people, but symptoms associated with sperm cramps can occur in healthy or unhealthy people of any age (though reproductive health issues do shift as we grow older).</p>
<p>It may be that younger men are more likely to report having sperm cramps, especially online—but it may also be that younger people are simply more tech-savvy or that <a href="https://openjournals.ljmu.ac.uk/PHIJ/article/view/1758">social norms among younger people are more permissive of discussing sexual health issues</a> than they are <a href="https://pubmed.ncbi.nlm.nih.gov/32380261/">among older people</a>. Formal surveys and research would help us to understand more about who sperm cramps affect and why. </p>
<h3>Myth: Sperm Cramps Affect Your Fertility</h3>
<p>Sperm cramps themselves are not known to be associated with fertility. That being said, sperm cramps may be a symptom of an underlying condition, and that condition may impact fertility. Issues like testicular torsion or severe epididymitis can lead to fertility issues, which is why seeking advice from your medical provider is a good idea if you’re experiencing testicular pain.</p>
<h3>Myth: Ejaculation Is the Only Way To Cure Sperm Cramps</h3>
<p>Considering that many cases of sperm cramps result in pain during or after ejaculation, this is perhaps one of the more problematic myths circulating. While ejaculation can help alleviate symptoms of blue balls, it's not a solution for all types of testicular or pelvic pain – and it could end up making things feel worse.</p>
<h2>Tips for Dealing with Sperm Cramps</h2>
<p>As the causes of sperm cramps are so varied, there isn’t a one-size-fits-all method for dealing with them. Instead, here are a few quality-of-life changes you can make to mitigate sperm cramps and take care of your sexual health.</p>
<h3>Start Exercising</h3>
<p>Exercising is one of the<a href="https://academic.oup.com/jsm/article-abstract/16/8/1236/6980601"> best things you can do for your sexual health</a>. Light cardio or simple bodyweight exercises tend to be easily available—it can be as simple as an hour of walking a day or doing a few dozen squats and pushups—but really, any type of exercise that gets your heart pumping, stretches your joints, and works your muscles is good. Regular exercise <a href="https://www.nhs.uk/live-well/exercise/exercise-health-benefits/">will do wonders for your mental and physical health</a>, improving your circulation and making your heart healthier.</p>
<p>Improved circulation may relieve sperm cramp symptoms and may even help manage underlying conditions (but double-check with a healthcare provider to be sure). <a href="https://www.sciencedirect.com/science/article/abs/pii/B9780128012994000098">Yoga and pilates,</a> in particular, have been found to help with testicular pain, as they promote blood flow and strengthen the muscles of the groin and pelvis.</p>
<h3>Don't Spend Too Long Sitting</h3>
<p>Regular exercise is a good start, but if you work an office job or spend a lot of time sitting,<a href="https://www.nhs.uk/live-well/exercise/why-sitting-too-much-is-bad-for-us/"> it's important that you spend some time on your feet</a>. Sitting puts pressure on the veins in the pelvis, which can lead to inflammation, impaired circulation, and potentially sperm cramps.</p>
<p>Take regular breaks to stand up, stretch, and walk around. People who struggle to find time to leave their office may find it helpful to invest in a standing desk, which offers some of the same benefits to office workers as regular walks.</p>
<h3>Eat a Healthy Diet</h3>
<p>A healthy diet <a href="https://academic.oup.com/smr/article-abstract/6/1/54/6830791">has been linked</a> with better reproductive and sexual function in adult men (not to mention good overall health), which means that watching what you eat may be a good way of managing the symptoms of sperm cramps. Make sure to include plenty of fruits, vegetables, legumes, healthy oils, lean proteins, and whole grains in your meals.</p>
<p>It's also important to avoid eating too many processed foods, sugars, alcohol, and caffeine.</p>
<h2>When To See a Doctor</h2>
<p>It's well established that <a href="http://archives.menshealthforum.org.uk/news/20197-mhf-calls-%C3%A2%E2%82%AC%CB%9Cmale-friendly%C3%A2%E2%82%AC%E2%84%A2-gp-surgeries?page=15&amp;destination=node%2F20197%3Fpage%3D12%27%22">men are less likely than women to go see a doctor</a>, especially <a href="https://bjgp.org/content/54/498/25.short">for more intimate problems</a>. But it's worth emphasising again: testicular pain <em>should not </em>be ignored. </p>
<p>Although symptoms of sperm cramps are not often medically concerning, any <a href="https://www.nhs.uk/conditions/testicle-pain/">testicle pain</a> that lasts longer than an hour can be cause for concern, and even minor discomfort should be monitored by a healthcare provider if it’s recurring. If you experience sudden or sharp testicular pain, we recommend going to A&amp;E immediately, as these symptoms may point to an emergency situation like testicular torsion.</p>
<p>It’s also advisable to see a doctor if you've been experiencing more general symptoms along with sperm cramps, such as aching testicular pain, swollen testicles, pain during urination or ejaculation, fever or chills, or a change in the shape, feel, or appearance of your testicles.</p>
<h2>The Bottom Line</h2>
<p>"Sperm cramps" can be a confusing and excessively general term, especially as there is no medical information or research on it. However, it can be a useful entry point for connecting with a healthcare provider and narrowing down potentially treatable causes of testicular pain. </p>
<p>As STIs are a common cause of sperm cramp symptoms, it's important to test yourself regularly to minimise your risk of developing complications. One of the easiest ways is by using a<a href="https://yoxly.com/en-GB/products/comprehensive-sti-test-kit"> Yoxly STI test kit</a>, which tests for multiple infections that can bring on sperm cramps, like chlamydia and gonorrhoea.</p>
<p>Sexual self-care is important for being happy and healthy in your sex life, and being proactive with your sexual health is a great way to start.</p>

Sperm Cramps: What Are They?

<p>Genitals, like the rest of our bodies, come in all kinds of shapes and sizes; there’s a much wider range of “normal” appearances than the media tends to suggest. Still, some people refer to themselves as having an “innie” or an “outie” vagina, as slang to describe the appearance of their labia. </p>
<p>From porn to urban myths, there’s a lot of misinformation out there about how a woman’s genitals should look. It’s no wonder that terms like “innie” and “outie” have arisen, potentially creating unnecessary feelings of concern or insecurity about genital appearance. So what do these terms mean? And what is “normal”?</p>
<h2>Defining “Innie” VS “Outie”</h2>
<p>Let’s start with a quick note on terminology: although many women refer to the outer portion of their genitals as their vagina, this is technically the vulva. The vulva includes two sets of lips known as labia: the labia majora (outer lips) and the labia minora (inner lips).<a href="https://yoxly.com/en-GB/blogs/yoxly-news/vulva-vs-vagina-what-s-the-difference"> T</a>he vagina refers to the internal passage going from the vulva to the cervix. <a href="https://yoxly.com/en-GB/blogs/yoxly-news/vulva-vs-vagina-what-s-the-difference">Read more here</a> about the difference between vaginas and vulvas.</p>
<p>They aren’t medical terms, but “outie” is used to refer to when the inner lips are visible and stick out beyond the outer lips. Conversely, an “innie” is where the inner lips are shorter than the outer lips and may not be visible. </p>
<p>Not all vulvas are the same, whether they’re innies or outies. Each woman’s is unique and may be different in terms of:</p>
<ul>
<li aria-level="1">Colour</li>
<li aria-level="1">Shape</li>
<li aria-level="1">Size</li>
<li aria-level="1">Length</li>
<li aria-level="1">Texture</li>
</ul>
<p>It’s also common and normal for the appearance of a person’s vulva to change over time. Things like weight change, hormone balance, pregnancy, childbirth, and menopause can all affect genital tissue.</p>
<h2>Is It Normal to Have an Innie or an Outie Vagina?</h2>
<p>Both innie and outie vulvas are totally normal and roughly equally common. <a href="https://www.researchgate.net/publication/315777083_The_Size_of_Labia_Minora_and_Perception_of_Genital_Appearance_A_Cross-Sectional_Study">One study</a> suggested that 56% of women have an outie vagina and 44% have an innie. The same study assessed whether women were happy with how their labia looked and whether they considered it “normal”. Surprisingly, they found that women with outie vaginas were less likely to consider them “normal”. In fact, <a href="https://www.researchgate.net/publication/315777083_The_Size_of_Labia_Minora_and_Perception_of_Genital_Appearance_A_Cross-Sectional_Study">73% of people</a> who considered their labia to be “abnormal” had an outie.</p>
<p>Even so, there is no “normal” or standard labia size. A <a href="https://obgyn.onlinelibrary.wiley.com/doi/full/10.1111/1471-0528.15387">study of 657 white women</a> aged 15-84 found that the length of the labia minora varied from 5–100 mm, and the labia majora varied from 12–180 mm.</p>
<p>This means that there’s a huge range of “normal” vulval appearances, and it’s completely healthy and natural to have either an innie or an outie vulva.</p>
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<h2>What Causes You to Have an Innie or an Outie?</h2>
<p>We’ve already discussed how vulvas are all unique, but your labia can also change in size and shape throughout your life. Many factors contribute to the appearance of the labia majora and minora and their size relative to one another. Let’s explore them in more detail.</p>
<p><strong><em>Genetics</em></strong></p>
<p>The genes you inherit from your parents affect how various body parts develop, including your vulva.</p>
<p>Your genes directly impact the development of your genitals and can determine how your body makes or reacts to hormones. <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3706224/" target="_blank">As</a> <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3706224/">labia growth is related to sex hormone levels</a>, genes affecting things like oestrogen can also impact the size and shape of your labia.</p>
<p><strong><em>Hormones and age</em></strong></p>
<p>During female puberty, there is a rise in oestrogen and progesterone levels. These sex hormones lead to <a href="https://www.ncbi.nlm.nih.gov/books/NBK534827/">various changes in an adolescent’s developing body</a>, including growth of the labia. </p>
<p>Oestrogen levels can vary throughout life, so fluctuations during other stages may also affect labia growth and size. Around menopause, oestrogen levels drop, which can lead to a condition known as <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2800285/">vulvovaginal atrophy</a>, where the skin on the labia becomes thinner and less elastic. </p>
<p><strong><em>Pregnancy</em></strong></p>
<p>A person’s body undergoes an incredible number of changes during pregnancy. Oestrogen levels rise, <a href="https://pubmed.ncbi.nlm.nih.gov/4075604/#:~:text=A%20healthy%20woman%20bearing%20a,women%20of%20about%202600%20ml.">blood volume increases by 50%</a>, and pressure on the pelvic floor increases, all of which can increase blood flow to the vulva and lead to tissue swelling and increased size. Childbirth may also cause changes to the vulva.</p>
<p>Although some women notice a long-term difference in their genitals after pregnancy and childbirth, these changes are usually temporary. <a href="https://journals.lww.com/jlgtd/abstract/2017/07000/the_size_of_labia_minora_and_perception_of_genital.8.aspx">Studies have found</a> no significant difference in labia size between women who have and haven’t given birth.</p>
<p><strong><em>BMI</em></strong></p>
<p>Evidence from<a href="https://obgyn.onlinelibrary.wiley.com/doi/full/10.1111/1471-0528.15387">one study</a> found that women with a higher body mass index (BMI) were more likely to have longer labia majora and shorter, narrower labia minora – in other words, they were more likely to have an “innie.” Other studies suggest that overweight or obese women are <a href="https://pubmed.ncbi.nlm.nih.gov/37067361/">more likely to have larger labia majora</a> due to increased fat tissue.</p>
<p>Losing weight may also change how your vulva looks. Rapid weight loss may cause the labia majora to become smaller due to fat loss, which may turn an “innie” into an “outie”.</p>
<p>Other factors may affect the size and shape of your labia, but the evidence is mixed. <a href="https://www.jpagonline.org/article/S1083-3188(18)30311-5/pdf">Some studies</a> have shown no relationship between labia size and height, age, or race, while others suggest there <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9852508/">may be a link</a>. More research is needed to say for sure.</p>
<h2>Is It Better to Have an “Innie Vagina”?</h2>
<p>“Better” is a subjective term when it comes to having an innie or an outie vulva; there is no meaningful difference beyond personal preference. There’s no evidence that the shape and size of your vulva affects the quality of sex, the likelihood of sexual challenges, or how likely you are to catch a sexually transmitted infection (STI).</p>
<p>Some medical issues of the vulva can occur, but they aren’t determined by whether a person starts with an innie or an outie. <a href="https://pubmed.ncbi.nlm.nih.gov/28101640/">Labial hypertrophy</a> refers to the enlargement of the labia minora, but even then, it’s only a medical problem if it’s causing pain, irritation, or interfering with your sex life.</p>
<h2>What if I’m Unhappy With How My Vulva Looks?</h2>
<p>Normal and healthy vulvas come in all shapes and sizes, and labia aren’t always symmetrical. Still, for a variety of reasons, some women are unhappy with how their vulvas look.</p>
<p>A<a href="https://www.tandfonline.com/doi/abs/10.1080/13691058.2016.1184315">survey of Australian women aged 18-28</a> found their idea of the “ideal vulva” was a hairless “innie” vulva – something that’s commonly seen in pornography. Unfortunately, porn’s stylised, extreme performances and body depictions <a href="https://www.utpjournals.press/doi/abs/10.3138/cjhs.262-a2">have been linked</a> to a range of issues relative to unrealistic expectations, body image, and sexual self-esteem. </p>
<h2>Vulva Surgery</h2>
<p>A plastic surgery called a <a href="https://www.nhs.uk/conditions/cosmetic-procedures/cosmetic-surgery/labiaplasty/">labiaplasty</a> is sometimes performed for people who are extremely dissatisfied with the appearance of their vulva, but it isn’t<a href="https://www.nhs.uk/conditions/cosmetic-procedures/cosmetic-surgery/labiaplasty"> usually available on the NHS</a> unless it’s to remove a cancerous growth or to repair damage (e.g., from childbirth). Labiaplasty also comes with risks, and there’s no guarantee that having surgery will make you happy with your vulva.</p>
<p>If you’re worried about the shape of your vulva, speak to your GP. They can advise you on any symptoms you’re experiencing and refer you for counselling, if need be, to talk about the impact your vulva is having on your body image and self-esteem.</p>

“Innie” Vs “Outie” Vaginas

<p>Itching of the genital area, while it may be uncomfortable, is very common and affects most women at some point in their life. You might be itchy down there for a number of reasons, and we’ll explore them in detail. We’ll cover reasons that include: </p>
<ul>
<li aria-level="1">Allergy or sensitivity</li>
<li aria-level="1">Thrush or yeast infection (vulvovaginal candidiasis)</li>
<li aria-level="1">Bacterial vaginosis (BV)</li>
<li aria-level="1">Sexually transmitted infection (STI)</li>
<li aria-level="1">Shaving rash</li>
<li aria-level="1">Skin infection</li>
<li aria-level="1">Skin conditions (e.g., eczema, psoriasis)</li>
<li aria-level="1">Hormonal changes</li>
</ul>
<h4>Itchy Vagina vs. Itchy Vulva</h4>
<p>A short note on terminology first! The vagina is the muscular internal tube that connects the external genitalia to the cervix. The vulva is the external genitalia (which is what people often incorrectly refer to as the vagina) and includes the labia minora, labia majora, clitoris, and mons pubis. Genital itch most commonly affects the vulva.</p>
<h3>Allergy or Sensitivity</h3>
<p>Allergic reactions or sensitivities to products used around the genitals can often lead to minor itching. Irritating products may include shaving foams, soaps, perfumes, douches, and scented products like cleansing wipes or laundry detergents. Certain clothing or materials can also cause skin sensitivity in the genital area. If you notice itching during your period, your skin may be sensitive to materials used in your sanitary pads or tampons. </p>
<p>It’s a good idea to keep scented and dyed products away from your vulva and vagina. All you need to clean your genitals is clean, warm water. Try to stick to natural, breathable fabrics such as cotton, and avoid synthetic or scratchy underwear materials. If you find genital itching is worse on your period, try using a menstrual cup or period pants to see if this makes a difference. </p>
<h3>Thrush</h3>
<p>A <a href="https://www.ncbi.nlm.nih.gov/books/NBK543220/">yeast infection</a>, also known as thrush or vulvovaginal candidiasis, is one of the most common causes of genital itching. It’s estimated that three-quarters of women will experience thrush at least once. </p>
<p>Thrush often leads to itching and is usually accompanied by a thick, <a href="https://www.ncbi.nlm.nih.gov/books/NBK543220/">white discharge</a>. Thrush can also lead to pain during sex, a burning sensation while peeing, and redness or swelling of the vulva. </p>
<p>If you’re worried you might have thrush, make sure to get it checked out by a healthcare professional. Thankfully, in most cases, thrush is easily treated with an <a href="https://www.hse.ie/eng/services/list/2/gp/antibiotic-prescribing/conditions-and-treatments/genital/vaginal-candidiasis/">antifungal</a> medicine that may be taken as a pill or applied topically.</p>
<h3>Bacterial Vaginosis</h3>
<p>The vagina and vulva maintain a delicate balance of bacterial flora and pH. <a href="https://www.nhs.uk/conditions/bacterial-vaginosis/">Bacterial vaginosis</a> (BV) is a common infection which occurs when there’s an imbalance of bacteria in the vagina. </p>
<p>The most common symptom of BV is an unusual vaginal discharge or smell. However, it can also cause itching, irritation, or burning around the vulva and vagina. BV can be triggered by your period, washing, or even sex. It often resolves spontaneously but, in some cases, may require antibiotic treatment. A healthcare provider can help you to determine if any treatment is necessary.</p>
<h3>Sexually Transmitted Infections</h3>
<p>Itching is also a side effect of several sexually transmitted infections (STIs), including genital warts, herpes, and chlamydia. </p>
<p>Genital warts are caused by human papillomavirus (HPV), which is spread via skin-to-skin contact (often during sex). Genital warts are small bumps that may appear anywhere on the genitals and may be itchy. Genital warts often don’t require treatment, but if they are causing irritation, they can be treated using a topical ointment or cream or removed using cryotherapy (freezing spray). </p>
<p>Genital herpes, an STI caused by the herpes simplex virus (HSV), is known for causing painful blisters around the genitals. However, there is often a mild itching or tingling sensation before blisters appear. An outbreak of genital herpes will resolve on its own (though the HSV virus itself stays in the system), but an antiviral medication is often recommended to reduce the duration of symptoms. </p>
<p>Other STIs, such as chlamydia, gonorrhoea, and trichomoniasis, are often asymptomatic, but they may also cause itching, unusual discharge, or pain. If you’re worried about your risk of STIs, it’s important to get checked. You can do it right at home using an at-home STI-testing kit from Yoxly. </p>
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<h3>Shaving Rash</h3>
<p>Another common cause of genital itching is shaving. The skin around the genitals tends to be more easily irritated than in other areas. Shaving can cause tiny cuts or abrasions to the skin and introduce bacteria, which can cause a rash, irritation, and itching. Itching also tends to occur when hair regrows after being removed. </p>
<p>If you do choose to remove your pubic hair using a razor, it’s important to make sure your razor is clean, new, and not shared with anyone else. Always shave in the direction of hair growth to minimise irritation. </p>
<h3>Skin Infections</h3>
<p>Like skin elsewhere, the skin on the genitals can become infected with itch-inducing bacteria or parasites.</p>
<p><a href="https://dermnetnz.org/topics/bacterial-skin-infections">Bacterial skin infections</a> often occur where there is an area of broken skin, such as a shaving cut, which allows bacteria to enter the skin. This can result in redness, swelling, heat, and discharge – as well as itching.</p>
<p>One of the most common parasitic skin infections in the UK is scabies. Scabies are small mites spread via close contact with an infected individual. They can infect any body part and cause intense itchiness, which may be worse at night or after a bath or shower. </p>
<p>Though they can’t be seen by the naked eye, scabies often cause a visible rash, especially in skin folds such as between the fingers or genital skin. Read more about scabies in our blog article: <a href="https://yoxly.com/en-GB/blogs/yoxly-news/scared-of-scabies-here-s-what-you-need-to-know">Scared Of Scabies? Here’s What You Need To Know!</a></p>
<h3>Skin Conditions</h3>
<p>Skin conditions, including <a href="https://www.health.harvard.edu/womens-health/managing_common_vulvar_skin_conditions">eczema, psoriasis, and lichen sclerosus</a>, can also affect the genitals and cause itching.</p>
<ul>
<li aria-level="1">Eczema is a common inflammatory condition that causes dry, itchy skin. Unfortunately, scratching can worsen the itching and even lead to thickened skin or scarring. </li>
<li aria-level="1">Psoriasis can manifest anywhere on the body, including the vulva. It often looks like pink patches with defined edges that can crack and become irritated.</li>
<li aria-level="1">Lichen sclerosus is rarer and primarily affects postmenopausal women. It can cause inflammation in the vulva or anal area, leading to itching, thinning skin, and white patches.</li>
</ul>
<h3>Hormonal Changes</h3>
<p>Hormonal changes, like those surrounding the postpartum period or menopause, can cause dryness and thinning of the tissue of the vulva and vagina, which can cause itching. </p>
<p>During menopause, your body stops making as much oestrogen, and this results in the tissues around the genitals becoming thinner and more prone to dryness. This can lead to symptoms like itching, pain during sex, and even problems passing urine. The medical term for this issue is “genitourinary syndrome of menopause” (<a href="https://www.bashh.org/_userfiles/pages/files/resources/vvc_ijsa_pdf.pdf">GSM</a>), previously known as <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7212735/">vulvovaginal atrophy, atrophic vaginitis, or urogenital atrophy</a>. </p>
<p>Hormonal shifts following childbirth and during lactation can also cause genital itching and discomfort. Immediately postpartum, oestrogen and progesterone levels plummet, and they tend to stay low for as long as the person lactates. This causes dryness, thinning, and sometimes itching of the vaginal tissue. Fortunately, this issue tends to resolve once hormone levels normalise in the following months.</p>
<p>Lubricants and moisturisers can help ease dryness and discomfort during sex due to tissue thinning and dryness. Topical creams or pessaries containing hormones (known as local hormone replacement therapy or HRT) may also be used. </p>
<h2>Top Tips for Caring for Your Vulva and Vagina</h2>
<p>To <a href="https://www.torbayandsouthdevon.nhs.uk/uploads/25752.pdf">care for the vulvar area</a> and prevent irritation:</p>
<ul>
<li aria-level="1">Avoid using soaps, bubble baths, shower gels, scrubs, deodorants, wet wipes, or “feminine wipes”. These often contain scents and chemicals that can throw off the vagina’s delicate bacterial and pH balance and irritate the skin. Instead, use just warm water. If you find using just water is drying, a gentle soap substitute such as an aqueous cream or <a href="https://www.uhcw.nhs.uk/download/clientfiles/files/Patient%20Information%20Leaflets/Women%20and%20Children_s/Gynaecology/Vulval%20Clinic%20General%20vulval%20care%20and%20emollients.pdf">emollient </a>wash can be used.</li>
<li aria-level="1">Vaginal moisturisers can help with dry skin. Using barrier creams before urinating can protect against stinging. </li>
<li aria-level="1">Opt for loose-fitting clothing made from natural fabrics like silk or cotton to keep the area comfortable, dry, and irritation-free.</li>
<li aria-level="1">If you’re worried about an itchy vulva or vagina, it’s important to seek advice from a healthcare provider.</li>
</ul>
<h3>Summary</h3>
<p>Vaginal itching can be caused by several things, such as using scented products, overwashing, infections, and hormone imbalances. But don’t worry: there's almost always a solution. The important thing is to listen to your body and get things checked out if you're uncomfortable. After all, you deserve to feel comfortable and itch-free wherever you roam!</p>

Why Is My Vagina Itchy?

<p>Abrasions from chafing and friction are common and can happen to the skin anywhere on your body – including on the penis. While this may sound alarming, it isn’t usually cause for serious concern. </p>
<p>In this blog post, we’ll talk about the symptoms and causes of penis friction burns and offer some preventive tips for avoiding this issue.</p>
<h2>What Is a Friction Burn?</h2>
<p>Friction burns are very common and can happen to skin that has been rubbed very hard or without lubrication. This results in <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3188131/">scraping of the skin and heat build-up</a>, which can damage and inflame the top layers of the skin. Friction burns can be painful and may cause visible injury.</p>
<h2>Symptoms of a Friction Burn on the Penis</h2>
<p>Symptoms of a friction burn on the penis may include:</p>
<ul>
<li aria-level="1">Discomfort or pain</li>
<li aria-level="1">Redness or inflammation</li>
<li aria-level="1">Visible damage to the skin, e.g., a graze or scrape, bleeding, scabbing, or scarring</li>
<li aria-level="1">Swelling</li>
</ul>
<p>It can be both painful and emotionally stressful if a friction burn occurs on the penis, but such injuries tend not to be serious and heal quickly.</p>
<h3>Friction Burns vs. STIs</h3>
<p>Pain, swelling, and redness can also be symptoms of certain STIs, which may make identifying a friction burn tricky if you think either may be possible. However, rest assured that a friction burn is not a sexually transmitted infection (STI). While both issues can happen as a result of sexual activity, friction burns are not due to transmission of any infection. </p>
<p>You can read more about the symptoms of STIs on our <a href="https://yoxly.com/en-GB/pages/sti-information">STI information page</a>.</p>
<h2>Causes of Friction Burns on the Penis</h2>
<p>Friction burns occur due to excessive friction or friction without enough lubrication. They can occur on the penis due to:</p>
<ol>
<li aria-level="1">Masturbation</li>
<li aria-level="1">Sexual intercourse</li>
<li aria-level="1">Too-tight clothing</li>
<li aria-level="1">Physical activity resulting in chafing of the penis against clothing</li>
</ol>
<h2>Complications of Friction Burns on the Penis</h2>
<p>In the vast majority of people, a friction burn on the penis will heal quickly and will not have any lasting effects. In rare cases, a friction burn can cause:</p>
<ul>
<li aria-level="1">Skin changes: Friction burns, particularly if they are repeated, can leave an area of scarring. This can make the skin appear darker or lighter. </li>
<li aria-level="1">Skin infection: A friction burn can result in an area of broken skin, which can increase the risk of infection. If you notice signs of infection, including increased swelling, redness, pus, or fever, it’s important to speak with a healthcare professional.</li>
<li aria-level="1">Increased risk of STIs: Unprotected sex with any broken skin can increase the risk of transmission of STIs such as <a href="https://www.nhs.uk/conditions/syphilis/">syphilis</a>, <a href="https://www.nhs.uk/conditions/hepatitis-b/">hepatitis B</a>, and <a href="https://www.nhs.uk/conditions/hiv-and-aids/">HIV</a>. </li>
<li aria-level="1">Change in sensitivity: Friction burns, even when healed, can leave an area of increased or decreased sensitivity. </li>
<li aria-level="1">Sexual problems: Experiencing a friction burn can create anxiety around sex and could contribute to sexual problems such as erectile dysfunction.</li>
</ul>
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<h2>What to Do About a Penis Friction Burn</h2>
<p>The good news is that friction burns on the penis heal quickly and usually do not require any specific intervention. Rest and gentle handling are typically all that’s needed for a friction burn to heal on its own within a week. </p>
<p>Here are a few specific tips for taking care of a friction burn on your penis:</p>
<ul>
<li aria-level="1">Clean the area: Gently <a href="https://www.healthdirect.gov.au/penis-irritation">clean the penis</a> and genital area with cool or lukewarm water. Avoid using harsh soaps and do not rub the area, including with a washcloth.</li>
<li aria-level="1">Pain relief: To alleviate tenderness, try using over-the-counter painkillers such as paracetamol. You can also apply an ice pack for a few minutes at a time.</li>
<li aria-level="1">Give it a rest: Allow the skin of the penis time to heal by avoiding any further friction. It might be a good idea to refrain from masturbation and sexual activity until you have recovered.</li>
<li aria-level="1">Loose clothing: Try to wear loose clothing and underwear, and aim for soft, natural fabrics such as cotton. Avoid rough, constrictive, or synthetic fabrics.</li>
<li aria-level="1">Moisturise: Keeping the skin in good condition with a mild, <a href="https://www.devonsexualhealth.nhs.uk/your-sexual-health/genital-hygiene-our-tips/">unscented emollient</a> designed for use in intimate areas can aid healing.</li>
<li aria-level="1">Monitor for signs of infection: Any break to the skin comes with the risk of infection. Be aware of any increasing swelling, redness, discharge, or fever, all of which may indicate infection. If you are concerned about infection, seek advice from a healthcare provider. </li>
</ul>
<h2>How to Avoid Friction Burns on Your Penis</h2>
<p>Friction burns on the genitals are fairly common, as it’s an area that’s often rubbed! There are still ways that you can prevent this from causing friction burns, though. </p>
<p>Some tips on how to avoid penis friction burns include:</p>
<ul>
<li aria-level="1">Always use lubricant: Use plenty of lubricant during sexual activity, including masturbation. Using an appropriate lubricant reduces the risk of dry skin-on-skin contact, which can lead to abrasions and friction burns. For more information on lubricants, we have a <a href="https://yoxly.com/en-GB/blogs/yoxly-news/shedding-some-light-on-lube">whole article dedicated to all things lube</a>.</li>
<li aria-level="1">Condoms: Using a condom that fits <a href="https://yoxly.com/en-GB/blogs/yoxly-news/types-of-condoms-what-they-are-their-uses-and-how-to-pick-the-right-one">correctly and comfortably</a> can reduce the risk of it moving around too much and causing friction. Experiment with different types and fits to find one that suits you.</li>
<li aria-level="1">Clothing: Avoid tight clothing that may rub on the genitals. Aim to wear loose-fitting underwear and avoid scratchy materials. </li>
<li aria-level="1">Avoid harsh soaps and chemical products: Soaps, deodorants, colognes, and creams used on the genitals can irritate the delicate skin and increase the likelihood of a friction burn. Use only warm water to clean the genitals.</li>
<li aria-level="1">Reduce rubbing motions: Try to switch up your masturbation or sexual habits, and avoid excessive rubbing of any one area of the penis. Try gentler strokes or thrusts, and vary how you touch yourself.</li>
<li aria-level="1">Sports protection: If you engage in a lot of physical activity, consider using a groin guard or jock strap to reduce excessive friction of the penis against clothing. </li>
<li aria-level="1">Stop if sex is painful: It’s important to be aware of your body, and if sex (or masturbation) becomes painful, stop or switch up your activity to avoid causing damage to the skin.</li>
</ul>
<h2>Summary: Penis Friction Burns</h2>
<ul>
<li aria-level="1">Penis friction burns are common and are caused by excessive rubbing of the skin.</li>
<li aria-level="1">Most friction burns do not require any specific treatment and go away on their own.</li>
<li aria-level="1">Penis friction burns can be prevented by using lubricant during sexual activity and avoiding excessive rubbing of the genitals.</li>
<li aria-level="1">In rare cases, friction burns can become infected or lead to changes to the skin of the penis. </li>
</ul>

A Guide to Penis Friction Burns

<p>The vagina is an amazing thing. With this one passageway, a person can deliver a baby, release blood every month, and experience all sorts of pleasure in the bedroom. </p>
<p>This huge variety of functions is made possible by the vagina’s impressive ability to change shape and then return to its normal size. But how does it do that? And what is a normal size for a vagina? </p>
<h2>Quick Facts!</h2>
<ul>
<li aria-level="1">There’s a wide range of normal vagina lengths.</li>
<li aria-level="1">The average vagina is between 5 and 13 cm in length.</li>
<li aria-level="1">A vagina can stretch considerably, but it returns to its original size afterwards.</li>
<li aria-level="1">Vagina size is not linked to sexual satisfaction, number of partners, or if you’ve given birth or not.</li>
</ul>
<h2>What Is the Vagina?</h2>
<p>While many people refer to everything “down there” as the vagina, technically speaking, the vagina is the muscular “tube” that connects the uterus to the outside world. The outer genitalia that people sometimes call a vagina is, in fact, called a vulva. The two are connected, but they’re distinct parts of the body.</p>
<p>The vagina (and vulva) are important for sex, childbirth, and to allow the passage of menstrual blood. Read more about the correct words for female genital anatomy in our blog article – <a href="https://yoxly.com/en-GB/blogs/yoxly-news/vulva-vs-vagina-what-s-the-difference">Vulva VS Vagina: What’s The Difference?</a></p>
<h2>How Deep Is the Vagina?</h2>
<p>There is a wide range of normal for how deep a person’s vagina is. Typically, the vagina is somewhere between<a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2893226/"> 5-13 cm deep</a> (or long; we’ll use both words interchangeably here). However, vaginal length varies widely from person to person, and changes in sexual arousal can significantly change and increase vaginal length as blood flows to the area and muscles relax. </p>
<p>It may seem like your vagina is shorter at certain parts of your menstrual cycle, especially around your period. This may be due to the position of your cervix, which is often <a href="https://pubmed.ncbi.nlm.nih.gov/6821195/">higher around ovulation</a> and lower during menstruation. There is <a href="https://pubmed.ncbi.nlm.nih.gov/16478763/">little significant association</a> between age, weight, race, or whether you’ve given birth on vaginal length. </p>
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<h2>How Does the Vagina Become Deeper?</h2>
<p>The vagina is an amazingly elastic organ. It can stretch thanks to folds in the vaginal wall known as rugae. These folds can straighten out to expand the vagina during sexual activity or childbirth. They refold afterwards, allowing the vagina to return to its original size.</p>
<p>When<a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC28302/">sexually aroused,</a> a woman’s vagina can become several centimetres longer (and also wider) to facilitate penetration. This may be thanks to increased blood flow and excitement of the dense nerve networks in the vaginal wall. The cervix also may move upwards, making the vagina even deeper. </p>
<p>During childbirth, the vagina is the passageway for the baby to come out of the uterus and into the world. This is enabled not only by rugae allowing vaginal walls to stretch but also by hormonally-enabled structural changes in the pelvis. But even these immense shifts are temporary; after childbirth, the vagina reverts to its initial size.</p>
<h2>How To Measure Your Vagina</h2>
<p>There’s no real need to measure your vagina – you can have a perfectly happy and healthy sex and reproductive life without doing so. However, you might still be curious.</p>
<p>Most studies that measure vaginal depth do so with imaging technologies like computer tomography (CT) or magnetic resonance imaging (MRI) rather than physically measuring it. </p>
<p>However, while hands-on measurement may not be precise enough for medical studies, you can certainly try it yourself if you want:</p>
<ul>
<li aria-level="1">Recline or lay down in a comfortable position.</li>
<li aria-level="1">Gently insert a clean and appropriate object (such as a dildo, sex toy, or finger) into the vagina. </li>
<li aria-level="1">Mark how far you can comfortably insert it – don’t force it. Measuring this length may give you an idea of your (stretched) vaginal length. </li>
</ul>
<p>Remember, your vaginal length will likely depend on your menstrual cycle, arousal levels, lubrication, what is being inserted, and whether you stretch the vagina while measuring.</p>
<p>You might also already be aware of what size of penis or dildo you prefer for sex. This is an entirely personal preference, and different sizes of penetrating objects feel good for different people. A <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4558040/">2015 study of 75 women</a> showed they preferred a penis around 16 cm (6.3 inches) for penetrative sex, but this doesn’t necessarily correlate to how deep the vagina is. </p>
<h2>Does It Matter How Long My Vagina Is?</h2>
<p>In short, no, it does not matter how long or deep your vagina is.</p>
<p>Like other body parts, vaginas are all different sizes, and size does not affect sexual pleasure. A <a href="https://link.springer.com/article/10.1007/s00192-009-1051-2">2010 study</a> of 500 women backs this up: it found that sexual satisfaction was not linked to vagina size.</p>
<p>If you’re struggling with penetration or experiencing<a href="https://yoxly.com/en-GB/blogs/yoxly-news/when-sex-is-painful-for-women">pain during sex</a>, speak to your doctor. It may be due to a medical condition like <a href="https://www.nhs.uk/conditions/vaginismus/#:~:text=Vaginismus%20is%20the%20body's%20automatic,previously%20enjoyed%20painless%20penetrative%20sex.">vaginismus</a> or issues with tissue elasticity or lubrication.</p>
<h2>Common Myths About Vaginal Depth</h2>
<p>There are tonnes of myths out there about vaginal length, so let’s explore some of the most common ones and set the record straight.</p>
<h3>The vaginal opening becomes bigger when aroused</h3>
<p>We’ve mentioned that the vagina can get longer and wider when aroused, but that doesn’t mean the vaginal opening (called the introitus) gets bigger with arousal. Like the vagina itself, the vaginal opening can stretch to accommodate fingers, penises, and objects of varying sizes and will return to its original size.</p>
<p>Arousal leads to an increase in blood flow to the genital area, which can cause <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2771367/">engorgement of the vulva</a> and lubrication of the vagina. While this may make the introitus appear more obvious, it won’t make it any bigger in size.</p>
<p>Certain medical issues, such as vaginal prolapse, can cause the vaginal opening (or “<a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7855465/">genital hiatus</a>” to widen. This can be resolved with physical therapy or surgery.</p>
<h3>A short vagina means worse sex</h3>
<p>Nope! Having a shorter vagina doesn’t mean worse sex. Vaginal length is <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2893226/">not related</a> to sexual satisfaction. Rather, factors such as relationship satisfaction, desire, communication, and having a varied sexual repertoire are factors which <a href="https://journals.sagepub.com/doi/10.1177/02654075211047004">have been shown to</a> correlate with sexual satisfaction.</p>
<h3>Having sex a lot will make your vagina bigger</h3>
<p>There are plenty of myths around the idea that lots of sex (especially with multiple partners) will stretch your vagina and make it bigger, longer, or less tight. However, this is simply not true, and it’s a harmful stereotype that can create shame and blame around sexuality. Having a lot of sex does <em>not</em> make your vagina bigger, looser, or longer. </p>
<p>As with childbirth, the vagina does increase in length during sex, but these changes are temporary. The vagina goes back to its original size after sex. </p>
<h2>Summary: How Deep Is a Vagina?</h2>
<p>A healthy vagina can vary widely in length – from 5–13 cm – and it can even change throughout the month and during sexual arousal. Plus, the vagina is designed to stretch and then return to its original size. It can accommodate fingers, penises, toys, and even a whole human during childbirth.</p>

How Deep Is a Vagina?

<p>Penis pumps are one of several tools available for people who experience erectile difficulties. While they won’t cause your penis to grow permanently, they can be quick and effective tools for helping you to get or maintain an erection without having to use medication. </p>
<p>In this article, we’ll explain what a penis pump actually is, how penis pumps work, the different types of pumps, some tips on how to use one, and more.</p>
<h2>What Is a Penis Pump?</h2>
<p>A penis pump is a mechanical device that is used to increase blood flow to the penis to aid in achieving and maintaining an erection. </p>
<p>Also known as a vacuum erection device (VED), a penis pump usually consists of a tube or cylinder that the penis goes into, a pumping mechanism that’s either hand- or battery-powered, and a constriction band (sometimes called a cock ring) that can be used to keep blood in the penis and maintain the erection.</p>
<h2>Why Use a Penis Pump? </h2>
<p>A penis pump can help men who have erectile dysfunction (ED) to achieve an erection hard enough for penetrative sex. It’s less expensive than ED medication, non-invasive, and generally has fewer systemic side effects than other ED treatments.</p>
<p>Penis pumps are also sometimes used by men without ED to enhance sexual pleasure, prolong an erection, or because they think it makes their penis appear bigger. </p>
<h2>Do Penis Pumps Work? </h2>
<p>In short, yes. Penis pumps can successfully help <a href="https://www.cuh.nhs.uk/patient-information/vacuum-erection-assistance-devices-frequently-asked-questions/">70%</a> to <a href="https://www.nhsinform.scot/illnesses-and-conditions/sexual-and-reproductive/erectile-dysfunction-impotence/">90%</a> of men achieve an erection. They won’t cure erectile dysfunction permanently, but penis pumps can be used on-demand to create an erection that’s hard enough for sexual activity and can help improve your sex life. Studies indicate that <a href="https://www.canjurol.com/html/free-articles/Cdn_JU27-S3_09_DrBurnett_S.pdf">up to 90% of users</a> are happy with the results of using a penis pump.</p>
<p>Pumps can be used alone or with medications for ED, like Viagra (if advised by your doctor). </p>
<p>It’s important to be aware that vacuum devices <a href="https://pubmed.ncbi.nlm.nih.gov/16536772/">won’t increase the size of your penis</a>. However, they are effective for ED, especially if the ED is due to <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4708600/">surgical removal of the prostate</a>. Pumps can even improve other medical conditions like <a href="https://www.sciencedirect.com/science/article/abs/pii/B9780128194683000057">Peyronie’s disease</a>, where the penis is curved due to the formation of scar tissue.</p>
<h2>How Do Penis Pumps Work?</h2>
<p>Penis pumps work by manually increasing blood flow to the penis, causing blood vessels to swell and to make the penis temporarily bigger and harder. </p>
<p>This penis is inserted into a plastic cylinder, and a pump is used to remove air (in the case of hydro-pumps, water) from within the cylinder. This creates a negative pressure within the cylinder and draws blood into the erectile tissues of the penis, creating an erection. </p>
<p>If desired, a constriction band or ring is then placed around the base of the penis to maintain the erection once the cylinder has been removed. </p>
<p>In some cases, it may be advisable for the person to shave some of their pubic hair before applying the pump to ensure a better pressure seal.</p>
<h2>Types of Penis Pumps</h2>
<p>There are various types of penis pumps available, but manual air pumps are the most common. </p>
<h3>Manual air pumps</h3>
<p>Manual devices use a hand-powered pump to create the vacuum seal that draws blood into the penis. This type of pump is often the cheapest, is easy to use, and offers the user more control over the exact degree and pace of pressure. However, it does require manual effort. </p>
<h3>Electric air pumps</h3>
<p>Electric or battery-powered air pumps make the pumping process easier by using a motor to create the vacuum. Some people prefer this type as they don't have to operate a pump manually. However, they may be more expensive.</p>
<h3>Water-based/hydro pumps</h3>
<p>Unlike air pumps that create a seal by removing air from the tube, water-based penis pumps use water. Before inserting the penis, the tube must first be filled with water. The water is then sucked out of the tube, lowering the pressure around the penis and increasing blood flow.</p>
<p>Hydro penis pumps are a popular choice as they are intended to apply pressure more evenly around the whole penis, which can be more comfortable. However, they can be messy and are best used in the bathroom. </p>
<h2>Buying a Penis Pump</h2>
<p>Penis pumps are sometimes available for <a href="https://www.cuh.nhs.uk/patient-information/vacuum-erection-assistance-devices-frequently-asked-questions/">free on the NHS</a>, depending on your medical history and where you live. They are also readily available to purchase if you are not eligible for NHS coverage of a pump or if you wish to fund your own.</p>
<h3>Cost of a penis pump</h3>
<p>Penis pumps can cost between £20 and £300, depending on the type. </p>
<h3>What to look for when buying a penis pump</h3>
<ul>
<li aria-level="1">
<strong>Cylinder size</strong>: Penis pumps can be different sizes, and it’s important to find one that both comfortably fits over your flaccid penis and can also accommodate a full erection without discomfort.</li>
<li aria-level="1">
<strong>Constriction band or cock ring size: </strong>Cockrings should fit comfortably over the base of the erect penis without causing discomfort. They should also be able to be stretched sufficiently to remove them without difficulty. </li>
<li aria-level="1">
<strong>Release valve:</strong> A penis pump should have a quick release value. This can be triggered to release pressure immediately should you notice any bruising, pain, discomfort, or numbness.</li>
<li aria-level="1">
<strong>Pressure gauge</strong>: It’s best to choose a pump with a vacuum limiter or pressure gauge to prevent over-pumping and injury to the penis. </li>
</ul>
<h2>How To Use a Penis Pump</h2>
<p>Individual pump designs may vary, but they all generally involve the same few steps:</p>
<p><strong>Step 1: Insert your penis into the pump</strong></p>
<p>To use a penis pump, insert your penis into the cylinder, ensuring the base of the cylinder makes a good seal with the skin at the base of the penis. Using lubricant or shaving pubic hair can help with creating a good seal. </p>
<p><strong>Step 2: Using the pumping mechanism</strong></p>
<p>Then, use the pump mechanism to remove air from within the cylinder around the penis, creating a vacuum. The pumping process causes blood to be drawn into the penis, resulting in erectile tissue becoming engorged and erect. It can take up to <a href="https://www.cuh.nhs.uk/patient-information/vacuum-erection-assistance-devices-frequently-asked-questions/">seven minutes</a> to achieve a full erection. </p>
<p><strong>Step 3: Apply a constriction band or cock ring</strong></p>
<p>Penis pumps usually come with a constriction band or ring. Once an erection is achieved, slide this ring over the base of the penis and remove the cylinder. You may need some lubricant to get the ring into a comfortable position. The ring stops blood from escaping from the penis, meaning the erection is maintained when the cylinder is removed. </p>
<p><strong>Step 4: Enjoy your erection!</strong></p>
<p>You’re now ready to engage in whatever sexual activity you have planned. Constriction bands should not be left on the penis for any more than 30 minutes. Remove the constriction band immediately if you experience discomfort, pain, numbness, or discolouration of the penis.</p>
<p><strong>Step 5: Afterwards</strong></p>
<p>After sexual activity is over, the <a href="https://www.cuh.nhs.uk/patient-information/vacuum-erection-assistance-devices-frequently-asked-questions/">ring should be stretched</a> to allow the blood to leave the penis and be removed once the erection has gone down. It’s important not to keep the penis ring in place for more than 30 minutes to avoid causing bruising and permanent damage.</p>
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<h2>Penis Pump Safety</h2>
<p>When used correctly, penis pumps are safe to use. A person can use it as often as is comfortable. Since they are a non-medical and noninvasive tool for treating ED, penis pumps can be a good option for people concerned about the risks of systemic side effects that often come with other ED treatments.</p>
<h3>Risks of using a penis pump</h3>
<p>Using a penis pump to enhance an erection does come with some risks, including:</p>
<ul>
<li aria-level="1">Difficulty ejaculating. Up to <a href="https://www.cuh.nhs.uk/patient-information/vacuum-erection-assistance-devices-frequently-asked-questions/">60% of men</a> experience some difficulty ejaculating after using a penis pump. This is because the constriction band or ring used to maintain an erection can hinder the flow of semen at the point of ejaculation.</li>
<li aria-level="1">Irritation of the penis</li>
<li aria-level="1">Bruising</li>
<li aria-level="1">Loss of sensation in the penis. This is a particular risk if the pump is used for a prolonged time or a ring is left on the penis for too long.</li>
<li aria-level="1">Pain</li>
</ul>
<p>If they occur, these issues tend to be temporary and resolve with time – but they can be uncomfortable and could possibly cause further issues, so don’t hesitate to see a healthcare provider if you’re concerned. Because of these risks, it may not be advisable to use penis pumps recreationally or as a sex toy.</p>
<h3>Who Should Not Use a Penis Pump?</h3>
<p>Men with certain medical conditions should not use a penis pump without first consulting with their healthcare provider. Using too much pressure can cause bruising beneath the skin of the penis, which can be risky if you:</p>
<ul>
<li aria-level="1">Have a blood disorder (e.g. <a href="https://www.baus.org.uk/_userfiles/pages/files/Patients/Leaflets/VEDs.pdf">sickle cell anaemia</a> or haemophilia).</li>
<li aria-level="1">Take blood-thinning or anticoagulant medications (such as aspirin, rivaroxaban, warfarin, or clopidogrel).</li>
<li aria-level="1">Have an anatomical issue with your penis.</li>
</ul>
<h2>Alternatives to Using a Penis Pump</h2>
<p>If you experience ED and don’t want to use a penis pump (or don’t get the results you’re hoping for with a penis pump), there are other treatments to consider:</p>
<ul>
<li aria-level="1">
<strong>Treating underlying conditions</strong>: Erectile difficulties are frequently due to an underlying medical condition like diabetes, obesity, or cardiovascular disease. Treating an underlying condition may help resolve erectile difficulties and improve overall health.</li>
<li aria-level="1">
<strong>Lifestyle changes</strong>: Losing weight if you are overweight, becoming more physically active, stopping smoking, reducing alcohol intake, and managing stress are all steps that can help relieve erectile difficulties.</li>
<li aria-level="1">
<strong>Therapy</strong>: Cognitive behavioural therapy (CBT) or sex therapy may be useful for men whose erectile difficulties have a psychological or emotional component.</li>
<li aria-level="1">
<strong>Medications</strong>: Drugs known as phosphodiesterase-5 (PDE-5) inhibitors (such as sildenafil (Viagra) or tadalafil (Cialis)) can promote blood flow to the penis and aid in getting and maintaining an erection. Speaking to your healthcare provider (or, in some cases, your pharmacist) can help to determine if trying these medications is right for you. </li>
<li aria-level="1">
<strong>Injections</strong>: Alprostadil (Caverject) is a drug that is injected directly into the penis before sexual activity, stimulating an erection. Alprostadil is also available in pellet form (the pellet is inserted into the urethra before sex).</li>
<li aria-level="1">
<strong>Penile surgery</strong>: Surgery is usually only recommended if all other ED treatment methods have been ineffective. Surgery, which may involve the insertion of a penile implant, may be especially useful for men who have sustained an injury or who have an anatomical issue contributing to erection problems. </li>
</ul>
<h2>Tips on Using a Penis Pump</h2>
<p>If you’re new to using a penis pump, here are a few tips to consider: </p>
<ul>
<ul>
<li aria-level="1">
<strong>Try it beforehand</strong>: Use your penis pump on your own before using it as part of sex with a partner. Ensure you know how to work the device and remove it safely. </li>
<li aria-level="1">
<strong>Plan ahead:</strong> Using a pump requires some planning – it may make sex less spontaneous than you’re used to, especially if you’re using a hydro pump. Keep your pump handy, and if you’re using a battery-operated device, ensure the batteries are charged and ready to go.</li>
<li aria-level="1">
<strong>Don’t forget foreplay</strong>: By incorporating the pump into your foreplay and communicating with your partner throughout the encounter, you can alleviate tension, keep things playful, and ensure the experience is enjoyable for all involved. </li>
<li aria-level="1">
<strong>Shave if necessary</strong>: Often, shaving your pubic hair around the base of the penis can help the pump to fit better.</li>
<li aria-level="1">
<strong>Use lube</strong>: Using a lubricant can help to position the pump effectively. It also helps to place and remove a cock ring if one is used.</li>
<li aria-level="1">
<strong>Remember STI testing</strong>: While not specifically related to using a penis pump, if you’re trying your penis pump out with a new partner, it’s sensible to get tested for STIs first. With Yoxly’s <a href="https://yoxly.com/en-GB#our-at-home-kits">STI testing kits</a>, you can screen yourself for common infections like chlamydia, gonorrhoea, trichomoniasis, and syphilis from the comfort of your home.</li>
</ul>
</ul>
<h2>Penis Pumps: Summary</h2>
<p>Penis pumps are devices designed to help men achieve and maintain an erection by creating a gentle vacuum around the penis, causing blood to flow to the area. There are several different types of penis pumps, and they can cost from £20 to £300. Most men achieve good results from using a penis pump; however, there are other options to help with erections if a pump isn’t for you. </p>
<h3>
<br><br><br><br>
</h3>

Do Penis Pumps Work?

<p>Index finger to thumb? Comparing it to your shoe size? If these ways of measuring your penis ring any bells, well, good news — you’re not alone.</p>
<p>Though these methods may be convenient, let’s explore some more accurate ways to measure penis length and girth and dispel a few myths.</p>
<h2>Why Measure Your Penis?</h2>
<p>Let’s start with the basics: why would you measure your penis, anyway? </p>
<p>The majority of men measure their penis out of simple curiosity. However, it’s also good to know your size to make sure you’re buying condoms that are the best fit for you. A condom that’s too big can fall off, and a condom that’s too small can be uncomfortable or more likely to break. Both situations can increase the risk of pregnancy or STI transmission, so it’s important to get it right.</p>
<p>Fortunately, there’s a <a href="https://www.letstalkaboutit.nhs.uk/media/gjdfezsg/sl1210_size-_-shape-guide_a4_v20.pdf">condom size</a> for every penis, and individual manufacturers often have a <a href="https://www.durex.co.uk/pages/measurement-tool">guide</a> to help you select the right size condom for you. </p>
<p>Another thing to point out is that your penis size can actually vary from one day to the next, depending on things like mood, temperature, arousal level, and if you’ve had an erection or ejaculated recently. </p>
<h2>How To Measure Your Penis</h2>
<p>So, at what state should you measure your penis, and how do you measure your penis? </p>
<p>It's commonly assumed that penis size is measured solely when erect, but there's another metric worth considering: SPL, or stretched penile length. This measurement is the distance from the pubic bone to the tip of the flaccid penis when stretched to a maximum comfortable length. SPL is important as it is the primary metric used in scientific studies and literature concerning penile size and correlates well with erect length. </p>
<h2>How to Measure: Stretched Penile Length (SPL)</h2>
<p>When measuring your stretched penile length, make sure to be standing in an upright position, and to have a ruler or tape measure handy. </p>
<ul>
<li aria-level="1">Extend your flaccid penis to a <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8519169/">maximum comfortable length</a>. </li>
<li aria-level="1">Place your measuring tape or ruler at the root of the penis (the base/pubic bone) on the dorsal (front-facing or top) side of your penis. This is important because, if measured from underneath, the measurement may not be accurate. Make sure that any hair or pre-pubic fat is pushed aside so that your ruler is as close to the bone as possible. </li>
</ul>
<ul>
<li aria-level="1">Continue to measure in a straight line along your penis. </li>
<li aria-level="1">Stop measuring at the tip of your penis. Note this is a measurement of your stretched penis, not your stretched foreskin. The foreskin (if you have one) can often stretch much further than the tip of the penis.</li>
</ul>
<p>Take a look at the measuring tape — that’s your stretched penile length! </p>
<h2>How to Measure: An Erect Penis</h2>
<p>If you would like to measure your erect penile length, the same process is followed: </p>
<ul>
<li aria-level="1">With an erection, begin by positioning the measuring tape or ruler at the base of the penis (where it meets the pubic bone). Clear any hair or pre-pubic fat to allow the ruler to be as close to the pubic bone as possible.</li>
<li aria-level="1">Proceed to measure in a straight line along the top side of the penis until reaching the tip. This endpoint marks your erect penis length. </li>
</ul>
<p>Whether you measure your SPL or erect length is a matter of personal preference, but one important note: your erect length is one of the measurements usually needed when sizing a condom. </p>
<h2>How to Measure Penis Girth</h2>
<p>That’s not all! We still have to tackle a second penile measurement: girth. </p>
<p>The girth of one’s penis is essentially the circumference or “thickness”. When conducting this measurement, you do it the same way for both a flaccid or erect penis. The measurement will be different for each measurement.</p>
<ul>
<li aria-level="1">Use a soft measuring tape and simply wrap it around the thickest part of the shaft, which will most likely be at the base or mid-shaft. </li>
<li aria-level="1">Ensure the tape is laying flat around the penis and is not pulled tight. This is your penis girth.</li>
</ul>
<p>If you don’t have a soft measuring tape, you can use a piece of string with no stretch. Wrap this gently around your penis, marking the string where it meets itself. You can then measure this length of string with a ruler to find your penile girth.</p>
<p> </p>
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<h2>Is Your Penis Size Normal?</h2>
<p>You may be comparing your size to your own expectations, studies, friends, or other sociocultural factors. So let's talk about penis size.</p>
<h3>Facts About Penis Size</h3>
<p>Researchers often refrain from relying on self-reported measurements when investigating penis size. This is because self-reported measurements have been shown to be <a href="https://www.tandfonline.com/doi/full/10.1080/0092623X.2020.1787279">inflated</a> — up to an inch larger than when researchers perform the measurement themselves. </p>
<p>A <a href="https://drjromero-otero.com/wp-content/uploads/2018/08/Veale_et_al-2015-BJU_International.pdf">systematic review</a> looking at 20 different papers on penis size, both erect and stretched, gathered data on penile measurement based on over 15,000 penises. These studies indicate that stretched penile length correlates pretty well with erect length, and that average girth increased with an erection:</p>
<ul>
<li aria-level="1">The average stretched flaccid length was <strong>13.24 cm (5.21 in.)</strong> and average erect length was <strong>13.12 cm (5.17 in.)</strong>.</li>
<li aria-level="1">95% of men had a stretched penile length of between approximately <strong>9.5 cm (3.74 in.)</strong> and <strong>17 cm (6.69 in.)</strong>.</li>
<li aria-level="1">The average flaccid girth was <strong>9.31 cm (3.67 in.)</strong>, and the average erect girth was <strong>11.66 cm (4.59 in.)</strong>.</li>
</ul>
<p>It’s worth noting that conclusions from clinical studies may still overestimate average penis size, as men with larger penises may feel more comfortable participating in a study where their penis is measured than those with smaller penises.</p>
<h3>What Is a Micropenis?</h3>
<p>The medical definition of micropenis is a penis which is <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3890219/">&lt;2.5 standard deviations</a> below the average — in other words, a penis that’s smaller than the average penis size. In the above <a href="https://drjromero-otero.com/wp-content/uploads/2018/08/Veale_et_al-2015-BJU_International.pdf">study</a>, a micropenis was a stretched penile length of less than 8.5 cm (3.35 in.).</p>
<h3>Penis Size Myths</h3>
<p>Let’s debunk some myths: Although larger penis sizes are <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4599552/">often assumed</a> to be a sign of masculinity and sexual prowess, this simply isn’t the case. Penis size <a href="https://academic.oup.com/asj/article/39/11/1253/5492379">is not related to sexual satisfaction, masculinity, attractiveness, or fertility</a>. </p>
<p>Media portrayals and pornography are key culprits in these perceptions, and they play pivotal roles in shaping men's self-esteem. But it’s important to realise that both media and pornography frequently exaggerate the size of male genitalia through actor selection and filming techniques. Contrary to the societal emphasis on size, research indicates that women <a href="https://www.tandfonline.com/doi/full/10.1080/0092623X.2020.1787279">prefer an average-sized penis</a>, and <a href="https://www.tandfonline.com/doi/full/10.1080/0092623X.2020.1787279">84% of women</a> are perfectly satisfied with the size of their partner’s penis.</p>
<h3>Medical Conditions Can Affect Penis Size</h3>
<p>Various medical conditions can affect both the actual and apparent size of the penis, too. This includes issues like:</p>
<ul>
<li aria-level="1">Obesity, which can obscure penile length due to excess fat around the pubic area </li>
<li aria-level="1">Peyronie's disease, in which fibrous scar tissue causes penile curvature and potential shrinkage </li>
<li aria-level="1">Hormonal imbalances, such as <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3255409/">hypogonadism</a>
</li>
<li aria-level="1">Genetic conditions, such as <a href="https://www.nhs.uk/conditions/klinefelters-syndrome/">Klinefelter syndrome</a>
</li>
</ul>
<h2>Wrapping It Up</h2>
<p>This has been a lot of information about penises. Let’s sum up some key takeaways: </p>
<ol>
<li aria-level="1">
<p>Properly measuring your penis is important for practising safe sex and choosing the right size condom.</p>
</li>
<li aria-level="1">
<p>The common metric for penile size in studies is stretched penile length, while most men refer to their erect length. Both are legitimate ways to measure your penis.</p>
</li>
<li aria-level="1">
<p>Myths and misconceptions surrounding penis size are common (especially thanks to porn and media), so don’t believe everything you hear! </p>
</li>
<li aria-level="1">
<p>People with a range of penis sizes can be healthy, normal, fertile, and have satisfying sex live</p>
</li>
</ol>

How To Measure Your Penis

<p>For many of us, sex (or thinking about it) is an important part of our lives – so it’s understandable that you might worry if you suddenly feel less horny than usual. </p>
<p>However, it’s normal for your libido to fluctuate. Hormone levels, relationship dynamics, mental state, physical health, and other aspects of life can all impact your interest in sex. In this article, we’ll explore sexual desire and arousal, reasons why you may be less horny, and some ways to increase your sex drive. </p>
<h2>How Does Sex Drive Work?</h2>
<p>You may think that wanting to have sex is pretty straightforward, but the reality is a lot more nuanced.</p>
<h2>Sex Drive vs. Arousal</h2>
<p>“Sex drive” refers to a person’s desire to engage in sexual activity, otherwise known as their “libido”. Think of it as your baseline urge to have sex. </p>
<p>Sex drive is more of a mental thing than a physical thing. The physical aspect is known as “sexual arousal.” Sexual arousal is when your body experiences sexual desire – feeling “turned on” – and includes getting an erection or producing vaginal lubrication. </p>
<p>Usually, sex drive and sexual arousal play pretty nicely together, and one will generally lead to the other. Some people’s sex drive leads to them getting physically aroused, while other people need to get sexually aroused before they become interested in sex. It’s a surprisingly complex system. For someone to want and enjoy sex, a variety of psychological, physical, environmental, and social factors are at play.</p>
<h2>The Role of Hormones and Brain Chemicals</h2>
<p>Biologically, <a href="https://onlinelibrary.wiley.com/doi/full/10.1002/jnr.23857">sex hormones</a> (such as testosterone and oestrogen) and brain chemicals (like dopamine) regulate sex drive in humans. Dopamine, one of the “feel-good” neurotransmitters, is released by the brain during pleasurable activities – <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9312911/">including sex</a>, eating delicious food, and even winning a game – as a way to motivate us to do those things more.</p>
<p>Oestrogen, a hormone produced in the ovaries, is a <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4720522/">key correlate</a> of sex drive in women. Testosterone is usually associated with male sex drive, but interestingly, it’s related to sexual desire in<a href="https://pubmed.ncbi.nlm.nih.gov/25475395/">both sexes:</a> low testosterone is associated with reduced libido in both men and women.</p>
<p>Not only do these hormone levels differ between sexes, but they also vary from person to person. Psychological and social factors also influence the brain pathways that control sex drive. More research is needed to fully understand this complicated relationship, but it’s clear that the brain plays a central role in people’s sex drives.</p>
<h2>What Affects Sex Drive?</h2>
<p>Broadly speaking, factors that affect sex drive can be grouped into physical, psychological, and social categories.</p>
<h3>Physical Causes of Low Sex Drive</h3>
<p>There are a range of physical factors that can impact a person’s sex drive.</p>
<p><em>Health Conditions</em></p>
<p>Certain illnesses, especially long-term or chronic diseases, can impact libido. <a href="https://www.nhsinform.scot/illnesses-and-conditions/sexual-and-reproductive/loss-of-libido/">Diabetes, high blood pressure, and being overweight</a> are all known to affect sex drive. Effectively managing these conditions with your general practitioner (GP) can help prevent them from impacting your sex life.</p>
<p><em>Hormone Levels</em></p>
<p>Although it’s less common, medical conditions affecting your thyroid or pituitary gland can disrupt normal hormone levels in the blood. In turn, this can affect your sex drive.</p>
<p>Other changes in oestrogen, progesterone, or testosterone can also influence libido, especially in older people who are more likely to have declining hormone levels. Hormonal fluctuations caused by <a href="https://www.tandfonline.com/doi/abs/10.1080/09513590.2021.2016693">hormonal contraception</a>, pregnancy, or breastfeeding may also contribute to changes in sex drive.</p>
<p><em>Medications</em></p>
<p>Some <a href="https://www.nhsinform.scot/illnesses-and-conditions/sexual-and-reproductive/loss-of-libido/">prescription drugs</a>, including antidepressants, chemotherapy agents, blood pressure medications, antipsychotics, and contraceptives, can lead to a decreased sex drive. If you think your medications could be affecting your libido, discuss it with your GP - they might be able to adjust the dose or suggest an alternative treatment. </p>
<h3>Social, Mental, and Emotional Causes of Low Sex Drive</h3>
<p>A person’s desire for sex isn’t just determined by physical factors. Social, mental, and emotional challenges can also have a huge impact.</p>
<p><em>Relationship Issues</em></p>
<p>One of the most common reasons for lack of sexual desire is relationship issues. This can stem from relational challenges (such as difficulties communicating or lack of trust) or issues of sexual compatibility (like differences in sex drive). </p>
<p>Our relationships with family, friends, and colleagues can also create stress, which can impact how confident and sexual we feel.</p>
<p><em>Mental and Emotional Challenges</em></p>
<p>Your self-esteem and stress levels <a href="https://journals.lww.com/jonmd/abstract/2006/07000/associations_among_everyday_stress,_critical_life.5.aspx">play a big role</a> in how sexy or sexual you might feel. If you’re not confident about how you look, are feeling lacklustre in your professional life, are fearful of rejection, or are worried about your sexual performance, for example, it’s common to experience low sex drive.</p>
<p>If you’re single and concerned about your lack of libido, the issue may simply be situational. Many anxieties can crop up when you’re thinking about having sex with someone new or having sex again after a period of inactivity.</p>
<p>Mental health challenges (like depression and anxiety) can also reduce your interest in sex - and they’re more common than you might think. One of the telltale signs of depression is no longer deriving pleasure from activities you used to enjoy, including sex. It’s important to speak with a healthcare provider if you find yourself feeling low, anxious, or excessively stressed. </p>
<p><em>Trauma</em></p>
<p>Experiencing trauma, especially around sex, can have a long-term impact on libido and an individual’s relationship with sex. Attending a therapist specifically trained in trauma counselling can help to unravel thoughts and feelings around negative experiences and rediscover how to enjoy sexual relationships again.</p>
<p><em>Lifestyle Factors</em></p>
<p>The things we do in our everyday lives have a massive impact on libido, particularly our health habits. Stress, fatigue, physical inactivity, excessive weight, and substance use (including <a href="https://www.sciencedirect.com/science/article/abs/pii/S0749379721004293">smoking, vaping, nicotine pouches</a>, and alcohol) can all reduce sex drive. </p>
<h2>Sex-Specific Aspects of Low Sex Drive</h2>
<p>While most of these factors can affect anyone, there are a few sex-specific differences when it comes to sex drive.</p>
<h3>Low Sex Drive in Men</h3>
<p>Generally speaking, men are assumed to have higher sex drives. <a href="https://journals.sagepub.com/doi/abs/10.1207/S15327957PSPR0503_5">Evidence suggests</a> this is likely due to <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6908863/">differences in</a> the anatomical and physiological function of hormones, nerves, and genital structures. Social norms can also play a role in how horny men are expected to be, which may lead to feelings of intense pressure and anxiety.</p>
<p>Testosterone plays an important role in sex drive in men. As men get older, testosterone levels naturally drop, which seems to correlate with a natural decline in libido. However, low testosterone levels, reduced sex drive, and difficulties with arousal can also be signs of <a href="https://www.ncbi.nlm.nih.gov/books/NBK562253/">underlying medical conditions</a>, including <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3255409/">hypogonadism</a>, diabetes, and cardiovascular disease (even in younger men). </p>
<p>Men are also statistically <a href="https://www.menshealthforum.org.uk/key-data-alcohol-and-smoking">more likely</a> to smoke and drink large amounts of alcohol, which are known to decrease libido.</p>
<h3>Low Sex Drive in Women</h3>
<p>A variety of hormonal influences (including the menstrual cycle, contraception, pregnancy, and menopause) and social factors can impact women’s sex drive throughout life.</p>
<p>Approximately <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9279840/">26%</a> of women aged 16-49 take some form of hormonal contraception. For all hormonal contraceptives, potential side effects include changes in mood or changes to libido. If you find your libido has changed since starting contraception, consider speaking with a healthcare provider to see if an alternative method may suit you better. </p>
<p>Female hormones also fluctuate throughout the menstrual cycle. Oestrogen levels peak twice – once right before ovulation and then again towards the end of the cycle (as progesterone also rises) – and these changes <a href="https://www.tandfonline.com/doi/full/10.1080/00224499.2022.2110558">can affect sex drive</a>. Many women notice their sex drive increases around ovulation and decreases as they approach their period.</p>
<p>Pregnancy, breastfeeding, and the postpartum period are also subject to profound hormone fluctuations as a person’s body grows, delivers, and recovers from a pregnancy. These changes, along with the emotional and lifestyle strains of having a newborn, can all reduce a person’s desire for sex (<a href="https://academic.oup.com/jsm/article-abstract/5/8/1915/6862420">especially postpartum</a>).</p>
<p><a href="https://www.mdpi.com/1648-9144/55/9/559">Studies suggest</a> that many women experience a drop in sex drive near menopause, too. Menopause typically occurs around ages 48–56, but oestrogen levels often begin to dip in the years leading up to this period. This means that low oestrogen-related symptoms, like decreased libido, can manifest long before a person’s period actually stops.</p>
<p>Finally, women experience a range of social pressures that can impact body image and self-esteem, which can reduce feelings of confidence and enjoyment of sexuality. Women are also more than <a href="https://www.ons.gov.uk/peoplepopulationandcommunity/crimeandjustice/articles/sexualoffencesvictimcharacteristicsenglandandwales/yearendingmarch2022">twice as likely</a> to experience sexual assault, and it’s common for them to feel differently about sex after such trauma. In the UK, <a href="https://thesurvivorstrust.org/#:~:text=The%20Survivors%20Trust%20is%20a,over%20100%2C000%20survivors%20each%20year.">the Survivor’s Trust</a> offers support to women who have experienced sexual abuse or assault.</p>
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<h2>How Can I Increase My Sex Drive?</h2>
<p>It’s normal for your sex drive to change throughout life, so it’s not necessarily a problem if you feel less inclined to have sex. However, it's important to take action if it’s causing you distress, affecting your relationships, or you’re concerned you might have a medical issue.</p>
<p>Fortunately, there are many ways to figure out why you aren’t feeling as sexual as usual and a number of tools to address it.</p>
<h3>Start With Communication</h3>
<p>If you’re in a couple, discuss your feelings and any concerns about sex with your partner. What’s making things feel unsexy lately? Are you just not feeling like yourself? Are you struggling with unwelcome changes to your body? Is your partner initiating sex less, making you feel undesirable? Are there financial strains? Understanding each other's needs, fears, and desires helps create a supportive environment for you to work on your sex life together. </p>
<h3>Address Basic Lifestyle Issues</h3>
<p>It may sound boring, but making small changes towards a healthier lifestyle can have a big impact on overall wellness - including sex drive! Try:</p>
<ul>
<li aria-level="1">Eating a healthier diet with fewer processed or fast foods</li>
<li aria-level="1">Getting some exercise each day, even if it’s only a little</li>
<li aria-level="1">Improving sleep (whether it’s keeping a consistent bedtime or increasing the hours of sleep each night)</li>
<li aria-level="1">Reducing stress (through deep breathing, meditation, journaling, or shifting priorities)</li>
</ul>
<h3>Try Something New</h3>
<p>Many qualities that make a relationship successful, like safety and security, might not always feel sexy. Often, adding a sense of excitement or <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3971161/">anticipation</a> can help to boost a person’s libido by tapping into the link between sex and dopamine. Try exploring new activities together, inside or outside the bedroom. </p>
<h3>Talk to a Professional</h3>
<p>Healthcare professionals are an important resource if you’re suddenly feeling less horny than usual. They can help to confirm or exclude potential medical causes (such as a hormone imbalance) and suggest appropriate treatment options.</p>
<p>If you’re in a couple, it can also help to talk things through with a sex or relationship therapist. By improving communication and airing issues in a supportive, safe environment, people may feel more seen, heard, and connected to their partner – which has been shown to <a href="https://core.ac.uk/download/pdf/35290986.pdf">improve sexual satisfaction</a>.</p>
<p>If you’re single, speaking with a therapist can help you to feel more calm and confident – both of which can increase your sex drive.</p>
<h3>Get Checked</h3>
<p>One of the worries about new sexual partners is the risk of sexually transmitted infections (STIs). It’s always a good idea for partners to get tested before becoming intimate - which you can do in the comfort of your own home by <a href="https://yoxly.com/en-GB/products/comprehensive-sti-test-kit">ordering one of our STI testing kits</a>. Confidence is sexy, and feeling secure in your sexual health status may help you feel more eager to jump back into the sack.</p>
<p>Not feeling horny and worrying about your low sex drive can be stressful, but remember, everyone’s libido is unique and constantly changing. A low sex drive doesn’t necessarily mean there’s a problem. For some people, it’s just part of who they are. </p>
<p>Taking a minute to reflect on what might be impacting your sex drive, making some lifestyle adjustments, and talking to a professional are three simple, helpful steps that can get you feeling confident and sexual again in a way that works for you.</p>

Why Am I Never Horny? Exploring What Causes a Low Sex Drive

<p>HIV (or human immunodeficiency virus) is a sexually transmitted infection (STI) which causes a lot of anxiety. Testing for HIV can be a confusing process, with many different sampling methods and types of tests. It’s sometimes tricky to know if you are taking the most accurate HIV test and if you’re taking it at the right time. </p>
<h2>What Is HIV?</h2>
<p>HIV is primarily spread through semen, vaginal secretions, and blood. HIV attacks the immune system and, if left untreated, eventually renders the body unable to fight off infections – known as acquired immunodeficiency syndrome (AIDS) or late-stage HIV.</p>
<p>If you’re worried you may have HIV, it’s best to get tested. The type of test determines how soon after infection the virus can be detected. There are lots of different types of HIV tests, with different wait times and levels of accuracy, which can be confusing. So, let’s explore how each test works in more detail.</p>
<h2>How Do HIV Tests Work?</h2>
<p>HIV tests can measure three markers: antigens, antibodies, and RNA.</p>
<p><strong><em>Antigens</em></strong><em><br></em>Antigens are found on the outside of bacteria, cells, or viruses. Once infected, antigens from that specific bug can be detected in the body after a few days or weeks. For HIV, the main antigen is called p24, which is detectable within two to four weeks after initial infection. It may become undetectable again after a variable period of time. </p>
<p><strong><em>Antibodies</em></strong><em><br></em>Antibodies are secreted by your body to fight foreign substances, like viruses and bacteria. They are specific, meaning that the antibodies against HIV differ from those made to fight other viruses, and they can take several weeks after the initial infection to be detectable. When it comes to HIV, two antibodies are tested for: IgM and IgG. IgM is detectable first, appearing within just a few weeks; however, it becomes undetectable later on in infection. IgG appears later and continues to increase in untreated infection. </p>
<p><strong><em>RNA</em></strong><em><br></em>RNA in viruses is similar to DNA in humans: it contains their genetic material. These genes store all the information a virus needs to create copies of itself as the infection progresses. HIV RNA can be found in the blood within ten days after infection. <a href="https://www.rcpath.org/static/5139538e-0657-4025-bb43e6e748144bae/uk-smi-v-11i5-laboratory-diagnosis-of-hiv-december-2023-pdf.pdf">HIV RNA tests</a> are not recommended or licenced for use for initial HIV screening, as they are likely to give false positive results.</p>
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<h2>What Is 4th Generation HIV Testing?</h2>
<p>Fourth generation HIV testing involves looking for both HIV antigen (p24) <em>and</em> both types of HIV antibodies (IgG and IgM). The p24 antigen is found in the blood <em>before</em> the body has had time to make antibodies, so 4th generation tests can often detect HIV infections earlier than other tests – sometimes after <a href="https://www.bhiva.org/file/5f68c0dd7aefb/HIV-testing-guidelines-2020.pdf">just a few days</a>. Because the p24 antigen and the IgM antibody aren’t detectable forever, testing for the IgG antibody (which persists) ensures an accurate and reliable test. </p>
<p>Using 4th generation testing methods, up to <a href="https://www.bhiva.org/file/5f68c0dd7aefb/HIV-testing-guidelines-2020.pdf">99% of infections</a> are detected 45 days after contracting HIV. <br><br>Third generation tests only test for HIV antibodies (IgG and IgM). A 3rd generation test is accurate 60–90 days <em>after</em> a potential exposure. 1st and 2nd generation tests only check for HIV IgG antibodies, and are not widely used.</p>
<p>At Yoxly, our <a href="https://yoxly.com/en-GB/pages/hiv" target="_blank" rel="noopener noreferrer">sexually transmitted infection test kits</a> use 4th generation HIV testing methods, which are most accurate from 45 days after potential exposure to HIV. </p>
<h2>When to Get Tested for HIV With a 4th Generation Test</h2>
<p>If you are sexually active, it’s a good idea to test yourself for STIs, including HIV ,<a href="https://www.tht.org.uk/hiv-and-sexual-health/testing-hiv">every year</a>. If you’re regularly having condomless sex with new partners, it’s best to get tested every three months.</p>
<p>Remember, even if you contract HIV, there is a <a href="https://yoxly.com/en-GB/blogs/yoxly-news/your-guide-to-incubation-latency-and-window-periods">window period</a> during which you might still test negative. That’s why the timing of testing is important. For 4th generation tests, the window period for HIV is 45 days. Therefore, testing at least 45 days <em>after</em> potential exposure is important to ensure the most accurate results.</p>
<p><a href="https://yoxly.com/en-GB/pages/hiv">Yoxly’s 4th generation at-home HIV testing kits</a> reliably detect 99% of cases 45 days after exposure. Try taking one of our STI tests in the comfort of your own home, with results delivered to your inbox in just a few days.</p>
<h2>How to Take a 4th Generation HIV Test</h2>
<p>There are several ways to take a 4th generation HIV test. </p>
<ol>
<li><em> Self-sampling</em></li>
</ol>
<p>Self-sampling is usually performed at home using a finger prick test. You collect a few drops of blood from your fingertip into a container using a small lancet. The container is then posted to a laboratory for testing. Results are given at a later date via email, an online portal, or telephone call.</p>
<ol start="2">
<li><em> Point-of-care testing</em></li>
</ol>
<p>Point-of-care testing (POCT) involves self-sampling at a safe place, such as a community hub, charity, or clinic. You will usually get the result within 20 minutes, and there will be people present to support you in case of a positive result.</p>
<ol start="3">
<li><em> Sexual health clinic STI screening</em></li>
</ol>
<p>This is often part of a more comprehensive sexual health screen, which tests for several STIs using a blood sample and other types of samples (like urine, vaginal swabs, rectal swabs, or oral swabs). A blood sample is taken from a vein in your arm by a healthcare professional and sent to a laboratory for testing. </p>
<h2>How Accurate Are 4th Generation HIV Tests?</h2>
<p>Fourth generation HIV tests are extremely accurate when taken at least 45 days after potential exposure, and will detect 99% of HIV infections. If a test is taken sooner than 45 days after possible exposure, it may be less accurate and more likely to give you a false negative. If you tested sooner than 45 days after you might have been exposed to HIV, we recommend repeating the test after 45 days have passed. </p>
<h2>4th Generation HIV Testing With Yoxly</h2>
<p>Taking a 4th generation HIV test with Yoxly is quick and easy. A 4th generation HIV test is included in our <a href="https://yoxly.com/en-GB/products/standard-sti-test-kit">Standard</a> and <a href="https://yoxly.com/en-GB/products/comprehensive-sti-test-kit">Comprehensive</a> kits. Within the kit are detailed instructions on how to take your sample and how to access your results. Your results are typically available one to two days after we receive your sample and can be accessed via an online portal. Finally, 4th generation HIV test results are accurate just 45 days after potential exposure to HIV. </p>

What is 4th Generation HIV Testing?

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<p>Fertility and sexual health have always been tricky and taboo subjects, full of misinformation and myths. Some myths do have some factual basis, but others are simply nonsense! At Yoxly, we aim to demystify sexual health and improve access to reliable, educational information.</p>
<p>This article aims to clear up some common myths that revolve around how to get pregnant, how to avoid getting pregnant, and what might affect your fertility.</p>
<p>Let’s dive into the topic and dissect some common myths about fertility.</p>
<h2>Myth #1 Use of Birth Control Pills Makes You Infertile</h2>
<p>As the name suggests, birth control pills are designed to prevent pregnancy when taken consistently and correctly. But what about when you stop taking them? </p>
<p>The Faculty of Sexual and Reproductive Health (FSRH) advises that there is no delay in return to fertility after taking the <a href="https://www.fsrh.org/standards-and-guidance/documents/combined-hormonal-contraception/">combined oral contraceptive pill</a> or the <a href="https://www.fsrh.org/standards-and-guidance/documents/cec-ceu-guidance-young-people-mar-2010/">progestogen-only pill</a>. </p>
<p><a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6055351/">A study published</a> in the Journal of Contraceptive and Reproductive Medicine concluded that contraceptive pills do not affect future fertility at all, regardless of how long they are used.</p>
<p>The bottom line is that once you come off the pill, you can become pregnant right away. </p>
<h2>Myth #2 You Can’t Get Pregnant if Your Partner Doesn’t Ejaculate Inside You!</h2>
<p>This is absolutely false! You are still at risk of getting pregnant even if your partner does not ejaculate inside you. </p>
<p>This is because sperm <a href="https://pubmed.ncbi.nlm.nih.gov/27266214/">are present</a>in pre-ejaculatory secretions (precum), which, when it ends up in the vagina, can cause pregnancy. <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3564677/">A study published in the British Fertility Society Journal</a> found mobile sperm in the precum samples of 37% of their 27 male participants.</p>
<p>Therefore, the withdrawal method (coitus interruptus) is not reliable for preventing pregnancy. A study published in <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7191771/#CR9">BMC Women’s Health</a> reveals that nearly 20% of couples who use the withdrawal method become pregnant in a year.</p>
<p>Therefore, effective contraception (such as pills, condoms or intrauterine devices) should be used if you do not want to become pregnant.</p>
<h2>Myth #3 Having an STI Will Cause Infertility.</h2>
<p>Whilst sexually transmitted infections (STIs) are known to be <a href="https://yoxly.com/en-GB/blogs/yoxly-news/do-stis-affect-fertility">associated with infertility</a>, this is largely only true for infections that <a href="https://www.nhs.uk/conditions/chlamydia/">do not get treated</a> for a long time and cause scarring or damage to the reproductive organs.</p>
<p>The most common bacterial STI in the UK is chlamydia, which is readily transmitted via unprotected sex with an infected individual. The <a href="https://www.nhs.uk/conditions/chlamydia/">NHS</a> and <a href="https://cks.nice.org.uk/topics/chlamydia-uncomplicated-genital/#:~:text=The%20National%20Chlamydia%20Screening%20Programme,if%20they%20change%20their%20partner">NICE</a> recommend that all sexually active young adults get tested for chlamydia at least once a year — more frequently if you have multiple sexual partners. Chlamydia is easily treated with antibiotics, and having had chlamydia does not mean you will be infertile. However, regularly testing for chlamydia, and other STIs (like gonorrhoea and syphilis), is important.</p>
<p><a href="https://yoxly.com/en-GB#our-at-home-kits">Yoxly</a> has made it easy to test for various STIs (e.g. chlamydia, gonorrhoea, trichomoniasis, and syphilis), with their discreet, convenient, and secure test kits, which can be used in the privacy of your home.</p>
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<h2>Myth #4 Douching/Washing/Showering After Sex Stops You Getting Pregnant.</h2>
<p>Douching or bathing after sex does not stop pregnancy from occurring. Sperm which have entered the vagina can rapidly pass through the cervix. Bathing or douching cannot remove sperm from inside the cervix. </p>
<p><a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2567125/">Douching</a> has also been linked to an increased risk of vaginal infections, such as <a href="https://pubmed.ncbi.nlm.nih.gov/36838262/">bacterial vaginosis (BV)</a> and <a href="https://pubmed.ncbi.nlm.nih.gov/36838262/">pelvic inflammatory disease (PID)</a>, and is also linked to a higher chance of <a href="https://pubmed.ncbi.nlm.nih.gov/4073134/">ectopic pregnancy</a>–so it is not recommended under any circumstances.</p>
<h2>Myth #5 You Can’t Do Anything About Your Fertility!</h2>
<p>In many cases, if you are struggling to become pregnant, some simple lifestyle changes can help! These include stopping smoking, improving your diet, and maintaining a healthy weight. </p>
<p>Stress has also been <a href="https://pubmed.ncbi.nlm.nih.gov/30501641/">linked to infertility</a>, and measures to combat stress, such as cognitive behavioural therapy (CBT), can improve your chances of pregnancy. </p>
<p>A wide range of assisted reproductive technologies (ART) are available to help overcome various fertility issues. These include <a href="https://www.nice.org.uk/guidance/cg156/chapter/context">medications, surgery, or techniques such as in-vitro fertilisation</a> (IVF). Around <a href="https://my.clevelandclinic.org/health/diseases/16083-infertility">85–90%</a> of couples successfully conceive after getting the right fertility treatment.</p>
<p>IVF techniques, in particular, are becoming more common and much more successful! According to the <a href="https://www.hfea.gov.uk/about-us/publications/research-and-data/fertility-treatment-2021-preliminary-trends-and-figures/#:~:text=In%202021%2C%20around%2055%2C000%20patients,1991%20to%2029%25%20in%202021">Human Fertilisation and Embryology Authority (HFEA)</a>, the average pregnancy rate using fresh cycle IVF increased from 10% in 1991 to 29% in 2021. And since 1991, 1.3 million IVF procedures have been <a href="https://www.hfea.gov.uk/about-us/publications/research-and-data/fertility-treatment-2019-trends-and-figures/">performed</a> in the UK, resulting in the birth of 390,000 babies!</p>
<h2>Myth #6 Avoiding Sex After Your Period Means You Can’t Get Pregnant!</h2>
<p>Natural family planning, or fertility awareness methods (FAM), involve meticulously tracking the menstrual cycle to determine when you are least likely to fall pregnant. This is not generally considered a reliable method for avoiding pregnancy, as up to 1 in 4 women become pregnant while using this method! </p>
<p>The NHS explains that there is no <a href="https://www.nhs.uk/common-health-questions/pregnancy/can-i-get-pregnant-just-after-my-period-has-finished/#:~:text=There's%20no%20%22safe%22%20time%20of,and%20not%20risk%20becoming%20pregnant">“safe time”</a> in any month when you can have unprotected sex and guarantee you won’t get pregnant. This is because the <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC27529/">timing of ovulation can be unpredictable, even when your periods are regular.</a> Ovulation typically occurs between <a href="https://www.nhs.uk/common-health-questions/sexual-health/how-can-i-tell-when-i-am-ovulating/">12 and 16 days</a> before your next period; however, it can happen earlier or later than expected, particularly if your cycle is irregular.</p>
<p>In addition, <a href="https://www.nhs.uk/conditions/contraception/natural-family-planning/#:~:text=You%20can%20get%20pregnant%20up,the%20egg%20when%20it's%20released.">sperm can stay alive in the female reproductive tract for around 5 days</a>. So, even if you ovulate days after having unprotected sex, there’s a chance that the sperm can still be alive, and pregnancy can occur.</p>
<p>Therefore, to avoid unintended pregnancy, it is always advised to use an effective method of contraception (such as condoms or hormonal birth control) when having sex during any time of the month.</p>
<h2>Myth #7 Women Over 40/45/50 Can’t Get Pregnant!</h2>
<p>You can still get pregnant naturally, even in your 40s or 50s, provided that you have not reached menopause. <a href="https://www.rcog.org.uk/for-the-public/menopause-and-later-life/">Menopause</a> is the permanent cessation of periods due to low hormone levels and typically occurs between ages <a href="https://www.nhs.uk/conditions/menopause/">45–55</a> (average 51). </p>
<p>Interestingly, there is some <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5972645/">evidence</a> that women who experience early puberty may have delayed menopause and, therefore, have <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5972645/#:~:text=It%20remains%20uncertain%20whether%20age,or%20they%20report%20no%20association">more reproductive years</a>.</p>
<p>The risk of pregnancy complications increases with <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4554509/">advanced maternal age</a>. A study published in <a href="https://journals.lww.com/greenjournal/abstract/2006/11000/pregnancy_outcome_after_age_50.7.aspx">Obstetrics &amp; Gynaecology</a> found that women in their late 40s and 50s had an increased risk of preterm delivery, low birth weight, and hospitalisation.</p>
<p>The FSRH recommends <a href="https://www.fsrh.org/documents/fsrh-guidance-contraception-for-women-aged-over-40-years-2017">contraception can be stopped at age 55</a>, when natural loss of fertility can be assumed for most women, even if they are still having periods. </p>
<h2>Myth #8 Having an Abortion Reduces Fertility.</h2>
<p>Abortion is the intentional medical or surgical termination of pregnancy. In the UK, 98% of abortions are performed before <a href="https://www.nhs.uk/conditions/abortion/">20 weeks of gestation, with the majority (90%) being carried out in the first trimester.</a></p>
<p>Simply having an abortion does <a href="https://www.nhs.uk/common-health-questions/sexual-health/can-having-an-abortion-affect-my-fertility/">not affect future fertility</a>. About <a href="https://www.webmd.com/baby/features/4-myths-about-miscarriages">90%</a> of women who have had an abortion will go on to have a normal pregnancy and healthy baby. However, having had an abortion does appear to be associated with an <a href="https://www.nhs.uk/common-health-questions/sexual-health/can-having-an-abortion-affect-my-fertility/">increased risk of preterm birth in future pregnancies</a><a href="https://www.nhs.uk/conditions/abortion/">.</a></p>
<p>Whilst you can become pregnant quickly after having an abortion, there is evidence that this is associated with an increased <a href="https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2708196">risk of pregnancy-related complications</a><a href="https://www.nhs.uk/conditions/abortion/">.</a></p>
<p>In some cases, complications of termination, such as an infection, may affect future fertility. Testing for STIs is usually offered at the time of termination, and <a href="https://www.nhs.uk/common-health-questions/sexual-health/can-having-an-abortion-affect-my-fertility/">antibiotics</a> may be prescribed for women at an increased risk of infection. </p>
<h2>Myth #9 Regular Periods Mean You Are Fertile.</h2>
<p>The average length of a woman’s menstrual cycle is 28 days, with the usual interval between periods ranging from <a href="https://www.nhs.uk/conditions/periods/fertility-in-the-menstrual-cycle/#:~:text=The%20length%20of%20the%20menstrual,day%20before%20her%20next%20period.">23 to 35 days</a>.</p>
<p>Although a regular period is associated with fertility, it is not always the case! Underlying issues which may affect fertility, such as ovulatory disorders, infections, or endometriosis, can be present alongside a regular period. Furthermore, factors like increased age, smoking, psychological stress, or unhealthy body weight can also impact fertility without impacting periods.</p>
<p>If you’re trying to become pregnant and have not conceived after a year of regular, unprotected, vaginal intercourse (2–3 times a week), you should seek advice from a healthcare professional. You should consider seeking advice sooner if you have any underlying health problems, or if you’re a woman over the age of 36.</p>
<h2>Myth #10 Irregular Periods Mean You Can’t Get Pregnant!</h2>
<p>If your menstrual cycle is <a href="https://www.nhs.uk/conditions/periods/fertility-in-the-menstrual-cycle/">less than 21 days or more than 35 days</a>, or if it varies by more than 4 days each month, you may have an irregular cycle. </p>
<p>Women with irregular periods can and do successfully conceive. A <a href="https://pubmed.ncbi.nlm.nih.gov/28794095/">2018 study</a> showed that most participants with irregular periods were ovulating, and could therefore get pregnant. </p>
<p>If your periods are irregular, the <a href="https://www.nhs.uk/conditions/irregular-periods/#:~:text=Getting%20pregnant%20can%20be%20more,your%20cycle%20without%20using%20contraception">NHS</a> recommends having vaginal, unprotected intercourse (sex without contraception) every 2–3 days throughout your cycle, to increase the odds of getting pregnant.</p>
<h2>Take Home Message</h2>
<p>You’ve probably heard plenty of myths and rumours about sexual health and fertility–some of which have a factual basis, but many of which are simply false! If you have any worries about your sexual health or fertility, seek advice from a trusted healthcare professional.</p>

10 Myths About Sexual Health and Fertility

<p>When it comes to exploring our sexuality and enjoying intimate moments, toys have become staples in the sexual repertoire for many of us. These delightful gadgets can add excitement, pleasure and new dimensions to our sexual experiences, but it’s important to remember that whilst they bring <em>plenty</em> of fun, we need to care for our sex toys in a way that keeps us safe and healthy.</p>
<p>Did you know that improperly cleaned <a href="https://www.nhs.uk/common-health-questions/sexual-health/are-sex-toys-safe/">sex toys</a> can potentially harbour <a href="https://www.nhs.uk/conditions/sexually-transmitted-infections-stis/">sexually transmitted infections</a> (STIs)? In this article, we delve into the world of safe sex toy practices, including cleaning techniques, storage tips, what you need to know about using sex toys with partners, and the importance of regular STI testing.</p>
<h2>Understanding the Risks: Sexually Transmitted Infections</h2>
<p><a href="https://www.nhs.uk/conditions/sexually-transmitted-infections-stis/">STIs</a> (also known as sexually transmitted diseases, or STDs) are infections that can be passed from one person to another during sexual activity. While STIs are most commonly spread through <a href="https://www.who.int/news-room/fact-sheets/detail/sexually-transmitted-infections-(stis)">vaginal, anal, or oral sex</a>, it’s important to recognise that sex toys can also harbour and <a href="https://smartsexresource.com/answered-questions/is-it-possible-to-get-hiv-from-a-sex-toy/">transmit infections</a> if not cared for properly. </p>
<p>STI-causing bacteria such as <a href="https://www.nhs.uk/conditions/chlamydia/">chlamydia</a>, <a href="https://www.nhsinform.scot/illnesses-and-conditions/sexual-and-reproductive/gonorrhoea#:~:text=Gonorrhoea%20is%20passed%20from%20person,each%20time%20they're%20used">gonorrhoea</a> and syphilis cannot survive for very long outside the human body. However, viruses such as <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7579832/">human papillomavirus (HPV)</a>, <a href="https://www.who.int/news-room/fact-sheets/detail/hepatitis-b">hepatitis B</a> and <a href="https://www.nhsinform.scot/illnesses-and-conditions/sexual-and-reproductive/genital-herpes#:~:text=The%20herpes%20virus%20(HSV)%20is,each%20time%20they're%20used">herpes simplex virus (HSV)</a> have been shown to survive outside the body (under certain circumstances) for several days or even weeks! </p>
<h2>Choosing the Right Materials: Consider STIs</h2>
<p>Sex toys are made from various materials, each requiring specific care. Silicone, borosilicate glass and stainless steel toys can be relatively easy to clean as they are non-porous. However, porous materials like rubber or vinyl can absorb bodily fluids, making it harder to remove potential pathogens. For easier cleaning and maintenance, consider opting for non-porous materials.</p>
<h2>Sex Toy Cleaning Techniques to Minimise STI Risk</h2>
<p><a href="https://www.cdc.gov/parasites/crypto/gen_info/prevention-general-public.html">Proper cleaning</a> is the key to maintaining a hygienic sexual experience – but where to start?! Here’s a handy step-by-step guide on how to clean your sex toys effectively:</p>
<ol>
<li aria-level="1">Read the instructions: Before cleaning, always refer to the manufacturer’s instructions specific to your sex toy. They may provide guidelines on the best methods to use.</li>
<li aria-level="1">Pre-wash: Rinse the toy under warm water to remove any residue or bodily fluids. If your toy has batteries, be mindful not to get any electrical components wet. </li>
<li aria-level="1">Soap and water: Use a mild, fragrance-free soap or specialised sex toy cleaner to clean the toy thoroughly. Avoid using harsh chemicals, as they can damage the toy or cause irritation to your intimate areas.</li>
<li aria-level="1">Rinse: Rinse the toy with warm water to remove any soap or cleaning solution residue.</li>
<li aria-level="1">Drying: Pat the toy dry with a clean towel or let it air dry completely before storing. Avoid using paper towels or rough cloths that could leave fibres behind.</li>
</ol>
<h2>How To Disinfect Your Sex Toys</h2>
<p>Sometimes, cleaning isn’t enough. For example, if you share sex toys without using barrier protection or if your toys have come into contact with an infection. While cleaning ensures surface cleanliness, some pathogens, particularly viruses, can survive the cleaning process and persist on the surface of your toys. </p>
<p>Here are some disinfection techniques that sex toy manufacturers have recommended:</p>
<ol>
<li aria-level="1">Submerge in boiling water for 10 minutes. Most bacteria will be killed by boiling water. Rubber and vinyl devices may be sensitive to heat and should not be boiled.</li>
<li aria-level="1">Submerge in a <a href="https://www.cdc.gov/infectioncontrol/guidelines/disinfection/#r11">diluted bleach solution</a> (1 part bleach to 50 parts water) for 3 minutes. Bleach may degrade or discolour certain materials, such as rubber and silicone, and the toy should be cleaned again after disinfection to remove any bleach residue. </li>
<li aria-level="1">Putting your toy in the dishwasher on “sanitise” mode. Just be sure you’re not expecting dinner guests.</li>
</ol>
<p>You should avoid these techniques in toys with electrical components which are not designed to be submerged. When in doubt, follow the toy manufacturer’s guidelines on cleaning and sanitation. </p>
<h2>Sex Toy Storage Tips</h2>
<p>Proper storage helps to maintain the integrity of your sex toys and helps to prevent STI contamination. Here are some tips for storing your toys safely:</p>
<ol>
<li aria-level="1">Separation: Store each sex toy separately to avoid material reactions or damage.</li>
<li aria-level="1">Clean and dry: Ensure your toys are completely <a href="https://www.cdc.gov/parasites/crypto/gen_info/prevention-general-public.html">clean</a> and dry before storing them. Residual moisture can promote the growth of bacteria or mould.</li>
<li aria-level="1">Discretion: If you prefer to keep your toys discreet, consider using storage bags or cases specifically designed for this purpose.</li>
<li aria-level="1">Regular inspections: Regularly <a href="https://www.nhs.uk/common-health-questions/sexual-health/are-sex-toys-safe/">inspect your sex toys</a> for any signs of wear and tear, such as cracks, discolouration, or changes in texture. If you notice any damage, it’s best to retire the toy and replace it to ensure your safety.</li>
<li aria-level="1">At-home STI testing kits: Despite taking all the necessary precautions, it’s important to remember that no method is foolproof. That’s why regular STI testing is crucial, even if you practise safe sex! Yoxly’s at-home STI testing kits provide a convenient and confidential way to monitor your sexual health. Get yours <a href="https://yoxly.com/en-GB/products/basic-sti-test-kit">here</a>. Our tests are designed to detect common STIs, including chlamydia, gonorrhoea, HIV, syphilis, and more. With just a simple sample collection and speedy, discreet shipping, you can take control of your sexual health from the comfort of your own home.</li>
</ol>
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<h2></h2>
<h2>Sex Toys and STIs – Using Sex Toys With Your Partner Safely</h2>
<p>Using sex toys with a partner (or partners) can be an exhilarating experience! However, it’s important to prioritise safety and hygiene to prevent the transmission of STIs. So, what are the guidelines for using sex toys with partners?</p>
<ol>
<li aria-level="1">Communication: Open and honest communication is key. Discuss STI testing, boundaries and preferences with your partner(s) before incorporating sex toys into your play.</li>
<li aria-level="1">Barrier methods: Using <a href="https://www.fsrh.org/standards-and-guidance/documents/ceuguidancebarriermethodscontraceptionsdi/#:~:text=Barrier%20methods%20discussed%20include%3A&amp;text=Male%20condoms%20(latex%2C%20non%2D,latex%2C%20non%2Dlatex).">barrier methods</a>, such as <a href="https://www.sexwise.org.uk/contraception/condoms-external">external condoms</a> or <a href="https://www.sexwise.org.uk/contraception/condoms-internal">internal condoms</a>, can reduce the risk of STI transmission when sharing toys. Condoms can be placed over penetrative toys, while dental dams can be used as a barrier for skin-to-skin contact.</li>
<li aria-level="1">Cleaning between partners: If you plan to use the same toy with multiple partners, it’s essential that you <a href="https://www.cdc.gov/parasites/crypto/gen_info/prevention-general-public.html">clean</a> and disinfect the toy thoroughly between each use. Follow the cleaning and disinfecting techniques mentioned above to minimise the risk of infection.</li>
<li aria-level="1">Non-porous materials: If sharing with partners, opt for sex toys made from non-porous materials, such as silicone, borosilicate glass or stainless steel. Non-porous materials are easier to clean and less likely to harbour bacteria or other pathogens that cause STIs.</li>
<li aria-level="1">Individual use: Consider using separate toys for each partner. This reduces the risk of cross-contamination.</li>
<li aria-level="1">Testing together: To maintain a healthy sexual relationship, it’s important for both you and your partner(s) to get tested for STIs regularly. Yoxly’s <a href="https://yoxly.com/en-GB/products/basic-sti-test-kit">at-home STI testing kits</a> are a convenient and discreet option for you to monitor your sexual health together. </li>
</ol>
<p>Always prioritise safety and open communication when engaging in sexual activity with any partner. By following these guidelines, you can enjoy the pleasure of shared experiences while minimising the risk of STI transmission!</p>
<h2>Sex Toys and STIs: Safety First</h2>
<p>Exploring our sexuality and incorporating sex toys in the bedroom can be incredibly fulfilling and pleasurable. However, the best sexual health practice involves cleaning and caring for our toys properly. By following the guidelines above, you can minimise the risk of STI transmission and ensure a safe and enjoyable sexual journey.</p>
<h3>And remember, when it comes to your wellbeing, it’s better to be safe than sorry. So, let’s embrace the joy of sexual exploration while keeping our bodies healthy and happy! Order your <a href="https://yoxly.com/en-GB/products/comprehensive-sti-test-kit">Yoxly at-home STI testing kit</a> today.</h3>

Keep it Safe, Keep it Sexy: How to Properly Clean and Care for Your Sex Toys

<p>Does something smell off down there? What is your vagina supposed to smell like? Has someone commented on your smell? </p>
<p>A change in how your vagina smells can be a sign of an infection, such as bacterial vaginosis (BV), thrush, or a sexually transmitted infection (STI).</p>
<p><br>Worried about how your vagina smells? Well, you’re in the right place! Below we answer five of the most common questions about vaginal odours and give you our top tips for keeping your vagina smelling healthy.</p>
<h2>Do vaginas smell?</h2>
<p>Yes, it’s safe to say that all vaginas have their own unique scent (and not like roses, as you may have heard). A healthy vagina has a natural odour, which can change throughout your cycle and over the course of your lifetime! Certain things can make a healthy vagina smell more strongly, such as poor hygiene, working out, diet, and variations in your vagina’s pH. </p>
<p>Your vagina is naturally acidic – a pH between <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8618584/#:~:text=The%20naturally%20neutral%20pH%20is,from%20pathogenic%20organisms%20%5B4%5D.">3.5–5</a> is normal. This is a good thing, as the acidic environment makes it hard for bad bacteria to grow. Your vagina is home to lots of good bacteria that thrive in the acidic environment and work to protect you from infection.</p>
<p>But what happens when the pH balance is disrupted? That’s when things can start to go wrong, leading to infections and an unpleasant aroma. Sexually transmitted infections (STIs) can also cause your vagina to smell bad. </p>
<h2>Why does my vagina smell like fish?</h2>
<p>A fishy-smelling vagina is often a sign of infection, most commonly bacterial vaginosis (BV).</p>
<p>BV isn’t an STI, although it can be triggered by sex. It’s caused by an imbalance in bacteria, which may be related to sexual activity or over-cleaning of the vagina (especially with scented products). Along with a fishy smell, you may also notice a thin, watery discharge. Read more about BV<a href="https://yoxly.com/en-GB/blogs/yoxly-news/what-is-bacterial-vaginosis-signs-symptoms">here</a>.</p>
<p>A fishy vaginal odour can also be caused by other types of infections, including STIs.<a href="https://www.nhs.uk/conditions/trichomoniasis">Trichomoniasis</a> is an STI that can result in a yellow or green, frothy discharge that smells fishy. You may also notice more vaginal discharge than usual, soreness, itching, and/or pain when urinating.</p>
<p>It can be hard to determine the cause of your problem based on smell alone. If you have an infection, you might not experience all (or even any) of these symptoms!<a href="https://yoxly.com/en-GB#our-at-home-kits"> That’s why it’s important you take a test</a> to confirm or exclude STIs and see a healthcare provider about any fishy smells.</p>
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<h2>Why does my vagina smell like onions/garlic?</h2>
<p>Diet can really impact your vaginal odour. If you’re wondering, “Why does my vagina smell like garlic?” there may well be a simple explanation: you’ve been eating garlic! </p>
<p>A smell of garlic/onion can also become more noticeable after exercising. That’s because a<a href="https://onlinelibrary.wiley.com/doi/abs/10.1002/cbdv.200490077"> compound that’s released in sweat</a> smells very similar to onions–and there are tons of sweat glands around your groin!</p>
<p>If you’ve been eating a lot of garlic or onions, this is most likely the cause of the smell. However, infections can also cause your vagina to take on an onion-like odour. If you’re worried about a change in smell that doesn’t seem related to diet or exercise, you should speak with a healthcare professional.</p>
<h2>Why does my vagina smell after sex?</h2>
<p>There are a few reasons for this. As we mentioned earlier, your vagina is acidic, but semen is alkaline. After unprotected sex, semen remains in the vagina. This can temporarily throw off the pH balance and may sometimes lead to BV.</p>
<p><a href="https://patient.info/news-and-features/can-semen-cause-a-smelly-vagina-after-sex">Semen also has an odour</a>, which some people compare to bleach or ammonia. The smell you’re noticing after sex could be related to the mixing of semen and vaginal secretions (or other bodily fluids).</p>
<p>During sex, you and your partner are likely to sweat - especially around the groin, where there are lots of sweat glands that can contribute to an odour after sex.</p>
<p>Finally, using lube (or condoms with lube) can upset your vaginal pH balance and lead to an unpleasant smell. Lubes containing high levels of sugar can also <a href="https://www.tandfonline.com/doi/abs/10.1080/13697137.2020.1820478">lead to thrush</a>.<br><br>To reduce any odours associated with sex, use a condom to protect against infections and shower after you’ve finished to help keep things clean.</p>
<h2>What should a vagina smell like?</h2>
<p>Your vagina shouldn’t smell like perfume or flowers. It’s an acidic environment full of good bacteria, so it’s normal for it to smell tangy, <a href="https://journals.lww.com/jlgtd/abstract/2012/01000/genital_malodor_in_women__a_modern_reappraisal.11.aspx">sour,</a> or musky. Some people compare the scent to sourdough bread or sour beer.</p>
<p>It’s important to note that hormone fluctuations throughout your menstrual cycle can also affect how your vagina smells. For example, <a href="https://tampax.co.uk/en-gb/period-health/vaginal-odor-what-should-my-vagina-smell-like/">around your period</a>, your vagina might have a strong or metallic smell. This is usually entirely normal, but regularly changing your towel or tampon can help reduce this.</p>
<p>Then, just before ovulation, when your oestrogen levels are highest, you might notice a stronger vaginal aroma.</p>
<p>Whilst your vagina can have a strong scent without there being an issue, it shouldn’t smell unpleasant. This is usually a sign that something is wrong, and you might need to see a healthcare professional.</p>
<h2>How to make your vagina smell nice</h2>
<p>Good hygiene is necessary to stop your vagina from smelling unpleasant, although there is such a thing as being “too clean”.</p>
<p>Your vagina needs good bacteria to stay healthy. Cleaning inside the vagina, especially with harsh or scented products, can actually make things worse because you’re also killing the good bacteria and disrupting the pH balance.</p>
<p>Avoid douching or cleaning inside the vagina itself, and <a href="https://www.liverpoolwomens.nhs.uk/media/2912/general-care-of-the-vulval-skin-gyn_2019-231-v1.pdf">only clean the outside</a> (i.e. your vulva) with warm water. Stay away from scented washes - they seem like they’ll improve the smell but can actually damage the sensitive environment of your vagina.</p>
<p>Sexy, lacy pants are fun, but cotton pants are your friend. Cotton allows your vagina to breathe, and the improved airflow helps prevent the area from becoming a breeding ground for excess bacteria.</p>
<p>It might seem obvious, but always wipe front-to-back after going to the toilet. This helps to avoid transferring bacteria from your anus to your vagina.</p>
<p>Many people are self-conscious about their vaginal aroma, in part due to an unrealistic societal expectation for women to always smell great “down there”. The best way to look after your vagina is to practice safe sex and a sensible hygiene routine.</p>
<p>If you’re worried about how your vagina smells, especially if you’ve had unprotected sex with a new partner, <a href="https://yoxly.com/en-GB/products/comprehensive-sti-test-kit">take a comprehensive STI test</a>, and consider visiting a healthcare professional for advice. </p>

Why does my vagina smell? Answering your questions about vaginal odour!

<p>Handjob questions…you’ve asked, and we’ve answered! Today we’re going back to the basics, looking at:</p>
<ul>
<li aria-level="1">What is a handjob?</li>
<li aria-level="1">How to give a handjob?</li>
<li aria-level="1">How to give a <em>good</em> handjob?</li>
</ul>
<p>Plus, we’ll be looking at other helpful tips, techniques and giving some handjob advice. Exciting!</p>
<p>So whether you’ve never given someone a handjob before, or you’re simply looking to improve your skill set, you’ll surely find a tip or two here. </p>
<p>What is a Handjob?</p>
<p>According to <a href="https://www.kinkly.com">Kinkly</a>:</p>
<p><em>“A handjob is a form of manual stimulation performed on a penis. It may be used as foreplay or may be continued to the point of orgasm and ejaculation. It involves many techniques, which differ depending on partner preferences and may or may not include stimulation of the testicles, scrotum and perineum, along with the penis.”</em></p>
<h2>Handjob Essentials</h2>
<p>Let’s journey further into some handjob essentials, starting with… </p>
<h3>1. Before the Handjob</h3>
<p><strong>Communication</strong></p>
<p>Communication before, during, and after intimacy (and throughout a relationship) is important because it allows partners to learn about and understand each other’s boundaries, needs, preferences, and desires. </p>
<p>It’s also a way to incorporate feelings of safety and security, which can result in more comfortable and satisfying intimate experiences.</p>
<p><strong>Some </strong><a href="https://www.cdc.gov/std/saw/pbyt/conversation.htm"><strong>communication tips</strong></a><strong> include:</strong></p>
<ul>
<li aria-level="1">Be open and honest. For example, there is no shame in disclosing you’ve never given a handjob before. It’s okay to be a little nervous! </li>
<li aria-level="1">Talk with your partner before any new type of sexual contact so that you can make an informed decision.</li>
<li aria-level="1">Be understanding, respectful, and non-judgemental of your partner's thoughts and feelings.</li>
<li aria-level="1">Discuss getting tested for STIs before being sexually intimate.</li>
<li aria-level="1">Discuss ejaculation. If ejaculation occurs, discuss the do’s and don’ts, such as where ejaculation should or shouldn’t happen (e.g. on the body, onto the bed, into a tissue). </li>
</ul>
<p><strong>Consent</strong></p>
<p>When it comes to intimacy and sexual activity, consent is non-negotiable. </p>
<p>The <a href="https://www.stir.ac.uk/student-life/support-wellbeing/student-support-services/sexual-violence/sexual-consent-and-sexual-assault/#:~:text=Sexual%20consent%20means%20a%20person,to%20make%20their%20own%20decisions.">University of Stirling</a> includes the following within their definition of consent:</p>
<ul>
<li aria-level="1">Consent is where a person willingly agrees to have sex or engage in a sexual activity.</li>
<li aria-level="1">To give consent, the person must be able to make their own decisions.</li>
<li aria-level="1">A person who is incapacitated through alcohol or drugs, or who is asleep or unconscious, cannot give consent to sexual activity.</li>
<li aria-level="1">Agreeing to engage in one form of sexual activity (e.g. kissing) does not mean that a person has given consent to all forms of sexual activity.</li>
<li aria-level="1">Consent can be withdrawn at any time.</li>
<li aria-level="1">Just because a person has given consent to sexual activity once does not mean that they have given consent for that type of activity in the future.</li>
<li aria-level="1">Sexual activity without consent is rape or sexual assault.</li>
<li aria-level="1">Someone forced to do something against their will is not giving consent.</li>
</ul>
<p>Although there are other ways of defining consent (for example, <a href="https://www.sexwise.org.uk/blog/what-consent">SexWise</a> breaks it down into three parts: capacity, freedom, and agreement), most echo what is outlined above.</p>
<p><strong>Foreplay</strong></p>
<p>Then, there’s the question of foreplay or no foreplay… </p>
<p>For many, foreplay is a great way to get comfortable and slowly gain momentum throughout a sexual experience. This could include things like a sensual massage, groping, deep kissing, dry humping, etc. And while some people love a bit of foreplay, some may find it frustrating.</p>
<p>Once you’re ready to get properly physical with your partner, you might start by rubbing their genitals over their clothes before pulling down their trousers.</p>
<p><strong>Safety and comfort</strong></p>
<ul>
<li aria-level="1">Hands and nails: before you begin, you may want to cut, trim, or tidy your nails to avoid causing any discomfort. Consider using moisturiser on your hands to create an extra soft sensation, and make sure your hands are clean!</li>
</ul>
<ul>
<li aria-level="1">Prep everything you’ll need (e.g. lube, toys, condoms, cleanup supplies) and find somewhere you’ll be safe and comfortable, where you won’t be disturbed. </li>
</ul>
<p>And finally, when you’re ready to really get started on your partner’s penis, here are some handjob tips and techniques… </p>
<h3>2. Handjob Tips</h3>
<ul>
<li aria-level="1">
<strong>Lube</strong>: for many, a handjob with no lube (a.k.a. a dry handjob) can be painful. Although using spit is an idea, it isn’t ideal. The best way to give a good handjob is to choose the right type of lube. Water-based lubes are great because they are compatible with most condoms, have a natural feel, are easy to clean, and are gentle on the skin.</li>
</ul>
<ul>
<li aria-level="1">
<strong>Body language</strong>: if you’re giving someone a handjob and you notice that they’re backing away from your grip, this may mean that you’re pulling their penis a bit too tight or too fast. On the contrary, if you feel them thrusting into your hand, this may mean that they’re enjoying the experience and are approaching climax. If in doubt, verbal communication with your partner can be helpful. </li>
</ul>
<ul>
<li aria-level="1">
<strong>Communicate: </strong>during the handjob, don’t be afraid to ask things! Questions such as “do you like that,” “shall I go faster,” and “would you like to try a toy now,” can enhance the experience and ensure you’re both having a good time! </li>
</ul>
<h3>3. Handjob Techniques </h3>
<ul>
<li aria-level="1">
<strong>Start slow</strong>: use light touch and slow strokes to begin with, and take hints from your partner as to how and when you should start ramping things up. Regardless of whether you’ve opted for a bit of foreplay, some light touching and teasing, such as gently gliding your fingertips over their penis, is usually a great way to build anticipation. </li>
</ul>
<ul>
<li aria-level="1">
<strong>Touch other areas</strong>: you could also lightly touch them further down, like around their perineum (i.e. the skin between the testicles and the anus). </li>
</ul>
<ul>
<li aria-level="1">
<strong>Use pre-cum: </strong>during a handjob, your partner may release a bit of pre-cum. Pre-cum is a good sign, not only because it signifies arousal, but also because pre-cum can aid in lubrication, as you spread it around the head of the penis with your fingertip. But remember: pre-cum is not a replacement for lube! Use actual lube if you are looking for a smooth and more comfortable glide.</li>
</ul>
<ul>
<li aria-level="1">
<strong>Use two hands on their penis</strong>: you could choose to interlock your fingers around their penis in order to stroke it. Or, you may want to stack both hands on top of one another, twisting them in a downward motion. </li>
</ul>
<ul>
<li aria-level="1">
<strong>Use two hands; one on the penis, another elsewhere:</strong> as you stroke their penis with one hand, the other can be used in a different capacity. You could cup their scrotum, tease another one of their erogenous zones, or even touch yourself.</li>
</ul>
<ul>
<li aria-level="1">
<strong>Focus on the head of the penis</strong>: hold the shaft of your partner’s penis with one hand while the other does a swirling motion over the head of their penis.</li>
</ul>
<ul>
<li aria-level="1">
<strong>Handjob plus using your mouth</strong>: whilst giving your partner a handjob, you could put their scrotum in your mouth, lick their perineum, perform analingus, or tease a blowjob (by licking the head of their penis). </li>
</ul>
<h3>4. Handjob Positions</h3>
<ul>
<li aria-level="1">
<strong>The Masturbator: </strong>first, you and your partner get into the spooning position (you’ll be the little spoon). Next, fill your hand with lube, create a tunnel with it, and place it behind your back (on your backside). Your partner will then thrust into your cupped hand at a speed and intensity that feels good to them.</li>
</ul>
<ul>
<li aria-level="1">
<strong>Kneeling:</strong> for this, you can kneel in front of your partner while they stand or sit (on a chair, the edge of the bed, etc.). Consider adding some eye contact to enhance the connection and heighten arousal.</li>
</ul>
<ul>
<li aria-level="1">
<strong>The Movie Theatre: </strong>sat side by side (on the sofa, a bed, etc.), you can give your partner a handjob while watching TV, a film, or even an erotic video.</li>
</ul>
<ul>
<li aria-level="1">
<strong>The Cowgirl: </strong>just like the sex position, you could give your partner a handjob by straddling them in the cowgirl or reverse cowgirl position. The cowgirl position is when you straddle your partner in such a way that you’re sitting on top of them, facing each other. The reverse cowgirl position is when you’re sitting on top of them in such a way that you’re facing their feet. Either way, it provides some incredible visuals for the receiver.</li>
</ul>
<h3>5. After the handjob</h3>
<p>Aftercare is a very important element when it comes to sexual intimacy. It’s a time for partners to relax, bond, and make sure that their emotional needs are met after sexual activity. In fact, aftercare has a way of intensifying connections and improving one’s mental health.</p>
<p>How can you incorporate aftercare following a handjob? You could clean up together, whether it's making the bed, cleaning the sheets, or putting items away that you’ve used. You could take a sensual shower together to freshen up. Or, you could simply be with each other and cuddle.</p>
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<h2>Advantages of Handjobs?</h2>
<p>Sure, handjobs feel amazing for the receiver, but they can also be turn-ons for the giver, too! Pleasuring your partner often feels satisfying–especially when they say that you give a good handjob! </p>
<p><strong>What are some other advantages of handjobs?</strong></p>
<ul>
<li aria-level="1">Lower risk of STIs (but make sure your hands are clean, and check for any cuts which could make it easier to pick up or pass on an STI).</li>
<li aria-level="1">Pregnancy is less of a concern.</li>
<li aria-level="1">It’s a great way to move from masturbation to sexual experimentation.</li>
</ul>
<h2>How to Enhance Your Handjob Experience</h2>
<p>Last but not least, there are endless other ways to elevate your handjob experience. </p>
<p>Even if your handjob skills are already quite impressive, these tips might teach you how to give a good handjob that your partner may love even more. </p>
<p>Some of these are perfect for beginners, and some are excellent for more advanced lovers.</p>
<ul>
<li aria-level="1">Incorporate dirty talk into your playtime.</li>
<li aria-level="1">Try <a href="https://www.webmd.com/sex/what-is-edging-sex">edging</a>, which is when someone prolongs the lead-up to orgasm by stopping all sources of pleasure right before climax.</li>
<li aria-level="1">Include an element of BDSM, such as light spanking, bondage, or power exchange.</li>
<li aria-level="1">Give your partner a handjob somewhere new (like in a hotel room or a private pool).</li>
<li aria-level="1">Try stimulating other erogenous zones, like the nipples, during a handjob.</li>
</ul>
<p>Finally, use sex toys! There are so many different types of toys to enjoy, and so many combinations, depending on what you like.</p>
<p><strong>Some examples:</strong></p>
<ul>
<li aria-level="1">Use a masturbation sleeve to give a partner a handjob.</li>
<li aria-level="1">Use a prostate massager during a handjob.</li>
<li aria-level="1">Use a feather tickler to tease the testicles.</li>
<li aria-level="1">Use nipple clamps for extra stimulation.</li>
</ul>
<p>Now that you know how to give a handjob—heck, a <em>good</em> handjob—it’s time to be creative and enjoy the bliss that comes with your partnered play.</p>

Handjob Essentials: How to Give a Good Handjob and More

<p>Have you ever wondered what other things you can use as lube? Maybe you forgot to pick some up in your weekly shop, or you are unexpectedly in a sexy situation, and you don’t have any lube to hand! This article will talk you through all the things you may (or may not) use as an alternative to lube. </p>
<p>Before we begin, let us first emphasise the importance of lube. Lube (or lubricant) is a liquid or gel which helps to reduce friction during sexual intercourse. Lube can be <a href="https://books.google.co.uk/books?hl=en&amp;lr=&amp;id=hY9FEAAAQBAJ&amp;oi=fnd&amp;pg=PR6&amp;ots=tzTIqCvwEH&amp;sig=G81cjNtTYcaA4JCaQ7J-XrT3BYc&amp;redir_esc=y#v=onepage&amp;q=lubricants&amp;f=false">especially useful</a> for people who experience vaginal dryness, pain during sex (also known as dyspareunia) or for those who want to engage in anal sex. Importantly, there are several different types of lube, which are appropriate for different types of sexual activity. To learn more about the types of lube and which one to choose, check out our article “<a href="https://yoxly.com/en-GB/blogs/yoxly-news/shedding-some-light-on-lube">Shedding Some Light on Lube</a>”.</p>
<p>Lube helps to facilitate <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8942543/">optimum sexual function and pleasure</a>. It must be working, because lube has been used at least once by 65.5% of the female population of the United States. One study found that lube made sex better for women a <a href="https://www.sciencedaily.com/releases/2009/11/091109090431.htm">whopping 70% of the time</a>, both in terms of pleasure and comfort. Another study of both men and women saw <a href="https://pubmed.ncbi.nlm.nih.gov/21029383/#:~:text=More%20than%2020%25%20of%20men,behaviors%20throughout%20the%20life%20course.">50% state that lube made it easier to orgasm</a>! </p>
<p>Lube is so great that even the World Health Organisation (WHO) <a href="https://books.google.co.uk/books?hl=en&amp;lr=&amp;id=hY9FEAAAQBAJ&amp;oi=fnd&amp;pg=PR6&amp;ots=tzTIqCvwEH&amp;sig=G81cjNtTYcaA4JCaQ7J-XrT3BYc&amp;redir_esc=y#v=onepage&amp;q=lubricants&amp;f=false">recommends its use!</a></p>
<p>Although the WHO recommends using lube, it also cautions against using “<a href="https://books.google.co.uk/books?hl=en&amp;lr=&amp;id=hY9FEAAAQBAJ&amp;oi=fnd&amp;pg=PR6&amp;ots=tzTIqCvwEH&amp;sig=G81cjNtTYcaA4JCaQ7J-XrT3BYc&amp;redir_esc=y#v=onepage&amp;q=lubricants&amp;f=false">substandard products</a>” as lubricants, which may have adverse health outcomes. </p>
<p>So what are some of the lube look-alikes, and which can you safely use? Read on to find out! </p>
<p>We aren’t the first humans to try these alternatives; lube look-alikes have been used since the dawn of time. Olive oil was likely the earliest popular lube, with its first documented use in 350 BC. Historically, there’s also been records of seaweed and crushed yams being repurposed for some sexy fun! </p>
<p>Much like our ancestors, some of the common alternatives to lube people use are products they happen to have handy. Everything from saliva to face moisturiser to even baby oil has been repurposed as lube. The main issues with improvised lube alternatives are skin irritation and infection. They can also degrade condoms, rendering them less effective, and reducing their ability to protect against STIs and pregnancy. </p>
<p>So, with that in mind, here is the ultimate guide to some commonly used lube alternatives and, importantly, whether or not they are safe to use:</p>
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<li aria-level="1">
<strong>Vaseline:</strong> NOT SAFE. Vaseline may cause irritation as it persists on the skin for longer. If used inside the vagina, it can upset the natural vaginal flora, which increases the risk of <a href="https://pubmed.ncbi.nlm.nih.gov/23635677/">bacterial vaginosis</a> (BV*). In addition, vaseline is not safe to use with latex condoms.</li>
<li aria-level="1">
<strong>Coconut oil:</strong> POTENTIALLY SAFE. There is limited research on the safety of coconut oil as a lubricant. It can cause irritation, and some people are allergic to it! As coconut oil is typically more alkaline than the naturally acidic environment of the vagina, it may alter the vaginal pH and increase the risk of BV. Coconut oil, as with all oil-based lubes, should not be used with latex condoms.</li>
<li aria-level="1">
<strong>Aloe vera:</strong> POTENTIALLY SAFE. There is limited research about the safety of aloe vera. However, pure aloe vera is likely the safest formulation and any additives can cause irritation. Pure aloe vera is thought to be safe to use with condoms. </li>
<li aria-level="1">
<strong>Baby oil:</strong> NOT SAFE. Baby oil is not designed to be used internally and cannot be used with latex condoms. Any oils used internally can upset the natural bacteria of the vagina and leave you prone to infections such as BV.</li>
<li aria-level="1">
<strong>Face moisturiser:</strong> NOT SAFE. Face moisturisers often contain perfume and other ingredients which can irritate the intimate skin.</li>
<li aria-level="1">
<strong>Saliva:</strong> NOT SAFE. Saliva could cause significant irritation, depending on what the person has been eating! Also, remember STIs can be transmitted by using saliva as lube. Saliva also isn’t slippery enough to be very useful as a lubricant. </li>
<li aria-level="1">
<strong>Butter:</strong> NOT SAFE. Butter is a food and can cause discomfort, irritation or disruption of the normal vaginal environment. Butter is also likely to damage condoms. Keep your butter for the post-sex sandwiches! </li>
</ul>
<p>*<a href="https://www.nhsinform.scot/illnesses-and-conditions/sexual-and-reproductive/bacterial-vaginosis/">Bacterial vaginosis</a> (BV) is a condition caused by an imbalance of the normal bacteria in the vagina, which causes discharge and a strong, “fishy” smell. If you are worried that you may have BV, or want to know more, check out our article, <a href="https://yoxly.com/en-GB/blogs/yoxly-news/what-is-bacterial-vaginosis-signs-symptoms">"What Is Bacterial Vaginosis? Signs &amp; Symptoms"</a>.</p>
<p>Please remember: anything that is oil-based can damage latex condoms, even oil-based lubes! Condoms and dental dams are the <strong>only</strong> things that can protect against the majority of STIs, and if they break during intercourse, you may not be protected. If you’ve had a condom break, consider ordering one of our <a href="https://yoxly.com/#our-at-home-kits">at-home testing kits</a> - it’s always better to get tested if you are concerned about an STI. </p>
<p>Ultimately, it is best to use actual lube rather than the alternatives, as it’s safer and specifically designed to be used during sex. To learn more about what lube is best for you, check out <a href="https://yoxly.com/en-GB/blogs/yoxly-news/shedding-some-light-on-lube">our article on lube.</a></p>
<p>We weren’t the first humans to use lube look-alikes, and we probably won't be the last. However, what is important is that we practice safe and consensual sex. </p>
<p>We hope this guide has helpfully outlined the most common lube look-alikes and given you the information you need to make an informed decision! </p>

Lube Look-Alikes: Your Insider Guide to All the Alternatives to Lube

<p>Circumcision is a practice that has been performed for centuries, rooted in various <a href="https://www.nhs.uk/conditions/circumcision-in-men/">cultural, religious, and medical contexts</a>. However, it is often a topic that still sparks debate. Is circumcision safe? Is it more hygienic ? Should all penises be circumcised?</p>
<p>We’re here to talk you through all things circumcision, including its meaning, purposes, and controversies, and what being circumcised (or not) means for your risk of sexually transmitted infections (STIs). Whether you're seeking to understand the practice of circumcision or looking for ways to maintain your sexual health, we've got you covered.</p>
<p>It’s important to note that this article specifically addresses male circumcision, not female circumcision or female genital mutilation (FGM), a practice that involves altering or removing parts of female genitalia for non-medical reasons. You’ll find resources on FGM <a href="https://www.nhs.uk/conditions/female-genital-mutilation-fgm/national-fgm-support-clinics/">here</a>.</p>
<h2>What is Circumcision?</h2>
<p>Circumcision is the <a href="https://www.nhs.uk/conditions/circumcision-in-men/">surgical removal of the foreskin</a> that covers the head of the penis. This practice holds deep <a href="https://apps.who.int/iris/bitstream/handle/10665/43749/9789241596169_eng.pdf;jsessionid=0C79E2883443E95ACD984944579CFE68?sequence=1">historical and cultural</a> significance in many communities worldwide. Its origins can be traced back thousands of years.</p>
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<h2>Why is Circumcision Performed?</h2>
<p>Circumcisions are performed for a number of reasons, including <a href="https://www.england.nhs.uk/commissioning/wp-content/uploads/sites/12/2013/11/N-SC010.pdf">religious observance, medical recommendations, and personal choices</a>. Many cultures and faiths view circumcision as a rite of passage, while some medical professionals advocate it as a preventative measure against certain health conditions. Some individuals may choose circumcision for their own aesthetic or personal reasons.</p>
<h4>Circumcision: Cultural and Religious Contexts</h4>
<p>Circumcision holds significance in several cultures and religions. For instance, in <a href="https://apps.who.int/iris/bitstream/handle/10665/43749/9789241596169_eng.pdf;jsessionid=0C79E2883443E95ACD984944579CFE68?sequence=1">Judaism</a>, it is considered a covenant with God and is performed on male infants as a rite of passage. Similarly, in <a href="https://apps.who.int/iris/bitstream/handle/10665/43749/9789241596169_eng.pdf;jsessionid=0C79E2883443E95ACD984944579CFE68?sequence=1">Islam</a>, circumcision is a fundamental practice based on the teachings of the Prophet Muhammad.</p>
<h4>Circumcision: Medical Indications and Considerations</h4>
<p>From a <a href="https://www.baus.org.uk/_userfiles/pages/files/Patients/Leaflets/Circumcision.pdf">medical standpoint</a>, circumcision can be performed for various reasons, such as phimosis (a tight, non-retractable foreskin), balanitis (recurrent infections of the foreskin, skin disease of the foreskin and glans), or warty lesions on the foreskin.</p>
<p>Some medical professionals advocate for circumcision, as it might reduce the risk of <a href="https://adc.bmj.com/content/90/8/772">urinary tract infections</a>,<a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3139859/"> penile cancer</a>, and certain <a href="https://www.cdc.gov/nchhstp/newsroom/fact-sheets/hiv/male-circumcision-HIV-prevention-factsheet.html">STIs</a>. It's important to note that while circumcision may offer certain health benefits, these must be weighed against the potential risks and alternatives.</p>
<p>It's important to note that in the <a href="https://www.nhs.uk/conditions/circumcision-in-boys/">UK</a>, the NHS does not recommend circumcision unless deemed medically necessary. The potential benefits must be carefully considered alongside the risks, and individuals are encouraged to make informed decisions based on their unique circumstances.</p>
<h4>Circumcision: Personal Choice</h4>
<p>In some cases, circumcision is chosen for non-religious and non-medical reasons, often as a personal or parental choice. Some parents may opt for circumcision to align with family traditions or cultural beliefs. However, the decision to circumcise should be well-informed, considering both the potential benefits and risks.</p>
<h2>What Are the Potential Benefits of Circumcision?</h2>
<h4>Hygiene</h4>
<p>One common argument for circumcision is improved <a href="https://pubmed.ncbi.nlm.nih.gov/16105191/">hygiene</a>. Proponents believe that removing the foreskin makes cleaning the penis easier, reducing the risk of infections. </p>
<h4>Lower Risk of Certain Infections</h4>
<p>Studies suggest that circumcised individuals might have a lower risk of contracting certain<a href="https://www.cdc.gov/nchhstp/newsroom/fact-sheets/hiv/male-circumcision-HIV-prevention-factsheet.html#:~:text=Circumcised%20men%20compared%20with%20uncircumcised,%25%20to%2047%25%20percent)."> STIs</a>, such as HIV, genital herpes, HPV, and syphilis. However, safer sexual practices remain the best way to prevent these infections. </p>
<p>If you’re worried you might have been exposed to a sexually transmitted infection – circumcised or not, our tests are designed to detect common STIs. With a simple sample collection and discreet shipping, you can <a href="https://yoxly.com/en-GB/products/comprehensive-sti-test-kit">take control of your sexual health</a> from the comfort of your home. </p>
<h4>Reduced Risk of Penile Cancer</h4>
<p>Circumcision has been linked to a decreased risk of <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3139859/">penile cancer</a>, although this type of cancer is very rare overall.</p>
<h2>What Are the Cons of Circumcision?</h2>
<h4>Pain and Discomfort</h4>
<p>Circumcision is a surgical procedure that can cause <a href="https://www.nhs.uk/conditions/circumcision-in-boys/#:~:text=The%20penis%20will%20be%20sore,the%20instructions%20on%20the%20packet.">pain</a>, discomfort, and potential complications, such as infection or excessive bleeding.</p>
<h4>Loss of Sensitivity</h4>
<p>Some individuals argue that circumcision can lead to a reduction in <a href="https://www.sciencedirect.com/science/article/pii/S2050116120301240">penile sensitivity</a>, potentially impacting sexual pleasure. However, scientific research on this remains inconclusive.</p>
<h4>Ethical Concerns</h4>
<p>Critics of circumcision highlight the <a href="https://jme.bmj.com/content/30/3/259">ethical concerns</a> surrounding the practice when performed on infants who cannot provide consent. This raises questions about bodily autonomy and medical necessity.</p>
<h2>Debunking Common Circumcision Myths</h2>
<h4>Myth: It's Cleaner</h4>
<p>The belief that circumcised individuals are automatically cleaner is not entirely accurate. Proper <a href="https://www.nhs.uk/common-health-questions/mens-health/why-is-my-penis-smelly-and-sore/#:~:text=If%20you%20do%20not%20wash,penis%20and%20under%20the%20foreskin.">hygiene practices</a> are essential for all individuals, regardless of circumcision status. Regular washing and safe sexual practices are crucial in maintaining genital health.</p>
<h4>Myth: Reduced Sensitivity</h4>
<p>The idea that circumcision significantly diminishes <a href="https://www.sciencedirect.com/science/article/pii/S2050116120301240">penile sensitivity</a> is a subject of ongoing debate. While some anecdotal accounts claim decreased sensitivity, scientific studies have not consistently supported this claim. Sensitivity can vary among individuals, and other factors, such as technique and individual anatomy, also influence sensitivity.</p>
<h4>Myth: Circumcision Offers Full Protection Against STIs</h4>
<p>Although there is limited evidence that circumcision might lower the risk of certain <a href="https://sti.bmj.com/content/76/6/474">STIs</a>, such as HIV, herpes and syphilis, circumcision is not a foolproof prevention method. Correct and consistent <a href="https://www.nhs.uk/conditions/contraception/male-condoms/">condom use</a>, regular STI testing, and practising <a href="https://www.nhs.uk/live-well/sexual-health/sex-activities-and-risk/">safe sexual behaviours</a> remain the most effective ways to reduce the risk of STIs.</p>
<h4>Myth: Sexual Partners Prefer Uncut Penises</h4>
<p>Sexual preferences are diverse and subjective. While some partners might have personal preferences, the idea that all partners prefer a circumcised penis is a generalisation that doesn't hold true for everyone. Open communication and mutual respect between partners are key to a satisfying sexual experience.</p>
<h2>Circumcision: Empowerment Through Education</h2>
<p>Understanding the complexities of circumcision and its implications is crucial for making informed decisions about personal health. Whether you're exploring circumcision options, seeking information about sexual health, or considering STI testing, remember that knowledge empowers us to take charge of our well-being. By debunking myths, clarifying truths, and seeking reputable sources of information, we can make choices that align with our values and contribute to a healthier, more informed society.</p>
<p>Maintaining sexual health is equally important. Regular STI testing is a vital aspect of responsible sexual practices. Ready to take control of your sexual health? Explore Yoxly’s <a href="https://yoxly.com/en-GB/products/comprehensive-sti-test-kit">STI test kits</a> and make informed choices for a healthier tomorrow. </p>
<p>*Disclaimer: This article is intended for informational purposes only and is not a substitute for medical advice. Please consult a healthcare professional before making any medical decisions.</p>

Unveiling Circumcision: Separating Myths From the Truth

<p>Ejaculation is a natural and integral part of human sexuality, whether for making babies or simply for pleasure. However, ejaculation is often shrouded in myths and misconceptions that are rarely discussed. This leaves lots of people scratching their heads over unanswered ejaculation-related queries.</p>
<p>That’s why we’re here - to break down the taboos and answer your questions! In this article, prepare to be surprised by five fascinating facts about ejaculation, from the recommended ejaculation frequency to sperm survival time and female ejaculation.</p>
<h2>1. Ejaculating every other day could improve prostate health</h2>
<p>The frequency of ejaculation is a topic that has intrigued men (and researchers) for some time. While there is no set frequency for how often a man should ejaculate, a <a href="https://www.health.harvard.edu/mens-health/ejaculation_frequency_and_prostate_cancer">recent study found</a> that men who ejaculated more than 21 times per month had a 19% lower risk of prostate cancer than those who ejaculated 4 to 7 times per month.</p>
<p>On the other hand, ejaculating too frequently (e.g. multiple times a day) may lead to discomfort and lower semen volume. However, this usually does not cause any long-term damage to overall health.</p>
<p>Ultimately, there’s no one-size-fits-all answer to how often a man needs to ejaculate. Instead, it's important for men to find a balance that works for them, considering their physical and emotional needs. Open communication with a partner can also help determine the right frequency for a satisfying and healthy sex life.</p>
<h2>2. Women can also ejaculate</h2>
<p>While ejaculation is often associated with male sexual pleasure, women can also experience a form of ejaculation. This phenomenon, which involves the release of fluid from the female genital tract during sexual arousal and orgasm, has caused controversy and confusion among scientists for many years. To this day, why female ejaculation happens is still a bit of a mystery. <a href="https://pubmed.ncbi.nlm.nih.gov/19766406/">According to one study</a>, the fluid may have antibacterial properties to help protect the urethra from infections.</p>
<p>So, is female ejaculation the same as squirting?</p>
<p><a href="https://pubmed.ncbi.nlm.nih.gov/35388532/#:~:text=Both%20phenomena%20can%20occur%20simultaneously,fluid%20from%20the%20paraurethral%20glands">Research suggests</a> that female ejaculation and squirting are different things. Squirting involves expelling a larger amount of transparent fluid, similar to urine, which originates from the bladder. Female ejaculation involves expelling a lower volume secretion of thicker fluid from the paraurethral glands, which contains a high concentration of prostate-specific antigen (PSA). So, while they both involve fluids during sexual excitement, they are thought to be different phenomena.</p>
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<p>Regardless of why it exists, ejaculation is a real and natural part of some women's sexual experiences. Like male ejaculation, it can be a source of great pleasure.</p>
<h2>3. You can still get pregnant if no ejaculation occurs</h2>
<p>One of the most common misconceptions about ejaculation is that it's required for pregnancy to occur. But pay attention, folks, because this is not true and catches many people out!</p>
<p>During sexual intercourse, sperm can be released from the penis <em>before </em>ejaculation, in pre-ejaculatory fluid, or "pre-cum". Pre-ejaculate is a clear, lubricating fluid that can contain sperm. </p>
<p>This means that even if a man withdraws before ejaculating (also known as the pull-out method), there's still a <a href="https://pubmed.ncbi.nlm.nih.gov/23921858/">risk of pregnancy</a>.</p>
<p>To avoid unintended pregnancies, it's important to use reliable methods of contraception. Condoms, birth control pills, intrauterine devices (IUDs), and other forms of <a href="https://www.contraceptionchoices.org/">contraception</a> can help prevent pregnancy by preventing ovulation, fertilisation or implantation.</p>
<h2>4. Sperm can survive for days after ejaculation</h2>
<p>Sperm cells are delicate, requiring specific conditions to remain viable for fertilisation. Depending on the environment, sperm can survive for varying lengths of time, though they are generally quite sensitive to factors like temperature, pH, and exposure to air.</p>
<p>In a woman's reproductive tract, sperm may <a href="https://www.nhs.uk/conditions/contraception/natural-family-planning/">survive for up to seven days</a>! This means that if you have unprotected sex around ovulation, there’s a chance you could get pregnant. Understanding and tracking the menstrual cycle and the timing of ovulation can be helpful for couples trying to conceive or avoid pregnancy. </p>
<p>Outside of the body, on hard surfaces or in open air, sperm's survival time is much shorter. Exposure to air and temperature fluctuations can quickly reduce sperm viability. This is why sperm must be carefully preserved for use in assisted reproductive therapies, like in vitro fertilisation (IVF).</p>
<h2>5. There are millions of sperm in one ejaculation</h2>
<p>The number of sperm present in one ejaculation can vary widely from person to person and depends on factors such as a man's age, overall health, lifestyle, and even recent sexual activity. <a href="https://www.fpa.org.uk/dribble-spurt-ejaculation/">According to the Family Planning Association</a>, a single ejaculation is approximately 5 mL of fluid, the equivalent of a teaspoon, and contains roughly 100 million sperm!</p>
<p>This may seem like a lot, but many sperm are necessary due to the challenging journey they face to fertilise an egg. Their first hurdle is the vagina’s natural acidity, which makes an <a href="https://pubmed.ncbi.nlm.nih.gov/16272225/">inhospitable environment for sperm</a>, meaning many of the troops don’t make it. Those that do must then navigate to the correct fallopian tube at the right time and in good enough condition to fertilise the egg. These challenges can explain why it can sometimes take a while to conceive.</p>
<h2>Summary</h2>
<p>The subject of ejaculation is intriguing, to say the least! Hopefully, we have clarified certain misconceptions and given you some interesting facts you never thought you needed to know.</p>
<p>Remember, regular STI testing is an important part of maintaining your sexual health. Luckily, it’s never been easier with our <a href="https://yoxly.com/en-GB#our-at-home-kits">at-home STI test kits</a> delivered straight to your door! Check out the kits we have on offer and order yours today.</p>

Five Fascinating Facts About Ejaculation

<p>Lubricant often gets a bad rap, and people, especially people with vaginas, often feel shame about using it. Sadly lube gets left out of sex scenes and porn, despite 65% of the population reporting they use it. We are here to break that stigma and shed some light on lube to showcase how wonderful it can be! </p>
<p>Have you experimented with lube? Whether you are a lube virgin or someone who uses it all the time ( woohoo!), this is your go-to guide for all things lube! </p>
<p>In this article, we will go through some commonly asked questions to help clarify some questions and dispel some common misconceptions about</p>
<h2>First Off, What Exactly is Lube? </h2>
<p>Sexual lubricants, or lube, are liquids or gels used during sexual activity to reduce friction. Friction during sex can cause microtears of the delicate genital tissues, which can increase the risk of infection and cause discomfort. Research has also shown that the addition of lube for both masturbation and intercourse was associated with <a href="https://www.researchgate.net/publication/227680823_Association_of_Lubricant_Use_with_Women%27s_Sexual_Pleasure_Sexual_Satisfaction_and_Genital_Symptoms_A_Prospective_Daily_Diary_Study">higher levels of pleasure</a> and satisfaction. Lube can be used at any stage of your sexual adventure, from foreplay to anal, masturbation to penetration! Everyone can benefit from the magic of lube, yet it is still the topic that is talked about the least! </p>
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<h2>Why Do I Have to Buy Lube, Surely I Can Improvise? </h2>
<p>When it comes to lube, improvising is not recommended, and there are a few things you definitely shouldn’t use: </p>
<ul>
<li data-sanitized-aria-level="1" aria-level="1">Spit or saliva – see our recent <a href="https://www.tiktok.com/@yoxlyhealth/video/7281215233459375392">TikTok</a> for WHY! </li>
<li data-sanitized-aria-level="1" aria-level="1">Baby oil, vaseline or olive oil – although readily available, these can <a href="https://pubmed.ncbi.nlm.nih.gov/2535978/">damage condoms</a> and <a href="https://journals.lww.com/greenjournal/abstract/2013/04000/intravaginal_practices_and_risk_of_bacterial.12.aspx">cause infections</a>.</li>
</ul>
<h2>Okay, So Types of Lube… </h2>
<p>Yes, there are multiple types of lube, which are designed for different types of sexual activity. </p>
<p>There are 3 main types: water-based, silicone-based, and oil-based. </p>
<p><strong>Water-based lubes: </strong></p>
<p>Water-based lube is the most common type of lubricant. It’s usually inexpensive and easy to clean up. Importantly, it is a safe lube to use with condoms. The downside of water-based lube is that it is easily washed away and isn’t great for water-based sexual activities, like shower sex. This lube also does not last as long as the others and often requires frequent re-application. </p>
<p><strong>Silicone-based lubes:</strong></p>
<p>Silicone-based lube is slightly more expensive, but worth it! This type of lube is very slick, so it reduces friction during intercourse, and lasts for a long time. It’s good for anal sex (as the anus is not an area that makes its own natural lube) and shower sex (as it won’t wash away as easily). Silicone-based lube can also be used safely with latex condoms! The biggest downside with this type of lube is that it cannot be used with silicone-sex toys because it can degrade them.</p>
<p><strong>Oil-based lubes:</strong></p>
<p>Oil-based lubes are very slippery. They can double up as a massage oil, and are great for external lubrication. The downside is that they cannot be used with condoms (as they can render them ineffective), should not be used with sex toys, and should not be used internally, as they can contain irritants. </p>
<p><strong>Speciality lubes: </strong></p>
<p>You may also find speciality lubricants. These include sensory lubricants that promise tingling, warmth or heightened pleasure, and flavoured lubes that enhance the experience through taste. These can be great fun, but the ingredients <a href="https://www.instagram.com/reel/CxiCoGlsdkX/?utm_source=ig_web_copy_link&amp;igshid=MzRlODBiNWFlZA%3D%3D">may result in some irritation</a>. </p>
<p>Remember, lube does not protect against sexually transmitted infections (STIs), so condoms are always advised for sexual intercourse. If you are worried about STIs, check out Yoxly’s <a href="https://yoxly.com/en-GB/products/standard-sti-test-kit">at-home STI test kits</a>, which are simple to use! If you want to read more about condoms, check out Yoxly’s article on how to <a href="https://yoxly.com/en-GB/blogs/yoxly-news/types-of-condoms-what-they-are-their-uses-and-how-to-pick-the-right-one">choose the right condom</a>!</p>
<h2>How Do I Use Lube? </h2>
<p>Lube can be applied to parts of the body where you want to reduce friction and increase pleasure. To apply lube, squeeze a small amount onto your hands, penis, vulva, or sex toy, and then gently rub it to spread it over the area where you wish to experience pleasure. Then you are good to go and enjoy! </p>
<p>You can use lube anytime during foreplay or intercourse, even if you are already naturally “wet”, to enhance the experience. Lube can be great for people who are experiencing <a href="https://www.nhs.uk/conditions/vaginal-dryness/">vaginal dryness</a> for a variety of reasons, like hormonal changes or certain medical conditions such as dyspareunia, or <a href="https://lancashiresexualhealth.nhs.uk/wp-content/uploads/2018/01/Document-19.pdf">painful sex</a>. When surveyed, 9 out of 10 women believed that sex was <a href="https://pubmed.ncbi.nlm.nih.gov/23211029/">more pleasurable, comfortable and enjoyable</a> when using additional lubrication.</p>
<h2>And How Should I Choose My Lube? </h2>
<p>The type of lube you choose will, in part, depend on the type of activity. See our handy table for choosing the right lube in different circumstances! </p>
<p>Handy table to help with lube decision-making:</p>
<table style="border: 2px solid #2D3366; border-collapse: collapse; border-radius: 5px;">
<tbody>
<tr>
<td style="border: 2px solid #2D3366; padding: 5px; background-color: #2d3366; color: white;">Types of Lube</td>
<td style="border: 2px solid #2D3366; padding: 5px; background-color: #2d3366; color: white;">Good For...</td>
<td style="border: 2px solid #2D3366; padding: 5px; background-color: #2d3366; color: white;">Not Good For...</td>
</tr>
<tr>
<td style="border: 2px solid #2D3366; padding: 5px;">
<p>Water-based</p>
</td>
<td style="border: 2px solid #2D3366; padding: 5px;">
<ul>
<li>
<p>Masturbation with or without toys</p>
</li>
<li>
<p>Foreplay</p>
</li>
<li>
<p>Penetrative vaginal sex with or without a condom</p>
</li>
<li>
<p>Anal sex**</p>
</li>
<li>
<p>Easy to wash off bedsheets, clothes, car seats, etc…!</p>
</li>
</ul>
</td>
<td style="border: 2px solid #2D3366; padding: 5px;">
<ul>
<li>
<p>Shower sex</p>
</li>
</ul>
</td>
</tr>
<tr>
<td style="border: 2px solid #2D3366; padding: 5px;">
<p>Silicone-based</p>
</td>
<td style="border: 2px solid #2D3366; padding: 5px;">
<ul>
<li>
<p>Masturbation without toys</p>
</li>
<li>
<p>Foreplay</p>
</li>
<li>
<p>Penetrative vaginal sex with or without a condom</p>
</li>
<li>
<p>Anal sex**</p>
</li>
<li>
<p>Shower sex</p>
</li>
</ul>
</td>
<td style="border: 2px solid #2D3366; padding: 5px;">
<ul>
<li>
<p>Masturbation with silicone toys</p>
</li>
<li>
<p>Bedsheets, clothes, and car seats, as it can stain</p>
</li>
</ul>
</td>
</tr>
<tr>
<td style="border: 2px solid #2D3366; padding: 5px;">
<p>Oil-based</p>
</td>
<td style="border: 2px solid #2D3366; padding: 5px;">
<ul>
<li>
<p>Foreplay – especially sensual massage</p>
</li>
<li>
<p>External masturbation only</p>
</li>
</ul>
</td>
<td style="border: 2px solid #2D3366; padding: 5px;">
<ul>
<li>
<p>Penetrative vaginal sex with or without a condom</p>
</li>
<li>
<p>Anal sex**</p>
</li>
<li>
<p>Masturbation with or without toys</p>
</li>
<li>
<p>Bedsheets, clothes, and car seats, as it can stain</p>
</li>
</ul>
</td>
</tr>
</tbody>
</table>
<p> </p>
<p>** Lube is always recommended for anal sex to reduce the risk of condom breakage; as previously mentioned, the anal canal does not make its own lubrication, and thus there is an increased <a href="https://www.fsrh.org/standards-and-guidance/documents/ceuguidancebarriermethodscontraceptionsdi/">risk of condoms breaking</a> due to dryness. A broken condom will not provide effective protection against STIs, so this is really important! </p>
<h2>Right, Some Quick-Fire Questions: </h2>
<h3>What lube can I use with a condom? </h3>
<p>If using latex or non-latex condoms, you can use water and silicone-based lubes. Check out this <a href="https://www.instagram.com/reel/CxFsltCMycD/?utm_source=ig_web_copy_link&amp;igshid=MzRlODBiNWFlZA%3D%3D">Instagram reel</a> for more information on choosing your condom-lube combo! </p>
<h3>Does lube kill sperm? </h3>
<p>Most lube does not kill sperm. It <em>does</em><a href="https://pubmed.ncbi.nlm.nih.gov/8894797/">reduce sperm’s motility</a> and viability, but this should not be used as contraception because it is unreliable. There are specialist lubes that are “fertility-friendly”, which may be less likely to harm sperm, and others that are “spermicidal”, which have been specifically developed to kill sperm. </p>
<h3>Do lubes expire? </h3>
<p>Yes, lubes do expire, just like any other product. Always ensure that you check the expiry date. If the lube has been opened, you should store it in a cool, dark place. Most manufacturers give lube a shelf life of approximately <a href="https://cdn.who.int/media/docs/default-source/medicines/who-technical-report-series-who-expert-committee-on-specifications-for-pharmaceutical-preparations/trs1025-annex11.pdf">1-3 years</a>.</p>
<h3>Do men get pleasure from lube? </h3>
<p>Yes, as already mentioned, 9 out of 10 women found sex more pleasurable when using additional lubricant. However, lube can also enhance the experience for men too, <a href="https://pubmed.ncbi.nlm.nih.gov/24612606/">with 70% of men reporting having used lubricant for a variety of reasons</a>, including enhancing sexual pleasure. </p>
<h3>Can you eat lube? </h3>
<p>You should avoid eating lube unless the product states that it is safe to do so. </p>
<h3>Can lube cause UTIs? </h3>
<p>Lube is unlikely to cause a UTI, but it may alter the pH of the vagina, causing an imbalance in the vaginal microbiome, which can lead to a condition called <a href="https://yoxly.com/en-GB/blogs/yoxly-news/what-is-bacterial-vaginosis-signs-symptoms">bacterial vaginosis</a>. Certain lubes can also foster the growth of yeast, which causes <a href="https://yoxly.com/en-GB/blogs/yoxly-news/what-is-thrush-an-sti-or-something-else-everything-you-need-to-know">thrush</a>. If you think that you have either of these conditions, please consult a medical professional.</p>
<h3>Is lube safe during pregnancy? </h3>
<p>This may depend on any risk factors or medical conditions that you have. Please check with your midwife or doctor, and show them the lube you plan to use! A water-based lube would likely be your best option due to the low risk of irritation. </p>
<h2>Conclusion</h2>
<p>We hope this article has helped to break down some of the stigma and clarify a few misconceptions about lube. Using lube can help reduce the risk of condom breaks and infection, and up to 75% of couples found lube enhanced their pleasure during intercourse, so why not give it a try?! So lube up folks, and, ahem, enjoy the ride!</p>
<h3>
<br><br>
</h3>

Shedding Some Light on Lube!

<p>When it comes to birth control, the contraceptive pill remains one of the most popular choices among women for its ease of use and high efficacy. The contraceptive pill is <a href="https://www.nhs.uk/conditions/contraception/how-effective-contraception/">99% effective</a> at preventing pregnancy with correct and consistent use. However, there <em>are</em> a few things that may lower this effectiveness.</p>
<p>Rumours have circulated for years that antibiotics can render the pill ineffective, leaving women worried and confused about their contraceptive choices. In this blog, we'll reveal the truth behind this issue, explore different types of contraceptive pills, address antibiotic concerns, and shed light on other factors that can impact the pill's effectiveness.</p>
<h2>Overview of contraceptive pill varieties: Combined vs. progestogen-only</h2>
<p>Before we dive into antibiotics and their effect on contraception, let's clarify the two main types of contraceptive pills. </p>
<ol>
<li>
<a href="https://www.nhsinform.scot/healthy-living/contraception/combined-pill#:~:text=At%20a%20glance%3A%20the%20combined%20pill&amp;text=You%20need%20to%20take%20the,the%20same%20time%20every%20day."><strong>Combined pills</strong></a><strong>: </strong>The combined contraceptive pill contains two key hormones: oestrogen and progestogen. It primarily works by suppressing the release of an egg from the ovary (a.k.a. ovulation). Additional effects include thickening the cervical mucus, which hinders sperm movement, and changing the womb (i.e. uterine) lining to make it less receptive to pregnancy.<br><br>The <a href="https://bnf.nice.org.uk/drugs/ethinylestradiol-with-levonorgestrel/">combined pill</a> is typically taken for 21 days in a row, followed by a 7-day break during which bleeding, similar to a period, occurs. If you don’t want the hassle of having a monthly period, it is still safe and effective to continue taking the pill and skip the 7-day break, but talk with your doctor first about how to do this correctly.</li>
</ol>
<ol start="2">
<li>
<a href="https://www.nhsinform.scot/healthy-living/contraception/progestogen-only-pill-pop-mini-pill#:~:text=The%20progestogen%2Donly%20pill%20can%20prevent%20ovulation%20(the%20release%20of,in%2097%25%20of%20menstrual%20cycles."><strong>Progestogen-only pills</strong></a><strong>:</strong> The progestogen-only pill, often called the mini-pill, contains a synthetic form of the hormone progestogen. This pill works by thickening the cervical mucus, which acts as a barrier, making it more challenging for sperm to reach and fertilise an egg. In some cases, the progestogen-only pill may also suppress ovulation and alter the womb's lining.</li>
</ol>
<p> Unlike the combined pill, the <a href="https://bnf.nice.org.uk/drugs/desogestrel/">progestogen-only pill</a> doesn’t incorporate a 7-day break and may stop menstrual bleeding altogether while taking it. While both these pills are highly effective at preventing pregnancy, it's important to remember they do <em>not </em>protect against sexually transmitted infections (STIs). This means barrier methods, such as condoms or dental dams, are still necessary to protect yourself from STIs when engaging in sexual activity. If you are worried that you might have contracted an STI, consider getting one of Yoxly’s <a href="https://yoxly.com/en-GB#our-at-home-kits">at-home STI test kits</a> to quickly and easily rule out infections. </p>
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<h2>Do antibiotics reduce the effectiveness of birth control pills?</h2>
<p>Fortunately, the widespread concern that antibiotics reduce the effectiveness of contraceptive pills is largely unfounded. The vast majority of antibiotics work by targeting bacterial infections in the body; they do <em>not</em><a href="https://pubmed.ncbi.nlm.nih.gov/12063491/">interfere with hormonal contraception</a>, and they do <em>not</em> increase your chances of getting pregnant. Phew! </p>
<p>Examples of such antibiotics include:</p>
<ul>
<li aria-level="1">
<strong>Trimethoprim </strong>and<strong> nitrofurantoin:</strong> Often prescribed for urinary tract infections (UTI). </li>
<li aria-level="1">
<strong>Amoxicillin:</strong> Commonly used for chest infections.</li>
<li aria-level="1">
<strong>Flucloxacillin:</strong> Typically given for skin infections.</li>
<li aria-level="1">
<strong>Co-amoxiclav:</strong> Used for a range of bacterial infections.</li>
<li aria-level="1">
<strong>Phenoxymethylpenicillin:</strong> Frequently prescribed for tonsillitis.</li>
<li aria-level="1">
<strong>Metronidazole: </strong>Used for various infections, including tooth infections and bacterial vaginosis.</li>
</ul>
<p>The <a href="https://www.fsrh.org/blogs/myth-antibiotics-stop-combined-hormonal-contraception-from/">Faculty of Sexual and Reproductive Healthcare (FSRH</a>) states that additional precautions are <em>not </em>required when taking any of the antibiotics mentioned above. So you can go about your sexy business as usual - if you’re feeling up to it, of course!</p>
<h2>Antibiotics that could interact with hormonal contraception</h2>
<p>While <em>most </em>antibiotics do not interact with hormonal contraception, <em>there are some exceptions</em> to be aware of. Rifamycin antibiotics, such as rifampicin and rifabutin, are used to treat tuberculosis and are known to<a href="https://www.nhs.uk/conditions/contraception/contraceptive-pill-interact-medicines/">interact with hormonal birth control</a> and may compromise their effectiveness. This is because rifamycins stimulate the production of liver enzymes that break down drugs in the body, including hormonal contraceptives. As a result, the hormones found in birth control pills are metabolised much faster, reducing the concentration of contraceptive hormones in the bloodstream and potentially rendering them ineffective. <a href="https://ebm.bmj.com/content/26/3/112">According to one study</a>, these enzyme-inducing antibiotics were associated with thirteen times more reports of unintended pregnancies!</p>
<p>The <a href="https://www.fsrh.org/blogs/myth-antibiotics-stop-combined-hormonal-contraception-from/">FSRH recommend</a> that women using hormonal birth control in conjunction with rifamycin antibiotics should be cautious and use an additional form of contraception not affected by these drugs. This includes condoms (often ideal for short-term use of rifamycin antibiotics), intrauterine devices (IUDs) or hormone injections (which may be more desirable for people taking these antibiotics long-term). Continuing these additional contraceptive measures for 28 days after stopping rifamycin is often recommended, as the potential drug interaction may persist.</p>
<h2>Other factors affecting contraceptive pill effectiveness</h2>
<p>While antibiotics are not typically the culprit behind contraceptive failures, several other factors can reduce the pill's effectiveness.</p>
<ul>
<li aria-level="1">
<strong>Vomiting or diarrhoea:</strong> If you experience vomiting or diarrhoea within a few hours of taking your pill, there's a risk that your body may not fully absorb the medication. This can affect the pill's ability to prevent pregnancy. If this happens, take another pill as soon as possible and your next pill at your normal time. If diarrhoea or vomiting continues, it is best to assume you are not protected.</li>
</ul>
<ul>
<li aria-level="1">
<strong>Missed or late pills: </strong>Consistency is key! Contraceptive pills should be taken at the same time every day. Missing a pill or taking it significantly later than usual can leave gaps in hormone coverage, increasing the risk of unintended pregnancy. Some pills have a more lenient time window than others, so it's crucial to read the instructions accompanying your specific pill and follow them diligently.</li>
</ul>
<ul>
<li aria-level="1">
<strong>Interactions with other medications:</strong><a href="https://www.nhs.uk/conditions/contraception/contraceptive-pill-interact-medicines/">Certain medications</a> can interfere with the metabolism of hormones in the body, similar to rifamycin antibiotics. These include some anti-epileptic drugs, some HIV antiretroviral drugs, and an herbal supplement called St John’s wort, which some women may take to ease premenstrual symptoms. </li>
</ul>
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<h2>Conclusion</h2>
<p>The idea that antibiotics <em>universally</em> interfere with contraceptive pills is largely a misconception. The vast majority of antibiotics do not affect the efficacy of hormonal contraception, so there is no need to worry about unintended pregnancies if you are prescribed any of the examples listed above.</p>
<p>However, rifamycin antibiotics have been found to reduce the effectiveness of birth control pills by speeding up the breakdown of hormones in the liver. If you are prescribed this type of antibiotic, to be on the safe side, it is wise to use additional contraceptive methods to prevent pregnancy. Factors like vomiting, diarrhoea, missed pills, and interactions with other medications can also impact the pill's effectiveness. </p>
<p>Ultimately, one of the biggest takeaway points is that you should discuss any new medication you are prescribed with your healthcare provider to ensure no interactions with your birth control. If in doubt, using condoms as an additional measure can provide extra peace of mind.</p>

Do Antibiotics Stop Your Contraceptive Pill from Working?

<h2>What is Bacterial Vaginosis (BV)?</h2>
<p><a href="https://www.nhs.uk/conditions/bacterial-vaginosis/">Bacterial vaginosis (BV)</a> is caused by an imbalance of bacteria that naturally occur in the vagina. Many different types of bacteria are normally present in the vagina, but the predominant type is usually lactobacilli. Lactobacilli keep the vagina healthy by maintaining a slightly acidic pH (below 4.5, to be precise), which helps to protect against urogenital infections. Bacterial vaginosis (BV) only exists in people with a vagina. It does not affect men with a penis.</p>
<h2>What Causes Bacterial Vaginosis (BV)?</h2>
<p>Bacterial vaginosis occurs when the <a href="https://www.ouh.nhs.uk/patient-guide/leaflets/files/100722bv.pdf">natural acidity of the vagina is altered</a>, leading to certain bacteria taking over. These are typically anaerobic bacteria (meaning that they can survive without oxygen), such as Gardnerella vaginalis, Atopobium vaginae, Prevotella, and Mobiluncus species. However, certain habits can cause changes in vaginal pH and increase the risk of BV. These include using soap or cosmetic products in the genital area, washing inside the vagina (douching), having sex without a condom, washing your underwear with strong detergents and smoking. </p>
<h2>How is BV Diagnosed?</h2>
<p>A healthcare professional can <a href="https://www.bashhguidelines.org/current-guidelines/vaginal-discharge/bacterial-vaginosis-2012/">diagnose BV</a> in several ways. For example, there may be a detectable change in vaginal discharge. Discharge in BV may be thin or thick, white or yellow, and might smell slightly fishy. Discharge in BV is not usually irritating and does not typically cause itching, redness or pain. Another hallmark feature of BV is an altered vaginal pH. Rather than the normal, slightly acidic pH, the vagina becomes more neutral (or alkali). A clinician can detect this by placing a small amount of vaginal fluid onto pH indicator paper. A pH above 4.5 indicates BV may be present. Finally, a sample of vaginal fluid can be viewed under a microscope, where microscopic features of BV can be directly seen. </p>
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<h2>Can Men Get BV?</h2>
<p>In short, no. <a href="https://www.cdc.gov/std/bv/stdfact-bacterial-vaginosis.htm">Bacterial vaginosis</a>is a condition of the vagina. Therefore, cisgender men, or men with a penis, cannot get BV. However, transgender men, or men with a vagina, can get BV. </p>
<p>However, penis-owners can have <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7438843/">bacteria associated with BV</a> on their genitals, which may contribute to or cause BV if they have unprotected sex with someone with a vagina. It is rare for women who have never had sex to develop BV. </p>
<h2>Symptoms of BV in Men</h2>
<p>Bacterial vaginosis does not occur in people with a penis. Symptoms in women include vaginal discharge or smell. However, BV can be entirely asymptomatic in women. Male partners of women with BV do not typically have any symptoms. If you have discharge from the penis, it is more likely due to an infection such as chlamydia or gonorrhoea. Get tested for these common discharge-causing bugs with a simple at-home urine test <a href="https://yoxly.com/en-GB#our-at-home-kits">here at Yoxly</a>. </p>
<h2>Testing for BV in Men</h2>
<p>There is no test for BV in men with a penis since this condition only affects people with a vagina. However, at Yoxly, we do provide tests for other sexually transmitted infections (STIs), such as chlamydia and gonorrhoea. Click <a href="https://yoxly.com/en-GB#our-at-home-kits">here</a> to see our full range. </p>
<h2>Treating BV in Men</h2>
<p>Since BV is a condition which only exists in people with vaginas, men are not typically treated for BV. Recent studies have looked at treating male partners of females diagnosed with recurrent BV (i.e. 4 or more episodes within a year). However, these have so far been <a href="https://academic.oup.com/cid/article/73/3/e672/6056680">inconclusive</a>, and treatment of male partners is not currently recommended. </p>
<h2>Is BV a Sexually Transmitted Infection (STI)?</h2>
<p>No, BV is not considered a sexually transmitted infection; however, it is more common in sexually active people, particularly if they have had sex without a condom. </p>
<h2>Conclusion</h2>
<p>In conclusion, BV only affects people with a vagina and therefore does not affect men with a penis. If you are worried about symptoms similar to BV, it’s important to get tested for sexually transmitted infections (STIs) and speak with a healthcare provider. </p>

Bacterial Vaginosis (BV) In Men

<p>‘I’ve been drinking, I’ve been drinking/I get filthy when that liquor get into me’, sang Beyonce in 2013, no doubt echoing the sentiment of many of us. Lots of us can relate to feeling steamy when we’re, um, steaming, but what exactly do we need to know about the relationship between sex and alcohol?</p>
<p>We’re answering just that. As July ushers in the summer holidays, BBQs, beach trips, festivals, graduation ceremonies, and wedding season, it also brings with it many opportunities for a sesh. Peak summer vibes signal peak summer drinking for many people, but drinking alcohol increases risks to our health in numerous ways – vulnerability to sexually transmitted infections (STIs) being just one.</p>
<p>Take the opportunity this summer to get the lowdown before your sundowners on staying safe this long hot summer.</p>
<h2>Alcohol Increases Your Desire to Have Sex (Sort Of) </h2>
<p>Many of us report that booze stokes our urge for sex – so why is it that alcohol has us feeling hot and bothered? The answer is complicated because we may not be quite as horny after a few drinks as we often think we are.</p>
<p> </p>
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<p>For many, alcohol reduces our inhibitions and causes us to temporarily feel more confident, the ‘perfect cocktail’ for feeling sexier. What’s more, people with vaginas have been shown to have an increased testosterone level after drinking alcohol, often causing them to feel an increase in sexual desire.</p>
<h2>Alcohol and Sex: The Perfect Pairing? </h2>
<p>But here’s where things get tricky: while it may feel like the urge for sex is there, drinking is, in fact, known to seriously decrease our sexual arousal, enjoyment and performance in bed. Drinking alcohol makes it difficult to achieve and maintain a penile erection, and people’s orgasms are generally less intense, delayed, or prevented entirely.</p>
<p>But sexual disappointment is only half of the story.</p>
<h2>Alcohol and Sexually Transmitted Infections: The Risks</h2>
<p>The truth is, not only do people have worse sex when they have been drinking, but they’re also much more likely to have unprotected sex. This is because alcohol impairs our judgement, meaning we can be more likely to engage in risky or impulsive sexual behaviour that we wouldn’t if sober.</p>
<p>Condoms (both external and internal) are the only form of contraception that can protect us from STIs. But when we’ve been drinking, our brain’s ability to analyse risks and outcomes of situations becomes seriously impaired. meaning we’re more likely to take part in condomless sex (sex without a condom), which puts us at risk of sexually transmitted infections (STIs) (also known as sexually transmitted diseases, or STDs).</p>
<p>Even when we do opt to use a condom, drinking alcohol increases the risk of condom breakage, thanks to our impaired coordination.</p>
<p>If you have experienced either condomless sex or condom breakage, it’s important that you check for STIs as soon as possible. It may also be appropriate to seek emergency contraception or to take a pregnancy test. Trust Yoxly to have your back with an <a href="https://yoxly.com/pages/order-your-kit">at-home STI testing kit</a> that can be with you in less than 24 hours.</p>
<p>What’s more, alcohol threatens to weaken our immune system. This makes it easier for us to contract any disease, including STIs. Our bodies are also unable to fight disease as effectively when we misuse alcohol.</p>
<h2>Let’s Talk About Sex, Baby: Consent, Alcohol and Sex</h2>
<p>That’s not to say that STIs are all we need to consider with regard to alcohol and sex. Having sex with someone without their consent at any time is against the law. To give consent, a person must have the capacity to take part by choice. This means that after drinking alcohol, a person can be too drunk to give consent.</p>
<p>Enthusiastic, free and capable consent should always be sought in sexual encounters. You can learn more about <a href="https://rapecrisis.org.uk/get-informed/about-sexual-violence/sexual-consent/">sexual consent</a> from Rape Crisis.</p>
<p>Bearing the above in mind, you might decide to limit or eliminate alcohol entirely from your dating life or hook-ups. After all, sober dates mean optimal judgement, better sex, less likelihood of condom mishaps and reduced likelihood of experiencing rape or non-consensual sex. Daunted by the prospect of sober dating? Don’t be. You’ll find tips to get you started here.</p>
<h2>Tips on Alcohol This Summer and Beyond: Aim For Sizzling Over Sozzled</h2>
<p>So, how do we keep the fun in summer and avoid bringing anything undesirable home with us?</p>
<p>First, it is advised that adults do not exceed drinking more than 14 units of alcohol per week. You can find out how much alcohol that is and how much your intake stacks with this <a href="https://alcoholchange.org.uk/alcohol-facts/interactive-tools/unit-calculator">Alcohol Unit Calculator</a>.</p>
<p>In a perfect world, none of us would exceed our recommended weekly limit of units, but we know sometimes this simply is not the case. What’s important is to stay safe:</p>
<ul>
<li aria-level="1">Alternate your alcoholic drinks with water. Yes, it’s the oldest trick in the book, but alternating your drinks will slow down your alcohol intake, and keep you hydrated (this is especially important in hot spells!)</li>
<li aria-level="1">Try to drink around people you trust and feel safe around. When we drink alcohol, we can risk our personal safety. While we can never eliminate this risk entirely, drinking in the company of individuals, we trust may help somewhat</li>
<li aria-level="1">Eat a substantial meal before drinking. Try to include plenty of carbohydrates, protein and fat</li>
<li aria-level="1">Carry condoms throughout your Summer of Love and beyond – it’s just good practice</li>
<li aria-level="1">Feeling ‘condom confident’ may make you more inclined to use them – get familiar with how to use condoms, plus get to know which are right for you - we have a whole blog article discussing <a href="https://yoxly.com/blogs/yoxly-news/types-of-condoms-what-they-are-their-uses-and-how-to-pick-the-right-one">different types of condoms</a>
</li>
<li aria-level="1">If you do have condomless sex, a condom breaks, or you have any other reason to suspect an STI, don’t hesitate to contact a healthcare professional or order an <a href="https://yoxly.com/pages/order-your-kit">at-home STI testing kit</a>. Remember, this is important even if you have no symptoms</li>
<li aria-level="1">Remember – STIs can have serious negative effects on your own health and well-being and potentially the health and well-being of others. Make sure you’re aware of how to <a href="https://yoxly.com/blogs/yoxly-news/5-ways-to-reduce-your-risk-of-getting-an-sti">reduce your risk of getting STIs</a> all year round, not just during summertime</li>
</ul>
<p>Worried about your alcohol intake? The NHS has <a href="https://www.nhs.uk/conditions/alcohol-misuse/">more information</a> on seeking help or treatment options.</p>
<p>Alternatively, you may find <a href="https://www.drinkaware.co.uk/">Drinkaware</a> and <a href="https://www.googleadservices.com/pagead/aclk?sa=L&amp;ai=DChcSEwikysnW6uT7AhWRYOYKHTDaCPcYABAAGgJkZw&amp;ohost=www.google.com&amp;cid=CAESbeD2vK3tRcaGnNx4Rd6RzAWw0IWBnDR8NcIU6Otg5PU-QMmmbK3fU8hic-_HH5qgX1wFyuMWIiXbqopQIQHrNTP5Z97uA2zwat4giNrLuAAOWmYvy44LF7aV3lCGGSiB8YbRhiRDWB6zU44zncQ&amp;sig=AOD64_05Ag-fxs3hwV6BOrYw3vx6rLYD1w&amp;q&amp;adurl&amp;ved=2ahUKEwjg8sHW6uT7AhXIhFwKHcN-CuwQ0Qx6BAgGEAE">Alcohol Change UK</a> useful resources.</p>
<p>By knowing the risks around alcohol and sex, we can keep summer safe, sex and fun. After all, everyone deserves a summer that is happy and healthy, and dare we say it – hot.</p>

Everything You Need To Know About Alcohol and Sex

<p>Let’s face it, penis size is a concern for many people. The topic is often surrounded by myths, misinformation and anxiety. So it’s time to set the record straight and answer the question on everyone’s mind - can you make your penis bigger naturally?</p>
<p>There’s an idea that a big penis equals great sex–but the size of the penis has no reflection on how good someone is at giving sexual pleasure. Penetration is just one part of sex, remember? Everyone has their own preferences; some prefer a smaller penis, while others prefer a larger one. So don’t stress, because there are plenty of people who will be more than happy with the size of your penis.</p>
<p>Despite this, we still hear people regularly asking about how they can lengthen their swords. The short answer is that there isn’t any proven natural way of making your penis physically bigger, despite many methods claiming they do. However, there are a few things you can do to enhance the look of your penis.</p>
<p>In this blog, we will share what methods might make your penis appear bigger, and we will also cover the methods that are ineffective. </p>
<h2>Is my penis normal?</h2>
<p>Research has found that an astounding <a href="https://www.frontiersin.org/articles/10.3389/fpsyg.2023.1105423/full">45% of men believe their penis is too small</a>. In a world where pornographic media often portrays larger penises as the norm, it is hardly surprising. The truth is that penises come in all shapes and sizes! Some are curved, some are smaller, some are bigger, some are growers, and some are showers. </p>
<p>So, how do you know if your penis size is "normal"? Well, first off, it's important to remember that there is no one "right" size for a penis. If we look at <a href="https://pubmed.ncbi.nlm.nih.gov/36792094/#">the numbers</a>, the average length of a flaccid penis has been reported to be around 8.7 cm (around 3.4 inches), and the average erect length is just under 14 cm (just under 5.5 inches).</p>
<p>If you have noticed anything unusual, such as penile discharge, pain or sores, that is not normal and needs to be checked, as it might be a sign of an STI. Order one of <a href="https://yoxly.com/quiz">Yoxly’s at-home testing kits</a> to get tested for STIs at home and get rapid results!</p>
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<h2>How to make your penis appear bigger naturally</h2>
<p><strong>Weight loss</strong></p>
<p>Excess body fat can build up around the pubic area, making the penis appear smaller. Losing weight can help reduce this fat tissue and make more of the penis visible. However, this method will only work if you actually have some squidge on you. If you’re already very lean, losing weight may not be healthy and is unlikely to make a difference to the appearance of your penis.</p>
<p><strong>Shaving or trimming pubic hair</strong></p>
<p>A big bush can hide the base of your penis, making it appear smaller. Trimming or shaving your pubic hair can make it look more prominent. Have a play around with different styles and see which one you prefer.</p>
<p><strong>Exercising pelvic floor muscles</strong></p>
<p>The pelvic floor muscles are responsible for controlling the flow of your pee and supporting the bladder, prostate, and rectum. Regularly exercising these muscles can help strengthen them and improve blood flow to the penis, leading to stronger and longer-lasting erections. </p>
<p><a href="https://www.nhs.uk/common-health-questions/womens-health/what-are-pelvic-floor-exercises/">Kegel exercises</a>, or pelvic floor exercises, focus on contracting and relaxing these muscles to improve their function. The easiest way to identify your pelvic floor muscles is to tense the muscles you’d use to stop urine flow. </p>
<p><strong>Being in a warm environment</strong></p>
<p>When you're in a warm environment, your blood vessels dilate. This increases the blood flow to your penis, making it appear larger than when you’re in a cold environment. However, this effect is only temporary and doesn't actually change the size of your penis.</p>
<p>If you’ve got a date night coming up and you’re feeling self-conscious about the size of your penis, try turning the thermostat up a few degrees so your member isn’t hiding. </p>
<p><strong>Improve cardiovascular fitness</strong></p>
<p>Regular cardiovascular exercise, such as running or swimming, can help improve blood flow to your penis, which <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5960035/">can lead to stronger and more obvious erections</a>. What’s more, exercising regularly can help you shed a few pounds, which harks back to our previous point about losing body fat so that your penis isn’t hidden.</p>
<h2>Penis enlargement methods: Do they work?</h2>
<p>Penis size is a common concern, and many techniques claim they can make your penis bigger. Unfortunately, for most of these methods, there is no scientific evidence to suggest they work, and they pose significant health risks.</p>
<p><strong>Penis enlargement surgery</strong></p>
<p>There are various surgical procedures advertised that claim to increase the size of your penis. These procedures can be expensive and risky, and the results are often unpredictable. One of the most common “penis enlargement” operations involves cutting the suspensory ligament that attaches the penis to the pelvic bone, which can cause the penis to hang lower and appear longer. However, this procedure has a <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5313298/#:~:text=Outcomes%20from%20suspensory%20ligament%20release,PTD%20(45%2C47).">low satisfaction rate of 30-65%</a>, and can result in complications such as erectile dysfunction, scarring, and nerve damage. </p>
<p><strong>Implants</strong></p>
<p>There are several types of penile implants available, including inflatable implants and malleable implants. However these are typically only recommended for men with severe erectile dysfunction. These devices often require regular maintenance, as they <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6872984/">can have complications</a> such as mechanical failure, pain and altered sensation. Most importantly, they DO NOT actually increase the size of the penis, and can sometimes even make it smaller.</p>
<p><strong>Creams and supplements </strong></p>
<p>Countless creams and supplements on the market claim to increase penis size, but there is no scientific evidence to support these claims. In fact, many of these products may be harmful to your health, as they can contain unregulated or unsafe ingredients. </p>
<p><strong>Penis stretching and lengthening methods</strong></p>
<p>Non-surgical penis lengthening techniques, like tissue massage and vacuum and penile traction devices, <a href="https://pubmed.ncbi.nlm.nih.gov/20868389/">have not been scientifically proven</a> to be effective. </p>
<h3>
<br><br>
</h3>
<h2>Conclusion</h2>
<p>You are certainly not alone if you worry about the size of your penis–but don’t forget: everyone is different and there is no “normal” size. That's what makes us all unique.</p>
<p>If you’re still feeling self-conscious and your concerns are impacting your confidence in the bedroom, there are a few natural and easy methods that can make your penis appear bigger, such as losing weight, trimming pubic hair, doing Kegel exercises, and improving cardiovascular fitness.</p>
<p>It's important to avoid methods that claim to increase penis size but have little evidence to support their effectiveness, such as surgery, implants, creams, penis lengthening methods and supplements. These methods can be expensive, potentially harm your health, and often result in disappointment.</p>
<p>Ultimately, remember that penis size is just one aspect of sex, and many other factors contribute to a satisfying sexual experience. So instead of worrying about penis size, focus on exploring the many ways of enjoying sex with your partner.</p>

How to Make My Penis Bigger Naturally? Your Questions Answered


<p>Ah, the holiday season—a time of joy, relaxation, and indulgence. But amidst all the fun, it's important not to neglect your sexual health. It’s easy to let go of your usual safe sex practices when you’re letting your hair down and having a good time. </p>
<p>Whether you’re planning a romantic getaway or simply enjoying some time off, this blog will equip you with the knowledge and tools to stay sex savvy during the holiday period. From safe sex practices to accessing emergency contraception and post-holiday testing, we've got you covered. </p>
<h2>Don’t forget your condoms</h2>
<p>If you’re going on holiday and are a single pringle ready to mingle or in an open relationship, condoms should be at the top of your packing list. Practising safe sex is important no matter where you are or what time of year it is and shouldn’t be something you let slip. Even if you take a contraceptive, you should always use condoms with a new sexual partner to protect against sexually transmitted infections (STIs). Nobody wants a romantic holiday liaison to end with a troublesome infection and an awkward text.</p>
<p>You can get condoms for free from your GP or sexual health clinic, so stock up beforehand. But don’t worry if you find yourself condomless and abroad; you can buy them in pharmacies. Just make sure to get a trusted brand. In Europe, look for the CE Mark to ensure they are reliably tested.</p>
<p>And did you know, condoms are more likely to become damaged and break in the heat? With this in mind, keep them out of the sun and store them in a cool, dry place. Oily products such as sun cream can also damage latex, so try to avoid these from coming into contact with your condoms.</p>
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<h2></h2>
<h2>Lube up</h2>
<p>If your holiday destination has a dry climate, you might find yourself with a dry climate of your own. Whether you're travelling with a partner or open to new encounters, lube can significantly improve comfort and pleasure during sex by reducing friction. This also helps prevent microtears in the vaginal tissue, which can provide an entry point for viruses and bacteria, <a href="https://www.eurekalert.org/news-releases/854784">increasing the risk of contracting an STI</a>. Be sure to come prepared and pack your lube alongside your condoms.</p>
<p><br><br></p>
<h2>Take pre-holiday precautions</h2>
<p>Before embarking on holiday adventures, you might consider getting tested for STIs. Knowing your sexual health status provides peace of mind and helps protect your potential holiday partners. It's important to remember that some STIs may not show immediate symptoms, so getting tested is crucial, even if you feel perfectly fine.</p>
<p>Accessing STI test kits has become easier than ever. Yoxly offers discreet and convenient <a href="https://yoxly.com/en-GB#our-at-home-kits">STI testing</a> that allows you to take control of your sexual health from the comfort of your home. Simply order an at-home test kit, collect your samples, send them back for analysis, and get your results within 48 hours!</p>
<h2>Consider emergency contraception</h2>
<p>Accidents happen, especially during the holidays when your inhibitions are lower than usual. <a href="https://www.nhs.uk/conditions/contraception/emergency-contraception/">Emergency contraception</a> is a safe and effective way to prevent pregnancy after unprotected sex or contraceptive failure, such as a split condom or forgetting to take a birth control pill. </p>
<p>Emergency contraception is available in two forms, the morning-after pill and the copper intrauterine device (IUDs). Whilst on holiday, the most convenient form of emergency contraception is the morning-after pill, which can be obtained at pharmacies, sexual health clinics, and some online services that provide emergency contraception. These pills work by delaying or preventing ovulation and must be taken within 3-5 days after having unprotected sex for them to be effective - the sooner you take them, the better. </p>
<p>If you’d rather be safe than sorry, you can also order the morning-after pill before you go on holiday, so it is on hand and ready to go in case of emergencies. However, this should never be relied on as a form of contraception, as it is only effective if you haven’t already ovulated.</p>
<p>The copper IUD, on the other hand, is a bit more invasive method of emergency contraception but is much more effective, with a risk of pregnancy of less than 1%. It is a small T-shaped device that is inserted into your womb. The copper it releases changes the environment in your womb so that an egg cannot implant. It can be inserted up to 5 days after unprotected sex and can be kept in situ for 5-10 years as a long-acting method of contraception.</p>
<h2>Recognising worrisome symptoms</h2>
<p>While we hope your holiday is free of any sexual health problems, it's important to be aware of <a href="https://www.nhs.uk/conditions/sexually-transmitted-infections-stis/">concerning symptoms</a> that may arise. Early detection and treatment of STIs can prevent complications and protect your and your partners’ health in the long run.</p>
<p>Common STI symptoms to look out for include:</p>
<ul>
<li data-sanitized-aria-level="1" aria-level="1">Unusual discharge from the penis, vagina or anus</li>
<li data-sanitized-aria-level="1" aria-level="1">Pain or discomfort during sex or urination</li>
<li data-sanitized-aria-level="1" aria-level="1">Genital sores, warts or blisters</li>
<li data-sanitized-aria-level="1" aria-level="1">Persistent itching </li>
</ul>
<p>However, it's important to remember that not all STIs present symptoms. For example, approximately <a href="https://www.nhs.uk/common-health-questions/sexual-health/how-soon-do-sti-symptoms-appear/">50% of men and 70% of women</a> infected with chlamydia do not have any symptoms. This means regular testing is the only way to ensure you are STI-free. If you experience any symptoms or are concerned about a potential infection, it's essential to seek medical advice and get tested as soon as possible upon your return. </p>
<h2>Post-holiday testing</h2>
<p>After returning from your holiday, it's wise to carry out post-travel STI testing so that you can identify and address any potential infections early on. Many people don’t realise that some STIs, including chlamydia and gonorrhoea, have an <a href="https://wwwnc.cdc.gov/travel/yellowbook/2024/posttravel-evaluation/sexually-transmitted-infections">incubation period</a>, so they may not be immediately detectable after exposure. </p>
<p>The best way to maintain your sexual health if you are sexually active is to have yearly STI check-ups, even if you take precautions. Order one of Yoxly’s <a href="https://yoxly.com/en-GB#our-at-home-kits">at-home testing kits</a> to be proactive and follow up on your holiday hook-ups.</p>
<h2>Conclusion</h2>
<p>As you gear up for your well-deserved holiday, remember that being sex savvy is as important as packing sunscreen or a good book! You might be on holiday, but STIs and the risk of pregnancy are unfortunately ever-present.</p>
<p>The good news is by prioritising safe sex practices, carrying condoms and lube, getting tested before and after your trip, and being prepared with emergency contraception; you can protect your sexual health and ensure your holiday is only full of positive experiences. Now remember: stay safe, have fun, and enjoy your holiday to the fullest!</p>
<h3></h3>


How To Be Sex Savvy During The Holiday Period

<p>If you believe you may have a sexually transmitted infection (STI), we applaud you for being here. When you take charge of your sexual health and seek treatment if necessary, you’re not only taking care of yourself but also preventing the spread of STIs. </p>
<p>One of our main goals is to help you know your status so that you can seek medical treatment should you need to. (That's why we offer a range of <a href="https://yoxly.com/en-GB/products/comprehensive-sti-test-kit">at-home comprehensive STI Test Kits</a>!)</p>
<p>So today, we will be looking at the most common STIs—what they are and their various symptoms in men and women. We will also highlight the similarities and differences in STI symptomology in penis owners and vagina owners. In this article, we use “women” to mean people with a vagina and “men” to mean people with a penis. However, we recognise that not all women have a vagina, and not all men have a penis. </p>
<p> </p>
<p><img src="https://cdn.shopify.com/s/files/1/0282/1187/1878/files/STI_Symptoms_by_Gender_1_480x480.png?v=1690278975" alt="male v female sti symptoms" style="display: block; margin-left: auto; margin-right: auto;"></p>
<h2>Chlamydia </h2>
<p> </p>
<p><a href="https://yoxly.com/en-GB/blogs/yoxly-news/are-you-contagious-during-the-incubation-period-of-chlamydia">Chlamydia</a> is a bacterial infection passed on through unprotected sex (without a condom). It’s one of the most common STDs in the U.K., especially among sexually active teens and young adults. This is why the <a href="https://www.nhs.uk/conditions/chlamydia/">NHS recommends</a> getting tested for chlamydia once a year if you’re having casual sex or have any new partners.</p>
<p>Chlamydia is a curable sexually transmitted infection; more<a href="https://www.nhs.uk/conditions/chlamydia/treatment/"> than 95%</a> of people will be cured with a simple course of antibiotics.</p>
<h3></h3>
<h3>Symptoms of Chlamydia in Men</h3>
<p> </p>
<ul>
<li aria-level="1">Some cases may be asymptomatic </li>
<li aria-level="1">Urethral pain and burning</li>
<li aria-level="1">White, cloudy, or watery discharge from the tip of the penis</li>
<li aria-level="1">Pain or a burning sensation when urinating</li>
<li aria-level="1">Testicular pain</li>
</ul>
<h3></h3>
<h3></h3>
<h3>Symptoms of Chlamydia in Women</h3>
<p> </p>
<ul>
<li aria-level="1">Most cases are asymptomatic</li>
<li aria-level="1">An increase or change in vaginal discharge </li>
<li aria-level="1">Bleeding after sex and in between periods</li>
<li aria-level="1">Pain in the lower abdomen </li>
<li aria-level="1">Pain or a burning sensation when urinating </li>
<li aria-level="1">Painful intercourse</li>
</ul>
<h2></h2>
<h2></h2>
<h2>Syphilis</h2>
<p> </p>
<p>Syphilis is a sexually transmitted disease that can cause significant health problems if not treated. It’s spread by direct contact with a syphilis sore during vaginal, anal, or oral sex. It can also spread from a pregnant person to their unborn baby. </p>
<p>Syphilis is an STD that develops in stages (primary, secondary, latent, and tertiary), and each stage comes with different symptoms. </p>
<p>If syphilis is treated in its early stages, it is unlikely to cause any long-term problems. However, if treated late, permanent and/or life-threatening problems may develop.</p>
<h3></h3>
<h3></h3>
<h3>Symptoms of Syphilis in Men</h3>
<p> </p>
<ul>
<li aria-level="1">
<strong>Stage 1 (primary phase):</strong> firm, round, and painless sores or ulcers around the penis, scrotum, anus, rectum, or mouth</li>
<li aria-level="1">
<strong>Stage 2 (secondary phase):</strong> rash, ulcers, fever, swollen lymph nodes, sore throat, unexplained hair loss, headache, weight loss, muscle aches, fatigue </li>
<li aria-level="1">
<strong>Stage 3: latent stage:</strong> asymptomatic</li>
<li aria-level="1">
<strong>Stage 4 (tertiary stage): </strong>damage to hearing and vision, muscle weakness, confusion, tinnitus, dizziness, symptoms associated with organ damage (depending on the organ)</li>
</ul>
<h3></h3>
<h3></h3>
<h3>Symptoms of Syphilis in Women</h3>
<p> </p>
<ul>
<li aria-level="1">
<strong>Stage 1 (primary phase):</strong> firm, round, and painless sores or ulcers around the vagina, anus, rectum, or mouth</li>
<li aria-level="1">
<strong>Stage 2 (secondary phase):</strong> rash, ulcers, fever, swollen lymph nodes, sore throat, unexplained hair loss, headache, weight loss, muscle aches, fatigue </li>
<li aria-level="1">
<strong>Stage 3 (latent stage): </strong>asymptomatic </li>
<li aria-level="1">
<strong>Stage 4 (tertiary stage): </strong>damage to hearing and vision, muscle weakness, confusion, tinnitus, dizziness, symptoms associated with organ damage (depending on the organ)</li>
</ul>
<h2></h2>
<h2></h2>
<h2>Gonorrhoea</h2>
<p> </p>
<p>Gonorrhoea is an STI caused by the bacteria <em>Neisseria Gonorrhoea</em>. This bacteria is usually found in discharge from the penis and in vaginal fluid. </p>
<p>It can spread between partners through unprotected vaginal, oral, or anal sex and the sharing of sex toys (without them being covered with a new condom each time they’re used).</p>
<p>Gonorrhoea is a curable STD, and treatment is usually a single antibiotic injection or antibiotic tablet. </p>
<h3></h3>
<h3>Symptoms of Gonorrhoea in Men</h3>
<p> </p>
<ul>
<li aria-level="1">Unusual discharge (white, yellow, or green) from the tip of the penis </li>
<li aria-level="1">Burning or painful urination</li>
<li aria-level="1">Swelling of the foreskin </li>
<li aria-level="1">Pain or tenderness in the testicles</li>
<li aria-level="1">Discharge from the rectum</li>
</ul>
<h3></h3>
<h3></h3>
<h3>Symptoms of Gonorrhoea in Women</h3>
<p> </p>
<ul>
<li aria-level="1">Unusual discharge</li>
<li aria-level="1">Burning or painful urination</li>
<li aria-level="1">Pain or tenderness in the lower abdomen </li>
<li aria-level="1">Bleeding between periods </li>
<li aria-level="1">Bleeding during or after sex</li>
<li aria-level="1">Discharge from the rectum</li>
</ul>
<h2></h2>
<h2></h2>
<h2>Trichomoniasis</h2>
<p> </p>
<p>Trichomoniasis is a common sexually transmitted disease which often has no symptoms. In fact, <a href="https://www.nhs.uk/conditions/trichomoniasis/">up to half of those with trichomoniasis</a> won’t develop any symptoms (yet can still spread the infection to others).</p>
<p>It’s caused by a parasite called Trichomonas vaginalis (a protozoan parasite), and is spread by direct sexual contact (without a condom).</p>
<p><a href="https://yoxly.com/en-GB/blogs/yoxly-news/can-men-get-trichomoniasis">Trichomoniasis</a> is a curable STI and is usually treated with a course of antibiotics.</p>
<h3></h3>
<h3>Symptoms of Trichomoniasis in Men</h3>
<p> </p>
<ul>
<li aria-level="1">Discharge from the penis (often white or yellow)</li>
<li aria-level="1">Pain or discomfort when urinating </li>
<li aria-level="1">Soreness, swelling, and redness around the head of the penis or foreskin</li>
<li aria-level="1">Needing to urinate more frequently than usual</li>
</ul>
<p> </p>
<h3>Symptoms of Trichomoniasis in Women</h3>
<p> </p>
<ul>
<li aria-level="1">Abnormal discharge (can be thick, thin, frothy, or yellow-green)</li>
<li aria-level="1">Unpleasant odour (often a fishy smell)</li>
<li aria-level="1">Soreness, swelling, and redness around the vagina or vulva</li>
<li aria-level="1"><a href="https://yoxly.com/en-GB/blogs/yoxly-news/when-sex-is-painful-for-women">Pain during sex</a></li>
<li aria-level="1">Pain or discomfort when urinating </li>
<li aria-level="1">Lower abdominal discomfort or pain</li>
</ul>
<p> </p>
<h2>HPV</h2>
<p> </p>
<p>HPV stands for human papillomavirus—one of the most common sexually transmitted infections. There are over 100 types of HPV, some of which are known to cause <a href="https://yoxly.com/en-GB/blogs/yoxly-news/do-genital-warts-go-away">genital warts</a>. Some strains of <a href="https://yoxly.com/en-GB/blogs/yoxly-news/help-i-have-hpv-now-what">HPV</a> are associated with the development of cancers.</p>
<p>HPV is spread via vaginal, anal, or oral sex and can also be spread through close skin-to-skin contact (such as during sex).</p>
<p>Unfortunately, there is no cure for HPV, but usually, the infection is spontaneously <a href="https://yoxly.com/en-GB/blogs/yoxly-news/sti-vaccinations-could-you-get-a-vaccine-to-stop-worrying">cleared on its own</a>. If it does not clear up, there are treatments for problems that may arise because of HPV, such as genital warts and <a href="https://yoxly.com/en-GB/blogs/yoxly-news/cervical-cancer-prevention-week">cervical cancer</a>. </p>
<p>One can also take preventative measures against HPV by getting the 3-dose HPV <a href="https://yoxly.com/en-GB/blogs/yoxly-news/sti-vaccinations-could-you-get-a-vaccine-to-stop-worrying">vaccine</a>.</p>
<p> </p>
<h3>Symptoms of HPV in Men</h3>
<p> </p>
<ul>
<li aria-level="1">Many cases of HPV are asymptomatic</li>
<li aria-level="1">Genital warts on the shaft of the penis, scrotum, anus or around the groin</li>
<li aria-level="1">Rarely, infections can lead to penile or anal cancer</li>
</ul>
<h3></h3>
<h3>Symptoms of HPV in Women</h3>
<p> </p>
<ul>
<li aria-level="1">Many cases of HPV are asymptomatic</li>
<li aria-level="1">Genital warts in and around the vagina, vulva, cervix, anus or groin</li>
<li aria-level="1">Rarely, infections can lead to cancer of the cervix, vagina or vulva.</li>
</ul>
<h2></h2>
<h2></h2>
<h2>Herpes</h2>
<p> </p>
<p>Herpes, more specially known as the herpes simplex virus (HSV), is a common STI of which there are two types:</p>
<p>Type 1 (HSV-1) is mostly spread by oral contact (such as kissing) and commonly causes infections around the mouth in the form of “cold sores”. HSV-1 can also cause genital herpes.</p>
<p>Type 2 (HSV-2) is more often spread by sexual contact and also causes genital herpes.</p>
<p><a href="https://yoxly.com/en-GB/blogs/yoxly-news/what-does-herpes-look-like">Herpes</a> can also be spread through non-sexual behaviours such as touching an infected area or coming into contact with contaminated saliva. Herpes does not live for long outside of the body, which means you can’t get it from inanimate objects.</p>
<p>Herpes is incurable, but there are ways to prevent and manage outbreaks, such as antiviral medication and creams for pain.</p>
<h3></h3>
<h3>Symptoms of Herpes in Men</h3>
<p> </p>
<ul>
<li aria-level="1">Tingling, itchy and/or painful sensations in the affected areas</li>
<li aria-level="1">Small red bumps or blisters that often emit a clear or yellow liquid</li>
<li aria-level="1">Swollen lymph nodes</li>
<li aria-level="1">Flu-like symptoms such as fever and fatigue</li>
<li aria-level="1">Pain or difficulty passing urine </li>
<li aria-level="1">Penile discharge</li>
</ul>
<h3></h3>
<h3></h3>
<h3>Symptoms of Herpes in Women</h3>
<p> </p>
<ul>
<li aria-level="1">Tingling, itchy and/or painful sensations in the affected areas</li>
<li aria-level="1">Small red bumps or blisters that often emit a clear or yellow liquid</li>
<li aria-level="1">Swollen lymph nodes</li>
<li aria-level="1">Flu-like symptoms such as fever and fatigue</li>
<li aria-level="1">Pain or difficulty passing urine </li>
<li aria-level="1">Penile discharge</li>
</ul>
<h2></h2>
<h2></h2>
<h2>HIV</h2>
<p> </p>
<p>HIV (human immunodeficiency virus) is an infection that attacks the body’s immune system. When HIV is not treated, it becomes AIDS (acquired immunodeficiency syndrome), which makes the body more susceptible to other infections and diseases.</p>
<p>HIV is spread in body fluids, such as blood, breast milk, semen, and vaginal fluids. It can also be spread from mother to baby and when sharing needles with HIV-infected people.</p>
<p>HIV is an incurable infection but can be controlled with antiretroviral therapy (ART). This reduces the amount of HIV in your body, often leaving it undetectable and, therefore, <a href="https://www.tht.org.uk/our-work/our-campaigns/cant-pass-it-on">unable to be transmitted to others</a>, including to an unborn child.</p>
<h3></h3>
<h3></h3>
<h3>Symptoms of HIV in Men</h3>
<p> </p>
<p>Primary HIV (occur within the first 6 weeks of contracting HIV)</p>
<ul>
<li aria-level="1">No symptoms</li>
<li aria-level="1">Fever</li>
<li aria-level="1">Sore throat</li>
<li aria-level="1">Rash</li>
<li aria-level="1">Feeling excessively tired</li>
<li aria-level="1">Joint or muscle pains</li>
<li aria-level="1">Swollen lymph nodes</li>
<li aria-level="1">Ulcers around the mouth, genitals or anus</li>
<li aria-level="1">Night sweats</li>
</ul>
<p>Other symptoms of HIV infection include:</p>
<ul>
<li aria-level="1">Thrush infections of the mouth or genitals</li>
<li aria-level="1">Weight loss</li>
<li aria-level="1">Frequent infections, e.g. chest infections or herpes outbreaks</li>
<li aria-level="1">Cough</li>
<li aria-level="1">Diarrhoea</li>
<li aria-level="1">Abdominal pain</li>
<li aria-level="1">Changes in sexual function, e.g. erectile dysfunction or low libido</li>
</ul>
<h3></h3>
<h3></h3>
<h3>Symptoms of HIV in Women</h3>
<p> </p>
<p>Primary HIV (occur within the first 6 weeks of contracting HIV)</p>
<ul>
<li aria-level="1">No symptoms</li>
<li aria-level="1">Fever</li>
<li aria-level="1">Sore throat</li>
<li aria-level="1">Rash</li>
<li aria-level="1">Feeling excessively tired</li>
<li aria-level="1">Joint or muscle pains</li>
<li aria-level="1">Swollen lymph nodes</li>
<li aria-level="1">Ulcers around the mouth, genitals or anus</li>
<li aria-level="1">Night sweats</li>
</ul>
<p>Other symptoms of HIV infection include:</p>
<ul>
<li aria-level="1">Thrush infections of the mouth or genitals</li>
<li aria-level="1">Weight loss</li>
<li aria-level="1">Frequent infections, e.g. chest infections or herpes outbreaks</li>
<li aria-level="1">Cough</li>
<li aria-level="1">Diarrhoea</li>
<li aria-level="1">Abdominal pain</li>
<li aria-level="1">Changes in sexual function, e.g. low libido</li>
<li aria-level="1">Changes to periods (e.g. irregular periods)</li>
<li aria-level="1">Fertility problems</li>
</ul>
<h2></h2>
<h2></h2>
<h2>Summary of STI Symptoms in Men vs Women</h2>
<p> </p>
<p>Many STIs have similar or the same symptoms in both men and women; however, there are some key differences:</p>
<ul>
<li aria-level="1">Women are less likely to have symptoms than men - for example, chlamydia infection is asymptomatic in up to 70% of women!</li>
<li aria-level="1">Men are more likely to notice symptoms such as discharge, whereas, in vagina owners, an unusual discharge may be mistaken for a normal vaginal discharge.</li>
<li aria-level="1">Men are more likely to notice skin changes, such as ulcers and warts, as the penis is more readily visible than the vulva.</li>
<li aria-level="1">Changes inside the vagina, such as ulcers or warts, may not be able to be visualised by women. </li>
<li aria-level="1">Unusual discharge in women is often assumed to be, e.g. a thrush infection, which women often self-treat with over-the-counter remedies.</li>
<li aria-level="1">Women are more likely than men to experience symptoms such as abdominal pain, as their reproductive tract extends into the pelvis, unlike men. </li>
<li aria-level="1">Women attend more healthcare appointments than men, for example, for smear tests or contraceptives, where they may be offered STI screening, so asymptomatic infections may be picked up more readily. </li>
</ul>
<p>So it’s good to be up to speed on STI symptoms and the subtle differences between men and women. If you are worried about STI symptoms, we recommend seeing a healthcare professional. If you just want to check your status, we offer a range of <a href="https://yoxly.com/en-GB/products/comprehensive-sti-test-kit">at-home STI Test Kits</a>!)</p>

Do Men and Women Get Different STI Symptoms?

<p>Sperm quality is something you might not think about until you’re trying for a baby. Yet it’s important to consider - even if you’re not currently trying to get pregnant - because certain habits can affect the health of your sperm over the course of a lifetime. If you’re worried about the quality of your sperm, or if you’re just curious, ExSeed offers a range of <a href="https://www.exseedhealth.com/exseed-home-sperm-test/">at-home test packages</a> to give you plenty of details - including your semen volume, sperm concentration, and how well your sperm are swimming. In the meantime, here are some top tips for healthy sperm.</p>
<h2>Keep Your Balls Cool</h2>
When you’re cold, your scrotum will reflexively tighten to hold your testicles closer to the body, while when you’re warm, you might find that everything hangs a little looser. This is because sperm like to be kept 2–4 degrees cooler than core body temperature. Evidence suggests <a href="https://academic.oup.com/humrep/article/13/8/2122/733430">tight underwear</a> hampers this natural movement and can impair sperm production and quality. That’s why we recommend wearing loose-fitting underwear and if you spend a lot of time sitting down, getting up regularly and moving around, allowing your scrotum to self-regulate its temperature. You should also avoid other sources of prolonged heat exposure to the scrotum, such as baths, hot tubs, or using a computer on your lap. For more information, read this article on <a href="https://www.exseedhealth.com/heat-damaging-sperm/">testicle temperature</a>. 
<p> </p>
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<h2>Get Regular STI Tests</h2>
<p>Sexually transmitted infections (STIs), like chlamydia and gonorrhoea, can hinder sperm production and quality. If left untreated, these infections can also cause <a href="https://pubmed.ncbi.nlm.nih.gov/18336457/">permanent damage</a> to sperm production. But many STIs have no symptoms, so regular <a href="https://yoxly.com/products/basic-sti-test-kit">STI testing</a> is routinely recommended. Remember that some STIs do not show up immediately after exposure, so keep <a href="https://yoxly.com/blogs/yoxly-news/your-guide-to-incubation-latency-and-window-periods">window periods</a> in mind and schedule a follow-up test if necessary. </p>
<h2>Stop Smoking</h2>
<p>Smoking is well known to reduce both male and female fertility. Smokers have been shown to have lower semen volumes and lower sperm numbers. Interestingly, these effects seem to be fully reversible if you stop smoking, with studies showing that just six months after quitting, <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6693933/">ex-smokers no longer have reduced semen quality</a>. So it’s never too late! </p>
<h2>Moderate Your Alcohol</h2>
<p>No, we’re not here to tell you that having a beer is all bad news. There is evidence that excessive alcohol consumption reduces sperm quality; however, there is no proven link between moderate alcohol intake and poor semen quality. But what is “moderate”? A moderate alcohol intake is defined as <a href="https://www.drinkaware.co.uk/facts/alcoholic-drinks-and-units/low-risk-drinking-guidelines">less than 14 units per week</a>, spread out over at least three days. Drinking <a href="https://www.drinkaware.co.uk/facts/drinking-habits-and-behaviours/binge-drinking">more than 6–8 drinks in one day</a> is defined as “binge drinking”, which has been shown to be detrimental to sperm quality and overall health. So feel free to enjoy one or two drinks, but don’t overdo it; your semen will thank you! For more information about the effects of alcohol on male fertility, read ExSeed’s article, <a href="https://www.exseedhealth.com/alcohol-and-sperm-quality/">Alcohol and Sperm Quality</a>. </p>
<h2>Eat a Balanced Diet</h2>
<p>We all know that we’re supposed to eat healthily and avoid fast food, but what aspects of your diet are most important to sperm? Sperm production requires hundreds of different vitamins and nutrients, including macronutrients (e.g. proteins, fats, carbohydrates) and micronutrients (e.g. calcium, selenium, zinc, L-carnitine, vitamin B12, vitamin C, vitamin D, vitamin K). Maintaining a balanced diet is the easiest way to ensure you get enough of these to maximise sperm quality. The NHS <a href="https://www.nhs.uk/live-well/eat-well/how-to-eat-a-balanced-diet/eating-a-balanced-diet/">Eat Well</a> guide contains simple tips on how to achieve this. A diet low in fruit and vegetables and high in saturated fatty acids, red or processed meat <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4056648/">has been shown</a> to have a negative impact on the quality of semen. Don’t worry about indulging in the occasional takeaway; the key is moderation and, of course, plenty of fruit and vegetables. Read more about <a href="https://www.exseedhealth.com/nutrition-diet-and-the-effects-on-fertility/">Foods To Improve Your Fertility</a>. </p>
<p>For more information, check out <a href="https://www.exseedhealth.com/category/lifestyle/">ExSeed’s lifestyle blogs</a>, which offer practical tips to improve your fertility.</p>
<h2>Summary</h2>
<p>Small lifestyle changes can dramatically affect sperm quality, which means that improving the quality of your sperm can sometimes be just as simple. Finding out about your sperm quality is the perfect starting point for taking charge of your sperm health. ExSeed is a group of male reproductive health experts on a mission to address male infertility and offers a range of at-home test kits and plenty of factual information to empower men to take charge of their health. In addition, ExSeed offers an app-based lifestyle program for free to their customers, which offers expert recommendations specifically tailored to your test results and general health report, helping you understand which changes are most likely to improve your sperm health. Yoxly shares very similar values to ExSeed, focussing on demystifying and destigmatising all things sexual health. Check out our <a href="https://yoxly.com/blogs/yoxly-news">blog</a>, where we address a whole range of topics, including fertility, STI testing and sexual wellness.</p>

5 Tips For Healthy Sperm

<p>Trichomoniasis is a sexually transmitted infection (STI) caused by a bug called <a href="https://www.nhs.uk/conditions/trichomoniasis/" target="_blank" title="NHS Trichomoniasis" rel="noopener noreferrer">Trichomonas vaginalis</a> (TV). This little bug lives in the genital secretions of infected individuals, and although it cannot be seen by the naked eye (it is less than 0.03 mm!), it can be reliably detected using a simple laboratory test. </p>
<h2>How common is trichomoniasis in women?</h2>
<p>Trichomoniasis is actually reported to be the most common non-viral STI Worldwide. It is more common in women, and Worldwide, an estimated <a href="https://www.who.int/publications/i/item/chlamydia-gonorrhoea-trichomoniasis-and-syphilis-global-prevalence-and-incidence-estimates-2016" target="_blank" title="WHO Chlamydia &amp; Gonorrhoea " rel="noopener noreferrer">5.3</a><a href="https://www.who.int/publications/i/item/chlamydia-gonorrhoea-trichomoniasis-and-syphilis-global-prevalence-and-incidence-estimates-2016">% of women have the bug</a>. However, the rates in the UK appear to be low, with studies suggesting a <a href="https://pubmed.ncbi.nlm.nih.gov/27686884/" target="_blank" title="pubmed link" rel="noopener noreferrer">prevalence of less than 1%</a> in UK women. It is more common in women under the age of 25 and in women in black and ethnic minority populations. TV is not routinely tested for in many clinics in the UK, so the overall prevalence may be underestimated. </p>
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<h2>How is trichomoniasis spread?</h2>
<p>Trichomonas vaginalis parasite is almost exclusively spread through sexual contact, including vaginal and anal sex. However, the parasite also has the potential to be transmitted through sharing of sex toys or other personal items that may have come into contact with infected genital secretions. </p>
<h2>What are the symptoms of trichomoniasis?</h2>
<p>Trichomonas, like other STIs, often causes <a href="https://yoxly.com/blogs/yoxly-news/the-most-common-sti-symptom-no-symptom-at-all" target="_blank" title="Yoxly blog common STI symptoms" rel="noopener noreferrer">no symptoms</a>. In fact, TV is asymptomatic in up to <a href="https://www.bashhguidelines.org/media/1310/tv-2021.pdf" title="bash guidelines">50% of women</a>. If symptoms do occur, they typically develop within 5 to 28 days of exposure. Common symptoms of trichomoniasis in women include <a href="https://yoxly.com/blogs/yoxly-news/got-vaginal-discharge-let-s-talk-about-it" title="yoxly blog vagine discharge">vaginal discharge</a>, itching and discomfort passing urine. These symptoms are not specific to TV and may occur with other STIs such as <a href="https://www.nhs.uk/conditions/chlamydia/" target="_blank" title="NHS Chlamydia" rel="noopener noreferrer">chlamydia</a> and <a href="https://www.nhs.uk/conditions/gonorrhoea/" title="nhs gonnorhoea">gonorrhoea</a> and other conditions such as <a href="https://www.nhs.uk/conditions/urinary-tract-infections-utis/" title="nhs UTI" target="_blank" rel="noopener noreferrer">urinary tract infections.</a> So if you’re worried about TV, it’s best to <a href="https://yoxly.com/pages/order-your-kit" target="_blank" title="order kit yoxly" rel="noopener noreferrer">get a full check up</a> - you can do that right here at Yoxly from the comfort of your own home!</p>
<h2>How is trichomoniasis diagnosed?</h2>
<p>The diagnosis of trichomoniasis in women involves laboratory testing of a swab taken from the vagina. A healthcare provider may take this swab during a physical examination in a clinic, or in some cases, a <a href="https://yoxly.com/pages/swab-sample-instructions">self-obtained vaginal swab</a> can be used (you can do this at home via Yoxly!). This swab is typically looked at under a microscope to see if the TV bug is present or is tested in a lab for the presence of trichomonas DNA. Here at Yoxly, <a href="https://yoxly.com/pages/faqs">our partner laboratory</a> is accredited by the Care Quality Commission (CQC), ensuring you get an accurate result for your STI testing. </p>
<h2>How is trichomoniasis treated?</h2>
<p>Trichomoniasis is treated with antibiotics such as metronidazole. These antibiotics are taken orally and are usually prescribed for a period of 7 to 10 days. It is important to complete the full course of antibiotics, even if symptoms have improved, to ensure the infection has been effectively treated. Pregnant or breastfeeding women should consult with their healthcare provider before taking antibiotics for trichomoniasis, as some antibiotics may not be safe during pregnancy or breastfeeding.</p>
<h2>What happens if trichomoniasis is not treated in women?</h2>
<p>Left untreated, trichomonas infection can <a href="https://www.bashhguidelines.org/media/1310/tv-2021.pdf" target="_blank" title="bash guidelines " rel="noopener noreferrer">increase the risk of contracting other STIs</a>, such as HIV, and can result in serious health problems, such as pelvic inflammatory disease (PID). Therefore, if you have symptoms of TV, it’s important to <a href="https://yoxly.com/pages/trichomoniasis" target="_blank" title="yoxly trichomoniasis page" rel="noopener noreferrer">get checked</a> to prevent any complications from an infection. </p>
<h2>How can I avoid catching trichomoniasis?</h2>
<p>Since trichomoniasis is transmitted via sex, practising safer sex using <a href="https://yoxly.com/blogs/yoxly-news/types-of-condoms-what-they-are-their-uses-and-how-to-pick-the-right-one">condoms</a> is the most effective way to reduce the risk of contracting trichomoniasis. Women should also avoid sharing unwashed sex toys, as these items may have come into contact with infected genital secretions and can potentially transmit TV. </p>
<h2>Conclusion</h2>
<p>In conclusion, trichomoniasis is a common STI caused by the Trichomonas vaginalis parasite and is transmitted through sexual contact. Symptoms of trichomoniasis in women can include vaginal discharge, itching or problems urinating.</p>
<p>The diagnosis of trichomoniasis typically involves laboratory testing of a swab taken from the vagina, and treatment typically involves antibiotics. In addition, women can reduce their risk of contracting trichomoniasis by practising safer sex using condoms.</p>

What Causes Trichomoniasis In Women?

<p>Do you want to know more about the female condom? Have you heard of it and never tried it out? Do you want to know how to use it effectively? Look no further, as we have your intimate guide to all things female condom related! This article will discuss what the female condom is, how to use it effectively and some simple “dos and don’ts”. Hopefully, by the end of this article, you will feel more informed and empowered to give the female condom a go! </p>
<p>The female condom’s roots can be traced back to ancient Greece, where the god Minos inserted a makeshift goat’s bladder condom into his mistress to catch his poisonous ejaculatory fluid. Admittedly a slightly dark start, but since then, the female condom has been around in one form or another until the present day, where it is made of either latex or synthetic latex. (Don’t worry, the goat bladder is long gone). In the present day, the female condom has long been known for empowering female partners and vagina owners to have reproductive control during intercourse. </p>
<p>The female condom, also known as an internal condom or by the brand name Femidom, is a condom which is used internally by placing it into the vaginal canal. This is instead of the “traditional” male condom, which is placed over the shaft of the penis. If you want to read more about male condoms, check out our article on <a href="https://yoxly.com/blogs/yoxly-news/types-of-condoms-what-they-are-their-uses-and-how-to-pick-the-right-one" target="_blank" title="yoxly types of condoms" rel="noopener noreferrer">types of condoms</a>.</p>
<p>It is important to note that female condoms can be used by anyone with a vagina, including transgender men and non-binary people. </p>
<p>The female condom is a <em>barrier</em> method of contraception, preventing pregnancy by stopping semen from coming into contact with the vagina. The semen, therefore, cannot reach the womb to fertilise an egg. This also makes it effective for preventing sexually transmitted infections (STIs) spread via semen, vaginal and other bodily fluids. For more details on how to prevent STIs, check out our article <a href="https://yoxly.com/blogs/yoxly-news/5-ways-to-reduce-your-risk-of-getting-an-sti" target="_blank" title="5 ways to reduce your risk of getting an sti" rel="noopener noreferrer">5 Ways to Reduce Your Risk of Getting an STI.</a></p>
<p>It is important to note that barrier methods, such as male and female condoms, are the only contraceptive methods that can protect you against STIs; if you are worried that you may have an STI, get tested! You can get our <a href="https://yoxly.com/pages/order-your-kit" title="yoxly sti kits">Yoxly STI testing kits delivered to your door. </a></p>
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<p><img src="https://cdn.shopify.com/s/files/1/0282/1187/1878/files/Blog_Post_Images_3_1_480x480.png?v=1686218817" alt="female condom" style="display: block; margin-left: auto; margin-right: auto;"></p>
<p> </p>
<p>If used correctly, the female condom is 95% effective at preventing pregnancy; however, it must be inserted before the penis comes in contact with the vagina. Unfortunately, the effectiveness drops to around 79% with “typical use," meaning that the condom was not used correctly every time. Some common pitfalls of female condoms failing are if the condom falls out, breaks or is applied incorrectly. The same applies to STIs; the female condom must be in the vagina before any bodily fluids are exchanged and taken out correctly to ensure no fluid in the condom spills into the vagina or genital region. Read on for our step-by-step guide to using a female condom. </p>
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<h2></h2>
<h2>How To Use A Female Condom</h2>
<ol>
<li aria-level="1">Start by checking the pack for the European CE or UKCA mark to ensure the quality of the condom and ensure the condom has not expired. </li>
<li aria-level="1">Open the packet carefully - avoid using your teeth or sharp fingernails, which could damage the condom. </li>
<li aria-level="1">Pick up the condom by the end with the smaller ring and squeeze the ring shut.</li>
<li aria-level="1">Insert the smaller ring of the condom into the vagina.</li>
<li aria-level="1">Make sure the larger ring sits at the opening of the vagina, and make sure it covers that area. </li>
<li aria-level="1">If you are having penetrative sex, ensure the penis goes into the condom and not between the condom and the vaginal wall.</li>
<li aria-level="1">After sex, remove the female condom immediately by twisting the outer ring to prevent any fluids from spilling out and then gently pull down on the condom to remove it from the vaginal canal.</li>
<li aria-level="1">Throw the condom away in the bin, and do not reuse it. </li>
</ol>
<p>Please note the female condom can also be used in the anus during anal sex and is inserted in the same way. </p>
<p><img src="https://cdn.shopify.com/s/files/1/0282/1187/1878/files/Female_Condom_Illustration_1_480x480.png?v=1686218848" alt="female condom insertion graphic" style="display: block; margin-left: auto; margin-right: auto;"></p>
<h2></h2>
<h2></h2>
<h2>Dos And Don’ts Of The Female Condom. </h2>
<p><strong>Do:</strong></p>
<ul>
<li aria-level="1">Insert the female condom into the vagina before any type of sexual intercourse to prevent both pregnancy and the spread of STIs.</li>
<li aria-level="1">Only purchase condoms with the European CE or UKCA mark on the packet. Often, this will be a “kite”, meaning the product has been tested to high safety standards. This is the same for all types of condoms. </li>
</ul>
<ul>
<li aria-level="1">Remove immediately after ejaculation or body fluid exchange by twisting the outer ring and pulling. </li>
</ul>
<p><strong>Don’t: </strong></p>
<ul>
<li aria-level="1">Use a female condom which is past its expiry date.</li>
<li aria-level="1">Reuse a female condom - these are single-use and should be replaced for every episode of intercourse.</li>
</ul>
<h2></h2>
<h2>Advantages And Disadvantages Of The Female Condom</h2>
<p>Like all contraceptive methods, there are advantages and disadvantages to the female condom. Most of these are similar to those of a male condom.</p>
<h3></h3>
<h3>Advantages</h3>
<ol>
<li>It is a barrier method and the only method of contraception that can protect against STIs. If you are concerned that you may have an STI, check out our STI testing kits here. </li>
<li>The female condom can be placed up to 8 hours before sexual intercourse. So if you find stopping sex to put on condoms kills the mood, this is for you! </li>
<li>Female condoms have been found to increase sexual pleasure, particularly in the partner wearing the female condom, as the outer portion is thought to increase clitorial stimulation, resulting in more pleasure - a win for safe sex! </li>
<li>Female condoms come pre-lubricated for ease of insertion, but feel free to add some extra if needed. When using lubricants with condoms, always check the packaging to ensure you use the right lubricant. Otherwise, you may damage the condom, and it will be ineffective. </li>
<li>Anyone with a vagina can use a female condom, and it is <strong>safe</strong> to use after a miscarriage, abortion and after having a baby. </li>
<li>It is a form of contraception that only needs to be used when having sex.</li>
</ol>
<ol></ol>
<ol></ol>
<ol></ol>
<ol></ol>
<ol></ol>
<h3></h3>
<h3>Disadvantages </h3>
<ol>
<li>They can be difficult to insert if you are not used to putting them in. So why not turn it into foreplay and get your partner involved to help insert it?</li>
<li>They can split or tear if used incorrectly, similar to male condoms. </li>
<li>Like male condoms, some couples find stopping to put on a condom kills the mood during sex, although, as stated above, a female condom can be inserted up to 8 hours before sex. Female condoms can always be “inserted” into your foreplay…! For more information on discussing pleasure with your partner, check out our article for <a href="https://yoxly.com/blogs/yoxly-news/world-sexual-health-day-2022" target="_blank" title="world sexual health day blog" rel="noopener noreferrer">World</a><a href="https://yoxly.com/blogs/yoxly-news/world-sexual-health-day-2022"> Sexual Health Day. </a>
</li>
</ol>
<ol></ol>
<ol></ol>
<h2></h2>
<h2></h2>
<h2>Where To Get Female Condoms</h2>
<p>Have we convinced you to try a female condom? Want to know where you can get your hands on one? Like male condoms, female condoms are available at your local sexual health clinic, by post or with a C-card from pharmacies or other sexual health stockists. They can also be purchased from various online retailers. </p>
<h2></h2>
<h2></h2>
<h2>Summary</h2>
<p>In conclusion, the female condom can be seen as a source of empowerment for women and people with vaginas to take control of their reproductive health. They can take a bit of practice to get used to at the start, but once you can insert them effectively, they are a great barrier method. And as we said, they can also increase sexual pleasure via clitoral stimulation! So it's a win-win - more sexual pleasure and protection against STIs and unintended pregnancy! So if you haven’t tried a female condom, why not give it a go?</p>

A Guide On How To Use A Female Condom

<p>We understand, the thought of having a sexually transmitted infection (STI) is daunting. And that is why we’re here to break the stigma, start a discussion, and empower everyone to get tested. (That’s also why we offer a range of <a href="https://yoxly.com/products/comprehensive-sti-test-kit" target="_blank" title="Comprehensive STI Kit" rel="noopener noreferrer">at-home comprehensive STI Test Kits</a>!)</p>
<p>So today, we will be answering some important questions <a href="yoxly.com/blogs/yoxly-news/genital-warts-what-are-they-and-how-can-you-get-rid-of-them&amp;sa=D&amp;source=editors&amp;ust=1684764045036817&amp;usg=AOvVaw3j-h4d2WuRdf4NalpIkSCr" title="genital warts blog">about</a><a href="/blogs/yoxly-news/genital-warts-what-are-they-and-how-can-you-get-rid-of-them" title="genital warts blog"> genital warts</a>.</p>
<p><strong>What are genital warts?</strong></p>
<p>Genital warts are soft, painless, fleshy growths that can occur anywhere around the genitals and anus and may occur alone or in clusters. <a href="https://www.sexwise.org.uk/stis/genital-warts" title="Sexwise Genital Warts Definition">Genital warts</a> is one of the most common STIs and is caused by infection of the skin cells with certain strains of the human papillomavirus (HPV), namely <a href="https://www.nhs.uk/conditions/genital-warts/" target="_blank" title="NHS Genital Warts" rel="noopener noreferrer">types 6 and 11</a>. Now, not everyone with these types of HPV will get warts; it’s estimated anywhere between <a href="https://onlinelibrary.wiley.com/doi/10.1111/jdv.16522" target="_blank" title="2019 IUSTI-Europe guideline for the management of anogenital warts" rel="noopener noreferrer">14% and 64% of people with HPV type 6, or 11 will develop genital warts</a>, so it’s a bit of a complicated little virus! In addition, HPV itself is super common and very infectious; globally, around <a href="https://onlinelibrary.wiley.com/doi/10.1111/jdv.16522" target="_blank" rel="noopener noreferrer">10-20% of people</a> are infected with a strain of HPV at this exact moment and it is readily passed onto sexual partners where there is any skin-to-skin contact. Genital warts are usually harmless, although people often do not appreciate their presence!</p>
<p><strong>Do genital warts go away?</strong></p>
<p>Different factors come into play that influence if and when genital warts go away. These factors include the size and number of warts, your immune system, and if any treatment is used.</p>
<p>But, in short, yes! <a href="https://www.ncbi.nlm.nih.gov/books/NBK441884/" target="_blank" title="national library of medicine genital warts " rel="noopener noreferrer">90% of genital warts</a> will go away on their own, without treatment, within 12–24 months, with up to a third disappearing within just four months.</p>
<p>When treatment is involved, that timeframe may lessen.</p>
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<p><strong>How long do genital warts last?</strong></p>
<p>Genital can last anywhere between 4 and 24 months, but for around 30% of people with genital warts, they will be present for less than 4 months. How long genital warts last depends on their size, number and your immune system. It can also depend on if you have been vaccinated against HPV, if you used any treatment on the warts, your sexual partners and condom use.</p>
<p>Genital warts, even if they have totally disappeared, often come back. This is because although the growths are no longer visible, the HPV virus can persist within the skin cells and can cause new warts at any time. Treatment does not remove the virus itself, only the visible warts caused by it. The virus is usually naturally cleared from the body over time.</p>
<p>Therefore, you might find that genital warts may completely disappear, only to make a reappearance weeks, months or even years later. This may be due to the virus not being cleared from the body or reinfection from a partner or sexual contact.</p>
<p>In fact, it is very common for genital warts to come back; and quite often, they pop up again within three months of disappearing. This indicates that either the HPV infection is still present in the body or that a new infection has occurred.</p>
<p><strong>How to make genital warts go away faster</strong></p>
<p>There are several ways to make genital warts go away faster. These include treatments such as:</p>
<ul>
<li>
<a href="https://www.ouh.nhs.uk/patient-guide/leaflets/files/100722warticonsolution.pdf" target="_blank" title="https://www.ouh.nhs.uk/patient-guide/leaflets/files/100722warticonsolution.pdf" rel="noopener noreferrer">Warticon</a> - a topical cream or solution containing purified extracts of podophyllin which is applied directly to warts and prevents the division and growth of HPV-infected cells</li>
<li>
<a href="https://www.ouh.nhs.uk/patient-guide/leaflets/files/14441Paldara.pdf" target="_blank" title="Aldara Information by Oxford University" rel="noopener noreferrer">Aldara</a> - a topical cream containing Imiquimod which is applied to warts to stimulate your immune system to fight the HPV virus</li>
<li>
<a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6853748/#:~:text=Freezing%20of%20each%20genital%20wart,1%2D3%20months%20after%20treatment." target="_blank" title="Cryotherapy of Genital Warts" rel="noopener noreferrer">Cryotherapy</a> (or cold therapy) - using a spray to freeze the warts, gradually removing them over time. This is usually applied in the clinic by a healthcare professional</li>
<li>Surgical excision - this involves physically removing warts with a scalpel under anaesthetic and is usually only used for problematic or persistent warts</li>
</ul>
<p>Other ways to make genital warts go away faster include:</p>
<ul>
<li>Implementing good hygiene to prevent the spread of the virus to surrounding skin. This includes washing your hands after touching the genitals and keeping the warts clean and dry</li>
<li>Using <a href="https://yoxly.com/en-GB/blogs/yoxly-news/types-of-condoms-what-they-are-their-uses-and-how-to-pick-the-right-one" target="_blank" title="ypes of Condoms: What They Are, Their Uses, And How To Pick The Right One" rel="noopener noreferrer">condoms</a> to reduce the risk of reinfection</li>
<li>Avoiding picking or cutting into warts as this could cause them to spread and may create skin irritation and pain, and hinder the warts from resolving naturally</li>
<li>Avoiding shaving the area as this can cause tiny nicks or tears in the skin, which can make reinfection more likely or hinder healing</li>
</ul>
<p><strong>Will genital warts come back?</strong> </p>
<p>Unfortunately, genital warts quite often come back. And it is impossible to say if and when they might return. Most people clear the HPV virus entirely; however, some people do not, and it is possible to become reinfected with HPV even if you had previously cleared it.</p>
<p>If you have an illness that affects your immune system, it may be more difficult to fight off infections, including HPV, so you may be more likely to get genital warts again in the future. In addition, <a href="https://www.google.com/url?q=https://academic.oup.com/jid/article/219/5/682/5140206&amp;sa=D&amp;source=editors&amp;ust=1684764045041297&amp;usg=AOvVaw03n0RmhcalYoWuZCz0OsBF">those who have not </a><a href="https://academic.oup.com/jid/article/219/5/682/5140206" target="_blank" title="A Very Common Intimate Concern: “Will My Genital Warts Ever Stop Recurring" rel="noopener noreferrer">been</a><a href="https://www.google.com/url?q=https://academic.oup.com/jid/article/219/5/682/5140206&amp;sa=D&amp;source=editors&amp;ust=1684764045041297&amp;usg=AOvVaw03n0RmhcalYoWuZCz0OsBF"> vaccinated against HPV</a>, and men in particular, appear to have higher recurrence rates.</p>
<p>Genital warts often come back even if treatment has been used. Genital warts return in around <a href="https://onlinelibrary.wiley.com/doi/10.1111/jdv.16522" title="2019 IUSTI-Europe guideline for the management of anogenital warts" target="_blank" rel="noopener noreferrer">20-30%</a> of cases which have been treated. Recurrence rates are notoriously difficult to estimate in clinical studies and vary wildly. For people with warts treated with podophyllotoxin (Warticon), anywhere from 6–100% come back. Recurrence has been reported in 6–26% of cases treated with Imiquimod cream (Aldara), and in those treated with cryotherapy, there is a 10% <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6853748/#:~:text=Freezing%20of%20each%20genital%20wart,1%2D3%20months%20after%20treatment." target="_blank" title="national library of medicine cryotherapy of genital warts" rel="noopener noreferrer">recurrence rate within 1–3 months</a>, and up to <a href="https://onlinelibrary.wiley.com/doi/10.1111/jdv.16522" target="_blank" title="2019 IUSTI-Europe guideline for the management of anogenital warts" rel="noopener noreferrer">59% of people have a recurrence within 12 months</a> after clearing the warts completely.</p>
<p>There is very little you can do to stop warts from coming back, but one simple lifestyle change that may help is quitting smoking. A <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2672382/#:~:text=Smokers%20were%2023%25%20more%20likely,when%20compared%20to%20uninfected%20men." target="_blank" title="Smoking Enhances Risk for New External Genital Warts in Men" rel="noopener noreferrer">2009 study</a> showed that penis owners who smoke were 23% more likely than non-smokers to have had genital warts. Although no concrete evidence exists that stopping smoking reduces the recurrence of warts, it’s an all-round positive step toward a healthier you!</p>
<p><strong>Conclusion</strong></p>
<p>All in all, having genital warts is not the end of the world; they are super common and generally harmless. Genital warts do go away on their own and may go away faster with treatment and simple measures. Genital warts often come back and are easily transmitted between sexual partners.</p>
<p>We always promote safe sex and doing things that are good for your sexual health. In this case, that would be using condoms, getting tested for common STIs regularly, and being aware of the signs, symptoms and significance of different STIs.</p>
<p>The choice is always yours, of course, and we wish you all kinds of safe and pleasurable sexual activities, solo or with a partner. We’re here for you and your STI-testing needs! Why not try our <a href="https://yoxly.com/quiz" title="yoxly quiz" target="_blank" rel="noopener noreferrer">quiz</a> to see which test kit is right for you?</p>

Do Genital Warts Go Away?

<p>Many of us will encounter <a href="https://bestpractice.bmj.com/topics/en-gb/52" target="_blank" rel="noopener noreferrer">chlamydia</a> in our time. <a href="https://www.sexwise.org.uk/stis/chlamydia" target="_blank" rel="noopener noreferrer">Chlamydia</a> is one of the <a href="https://www.bashhguidelines.org/media/1089/sexually-transmitted-infections-in-primary-care-2013.pdf" target="_blank" rel="noopener noreferrer">most common</a> sexually transmitted infections (STIs) in the UK and has a high frequency of transmission, with up to <a href="https://www.bashhguidelines.org/media/1192/ct-2015.pdf" target="_blank" rel="noopener noreferrer">75%</a> concordance rate in partners of people with the infection. This means that most people with a partner who has chlamydia will also pick up the infection.</p>
<p>As STIs go, chlamydia is pretty ubiquitous. But how do you know if you have chlamydia? And at what point after contracting chlamydia do you become infectious to other people?</p>
<p>As with many areas of sexual health, there’s a lot of misinformation and confusion to wade through before we can understand what we really need to know about chlamydia. So read on for a crash course in this common condition.</p>
<h2><strong></strong></h2>
<h2><strong>What is chlamydia?</strong></h2>
<p>Chlamydia is an STI caused by the bacteria <a href="https://www.bashhguidelines.org/media/1089/sexually-transmitted-infections-in-primary-care-2013.pdf" target="_blank" rel="noopener noreferrer"><em>Chlamydia trachomatis</em></a>, which likes to live in warm, wet bodily environments, like the genitals! </p>
<p>If left untreated, chlamydia can cause serious health problems such as <a href="https://www.nhs.uk/conditions/pelvic-inflammatory-disease-pid/" target="_blank" rel="noopener noreferrer">pelvic inflammatory disease</a>, <a href="https://www.nhs.uk/conditions/chlamydia/complications/" target="_blank" rel="noopener noreferrer">infertility</a>, <a href="https://www.ed.ac.uk/news/all-news/chlamydia-110111" target="_blank" rel="noopener noreferrer">increased risk of ectopic pregnancy</a>, and <a href="https://www.nhs.uk/conditions/chlamydia/complications/" target="_blank" rel="noopener noreferrer">additional complications</a>.</p>
<h2><strong></strong></h2>
<h4><strong>What is an incubation period?</strong></h4>
<p>The <a href="https://www.cdc.gov/std/chlamydia/stdfact-chlamydia-detailed.htm" target="_blank" rel="noopener noreferrer">incubation period</a> refers to the time between exposure to an infection and when any symptoms of that infection start to appear. In the context of STIs, the <a href="https://yoxly.com/blogs/yoxly-news/your-guide-to-incubation-latency-and-window-periods" target="_blank" rel="noopener noreferrer">incubation period</a> is the time between sexual risk (e.g. unprotected intercourse) and developing your first STI symptom.</p>
<h2><strong></strong></h2>
<h4><strong>What is chlamydia's incubation period?</strong></h4>
<p>So, how long can you have chlamydia without knowing? The incubation period (the time it takes to develop any symptoms) is typically around <a href="https://www.nhs.uk/common-health-questions/sexual-health/how-soon-do-sti-symptoms-appear/" target="_blank" rel="noopener noreferrer">7-21</a> days for chlamydia. However, this can vary depending on various factors, such as the person’s immune system and the severity of the infection. And remember, in many cases, chlamydia doesn’t produce noticeable symptoms!</p>
<h2><strong></strong></h2>
<h4><strong>What are the symptoms of chlamydia?</strong></h4>
<p>So following exposure, how long does it take chlamydia to show up? But herein lies part of the answer as to why chlamydia is so common: chlamydia often doesn’t exactly “show up”. </p>
<p>Most people who have chlamydia don’t experience any symptoms at all. In fact, around <a href="https://cks.nice.org.uk/topics/chlamydia-uncomplicated-genital/" target="_blank" rel="noopener noreferrer">70% of women and 50% of men</a> with chlamydia are completely asymptomatic.</p>
<p>That’s why chlamydia is known as a ‘<a href="https://www.cdc.gov/std/chlamydia/stdfact-chlamydia-detailed.htm" target="_blank" rel="noopener noreferrer">silent</a>’ infection. <a href="https://yoxly.com/pages/sti-information" target="_blank" rel="noopener noreferrer">Not everyone with chlamydia will experience symptoms</a>, so a person may not even know when they have the infection.</p>
<p>While chlamydia is more often than not <a href="https://yoxly.com/blogs/yoxly-news/the-most-common-sti-symptom-no-symptom-at-all" target="_blank" rel="noopener noreferrer">asymptomatic</a>, some people might experience <a href="https://www.nhs.uk/common-health-questions/sexual-health/how-soon-do-sti-symptoms-appear/" target="_blank" rel="noopener noreferrer">symptoms</a> like:</p>
<ul>
<li>Painful urination</li>
<li>Abnormal vaginal discharge</li>
<li>Pain during sex</li>
<li>Pelvic pain</li>
<li>Testicular pain</li>
<li>Bleeding between periods</li>
<li>
<a href="https://www.letstalkaboutit.nhs.uk/worried-about-stis/information-about-common-stis/#:~:text=Chlamydia%20is%20the%20most%20common,are%20unaware%20they're%20infected." target="_blank" rel="noopener noreferrer">Rectal pain, discharge or bleeding</a> (if contracted through anal sex)</li>
</ul>
<p>Symptoms of chlamydia generally develop around <a href="https://www.nhs.uk/common-health-questions/sexual-health/how-soon-do-sti-symptoms-appear/" target="_blank" rel="noopener noreferrer">1 to 3 weeks</a>, but it can be much longer for some people before they manifest symptoms. But, of course, this is if symptoms develop at all, which will not happen for most people.</p>
<p>So, how do you know if you have chlamydia? Well, the only surefire way to know is to do a <a href="https://yoxly.com/pages/order-your-kit" target="_blank" rel="noopener noreferrer">quick test</a> if there’s been any risk of catching an STI - get yours <a href="https://yoxly.com/pages/order-your-kit" target="_blank" rel="noopener noreferrer">right here</a> at Yoxly.</p>
<h2><strong></strong></h2>
<h4><strong>Can you still pass on chlamydia during the incubation period?</strong></h4>
<p>Here’s where things might feel confusing. If you don’t have any symptoms, you might be tempted to think you’re not in danger of passing chlamydia on to a partner. But, unfortunately, this isn’t the case. After exposure to an STI, the bacteria that cause chlamydia are present in your body and can <a href="https://yoxly.com/blogs/yoxly-news/your-guide-to-incubation-latency-and-window-periods" target="_blank" rel="noopener noreferrer">easily be transmitted</a> to your partner through sexual contact. STIs can be spread in several ways – you can learn more <a href="https://yoxly.com/blogs/yoxly-news/how-are-stis-transmitted-the-facts" target="_blank" rel="noopener noreferrer">here</a>.</p>
<h2><strong></strong></h2>
<h4><strong>What is the window period for chlamydia?</strong></h4>
<p>If you’re concerned that you’ve potentially been exposed to an STI, you might be wondering when you should get tested. The answer depends on the “window period” for that particular STI. </p>
<p>The <a href="https://yoxly.com/blogs/yoxly-news/your-guide-to-incubation-latency-and-window-periods" target="_blank" rel="noopener noreferrer">window period</a> refers to the time between potential exposure to infection and when a test can accurately detect it. For chlamydia, the window period is typically up to <a href="https://www.letstalkaboutit.nhs.uk/worried-about-stis/testing-treatment-of-stis/" target="_blank" rel="noopener noreferrer">14 days</a>.</p>
<p>So, if you think you might have been exposed to chlamydia, it’s important to wait at least two weeks before getting tested. This will give the bacteria enough time to multiply and show up on a test.</p>
<p>Remember, if there is a potential risk that you have been exposed to chlamydia, whether you have symptoms or not, the best thing you can do for your health is to <a href="https://yoxly.com/pages/order-your-kit" target="_blank" rel="noopener noreferrer">take an STI test</a>. But you’ll want to bear in mind this window period – as testing too early might mean the infection does not show up on a test.</p>
<h2><strong></strong></h2>
<h4><strong>I think I have chlamydia - what do I do?</strong></h4>
<p>The bottom line is, if you have chlamydia, you are at risk of spreading it to sexual partners – even during the incubation period and even if you’re not experiencing any symptoms.</p>
<p>If you suspect you have chlamydia:</p>
<ul>
<li>Test yourself. If you suspect you might have been exposed to chlamydia, wait at least two weeks before getting tested for an accurate result.</li>
<li>Seek advice from your GP if you have a positive result. A course of <a href="https://www.nhs.uk/conditions/chlamydia/treatment/" target="_blank" rel="noopener noreferrer">antibiotics</a> will cure most cases of chlamydia, and you can get information on testing and treating sexual partners.</li>
</ul>
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<p>Symptomless STIs can be a scary concept, but to protect yourself in future, you can:</p>
<ul>
<li>Use condoms – <a href="https://yoxly.com/blogs/yoxly-news/types-of-condoms-what-they-are-their-uses-and-how-to-pick-the-right-one" target="_blank" rel="noopener noreferrer">condoms</a> are the only contraception that protects against STIs and pregnancy.</li>
<li>Get tested regularly – this is good practice if you’re sexually active and there is any risk you could have contracted chlamydia or any other STI.</li>
<li>Find out more about how you can <a href="https://yoxly.com/blogs/yoxly-news/5-ways-to-reduce-your-risk-of-getting-an-sti" target="_blank" rel="noopener noreferrer">reduce your risk of STIs</a> in future.</li>
</ul>
<p>Remember, chlamydia can be a serious infection that can lead to health complications if left untreated. Fortunately, being proactive about our sexual health and regularly testing for STIs means any chlamydia infection is picked up early. With prompt treatment, chlamydia-associated health issues are much less likely, and we can get on with our sex lives with minimal drama.</p>
<p> </p>
<p> </p>

Are You Contagious During the Incubation Period of Chlamydia?

<p>Toxic shock syndrome, also known as TSS, is a rare but potentially life-threatening condition caused by certain strains of bacteria that produce poisons (toxins). <a href="https://www.healthline.com/health/toxic-shock-syndrome" target="_blank" title="Healthline overview of TSS" rel="noopener noreferrer">Affecting 1-4 in every 100,000 people</a>, TSS causes toxins to spread into the bloodstream, causing severe organ damage or even death in some cases.</p>
<h4><strong>Know The Symptoms Of Toxic Shock Syndrome</strong></h4>
<p>TSS is known to cause <a href="https://www.nhs.uk/conditions/toxic-shock-syndrome/" target="_blank" title="NHS overview of TSS" rel="noopener noreferrer">symptoms</a> such as a high temperature, rash and dizziness; however, often, the first sign of something not quite right is a change in your vaginal discharge. Know what’s normal for you, and seek advice if anything seems different. Read up on <a href="https://yoxly.com/blogs/yoxly-news/got-vaginal-discharge-let-s-talk-about-it" target="_blank" title="Yoxly article on vaginal discharge" rel="noopener noreferrer">vaginal discharge</a> from our blog article to find out more. If you’re worried a change in discharge might be due to a sexually transmitted infection (STI), it’s easy and quick to <a href="https://yoxly.com/pages/order-your-kit" target="_blank" title="At-home STI test kits" rel="noopener noreferrer">order an at-home STI kit</a> from Yoxly. </p>
<p>Fortunately, there are a number of ways you can avoid getting toxic shock syndrome - keep reading to find out!</p>
<h4><strong>1.   Regularly Change Your Tampon</strong></h4>
<p>First and foremost, it's essential that you frequently change your tampon. The United States FDA, which regulates tampons, states that tampons should never be worn for more than 8 hours. Likewise, most gynaecologists recommend they are changed every 4-8 hours, even if your flow is light.</p>
<p>This is because the longer a tampon is left in, the greater the risk of bacterial growth and toxin release, which can thus lead to toxic shock syndrome.</p>
<h4><strong>2.   Use The Lowest Possible Absorbency Tampon</strong></h4>
<p>Another way you can reduce your risk of getting TSS is to opt for the lowest absorbency tampon, as this will minimise the amount of time that the tampon is inside, reducing the likelihood of bacterial growth.</p>
<p>In addition to this, if a tampon is too absorbent for your flow, it can lead to vaginal dryness and small tears in the vaginal wall, which can make it easier for bacteria to enter the bloodstream. This is because tears can provide a perfect environment for bacteria to grow and produce toxins, which can in turn, increase the risk of developing TSS.</p>
<h4><strong>3.   Keep Your Tampon Box In A Cool, Dry Place</strong></h4>
<p>As bacteria thrives in warm, moist environments, it’s best to keep your tampon box in a cool, dry place, ideally not the bathroom. It’s also best to keep them in their original packaging to prevent contamination from body spray, perfume, dust, and other debris.</p>
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<h4><strong>4.   Ensure Your Hands Are Clean When Inserting A Tampon</strong></h4>
<p>It goes without saying that you should always remember to wash your hands frequently, but even more so when it comes to tampon usage. Clean hands significantly lowers your risk of developing toxic shock syndrome, so be sure to wash your hands thoroughly before inserting and removing a tampon.</p>
<h4><strong>5.   Avoid Sleeping With A Tampon In</strong></h4>
<p>Another important tip is to avoid wearing a tampon overnight, if you can. This is because, as mentioned previously, tampons shouldn’t be worn for longer than eight hours, so in circumstances where you are likely to sleep in (holidays, the weekend etc.), it’s best to wear a pad.</p>
<p>That being said, if you have no choice but to wear a tampon overnight, set an alarm. This way you’ll be able to wake up in time to change your tampon so you’re not exceeding the 8-hour limit. Also ensure you insert a fresh tampon before going to bed and remove it as soon as you wake up. </p>
<h4><strong>6.   Use Period Underwear</strong></h4>
<p>Although TSS is often associated with the use of tampons, it can develop from the use of any internal vaginal device, including menstrual cups, so be extra cautious if using cups and remember to remove the cup within the 12 hour limit.</p>
<p>To completely reduce the risk of developing TSS from internal menstrual products, you might want to consider alternative (external) protection such as period underwear or sanitary pads.</p>
<p><a href="https://www.cheekypants.com/period-pants-uk.html" target="_blank" title="Cheeky Pants Period Pants" rel="noopener noreferrer">Period underwear</a> are pants that you wear when you are on your period which are designed to absorb the flow of your period and can be washed and reused over and over again, just like any normal underwear. The great thing about them is that they come in a range of styles and budgets, from <a href="https://www.cheekypants.com/period-briefs.html" target="_blank" title="Cheeky Pants Period Briefs" rel="noopener noreferrer">briefs</a> to <a href="https://www.cheekypants.com/low-rise-period-pants/thong-style-period-pants.html" target="_blank" title="Cheeky Pants Low Rise Period Pants" rel="noopener noreferrer">thongs</a>! They are also eco friendly, moisture wicking, comfortable and leak proof and can last up to 12 hours.</p>
<p><a href="https://www.cheekypants.com/cloth-sanitary-pads-kits-1.html" target="_blank" title="Cheeky Pants Sanitary Pads Kits" rel="noopener noreferrer">Reusable sanitary pads</a> are another safer, eco-friendly alternative to tampons. They're simply fabric pads which fit around your knickers and are then washed and reused.</p>
<p>Both options are definitely worth considering if you want to avoid developing toxic shock syndrome while on your period.</p>
<p><em>Written by Kate on behalf of Cheeky Pants - the UK's most trusted suppliers of <a href="https://www.cheekypants.com/" target="_blank" title="Cheeky Pants" rel="noopener noreferrer">reusable period and incontinence products</a>.</em></p>
<p> </p>

6 Ways To Avoid Getting Toxic Shock Syndrome

<h4><strong>What Is Trichomonas Vaginalis (Trichomoniasis)?</strong></h4>
<p>Trichomonas vaginalis, “trich” or “TV” for short, is a parasite which can infect the urogenital tract - i.e. the vagina, penis and urethra (the tube that carries urine out of the body), causing an infection referred to as trichomoniasis. For more information on this little bug, check out our blog article about <a href="https://yoxly.com/blogs/yoxly-news/trichomonas-vaginalis-what-is-it" target="_blank" title="Yoxly article on Trichomonas Vaginalis" rel="noopener noreferrer">trichomonas vaginalis</a>.</p>
<h4><strong>Is Trichomoniasis The Same As Chlamydia?</strong></h4>
<p>No, trichomoniasis is caused by the parasite trichomonas vaginalis, and chlamydia is caused by the bacteria chlamydia trachomatis. Although they can cause similar symptoms in men, they are not the same bug. Yoxly has reliable information about <a href="https://yoxly.com/pages/sti-information" target="_blank" title="Yoxly overview of STIs" rel="noopener noreferrer">all the different STIs</a> and offers reliable <a href="https://yoxly.com/products/comprehensive-sti-test-kit" target="_blank" title="Yoxly at-home STI test kits" rel="noopener noreferrer">at-home STI kits</a> for up to eight of the most common STIs. </p>
<h4><strong>Can Men Get Trichomoniasis?</strong></h4>
<p>Yes, men can get trichomoniasis. Although trichomoniasis is more commonly associated with women, it can also affect men and people with a penis. Men usually contract trichomoniasis through having vaginal sex with an infected female partner.</p>
<h4><strong>Can Trichomoniasis Go Away On Its Own In Males?</strong></h4>
<p>According to some small studies, trichomoniasis <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3106252/" target="_blank" title="NIH article on Nongonococcal Urethritis " rel="noopener noreferrer">may go away on its own</a> in males without treatment, but relying on this is not recommended. Without treatment, trichomoniasis can persist and lead to worsening symptoms or complications. In addition, if left untreated, trichomoniasis can be readily passed on to your female sexual partners. Therefore, it is recommended, if you are diagnosed with trichomoniasis, to receive treatment. Trichomoniasis infection in both men and women is <a href="https://cks.nice.org.uk/topics/trichomoniasis/management/management/" target="_blank" title="NICE overview of Trichomoniasis " rel="noopener noreferrer">treated with oral antibiotics</a>.</p>
<h4><strong>How To Test For Trichomoniasis In Males?</strong></h4>
<p>Testing for trichomoniasis in males is performed on either <a href="https://www.nhsinform.scot/illnesses-and-conditions/sexual-and-reproductive/trichomonas-infection" target="_blank" title="NHS overview of Trichomonas infections" rel="noopener noreferrer">a urine sample or a swab from the tip of the penis</a>. Your sample is sent to a laboratory for analysis to see if the trichomonas vaginalis organism is present. A penile swab is obtained by a healthcare provider, whereas a urine sample can be provided by yourself. Testing is often available for free from your local sexual health clinic; however, is often not part of a routine sexual health screen and is sometimes only offered to males with symptoms or who have a partner who has been diagnosed with trichomoniasis. Testing for trichomoniasis is also available online, and here at Yoxly, trichomoniasis testing from a urine sample is included in our <a href="https://yoxly.com/products/basic-plus-sti-test-kit" target="_blank" title="Basic+ at-home STI test kit" rel="noopener noreferrer">Basic+</a>, <a href="https://yoxly.com/products/standard-sti-test-kit" target="_blank" title="Standard at-home STI test kit" rel="noopener noreferrer">Standard</a> and <a href="https://yoxly.com/products/comprehensive-sti-test-kit" target="_blank" title="Comprehensive at-home STI test kit" rel="noopener noreferrer">Comprehensive</a> at-home STI test kits.</p>
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<h4><strong>How Do Men Get Trichomoniasis?</strong></h4>
<p>Trichomoniasis in men is almost exclusively transmitted through vaginal intercourse with an infected partner. From the evidence available, <a href="https://www.nhs.uk/conditions/trichomoniasis/" target="_blank" title="NHS overview of Trichomoniasis" rel="noopener noreferrer">transmission from anal or oral sex is unlikely</a>, as trichomonas does not like to live in the mouth or <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3776945/">anus</a>. The trichomonas organism lives within the urogenital tract and, as such, can be present in the urine, semen and vaginal fluids of an infected person. The best way to prevent trichomonas vaginalis (TV) infection is to use <a href="https://yoxly.com/blogs/yoxly-news/types-of-condoms-what-they-are-their-uses-and-how-to-pick-the-right-one" target="_blank" title="Yoxly article on different types of condoms" rel="noopener noreferrer">condoms</a> for all episodes of intercourse and avoid contact with genital fluids.</p>
<h4><strong>What Are The Symptoms Of Trichomoniasis In Males?</strong></h4>
<p>Up to <a href="https://www.bashhguidelines.org/media/1310/tv-2021.pdf" target="_blank" title="BASHH guidelines on the management of Trichomonas vaginalis " rel="noopener noreferrer">50% of males</a> with trichomoniasis have no symptoms. The most common symptoms of trichomoniasis in males are discharge from the tip of the penis and discomfort passing urine (dysuria). <a href="https://cks.nice.org.uk/topics/trichomoniasis/diagnosis/diagnosis-men/" target="_blank" title="NICE overview of Trichomoniasis" rel="noopener noreferrer">Other symptoms</a> include irritation or itching inside the penis, burning after urination or ejaculation, and needing to pass urine more often.</p>
<h4><strong>How Long Does Trichomoniasis Last In Males?</strong></h4>
<p>Without treatment, trichomoniasis can persist for months or years in males. However, with treatment, the infection can be cured within a week.</p>
<h4><strong>Do Males Need To Be Treated For Trichomoniasis?</strong></h4>
<p>Males diagnosed with trichomoniasis require treatment to prevent the spread of the infection to partners and to avoid complications. Treatment is usually with a week of tablet antibiotics, such as metronidazole, which cures the infection in most cases.</p>
<h4><strong>Does Trichomoniasis Go Away In Males?</strong></h4>
<p>With appropriate treatment, trichomoniasis is cured in most cases. Trichomoniasis <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3106252/" target="_blank" title="NIH article on Nongonococcal Urethritis " rel="noopener noreferrer">may go away on its own</a> in males without treatment, but it's not recommended to rely on this. It's important to complete the course of antibiotics as prescribed to ensure the infection is fully cleared. It is also important for any partners to be tested and treated to prevent re-infection from intercourse with an infected partner.</p>
<h4><strong>How To Treat Trichomoniasis In Males</strong></h4>
<p>Trichomoniasis in males is usually treated with <a href="https://www.nhs.uk/conditions/trichomoniasis/" target="_blank" title="NHS overview of Trichomoniasis" rel="noopener noreferrer">antibiotics</a>, for example, metronidazole. In addition, you should avoid sexual intercourse for at least 1 week and until your partner(s) have completed any treatment and follow-up.</p>
<h4><strong>Summary</strong></h4>
<p>In summary, yes, men can get trichomoniasis! It is often asymptomatic and sometimes not included in a routine sexual health screen. If you are worried about trichomoniasis, it’s important to visit your local sexual health clinic for advice or consider ordering an at-home STI test kit.</p>
<p> </p>

Can Men Get Trichomoniasis?

<p>It’s widely agreed that <a href="https://www.nhsinform.scot/illnesses-and-conditions/kidneys-bladder-and-prostate/urinary-tract-infection-uti" target="_blank" title="NHS description of UTIs" rel="noopener noreferrer">urinary tract infections (UTIs)</a> are unpleasant and uncomfortable, and the constant need to pee is just downright annoying. To cheer yourself up, a bit of hanky panky might sound appealing. But can you have sex with a UTI?</p>
<p>We’re here to answer all your questions surrounding UTIs and sex, including if you can have sex with a UTI, if a UTI can be transmitted through sex, and if sperm, oral sex and anal sex can cause a UTI, and we share our top tips on how to stay UTI free.</p>
<h4><strong>What Is A UTI</strong></h4>
<p>UTIs are common bacterial infections that occur when bacteria enter the urinary tract, infecting either the bladder (cystitis), urethra (urethritis), or kidneys (kidney infection or pyelonephritis). UTIs are more common in <a href="https://cks.nice.org.uk/topics/urinary-tract-infection-lower-women/" target="_blank" title="NICE overview of UTIs" rel="noopener noreferrer">women</a> because their urethra is shorter, meaning bacteria can enter the body more easily. <a href="https://d56bochluxqnz.cloudfront.net/documents/full-guideline/EAU-Guidelines-on-Urological-Infections-2022.pdf" target="_blank" title="EAU guidelines on urological infections" rel="noopener noreferrer">It is estimated</a> that nearly half of all women will experience cystitis at least once in their lifetime, with one in three experiencing a UTI before the age of 24. And, while it's less likely, <a href="https://bestpractice.bmj.com/topics/en-gb/76" target="_blank" title="BMJ overview of UTIs in men" rel="noopener noreferrer">men</a> can also get UTIs - <a href="https://yoxly.com/blogs/yoxly-news/can-men-get-a-uti" target="_blank" title="Yoxly article on whether men can get a UTI" rel="noopener noreferrer">read our blog</a> about male UTIs to learn more).</p>
<p>Several bugs can cause a UTI, but <a href="https://cks.nice.org.uk/topics/urinary-tract-infection-lower-men/" target="_blank" title="NICE overview of UTIs" rel="noopener noreferrer">80% of cases are caused by <em>Escherichia coli (E. coli)</em></a>, a type of bacteria naturally found in the digestive tract and faeces. <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4457377/" target="_blank" title="NIH article on UTIs" rel="noopener noreferrer">Other UTI-causing bacteria</a> include <em>Klebsiella pneumoniae, Proteus mirabilis, Enterococcus faecalis and Staphylococcus saprophyticus. </em></p>
<p>The most common symptoms of a UTI include a frequent need to urinate, painful urination (dysuria), and a feeling of pressure in the lower abdomen. Other symptoms may include dark or smelly urine, blood in your urine and a high temperature.</p>
<p>If you think you have a UTI, it’s best to see your doctor, who can advise the most appropriate course of action. Whilst UTIs can clear up on their own, antibiotics are usually recommended to prevent the infection from becoming more serious.</p>
<h4><strong>Can A UTI Be Transmitted Through Sex?</strong></h4>
<p>One of the most frequently asked questions is, “can sex cause a UTI?” While UTIs are not passed on through sex in the same way as sexually transmitted infections (STIs) and are not considered contagious, UTI-causing bacteria already in and on your body can be passed between partners during sexual activity.</p>
<p>Because <em>E. coli </em>bacteria live in faeces, they may travel from the anus to the urethra via hands, mouths, genitals, or sex toys, triggering a urine infection. This is especially true for women, as the urethra is located close to the anus, making it easier for bacteria to enter the urinary tract during sex. </p>
<p>Feeling a bit of the ick? Don’t let this put you off, as bacteria are a part of everyday life, and our bodies can generally handle them and avoid infections. But, to minimise your risk, try to practice clean and safer sex (more on this below).</p>
<p>It’s also worth noting that UTI symptoms are similar to symptoms of certain STIs, including <a href="https://www.bashhguidelines.org/current-guidelines/urethritis-and-cervicitis/chlamydia-2015/" target="_blank" title="BASHH guidelines on Chlamydia " rel="noopener noreferrer">chlamydia</a> and <a href="https://www.bashhguidelines.org/current-guidelines/urethritis-and-cervicitis/gonorrhoea-2018/" target="_blank" title="BASHH guidelines on Gonorrhoea" rel="noopener noreferrer">gonorrhoea</a>. So if you develop symptoms of a UTI and have had unprotected sex recently, it’s a good idea to check for STIs. To make this process super simple, order one of <a href="https://yoxly.com" target="_blank" title="Yoxly at-home STI test kits" rel="noopener noreferrer">Yoxly’s at-home STI kits</a> and get tested for common infections from the comfort of your own home.</p>
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<h4><strong>Can I Have Sex With A UTI?</strong></h4>
<p>The short answer is yes, you can have sex with a UTI. However, it may be uncomfortable if your urethra or bladder is inflamed or irritated. Sex can also introduce more UTI-causing bacteria, which could worsen your infection or lead to a longer recovery time. As such, doctors often recommend waiting until your symptoms have resolved before having sex again.</p>
<h4><strong>Can Men Have Sex With A UTI?</strong></h4>
<p>Yes, it’s okay for both women and men to have sex with a UTI. However, it may be uncomfortable and can introduce more bacteria into the urethra, prolonging the infection.</p>
<h4><strong>Can Male Sperm Cause A UTI In Females?</strong></h4>
<p>Sperm does not carry UTI-causing bacteria and cannot cause a UTI. The penis itself, however, can introduce bacteria from the anal area into the vagina and urethra. To help prevent this, we recommend avoiding switching between anal and vaginal sex without washing first or switching to a new condom.</p>
<p>Male sperm can, however, cause an STI. Bacteria such as chlamydia and gonorrhoea are found in the semen of infected individuals and can be transmitted to a partner if a condom is not worn.</p>
<h4><strong>Can Oral Sex Cause A UTI?</strong></h4>
<p>Yes, oral sex can also cause a UTI. This is because oral sex that ventures to the anal area can transfer bacteria via the mouth to the urethra and increase the risk of infection. In addition, bacteria hanging out around the perineum (the area between the anus and vulva) or any other part of the genitals, for that matter, could also be carried to the urethra.</p>
<h4><strong>Can Anal Sex Cause UTI?</strong></h4>
<p>Condomless anal sex is perhaps the riskiest form of sex when it comes to UTIs because the penis is coming into direct contact with <em>E. coli</em> bacteria, exposing the urethra to potential infections. Switching to vaginal sex after anal sex can also transfer this bacteria to the urethra and vagina. If you are a penetrative partner for anal sex, wearing a condom is the best way to prevent picking up bacteria yourself, and you should put on a new condom if you switch to vaginal sex after anal. In addition, make sure to pee after sex, as this can help flush any bacteria out of the penile urethra.</p>
<h4><strong>Tips To Minimise The Risk Of Developing A UTI</strong></h4>
<p>Practising good sex hygiene is key to minimising your risk of UTIs.</p>
<p>Here are our top tips:</p>
<ul>
<li>Make sure to pee before and after sex (both penis-owners and vulva-owners!)</li>
<li>Wash your genitals after sex using warm water</li>
<li>Avoid switching from anal to vaginal sex</li>
<li>Drink plenty of water</li>
<li>Wash your hands before and after engaging in sexual activities</li>
<li>Use a dental dam for oral sex</li>
<li>Wear a condom for all penetrative sex</li>
</ul>
<h4><strong>Summary</strong></h4>
<p>So, to sum up, a UTI is an infection of the urinary tract, most commonly caused by <em>E. coli</em> bacteria found in and around the anus. While it's possible to have sex with a UTI, it's important to listen to your body and avoid anything that causes pain or discomfort. Plus, vaginal, oral and anal sex can increase UTI risk by transferring bacteria from the back passage to the urethra. </p>
<p>Although UTI-causing bacteria can be transferred between partners during sex, and sex can trigger a UTI, it’s important to remember that a UTI is not contagious and is not a sexually transmitted infection (STI). </p>
<p>If you experience symptoms of a UTI, such as painful or frequent urination, it's important to seek medical attention as soon as possible. But don’t panic because, with prompt treatment, most UTIs are easily treated. </p>
<p>And finally, practice our sexual hygiene tips to keep those UTIs at bay!</p>
<p> </p>

Can You Have Sex with a UTI? All Your Questions Answered

<p>Valentine's Day can be tough for single people, but it doesn't have to be all about romantic love and couples. There are plenty of ways to enjoy this day and make it a special day for yourself.</p>
<p>First, let's address the elephant in the room: it's okay to be single on Valentine's Day! Society often pressures people to be in a relationship, but being single allows you to focus on yourself and what you want out of life. Embrace your independence, and don't let societal expectations bring you down. Instead, focus on the love you would direct to a partner to yourself and take the opportunity to love yourself instead (read our <a href="https://yoxly.com/blogs/yoxly-news/6-ways-to-love-yourself-this-year" target="_blank" title="Yoxly article on 6 ways to love yourself this year" rel="noopener noreferrer">recent blog</a> about how to love yourself).</p>
<p>Here are some ways to make the most of Valentine’s Day and enjoy it as a single person.</p>
<h4><strong>1. Spend Time With Friends</strong></h4>
<p>Valentine’s day is a day to celebrate love - but who says this is limited to romantic partners? Remember that love comes in many forms. You can have love and companionship with friends and family and also love yourself.</p>
<p>One way to ensure you enjoy Valentine's Day when you're single is to spend it with a friend and celebrate your love for others. Whether it's a night out at a bar or club, or a day spent doing something adventurous like hiking or rock climbing, the important thing is to surround yourself with people you care about and who care about you.</p>
<p><a href="https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0124609" target="_blank" title="PLOS article on multiple important group memberships as a source of self-esteem" rel="noopener noreferrer">According to one study</a>, belonging to a social group and spending time with friends can increase your self-esteem and self-worth. So if you’re likely to feel lonely and sad about being single on Valentine’s Day, socialising with friends is a great way to offset those emotions and boost your confidence.</p>
<h4><strong>2. Treat Yourself</strong></h4>
<p>Got no one to treat this Valentine’s Day? Yes, you do! YOURSELF. Take this opportunity to spend a guilt-free day indulging in foods you normally restrict yourself from eating, whether chocolate, pizza, or fizzy drinks. You could also buy yourself something new, pamper yourself at home with face masks and lotions and potions, or even treat yourself to a relaxing spa day and massage. Whatever you choose, do something that makes you feel special and loved. You deserve it!</p>
<h4><strong>3. Cosy Up At Home</strong></h4>
<p>If you're feeling a bit more introverted, there’s no shame in spending the day at home. The key is to do whatever will bring you joy. Perhaps you have a hobby you have neglected recently, or maybe you’d like to spend some time reading, writing, painting, playing endless hours of video games, or binging a Netflix series.</p>
<p>If you choose to stay home, why not go all out and really set the scene and make it super cosy? Light some candles or a fire if you have one. Don your favourite and most extravagant loungewear, load up the fridge with snacks and play your favourite tunes. End the day with a relaxing bath, or a dance around the living (whichever way your day goes!) and treat yourself to some tasty takeaway food - or cook if that makes you happy. Remember this day is for you and a chance to celebrate your wonderful self.</p>
<h4><strong>4. Host A Singles-Only Party</strong></h4>
<p>Valentine’s Day is a great opportunity to organise a get-together with all your single pals. Throw a party at your house (or encourage a single friend to) and spend the evening celebrating your independence and friendships - don’t forget to stock up on the bubbly. Parties can be a great way to reconnect with friends you haven’t caught up with in a while, which can help reinforce how loved you are.</p>
<h4><strong>5. Go On Holiday</strong></h4>
<p>Sick of all the romance and feeling gloomy at the thought of a single Valentine’s Day? Then whisk yourself away somewhere nice for a long weekend and enjoy some time on holiday with yourself or friends. Getting away is important for our mental health and is a great way to rest and recharge. <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5800229/" target="_blank" title="NIH article on the impact of short vacations on stress-level and well-being " rel="noopener noreferrer">Scientists have even found</a> that holidays can help improve stress levels and our sense of well-being, so if you’re feeling particularly stressed about being single, grant yourself some much-needed time away.</p>
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<h4><strong>6. Go To The Cinema</strong></h4>
<p>One of the best things about being single is you don’t have to compromise or consult with a partner on what movies to watch. If there’s a film out at the cinema that you’ve been dying to watch, then get yourself a ticket. Think of it like a date with yourself, and make sure not to hold back on the popcorn and refreshments.</p>
<h4><strong>7. Organise A Date</strong></h4>
<p>If you really don’t want to be alone on Valentine’s Day and are feeling like you’ll never find the one, now’s your chance to get searching. Update your tinder profile or your preferred dating app, and reach out to some of your matches to organise a date. Imagine what a romantic story it would be to say you met on a date on Valentine’s Day!</p>
<p>Equally, if you’re not searching for a partner but would like some love and intimacy on this day, there’s nothing wrong with setting up a date to spend a passionate night with someone you fancy. But remember, make sure to get checked for STIs first. We make this process easy and stress-free with our <a href="https://yoxly.com/pages/order-your-kit" target="_blank" title="Yoxly at-home STI test kits" rel="noopener noreferrer">at-home STI testing kits</a>. So order one in advance of your sexy Valentine’s Day date to make sure you’re all clear.</p>
<h4><strong>8. Learn Something New!</strong></h4>
<p>Rather than observing all the couples celebrate their love, why not get out and do something yourself by learning a skill or hobby you have always wanted to learn, whether dance, language or workout classes. Taking a fun class is a great way to love yourself and develop new skills to boost your confidence. If you’re looking for some extra sex-related knowledge, we have a whole host of informative blog articles, including this new one on the History of Female Sex Toys.</p>
<h4><strong>9. Retail Therapy</strong></h4>
<p>One of the best things about being single on Valentine’s Day is the opportunity to buy a gift for yourself - one that you actually love and aren’t just pretending you like. If you’ve not got a significant other to receive gifts from, it’s time for some good old-fashioned retail therapy. If there’s something you’ve wanted to buy for a while but haven’t, now is your chance to get it.</p>
<h4><strong>10. Get Sexy With Yourself</strong></h4>
<p>Valentine’s Day isn’t just about love; it’s about feeling sexy too. And if you’ve not got a partner to appreciate your sexiness, why not admire it yourself? Sometimes, spending a sultry evening to ourselves is the best way to feel good about our bodies. You might choose to buy yourself some sexy new underwear or lingerie and do a raunchy photoshoot. The photos don’t even have to go anywhere; sometimes we just need reminding of how hot we are!</p>
<p>You could even take your sexy evening one step further and purchase a new sex toy and spend your time exploring and getting to know your body more. Masturbation is an amazing way of showing yourself some love and ensuring you aren’t deprived of the sexual pleasure others in couples might be getting on Valentine’s Day. In collaboration with ILOH, an independent company based in London that provides sexual health and wellbeing products that have been designed by women, for women, we discuss the <a href="https://iloh.co.uk/blogs/news/the-history-of-female-sex-toys-by-yoxly" target="_blank" title="ILOH article on the history of female sex toys by Yoxly" rel="noopener noreferrer">history of female sex toys</a>, and give you the inside scoop on some of the HOTTEST modern sex toys on the market today.</p>
<h4><strong>Conclusion</strong></h4>
<p>Valentine's Day is often difficult for single people, but it doesn't have to be all about romantic love. Embrace your independence, plan fun activities with friends, treat yourself, go on a date, go on holiday, cosy up at home, masturbate, celebrate the love in your life and remember that love comes in many forms. These are just a few ways to celebrate being single on Valentine’s Day. </p>
<p>Most importantly, don’t forget that Valentine's Day is just one day out of the year. Don't let it define your happiness or your worth as a person. Instead, love yourself and enjoy your own company, and the right person will come along when the time is right.</p>
<p> </p>

10 Ways To Embrace Being Single This Valentine’s Day!

<p>Veganuary is an annual event that encourages people to go vegan for the month of January. It was created by a group of British animal rights activists in 2014 and has since become popular worldwide. The goal of Veganuary is to raise awareness about plant-based diets and their potential health benefits.</p>
<p><a title="BHF article on whether a plant-based diet can ‘reverse’ heart disease" href="https://www.bhf.org.uk/informationsupport/heart-matters-magazine/nutrition/ask-the-expert/plant-based-diets" target="_blank">Eating vegan has been linked</a> to improved cardiovascular health, reduced risk for certain cancers, and numerous other long-term improvements in physical health.</p>
<p>On the contrary, studies show that higher consumption of animal-based food was <a title="NIH article on the impact of the vegan diet on sperm quality and sperm oxidative stress values" href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8812397/#:~:text=Our%20results%20showed%20that%20higher,slow%20progressive%20%2B%20NP)%20sperm." target="_blank">correlated with sperm motility</a>.</p>
<p>Of course, <a title="Yoxly" href="https://yoxly.com/" target="_blank">we here at Yoxly</a> think there is another question worth asking, <em>"How does going vegan change the taste of bodily fluids?"</em></p>
<p>But more on that later. First, let's explore Veganuary, including what it is and some of the health benefits of eating less meat.</p>
<h2><strong>What Is Veganuary?</strong></h2>
<p>Veganuary is a movement that encourages people to try veganism in the month of January. For one month, individuals can commit to a plant-based diet.</p>
<p>The idea behind this initiative is to reduce animal suffering and help protect the environment by reducing our carbon footprint. Proponents also suggest that as animal products are generally higher in calories than vegan substitutes, people may gain better health by cutting them out of their diet for a short time frame.</p>
<p><a title="Veganuary non-profit organisation" href="https://veganuary.com/about/about-us/" target="_blank">Veganuary is a non-profit organisation</a> that encourages people worldwide and during the 2022 campaign, they reported that more than 620,000 people pledged to try a vegan diet.</p>
<h2><strong>The Benefits Of Going Vegan</strong></h2>
<p>There are many studies touting the benefits of eating more vegetables and even going vegan full-time. Let's take a look at some of the more popular benefits.</p>
<p><strong>Health Benefits</strong></p>
<p>Eating a vegan diet has been linked to numerous health benefits, from improved cardiovascular health to reduced risk for certain types of cancer. A vegan lifestyle also tends to be lower in cholesterol and saturated fats than other diets, reducing the risk of obesity and heart disease. Plant-based foods are packed with vitamins, minerals, fibre, and antioxidants that can help boost overall immunity. However, it is essential to note that there could also be a higher risk of stroke by eating vegan, <a title="Rush overview of the health benefits of a vegan diet" href="https://www.rush.edu/news/health-benefits-vegan-diet" target="_blank">possibly due to a lack of B12</a>.</p>
<p><strong>Environmental Benefits</strong></p>
<p>Going vegan is a great way to reduce your environmental footprint. Animal agriculture is responsible for more greenhouse gas emissions than all forms of transportation combined; by cutting out animal products from your diet, you can significantly <a title="BBC article on the climate benefits of veganism and vegetarianism" href="https://www.bbc.com/future/article/20220429-the-climate-benefits-of-veganism-and-vegetarianism" target="_blank">reduce your contribution to global warming</a>. Plant-based farming also requires less water than traditional livestock farming methods and often uses fewer resources such as land and energy, which helps conserve environmental resources over time.</p>
<p><strong>Impact On Sexual Health</strong></p>
<p>A vegan diet can positively affect sexual well-being due to its impact on hormones, <a title="Yoxly article on the lowdown on libido" href="https://yoxly.com/blogs/yoxly-news/the-lowdown-on-libido-this-global-orgasm-day" target="_blank">libido</a>, lubrication, and fertility levels in men and women alike. Studies suggest that consuming more plant-based foods may help reduce stress levels, <a title="Euronews article on plant-based passion and why vegans have better sex" href="https://www.euronews.com/green/2022/02/20/plant-based-passion-why-vegans-have-better-sex" target="_blank">leading to better sexual performance</a> overall and increased pleasure during intercourse or other intimate activities between partners.</p>
<p>Additionally, eating lots of fruits like avocados or nuts like almonds have been shown to improve blood flow throughout the body - including those important areas below the belt - resulting in enhanced arousal for both parties involved!</p>
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<h4><strong></strong></h4>
<h2><strong>The Effects On Taste Of Bodily Fluids</strong></h2>
<p>Veganuary can positively <a title="AskMen article on how to make semen taste better" href="https://www.askmen.com/sex/sex_tips/how-to-make-semen-taste-better.html" target="_blank">impact the taste of bodily fluids</a>, such as semen and sweat. Some report that sexual partners with diets high in animal-based foods can lead to <a title="Pedestrian article on whether a vegan diet can make your cum taste better" href="https://www.pedestrian.tv/sex-dating/vegan-diet-cum-taste/" target="_blank">bitter or sharp-tasting semen</a>, while those who eat more plant-based meals tend to produce a sweeter-tasting variety.</p>
<p>This could be because animal products are higher in saturated fat than plant foods, which may affect the p H levels of bodily secretions like semen. It's also thought that urine may become more acidic when consuming an animal-heavy diet, leading to changes in its taste.</p>
<p>On the other hand, individuals who adopt veganism for Veganuary can enjoy better-tasting bodily secretions because plants are typically lower in saturated fats and contain fewer toxins, which help maintain optimal p H balances within our body's systems.</p>
<p>Eating vegan is also known for its positive effect on hormone levels - increasing testosterone production, which can result in stronger erections and improved libido during sex. This could also enhance sexual pleasure through increased sensitivity!</p>
<p>Fruits like pineapple and kiwi are exceptionally high in sweetness and provide additional health benefits, making them ideal snacks if you're looking for ways to improve your <a title="Yoxly article on how to have safer oral sex" href="https://yoxly.com/blogs/yoxly-news/how-to-have-safer-oral-sex" target="_blank">partner's experience between the sheets</a>!</p>
<h2><strong>Tips For Going Vegan For Veganuary</strong></h2>
<p>The transition to veganism can be intimidating, but it doesn't have to be. Start by familiarising yourself with plant-based foods that you enjoy and incorporate those into your meals. Experiment in the kitchen and try out different recipes so you don't get bored with one type of dish. Browse through cookbooks or search online for vegan recipes and meal ideas that appeal to you.</p>
<p>There are also plenty of vegetarian restaurants, grocery stores, and specialty markets popping up around the world which offer a variety of vegan options. Take advantage of these resources, as they can make transitioning to a plant-based diet much easier!</p>
<p>It is essential during this monthlong challenge that you remain committed and motivated to truly reap the rewards of going vegan. Set achievable goals to stay on track, such as trying new recipes each week or exploring different types of produce at your local farmer's market or grocery store.</p>
<p>Finally, remember why you're doing this - eating more plants isn't just good for our health but also helps reduce the environmental damage caused by animal agriculture.</p>
<p>But also it could lead to different experiences in the bedroom!</p>
<h2><strong>Conclusion</strong></h2>
<p>In conclusion, Veganuary is a great way to experience the many benefits of a plant-based diet. The health advantages are numerous, including improved immunity and sexual well-being and decreased environmental impact. Additionally, it can positively affect mental health by reducing stress levels and increasing energy. </p>
<p>For those looking to make the switch, there are plenty of options available that can make transitioning easier – from online recipes and cookbooks to specialty stores or vegetarian restaurants around town.</p>
<p>Overall, Veganuary is an excellent opportunity for anyone interested in exploring veganism and discovering all its potential–and delicious–rewards!</p>
<p> </p>

Veganuary: Could Going Vegan Improve Your Sexual Wellbeing?

<p>January is self-love month! So we are encouraging you to pay attention to yourself and your desires and take some much-needed me-time.</p>
<p>Many of us have flat-out schedules and long to-do lists that seem to just grow rather than get smaller. Living a hectic, busy lifestyle and not taking time out can raise stress levels and start to negatively affect your mental health. Before you know it, you’re burned out.</p>
<p>Self-love is essential for maximising your resilience to the stresses in life and improving your mood and well-being. Sometimes, we need to put ourselves first. Taking part in activities that are self-indulgent and caring can also help us feel more connected with ourselves, motivated and confident so that we are ready to take on the world. There’s nothing quite like dedicating some time to focus solely on giving yourself some sweet lovin’.</p>
<p>To help you love yourself more this year, we’ve compiled a list of things to help you on your way.</p>
<h4><strong>1. New Year Resolutions</strong></h4>
<p>Setting yourself resolutions for the year ahead is a powerful motivator and can help you change bad habits and establish healthier ones. They can also help you grow in many aspects of your life, whether that’s socially, professionally or personally.</p>
<p>But the important point to highlight is that you set ACHIEVABLE goals. There’s no point in setting yourself unattainable goals - you will give up before you’ve even gotten started. But even when your resolutions are totally doable, sticking to them can be problematic.</p>
<p>Here are some tips to help you stick to your resolutions:</p>
<ul>
<li>Choose a specific goal</li>
<li>Focus on just one or two resolutions</li>
<li>Make a plan of how you will achieve it</li>
<li>Start with small steps</li>
<li>Avoid repeating old failed resolutions</li>
<li>Learn from setbacks and use them to grow</li>
<li>Reward yourself when you do well</li>
</ul>
<h4><strong>2. Health Checkups</strong></h4>
<p>These are something we often put off doing because, let’s face it, no one really enjoys a health check-up. But by avoiding them and not staying on top of your health, you are not showing yourself the care and love that you deserve. Looking after yourself and knowing everything in your body is behaving as it should will give you confidence and help you feel empowered. If you’ve been worried about a health problem but haven’t gotten around to getting it checked out, now is a perfect time!</p>
<p>A great way to start looking after your health is by taking an STI test. With <a href="https://yoxly.com/pages/order-your-kit" target="_blank" title="At-home STI test kit" rel="noopener noreferrer">Yoxly’s at-home STI testing kits</a>, you don’t even need to leave the comfort of your home. Order your kit straight to your door, take your sample and send it off and receive your results within 48 hours. Simple.</p>
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<h4><strong>3. Eat A Healthy Diet</strong></h4>
<p>One of the best ways to show your body some love is by feeding it the right things. Our bodies are complex and need a variety of different nutrients, vitamins and minerals to function properly. If you eat lots of processed or junk food, you are depriving your body of what it needs, which can result in poor mental and physical health.</p>
<p><a href="https://www.bmj.com/content/369/bmj.m2382" target="_blank" title="BMJ article about how diet and nutrition affect mental wellbeing" rel="noopener noreferrer">According to one study</a>, eating a healthy diet is associated with better mood and mental health, whereas an unhealthy diet can contribute to depression and anxiety. The <a href="https://www.heartuk.org.uk/healthy-diets/the-mediterranean-diet" target="_blank" title="HEART UK overview of the Mediterranean diet" rel="noopener noreferrer">Mediterranean-style diet</a> is considered the healthiest. This is low in red meat, dairy and saturated fats like butter and includes plenty of:</p>
<ul>
<li>Fruit and veg</li>
<li>Wholegrain bread and cereals</li>
<li>Nuts and seeds</li>
<li>Pulses (lentils, beans, peas)</li>
<li>Oily fish such as salmon, mackerel and tuna</li>
</ul>
<h4><strong>4. Exercise Regularly</strong></h4>
<p>Another great way to love your body is to get it moving! Exercise does wonders for both physical health and fitness and your mental well-being. It also helps promote body confidence so that you can swagger your way through 2023.</p>
<p>Some of the major <a href="https://www.who.int/news-room/fact-sheets/detail/physical-activity" target="_blank" title="WHO description of physical activity" rel="noopener noreferrer">benefits of getting regular exercise</a> include: </p>
<ul>
<li>Reduced risk of diseases</li>
<li>Helps you maintain a healthy weight</li>
<li>Better brain function including thinking, learning and memory</li>
<li>Reduced risk of anxiety and depression</li>
<li>Better sleep and more energy</li>
<li>Greater sense of well-being</li>
</ul>
<p>Essentially, exercise helps maintain nearly all aspects of our health and helps us live long, healthy and happy lives. <a href="https://www.nhs.uk/live-well/exercise/exercise-guidelines/physical-activity-guidelines-for-adults-aged-19-to-64/" target="_blank" title="NHS overview of physical activity guidelines for adults" rel="noopener noreferrer">According to the NHS</a>, adults should aim for 150 minutes of moderate-intensity exercise every week.</p>
<h4><strong>5. Practice Mindfulness And Meditation</strong></h4>
<p>Consistent stress can harm our mental and physical health, impact our sleep and increase the risk of diseases. While eliminating stress from our lives entirely is next to impossible, there are a number of steps you can take to reduce its effect on you. </p>
<p><a href="https://www.nhs.uk/mental-health/self-help/tips-and-support/mindfulness/" target="_blank" title="WHO description of mindfulness" rel="noopener noreferrer">Mindfulness and meditation</a> are scientifically proven to reduce stress, depression and anxiety and improve your well-being so that you can enjoy your life to the fullest. Practising mindfulness directs your attention away from stressful thoughts by encouraging you to focus on other things happening in your environment or yourself, helping you feel more grounded and in the present moment. </p>
<p>Meditation is a form of mindfulness that involves focusing on either your thoughts, breath, sounds or parts of the body, and bringing your attention back when your mind starts wandering. It is a great technique for building awareness and training your brain to pay attention, whilst calming the mind for mental clarity.</p>
<h4><strong>6. Take Some Me-Time</strong></h4>
<p>Many people underestimate the importance of some quiet, alone time. We all need it, whether we think we do or not. Dedicating time to yourself is an act of kindness and care. You wouldn’t neglect to spend quality time with your closest friend, so you shouldn’t to yourself.</p>
<p>What you do in your alone time is entirely up to you and can take many forms. Here are a few things we suggest you try:</p>
<ul>
<li>
<strong>Journaling:</strong> Writing down your thoughts and feelings at the end of the day is a great way to clear your mind. If you’ve had a stressful day and are immediately worrying about the millions of things you have or haven’t done, write them down. Sometimes emptying your thoughts onto a piece of paper can help make space in your mind for tranquillity and calm.</li>
</ul>
<ul>
<li>
<strong>Baths:</strong> Another great way to relax and unwind is to take a long soak in a bath. This is a great time to practice some of that mindfulness we mentioned earlier and an opportunity to filter through your thoughts. Obviously, the more bubbles and nice-smelling things, the better!</li>
</ul>
<ul>
<li>
<strong>Hobbies: </strong>Taking up a new hobby or practising a current one can help boost your morale enormously. <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2863117/" target="_blank" title="NIH article on the association of enjoyable leisure activities with psychological and physical well-being" rel="noopener noreferrer">According to science</a>, taking part in enjoyable activities is associated with better mental and physical health.</li>
</ul>
<ul>
<li>
<strong>Masturbation: </strong>The ultimate act of self-love. There is often a great deal of shame associated with masturbation, but it’s something every person should try, if they want to. Masturbating is a great way to explore your body and find out what gives you pleasure and what doesn’t. This means when it comes to intimate experiences with sexual partners, you will feel more confident communicating what you like. Masturbating also enables us to feel connected with ourselves and releases those good old feel-good hormones!</li>
</ul>
<h4><strong>Summary</strong></h4>
<p>Showing care for our bodies and minds is important for living our best lives and helps us cope with stress and feel more confident.</p>
<p>These are just a few examples of things you can do this year to love yourself more. Start by picking a few to focus your energy on initially, such as setting new year resolutions and taking me-time. Most importantly, ensure you set aside some time for yourself in the week so that you can practice any of these self-love tips. Have fun exploring and find out what you find is the most beneficial to your well-being.</p>
<p> </p>

6 Ways To Love Yourself This Year

<p>Curious to know what <a href="https://www.nhs.uk/conditions/scabies/" target="_blank" title="NHS description of scabies" rel="noopener noreferrer">scabies</a> is? Wondering why we are talking about the rat from Harry Potter? (who is actually called ‘Scabbers’) Have you just been told you have scabies and don’t know what to expect? If the answer to any of these questions is yes, then read on!</p>
<p>This article aims to demystify scabies, what it is, how you get it and, importantly, how it is treated!</p>
<h4><strong>So First Off, What Is Scabies?</strong></h4>
<p>Scabies is a condition caused by the human itch mite called <a href="https://www.cdc.gov/parasites/scabies/biology.html" target="_blank" title="CDC overview of scabies" rel="noopener noreferrer"><em>Sarcoptes scabiei var hominis</em></a><i> </i>- this is a fancy Latin term for “human itch mite”. A mite is a tiny bug from the same family as ticks and spiders.</p>
<p>These little mites spread from skin to skin via close contact. When they are on the skin, they burrow into the skin and lay their eggs. This causes itching and a rash, which can take up to six weeks to appear.</p>
<h4><strong>How Do You Know If You Have Scabies?</strong></h4>
<p>Scabies mites are tiny (less than 0.5mm!) and cannot be seen by the naked eye. While some people might not have any symptoms of scabies, and might not know they have it, most people will have <a href="https://bestpractice.bmj.com/patient-leaflets/en-gb/html/1578255994000/Scabies" target="_blank" title="BMJ overview of scabies" rel="noopener noreferrer">symptoms</a> such as: </p>
<ul>
<li>Intense itching, especially at night or after a hot bath or shower</li>
<li>A raised rash or spots - commonly between your fingers or in the groin creases</li>
<li>A spreading rash</li>
<li>Inflammation or broken skin caused by itching</li>
<li>Fine white lines on the skin where the mites have burrowed</li>
</ul>
<p>Scabies is diagnosed clinically by a healthcare professional. They will ask you about your symptoms and possibly <a href="https://www.croydonsexualhealth.nhs.uk/scabies/" target="_blank" title="CSH overview of scabies" rel="noopener noreferrer">offer you an examination</a>.</p>
<h4><strong>Is There A Test For Scabies?</strong></h4>
<p>There is no specific test for scabies; it is normally diagnosed from the symptoms and examination by a healthcare professional. In some cases, a skin sample is taken and looked at under a microscope.</p>
<p>Routine sexually transmitted infection (STI) tests will not detect scabies but are always recommended if you have had a new sexual partner or recent unprotected sexual intercourse. Find out more about STIs by checking out our <a href="https://yoxly.com/pages/sti-information" target="_blank" title="Yoxly overview of STI information" rel="noopener noreferrer">STI information page</a>.</p>
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<h4><strong>How Does Scabies Spread?</strong></h4>
<p>Scabies is not specifically a sexually transmitted infection; however, it is transmitted via close contact, so it can spread during sexual intercourse with an infected person. If you are diagnosed with scabies following sexual contact, you should also consider an STI test, particularly if it was with a new sexual partner or unprotected intercourse.</p>
<p>Other ways scabies can be spread are:</p>
<ul>
<li>Sharing towels</li>
<li>Wearing the clothes of a person who has scabies</li>
<li>Sharing a bed with a person who has scabies</li>
</ul>
<p>Scabies is commonly found in places where people are in close contact, like university halls, nurseries, prisons and nursing homes.</p>
<h4><strong>What Other Things Could Itchy Groin Rashes Be?</strong></h4>
<p>There are a variety of other conditions that can cause you to have an <a href="https://www.nhs.uk/conditions/itchy-skin/" target="_blank" title="NHS description of itchy skin" rel="noopener noreferrer">itchy skin rash</a>.</p>
<p>These can be sexually transmitted, like <a href="https://yoxly.com/blogs/yoxly-news/genital-warts-what-are-they-and-how-can-you-get-rid-of-them" target="_blank" title="Yoxly article on genital warts" rel="noopener noreferrer">genital warts</a>, which may appear as small itchy lumps with surrounding inflammation.</p>
<p>There are also non-sexually transmitted infections, such as <a href="https://yoxly.com/blogs/yoxly-news/what-is-thrush-an-sti-or-something-else-everything-you-need-to-know" target="_blank" title="Yoxly article on thrush" rel="noopener noreferrer">thrush</a> and <a href="https://www.nhs.uk/conditions/pubic-lice/" target="_blank" title="NHS description of pubic lice" rel="noopener noreferrer">pubic lice</a>, which cause itching in the groin. Other skin conditions such as eczema, dermatitis, and folliculitis can also cause an itch. Other bugs, such as <a href="https://www.nhs.uk/conditions/bedbugs/" target="_blank" title="NHS description of bedbugs" rel="noopener noreferrer">bedbugs</a> and <a href="https://www.nhs.uk/conditions/insect-bites-and-stings/symptoms/" target="_blank" title="NHS overview of insect bites and stings" rel="noopener noreferrer">fleas</a>, can also irritate the skin if they cause bites.</p>
<p>If you are experiencing skin itching, always see your GP or healthcare provider. </p>
<h4><strong>Do You Need Treatment To Get Rid Of Scabies?</strong></h4>
<p>Yes, you will require treatment. Although scabies is not a serious condition, it does need treatment.</p>
<p>Scabies is treated with a cream (e.g. Permethrin) or lotion (e.g. Malathion) that is applied to the whole body, not just the affected areas, and washed off again after 8-12 hours. The treatment is sometimes repeated after one week. This is effective in the vast majority of people, and provided symptoms resolve, no follow-up is needed. This treatment must be obtained from a pharmacy or via prescription. In rare cases where initial treatment has been ineffective, an oral anti-parasitic medication may be used (e.g. ivermectin).</p>
<p>As part of treatment, bedding, clothing, and towels used by infected persons or their close contacts should be decontaminated. Close contacts should be informed and treated too.</p>
<h4><strong>How Do I Get Rid Of Scabies From My Clothes And Bed Sheets?</strong></h4>
<p>When you or someone you live with has been diagnosed with scabies, you must ensure that all bedding, clothes and towels that have been used by an infected person have been decontaminated. This sounds rather dramatic and difficult to do, but really it is quite simple! </p>
<p>Below are some methods of decontamination:</p>
<ul>
<li>Washing clothes, bedding and towels at a high temperature (60°C) and drying in a hot dryer - the high temperatures will kill the scabies mite.</li>
<li>Getting the items dry cleaned.</li>
<li>Sealing the items in plastic bags for at least 72 hours - this is because scabies cannot survive for more than 72 hours away from human skin.</li>
</ul>
<h4><strong>Help, I Still Have The Itch, Even After Treatment!</strong></h4>
<p>The itching caused by the scabies mite can carry on for up to <a href="https://onlinelibrary.wiley.com/doi/full/10.1111/jdv.14351" target="_blank" title="JEADV article on the European guidelinse for the management of scabies" rel="noopener noreferrer">four weeks after treatment</a>. If the itch becomes unmanageable, see your doctor or pharmacist for an anti-itch cream or antihistamine.</p>
<p>If the itch lasts for over four weeks, see your healthcare provider, as it may be that the treatment has failed, or it may be that you have another condition.</p>
<h4><strong>Do I Need To Tell People About Scabies?</strong></h4>
<p>Yes. You should inform anyone you’ve had close personal contact with within the <a href="https://www.bashhguidelines.org/media/1137/scabies-2016.pdf" target="_blank" title="BASHH guidelines on the management of scabies" rel="noopener noreferrer">last month</a>. This includes sexual partners, household contacts and anyone you have shared bedding, towels or clothing with. You do not need to inform people you have had casual contact with (e.g. handshakes or sitting next to).</p>
<h4><strong>When Can I Have Sex Again?</strong></h4>
<p>It’s important to avoid all close contact with others, including sexual contact, <a href="https://www.sexwise.org.uk/stis/scabies" target="_blank" title="Sexwise overview of scabies" rel="noopener noreferrer">until you and your contacts have been treated</a>. This is to prevent re-infection.</p>
<h4><strong>How To Prevent Yourself From Getting Scabies?</strong></h4>
<p>Avoiding close contact with others is the best way to prevent scabies. This may be difficult if you live in university halls or other similar residences. Other ways to prevent scabies are avoiding towel sharing and washing any shared bedding at high temperatures.</p>
<p>Importantly, condoms do not stop you from getting scabies - as they don’t prevent all skin-to-skin contact - but are still very important to prevent you from getting an STI. For more information on condoms, check out our article <a href="https://yoxly.com/blogs/yoxly-news/types-of-condoms-what-they-are-their-uses-and-how-to-pick-the-right-one" target="_blank" title="Yoxly article on different types of condoms" rel="noopener noreferrer">Types of condoms: what they are, their uses and how to pick the right one</a>.</p>
<h4><strong>What If I Get Scabies During Pregnancy?</strong></h4>
<p>Scabies and the <a href="https://www.medicinesinpregnancy.org/Medicine--pregnancy/Scabies/" target="_blank" title="UKTIS overview of the treatment of scabies during pregnancy" rel="noopener noreferrer">treatments for scabies</a> are not known to cause any problems to the baby during pregnancy, but it is good to let your midwife know that you have been diagnosed with scabies and get treatment. If you are concerned at all, please seek advice from your healthcare provider.</p>
<h4><strong>Can I Catch Scabies From My Pet?</strong></h4>
<p>It’s very rare, but humans can contract scabies from pet dogs (Sarcoptes scabiei) and cats (Notoedres cati). These are different strains of scabies from the one which typically causes human scabies and often have milder symptoms. These types of scabies are not spread from person to person, and no other treatment is required other than treating the infected animal.</p>
<h4><strong>A Final Reminder!</strong></h4>
<p>Scabies is not due to poor hygiene; anyone can get it. It should not be a condition that you are embarrassed or ashamed of. </p>
<p>In summary, scabies is not specifically an STI but can be spread via the close contact that comes with sexual intercourse. It is a common and treatable condition which can be diagnosed through consulting with a healthcare professional. Routine STI testing will not tell you if you have scabies, but if you have recently changed sexual partners or had unprotected sex, you should consider getting tested for other common infections. Here at Yoxly, we make this super easy with our range of <a href="https://yoxly.com/pages/order-your-kit" target="_blank" title="At-home STI test kits" rel="noopener noreferrer">at-home testing kits</a>.</p>
<p> </p>

Scared Of Scabies? Here’s What You Need To Know!

<p>Cervical Cancer Prevention Week runs from the 23rd - 29th of January 2023 and the theme this year, advocated by <a href="https://www.jostrust.org.uk/get-involved/campaign/cervical-cancer-prevention-week" target="_blank" title="Jo’s Trust overview of cervical cancer prevention week" rel="noopener noreferrer">Jo’s trust</a> is #WeCan. This campaign aims to raise awareness of cervical cancer, encourage women to engage with prevention strategies such as attending for their cervical smears, and to help make cervical cancer a thing of the past.</p>
<p>In support of Cervical Cancer Prevention Week and Jo’s Trust, here’s 7 things you might not know about cervical cancer, 7 symptoms of cervical cancer and 7 ways to reduce your risk of cervical cancer.</p>
<h4><strong>7 Facts About Cervical Cancer</strong></h4>
<p><strong>1.</strong> Nearly all cervical cancers (around <a href="https://www.cancerresearchuk.org/health-professional/cancer-statistics/statistics-by-cancer-type/cervical-cancer/risk-factors" target="_blank" title="Cancer Research UK overview of cervical cancer risks" rel="noopener noreferrer">99.8%</a>) are caused by human papillomavirus (HPV) infection. Your smear test checks for HPV infection for this reason. If your smear comes back as HPV positive, don’t panic! This does not mean you have, or will get, cervical cancer. Read more about HPV in our blog article - <a href="https://yoxly.com/blogs/yoxly-news/help-i-have-hpv-now-what" target="_blank" title="Yoxly article on HPV" rel="noopener noreferrer">Help! I Have HPV. Now What?</a></p>
<p><strong>2. </strong><a href="https://www.cancerresearchuk.org/health-professional/cancer-statistics/statistics-by-cancer-type/cervical-cancer/incidence" target="_blank" title="Cancer Research UK overview of cervical cancer incidence statistics" rel="noopener noreferrer">1 in 142 UK females</a> will be diagnosed with cervical cancer in their lifetime. Cervical cancer makes up around 2% of cancer diagnoses in women.</p>
<p><strong>3.</strong> The <a href="https://www.cancerresearchuk.org/health-professional/cancer-statistics/statistics-by-cancer-type/cervical-cancer/incidence" target="_blank" title="Cancer Research UK overview of cervical cancer incidence statistics" rel="noopener noreferrer">most common age</a> to be diagnosed with cervical cancer is between 30–34.</p>
<p><strong>4.</strong> Cases of cervical cancer have decreased dramatically recently, with a <a href="https://www.cancerresearchuk.org/health-professional/cancer-statistics/statistics-by-cancer-type/cervical-cancer/incidence" target="_blank" title="Cancer Research UK overview of cervical cancer incidence statistics" rel="noopener noreferrer">25% reduction in cases between 1995 and 2018</a>. It’s hoped this will reduce further with the advent of vaccination against HPV. </p>
<p><strong>5.</strong> The more unprotected sex you have, the more likely you are to get cervical cancer. The reason for this is simple - <a href="https://www.cancer.org/cancer/cervical-cancer/causes-risks-prevention/risk-factors.html" target="_blank" title="American Cancer Society overview of risk factors for cervical cancer" rel="noopener noreferrer">most cervical cancers are caused by HPV</a> - which is transmitted via unprotected intercourse.</p>
<p><strong>6.</strong> Most people diagnosed with early cervical cancer can be cured. In many cases, the cancer has not spread, and can be cured with a single visit to the gynaecologist to remove cancer cells from the cervix in a procedure called a <a href="https://www.macmillan.org.uk/cancer-information-and-support/diagnostic-tests/lletz" target="_blank" title="Macmillan Cancer Support description of LLETZ" rel="noopener noreferrer">large loop excision of the transformation zone (LLETZ)</a>.</p>
<p><strong>7.</strong> Most people diagnosed with <a href="https://www.cancerresearchuk.org/health-professional/cancer-statistics/statistics-by-cancer-type/cervical-cancer/diagnosis-and-treatment" target="_blank" title="Cancer Research UK overview of cervical cancer treatment statistics" rel="noopener noreferrer">cervical cancer will have some form of surgery</a>, this includes minor procedures such as a large loop excision of the transformation zone (LLETZ). Most people do not have chemotherapy or radiotherapy.</p>
<h4><strong>7 Symptoms Of Cervical Cancer To Watch Out For</strong></h4>
<p><strong>1.</strong> Unusual vaginal bleeding. What do we mean by unusual? Well for those with a regular menstrual cycle, we mean any bleeding that’s unexpected, so outside our normal period - termed “<a href="https://www.nhs.uk/common-health-questions/womens-health/what-causes-bleeding-between-periods/" target="_blank" title="NHS overview on what causes bleeding between periods" rel="noopener noreferrer">intermenstrual bleeding</a>”. Some people do not have a regular menstrual cycle, which may be for a variety of reasons including using hormonal contraception. Any bleeding after the menopause would also require investigation.</p>
<p><strong>2.</strong> <a href="https://www.nhs.uk/common-health-questions/womens-health/what-causes-a-woman-to-bleed-after-sex/" target="_blank" title="NHS overview on what causes a woman to bleed after sex" rel="noopener noreferrer">Bleeding during or after sex</a>. Whilst other things, such as physical injury, vaginal dryness and infection, are more likely to cause bleeding during or after sex, any unexpected blood on the sheets after a session warrants a chat with the doctor.</p>
<p><strong>3.</strong> Changes to <a href="https://www.nhs.uk/conditions/vaginal-discharge/" target="_blank" title="NHS description of vaginal discharge " rel="noopener noreferrer">vaginal discharge</a>. Whilst our vaginal discharge can change due to our cycle, hydration and lubrication, it’s important that any major changes are checked out. Read our blog article on <a href="https://yoxly.com/blogs/yoxly-news/got-vaginal-discharge-let-s-talk-about-it" target="_blank" title="Yoxly article on vaginal discharge" rel="noopener noreferrer">vaginal discharge</a> for more information. A change in vaginal discharge most often means a sexually transmitted infection (STI), bacterial vaginosis or thrush. You can easily rule out STIs using <a href="https://yoxly.com/products/standard-sti-test-kit" target="_blank" title="At-home STI test kits" rel="noopener noreferrer">Yoxly’s at-home STI testing kit</a>.</p>
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<p><strong>4.</strong> <a href="https://www.nhs.uk/common-health-questions/sexual-health/why-does-sex-hurt/" target="_blank" title="NHS overview on why sex is painful" rel="noopener noreferrer">Pain during sex</a>. Anyone who’s had vaginal sex has probably had an “oops” situation where a weird angle had caused discomfort or pain, but any new or persistent pain or discomfort during intercourse warrants a check by a healthcare professional. Whilst there’s many causes of pain during sex, such as endometriosis, vaginismus and infection (read more on our blog article - <a href="https://yoxly.com/blogs/yoxly-news/when-sex-is-painful-for-women" target="_blank" title="Yoxly article on painful sex for women " rel="noopener noreferrer">When Sex Is Painful</a>), cervical cancer can also cause this symptom. </p>
<p><strong>5.</strong> <a href="https://www.jostrust.org.uk/information/cervical-cancer/about-cervical-cancer/symptoms" target="_blank" title="Jo’s Trust overview of cervical cancer symptoms" rel="noopener noreferrer">Back or pelvic pain</a>. Now there’s hundreds of causes of back pain, and most people experience back pain at some point in their lives, but a persistent back pain that’s not related to activity, and not relieved by simple rest needs to be checked out. Similarly, any pain in the pelvic (lower stomach) that doesn’t have an obvious cause should be looked into.</p>
<p><strong>6.</strong> Weight loss. Again there are LOTS of causes of weight loss, and losing weight may well be entirely intentional. But any <a href="https://www.nhsinform.scot/illnesses-and-conditions/cancer/cancer-types-in-adults/cervical-cancer" target="_blank" title="NHS description of cervical cancer " rel="noopener noreferrer">unexpected weight loss</a>, particularly if it is accompanied by a loss of appetite or feeling more tired than usual, should be investigated. Weight loss can be a sign of many medical conditions, but can also be a sign of cancer.</p>
<p><strong>7.</strong> No symptoms. Most cases of early cervical cancer are entirely <a href="https://www.nhs.uk/conditions/cervical-cancer/" target="_blank" title="NHS overview of cervical cancer" rel="noopener noreferrer">asymptomatic</a>. For this reason, in the UK, women over the age of 25 are invited to attend for regular <a href="https://www.nhs.uk/conditions/cervical-screening/" target="_blank" title="NHS description of cervical screening" rel="noopener noreferrer">cervical smear tests</a>, to help identify women at risk of early cervical cancer.</p>
<h4><strong>7 Ways To Reduce Your Risk Of Cervical Cancer</strong></h4>
<p><strong>1.</strong> Attend your <a href="https://www.nhs.uk/conditions/cervical-screening/" target="_blank" title="NHS description of cervical screening" rel="noopener noreferrer">smear tests</a>. The number one way to prevent cervical cancer is to attend for regular screening. Screening tests for HPV and associated cell changes. This means that any misbehaving cells can be swiftly removed before they become cancerous.</p>
<p><strong>2.</strong> Stop smoking. Smoking is associated with all types of cancer, including cervical cancer. Women who smoke are twice as likely to suffer from cervical cancer in their lifetime. This is multifactorial, but may be related to the fact that smoking hinders your immune system, making your body less able to rid itself of any HPV infection.</p>
<p><strong>3.</strong> Know your normal. Be familiar with your own body, including your vaginal discharge and menstrual bleeding pattern. It’s normal for discharge to vary, and menstrual cycles are rarely bang on 28-days, but knowing what’s normal for you is key. Any changes should be checked out.</p>
<p><strong>4.</strong> Maintain a healthy weight. Being overweight or obese is the biggest contributing factor to cancer after smoking in the UK.</p>
<p><strong>5.</strong> Consider <a href="https://www.nhs.uk/conditions/vaccinations/hpv-human-papillomavirus-vaccine/" target="_blank" title="NHS overview of HPV vaccine" rel="noopener noreferrer">HPV vaccination</a>. The HPV vaccination is routinely offered to all teenagers in the UK, and to selected other higher risk groups. If you have not been vaccinated, you may not be eligible for a free vaccination on the NHS, however the vaccine can be purchased privately at many pharmacies. </p>
<p><strong>6.</strong> Avoid unprotected sex. As we said above, HPV infection is the number one cause of cervical cancer and the types of HPV that are associated with cervical cancer can <em>only</em> be contracted through unprotected intercourse. Therefore, the more unprotected sex you have with different partners, the more likely you are to come across HPV.</p>
<p><strong>7.</strong> Maintain a healthy diet. Keeping a healthy diet high in fruit, fibre and vegetables and low in saturated fats, sugar and alcohol contributes to better overall health, but also may help the body to ward off cancer and cancer-causing bugs such as HPV.</p>
<p>In summary, cervical cancer is rare, and in most cases preventable. Being aware of the symptoms of cervical cancer, knowing how to reduce your risk and raising awareness can help us on the journey to continue to reduce the burden of cervical cancer in the UK. Together <a href="https://www.facebook.com/joscervicalcancertrust/">#WeCan</a> even eliminate cervical cancer.</p>
<p> </p>

Cervical Cancer Prevention Week

<h2>What is trichomonas vaginalis (TV)?</h2>
<p>Have you heard people talking about TV, or are you worried you might have it? </p>
<p>Trichomonas vaginalis (TV) is a sexually transmitted bug that causes the infection known as trichomoniasis. We are here to tell you what it is, how it spreads, how you can tell if you have it and most importantly, how you get rid of it. So read on if you are intrigued!</p>
<p>Trichomonas vaginalis, “trich” or “TV” for short, is not some kind of object from outer space. Instead, it is a parasite which likes to live in the urogenital tract - i.e. the vagina, penis or the urethra (the tube that carries urine out of the body). Interestingly, the parasite does not tend to survive in the mouth or anus. </p>
<p>NB: A parasite is defined as an organism that lives at the expense of another organism.</p>
<p>Here are some of the most frequently asked questions about TV. </p>
<h2>How does it spread? </h2>
<p>TV is a sexually transmitted infection (STI), and as the name would suggest, it spreads through sexual intercourse, particularly <a href="https://www.sciencedirect.com/science/article/abs/pii/S0891552023000119?via%3Dihub">penile penetration into a vagina</a> or from vagina to vagina. It does not commonly spread via anal or oral sex. Check out our article on the “<a href="https://yoxly.com/blogs/yoxly-news/5-ways-to-reduce-your-risk-of-getting-an-sti">5 ways to reduce your risk of getting an STI</a>” for more information on the spread of STIs!</p>
<h2>How common is TV? </h2>
<p>TV is possibly the <a href="https://www.cdc.gov/std/trichomonas/stdfact-trichomoniasis.htm">most common non-viral STI in the world</a>, but it is rare in the UK. There is limited data on the prevalence of TV in the UK; however, it is estimated that <a href="https://pubmed.ncbi.nlm.nih.gov/27686884/">less than 1%</a> of people in the UK are infected. We know that it appears to be more common in women, with 90% of diagnosed cases in the UK being in females, and it is possibly more common in black and mixed-ethnicity people. </p>
<h2>How do I know if I have TV? </h2>
<p>Up to <a href="https://www.cdc.gov/std/treatment-guidelines/trichomoniasis.htm">85% of people infected with TV</a> will not have any symptoms, so they may not know they are infected. Check out our article on “<a href="https://yoxly.com/blogs/yoxly-news/the-most-common-sti-symptom-no-symptom-at-all">the most common STI symptom? No symptom at all</a>” for more information! Symptoms can take 5–28 days (known as the incubation period) to appear, so you might not notice anything different initially. The only sure-fire way to know if you have TV is to take a test. </p>
<p>Symptoms of TV include penile or vaginal discharge, which is often white or frothy in appearance, pain when passing urine or discomfort or itching around the vulva. But again, you may have some, none or all of these symptoms - so your best way of knowing is by doing a test! </p>
<h2>When should I have a test for TV? </h2>
<p>You <a href="https://www.sexwise.org.uk/stis/trichomonas-vaginalis">should get tested for TV</a> if: </p>
<ul>
<li aria-level="1">You have symptoms that may indicate TV infection </li>
<li aria-level="1">A recent sexual partner has tested positive for TV</li>
<li aria-level="1">Your doctor has recommended it.</li>
</ul>
<p>Tests are available <a href="https://yoxly.com/pages/order-your-kit">here at Yoxly</a> as part of our Basic+, Standard and Comprehensive kits. </p>
<p>The <a href="https://yoxly.com/blogs/yoxly-news/your-guide-to-incubation-latency-and-window-periods">window period</a> (the time from infection until a test is accurate) for TV is <a href="https://www.cdc.gov/dpdx/trichomoniasis/index.html#:~:text=Trichomonas%20vaginalis%20infection%20in%20women,is%205%20to%2028%20days.">up to 28 days</a>, which means a test may not be accurate until 28 days (4 weeks) after any potential exposure through unprotected sex. </p>
<p><meta charset="utf-8"><meta charset="utf-8"><span data-mce-fragment="1">Why not try our </span><a data-mce-fragment="1" title="window period calculator" href="https://yoxly.com/en-GB/pages/window-period-calculator" target="_blank" data-mce-href="https://yoxly.com/en-GB/pages/window-period-calculator">window period calculator</a><span data-mce-fragment="1"> to help guide you further on when to get tested?</span></p>
<p>You may also be recommended a routine test for TV if: </p>
<ul>
<li aria-level="1">You are pregnant</li>
<li aria-level="1">You have another STI </li>
<li aria-level="1">You are undergoing fertility treatment.</li>
</ul>
<h2>What is the treatment for TV? And how long does TV last? </h2>
<p>TV is usually treated with 5–7 days of antibiotics, usually taken twice daily. You should <a href="https://www.bashhguidelines.org/media/1310/tv-2021.pdf">avoid sexual intercourse for at least 1 week</a> and until your partner(s) have completed any testing, treatment and follow-up. </p>
<h2>Can TV go away on its own? </h2>
<p>TV can, in rare cases, spontaneously resolve, particularly in men. But if you have tested positive for TV, treatment is recommended.</p>
<h2>What happens if I don’t get treatment? </h2>
<p>Complications of TV are rare; however, there is some emerging evidence that ongoing TV infection can place an individual at higher risk of contracting other STIs, including HIV. Untreated TV infection can also lead to <a href="https://www.nhs.uk/conditions/pelvic-inflammatory-disease-pid/">pelvic inflammatory disease</a> (PID). There is also evidence that TV infection while pregnant is associated with <a href="https://www.sciencedirect.com/science/article/abs/pii/S0891552023000119?via%3Dihub">adverse outcomes</a> such as preterm birth.</p>
<h2>Do I need to tell my partners? </h2>
<p>If you test positive for TV, <a href="https://www.bashhguidelines.org/media/1310/tv-2021.pdf">you should inform your current partners</a> and any partners within the last 4 weeks, as they may also need testing and treatment. However, once the infection has been cleared, there is no requirement to tell future partners of a past TV infection. </p>
<h2>How do I prevent getting TV? </h2>
<p>The best way to avoid getting TV is using barrier contraception, i.e. male or female condoms. Read our article <a href="https://yoxly.com/blogs/yoxly-news/types-of-condoms-what-they-are-their-uses-and-how-to-pick-the-right-one">“Types of Condoms”</a> to learn more about picking the right condom for you and your partner. Ensure you use a condom for all types of sex – STIs can be transmitted through oral and anal too!</p>
<h2>Can I get a TV infection in a neovagina? </h2>
<p>Currently, there have been no case reports of TV in people with a neovagina following gender reassignment surgery. </p>
<h2>Can TV be spread through kissing? </h2>
<p>No, TV cannot be passed on through kissing, hugging, sharing cutlery or towels or via toilet seats. Check out our article, <a href="https://yoxly.com/blogs/yoxly-news/can-you-get-herpes-from-a-toilet-seat-and-other-faqs">“Can you get herpes from a toilet seat”</a>, for more information!</p>
<h2>Can TV spread via sex toys? </h2>
<p>Yes, <a href="https://www.nhs.uk/conditions/trichomoniasis/">TV can be spread via sex toys</a> where there is any risk of transferring bodily fluids. We recommend using a new condom each time you use a sex toy and washing and storing your toys properly. </p>
<h2>What happens if I get TV and I am pregnant? </h2>
<p>If you get a TV infection during pregnancy, there is a risk of early delivery (premature birth) or a baby with low birth weight. There is also a small chance of transmission of TV to the baby. TV treatment is safe to take during pregnancy; however, when breastfeeding, the treatment may alter the taste of the breast milk, so you may have to express and get rid of the breast milk whilst on treatment. </p>
<p>There is no current evidence that TV infection impacts fertility. </p>
<h2>Summary</h2>
<p>Trichomonas vaginalis (TV) is a little-known STI that often isn’t tested for in a routine STI screen. TV is passed on through unprotected intercourse and may cause symptoms such as vaginal discharge and discomfort passing urine. At <a href="https://yoxly.com/pages/order-your-kit">Yoxly</a>, we test for TV as part of our Basic+, Standard and Comprehensive kits. TV is easily treated, and if you test positive, we will advise you exactly how to get effective treatment and follow-up.</p>

Trichomonas Vaginalis - What Is It?

The Lowdown On Libido This Global Orgasm Day

<p>Vulva…vagina…both of these words might sound similar, but they are not the same body part. If you aren’t sure what the difference is between the two, you are definitely not the only one. We often hear these words getting mixed up, and we get it; it is confusing! The female genital anatomy is complex, and we rarely use official medical terms when discussing our private parts, which only adds to the confusion. Muff, vag, fanny, foof, pussy, lady garden - these names are all fine, but it’s a good idea to know the proper names as well.</p>
<p>Having the ability to identify individual parts of our genitals is not only empowering (for all genders) but is also important because it allows us to discuss our bodies confidently, whether that’s communicating issues with our doctor or discussing what we like with our sexual partner(s).</p>
<p>In this article, we define both the vulva and the vagina and clear up the confusion once and for all!</p>
<h2><strong>What Is The Vagina?</strong></h2>
<p>The word vagina is most commonly misused to describe the entire female genital area, which is, in fact, the vulva (more on this below). But the vagina is only one part of a much bigger picture. So what is it exactly?</p>
<p>The <a href="https://www.ncbi.nlm.nih.gov/books/NBK547703/" title="NIH article on anatomy, abdomen and pelvis, female external genitalia" target="_blank">vagina</a> is an elastic muscular tube that extends from an external opening within the vulva to the cervix (the opening of the womb). One of its main functions is to connect the womb to the outside world, providing a passageway through which babies are born. It is also where period blood leaves the body and where you would insert a menstrual cup or tampon. </p>
<p>Another major function of the vagina is sex and reproduction. During arousal, blood flow increases to the vagina, which causes it to <a href="https://www.brook.org.uk/your-life/vaginas-and-vulvas/" title="Brook overview of the vulva" target="_blank">expand and become lubricated</a> or “wet”. This prepares it for the insertion of a penis during sex. If your partner ejaculates, sperm collects in the vagina before making its way into the womb and fallopian tubes in search of an unfertilised egg.</p>
<p>The vagina also plays a role in sexual pleasure. Many people find it enjoyable to stimulate the inside of it, whether that’s with a penis, sex toys, a finger, or whatever else you like to put up there! The vagina is also home to the <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8498956/" title="NIH article on the G-spot" target="_blank">elusive g-spot</a>, which for some women, is especially sensitive and pleasurable to touch and can lead to ground-shattering orgasms. However, this is not the case for all women, so don’t be disheartened if you don’t enjoy touching this part.</p>
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<h2><strong>What Is The Vulva?</strong></h2>
<p><a href="https://www.brook.org.uk/your-life/vaginas-and-vulvas/" title="Brook overview of the vulva" target="_blank">The vulva</a> is a term used to describe all external female sex organs (including the vagina opening). Now it’s time for a quick anatomy lesson as we go over everything that makes up the vulva.</p>
<p> </p>
<div style="text-align: center;"><img src="https://cdn.shopify.com/s/files/1/0282/1187/1878/files/infographic-guide-to-all-the-parts-of-the-vulva_600x600.png?v=1671533871" alt="An infographic illustrating all the parts of the vulva" style="float: none;"></div>
<p><strong>Mons Pubis</strong></p>
<p>This is a fleshy mound of fatty tissue above your vulva that cushions and protects your pubic bone. After puberty, it is covered in pubic hair, unless you decide to mix up your hairstyles down there and opt for a Brazillian wax.</p>
<p><strong>Labia (Majora And Minora)</strong></p>
<p>If you’ve ever examined your vulva, you will have noticed it has two layers of skin folds or “lips”. The labia majora are the outer lips that are covered with pubic hair, and the labia minora are fleshy inner lips inside the labia majora - much like layers of flower petals. </p>
<p>When it comes to <a href="https://pcwhf.co.uk/wp-content/uploads/2019/01/So_what_is_a_vulva_anyway_final_booklet.pdf" title="BritSPAG booklet on what a vulva is" target="_blank">labia</a>, there is <a href="https://www.echoclinics.nhs.uk/womens-health/anatomy/" title="ECHO overview of women’s reproductive anatomy" target="_blank">no such thing as “normal”.</a> Some people find their labia minora are larger and hang down lower than their labia majora. This is extremely common and nothing to be ashamed of. Your labia may also be wrinkled, smooth, short, long, pink or brown.</p>
<h5><strong>Clitoris</strong></h5>
<p>The clitoris is one of the more well-known parts of the vulva, thanks to its central role in sexual pleasure. Most of its structure actually extends internally down both sides of the vulva in a wish-bone shape, with just a small pea-sized tip visible at the top of your vulva. This exposed part is called the <a href="https://www.ncbi.nlm.nih.gov/books/NBK547703/" title="NIH article on anatomy, abdomen and pelvis, female external genitalia" target="_blank">glans clitoris</a> and is protected by a fold of skin called the clitoral hood.</p>
<p>During arousal, the clitoris becomes swollen, pulling back the hood and exposing the tip, which contains over <a href="https://www.ncbi.nlm.nih.gov/books/NBK547703/" title="NIH article on anatomy, abdomen and pelvis, female external genitalia" target="_blank">8,000 nerve endings</a>. This makes it extremely sensitive and pleasurable to touch, and when stimulated, it can lead to orgasm.</p>
<p><a href="https://www.tandfonline.com/doi/full/10.1080/0092623X.2017.1346530" title="T&amp;F Online article on women’s experiences with genital touching, sexual pleasure, and orgasm" target="_blank">According to a 2015 study</a>, only 18% of women can achieve an orgasm through sexual penetration without clitoral stimulation, which is all the more reason to give your clitoris some lovin’!</p>
<p><strong>Urethral Opening</strong></p>
<p>Just below your clitoris is your urethral opening, which is the hole you pee out of. It is a very small slit which can be difficult to spot with the naked eye, but it’s there if you look closely enough.</p>
<p><strong>Vaginal Opening</strong></p>
<p>Underneath your urethra is your vaginal opening or <em>introitus</em>. This is what leads to the internal structure called the vagina, as discussed earlier. So, as you can now see, the vagina is part of the vulva and its own separate entity.</p>
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<h5><strong></strong></h5>
<p><strong>Anus</strong></p>
<p>We all know what goes on here, so we won’t go into too much detail! The anus is technically not part of the vulva itself, and its main function is to provide an opening for poop to leave your body. However, for many people, anal stimulation also provides a great deal of sexual pleasure because it contains lots of nerve endings.</p>
<p>Anal sex is not uncommon and should not be viewed as “dirty” or shameful. In fact,  <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4949144/" title="NIH article on the prevalence and correlates of heterosexual anal intercourse among men and women" target="_blank">according to one study</a>, 30% of women and 35% of men reported they had engaged in heterosexual anal sex over the course of one year.</p>
<h2><strong>Summary</strong></h2>
<p>It is a common misconception that the words vulva and vagina both describe the female genitals as a whole. However, the vagina is just one component of the vulva. It is a muscular tube that links the vaginal opening to the womb, and its main functions are childbirth, sexual intercourse and sexual pleasure.</p>
<p>The vulva is a term that describes all parts that make up the external female genital anatomy and includes the mons pubis, labia majora and minora, clitoris, urethral opening, vaginal opening and anus.</p>
<p>We hope with that confusion cleared up; you will feel empowered to discuss your privates with confidence and can show off your newfound knowledge to your friends and sexual partner(s). We also fully encourage you to use a handheld mirror to take a peek down there to fully familiarise yourself with the layout of the land. </p>
<p> </p>

Vulva VS Vagina: What’s The Difference?

<p>Sexual assault is more common than we might think. While <a href="https://rapecrisis.org.uk/get-informed/statistics-sexual-violence/" target="_blank" title="RCEW statistics about sexual violence and abuse" rel="noopener noreferrer">1 in 4 women</a> and <a href="https://rapecrisis.org.uk/get-informed/statistics-sexual-violence/" target="_blank" title="RCEW statistics about sexual violence and abuse" rel="noopener noreferrer">1 in 10 men</a> report having been sexually assaulted, the incidence of sexual assault may be even higher, as not everyone comes forward to report what has happened.</p>
<p>In the winter months, when Christmas nights out are almost every weekend, and darkness falls as early as 4 pm, it. With several high-profile cases, such as that of Sarah Everard, in the media, many people are wondering what additional safety measures can be taken to reduce risk and protect themselves.</p>
<p>People who are sexually assaulted are never at fault. No victim of sexual assault is to blame. There is nothing they should or shouldn’t have done to avoid being assaulted. However, there are some measures that can be taken to raise awareness about sexual assault, enhance personal safety, and boost confidence.</p>
<h4><strong>What Is Sexual Assault?</strong></h4>
<p>Sexual assault encompasses any <a href="https://www.legislation.gov.uk/ukpga/2003/42/contents" target="_blank" title="GOV overview of the sexual offences act 2003" rel="noopener noreferrer">non-consensual sexual activity</a>, including touching the breasts or genitals (even through clothes), kissing, pressing up against someone for sexual pleasure or trying to remove someone’s clothing. It is also a crime to make someone engage in sexual activity without their consent; this includes masturbation or touching another person sexually.</p>
<h4><strong>What Is Rape?</strong></h4>
<p>Rape is defined in law as without consent. This includes, for example, ‘stealthing’ - where an individual agrees to protected sexual intercourse, and the condom is removed without consent. It also includes non-consensual penile penetration within relationships. Consent can be withdrawn at any time, so in situations where you initially agreed to sex but later withdraw your consent or ask the person to stop; if they do not stop, this is rape. Rape also includes penile sexual intercourse with a person who is unable to consent - for example, if they are incapacitated by alcohol or drugs.</p>
<h4><strong>Stay With Trusted Friends</strong></h4>
<p>It is perfectly okay to have a night out with your friends, drink alcohol, wear whatever you like, and have a fun time. It’s also okay to make new friends, dance with strangers and drink with new acquaintances. Drinking alcohol or being drunk does NOT mean rape or sexual assault is permissible. However, it’s important to either stay with friends, have a plan of how you will find your friends if you become separated, and be aware of where your trusted pals are throughout the night. Regular check-ins are useful to make sure none of your friends are being made to feel uncomfortable by others.</p>
<h4><strong>Communicate Your Limits</strong></h4>
<p>A smooch with a stranger under the mistletoe can be cute and spontaneous, but sometimes it can escalate quickly. Communicate your limits, for example, telling a hook-up that you’d love a dance and a kiss, but you won’t be accompanying them back to their home, and you don’t want to engage in sex with them. This avoids any confusion around consent and sets your boundaries early on, allowing you to relax and enjoy your evening. In addition, sexual predators are less likely to prey on someone who is assertive and sure of their intentions. If you feel at all pressured, uneasy or just have a weird feeling about someone, remove yourself from the situation and reunite yourself with people you trust.</p>
<h4><strong>Watch Your Drinks</strong></h4>
<p>Sexual offences are often reported to involve ‘drink spiking’ - this is where alcohol or drugs are added to a person’s drink without their knowledge. This is usually with the intention of reducing inhibitions, evoking amnesia or incapacitating the victim in some way to facilitate sexual activity. This is illegal and carries a <a href="https://www.legislation.gov.uk/ukpga/2003/42/notes/division/5/1/48" target="_blank" title="GOV overview of the sexual offences act 2003" rel="noopener noreferrer">maximum prison sentence of 10 years</a>. Never leave your drink unattended, and be wary of people offering to buy you a drink. If someone offers you a drink, it’s fine to accept, but accompany them to the bar and watch the bartender pour your drink. If you are worried something has been put into your drink, for example, the taste or appearance is different, or you see someone tampering with your drink - inform venue staff and do not drink it.</p>
<h4><strong>Drink In Moderation</strong></h4>
<p>Whilst it’s perfectly fine to enjoy a few drinks on a Christmas night out, being aware of your alcohol consumption and avoiding becoming intoxicated can increase personal safety. Sexual predators will often seek out someone who appears drunk. Remember, if you are incapacitated to such an extent you cannot consent, anyone who has sex with you has committed rape or sexual assault. Alternate alcohol with non-alcoholic drinks, make sure you’ve had something to eat, and if you feel like you’re losing control - stop drinking.</p>
<h4><strong>Have A Plan To Get Home</strong></h4>
<p>Having a plan to get home is important, particularly with the advent of rail strikes and adverse winter weather conditions. Booking a taxi for a specific time, or knowing exactly when your last bus home is, can help you feel safer, knowing you have a solid plan to get home. Make sure someone knows when you’re home safe and if you’ve not heard from a friend, check in on them to make sure they are home. Avoid walking home in the dark alone, especially if you have been drinking or are not familiar with your surroundings. Perpetrators may prey on those who look lost or unsure.</p>
<h4><strong>Keep Your Phone Charged</strong></h4>
<p>It’s important to have a way to communicate with friends or family if you do find yourself on your own, lost or in a situation you need to get away from. Moreover, phones can help you orient yourself if you find yourself lost, find your local transport, or even call emergency services. If you do find yourself in a potentially dangerous situation, make sure you have your emergency contacts easily accessible. Some phones have the ability to call emergency services if you press a button five times.</p>
<h4><strong>Know Where To Go</strong></h4>
<p>Know where to go if you have been sexually assaulted or raped. The police may be an obvious first step; however, there are <a href="https://www.thesurvivorstrust.org/sarc" target="_blank" title="The Survivors Trust overview of SARCs" rel="noopener noreferrer">specialist sexual assault referral centres</a> (SARCs) across the UK that can help you if you do not feel you want to involve the police right away. They can facilitate a forensic medical examination, signpost you to emergency contraception and <a href="https://yoxly.com/#order" target="_blank" title="At-home STI test kit" rel="noopener noreferrer">STI testing</a>, and offer you valuable support. <a href="https://rapecrisis.org.uk/get-help/" target="_blank" title="Rape Crisis England &amp; Wales" rel="noopener noreferrer">Rape Crisis</a> has a 24-hour helpline available to anyone at any time. You are never alone.</p>
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<h4><strong>Summary</strong></h4>
<p>In summary, rape and sexual assault are never the victim's fault - the perpetrator is always to blame. But there are measures that can be taken to help us feel safer and possibly reduce the chances of non-consensual situations arising. So stay with your friends and keep these simple safety measures in mind when you’re out enjoying the festive season.</p>
<p> </p>

Sexual Assault Rises Over The Holidays - What You Can Do To Stay Safe!

<p>Sex is supposed to be good right? But this is not always the case. It is not uncommon for women to experience pain during sex. Not only does this rob us of the pleasure we desire, but it can also be a sign of an underlying condition.</p>
<p>Generally, when we feel pain, our bodies are telling us something is wrong. Therefore, it’s important not to ignore it. But painful sex isn’t always caused by a medical condition. Sometimes, it might occur because you’re not aroused enough or because underlying psychological issues are making your vagina nervous and tense. </p>
<p>Understanding what’s going on in your body gives you confidence and power. It can also ease your worries and quieten the little voice in your head asking, “what’s wrong with me?” So, to help you take control of your own sexual health and can get your sex life back on track, we’ve collaborated with <a title="ILOH" href="https://iloh.co.uk/" target="_blank">ILOH</a> on this article which will tell you all you need to know about painful sex and what you can do to alleviate it. Keep reading to find out more!</p>
<h2><strong>What Is Dyspareunia?</strong></h2>
<p><a title="NHS overview of why sex hurts" href="https://www.nhs.uk/common-health-questions/sexual-health/why-does-sex-hurt/" target="_blank">Dyspareunia</a> is a fancy word that describes pain or discomfort experienced by women during or after sex. How you experience this pain varies depending on the underlying cause. You may feel sharp or deep pains, throbbing or aching, burning, cramping, or muscle tightness.</p>
<p>There are <a title="NIH description of dyspareunia" href="https://www.ncbi.nlm.nih.gov/books/NBK562159/" target="_blank">different types of dyspareunia</a>:</p>
<p><strong>Superficial Dyspareunia:</strong> This is where pain is felt on the outer areas such as the vulva, labia or entrance to the vagina.</p>
<p><strong>Deep Dyspareunia:</strong> This is where pain is felt deeper inside, such as inside the vagina, or in the lower abdomen and is often caused by deep penetration, making certain sex positions more uncomfortable than others. </p>
<p><strong>Primary Dyspareunia: </strong>This is when sex has always been painful, ever since you first became sexually active.</p>
<p><strong>Secondary Dyspareunia: </strong>This is where sex has become painful, when you previously were able to have pain-free sex.</p>
<p>Understandably, dyspareunia can negatively impact your mental health, body image, libido and sexual relationships. But it is not uncommon, with an estimated <a title="NIH description of dyspareunia" href="https://www.ncbi.nlm.nih.gov/books/NBK562159/" target="_blank">3-18% of women</a> experiencing dyspareunia worldwide. If you experience pain during sex, it can help to talk to someone about it. <a title="Sexwise overview of sexual problems" href="https://www.sexwise.org.uk/sexual-wellbeing/sexual-problems" target="_blank">Sexwise</a> has some great tips about where to go for advice about sexual problems.</p>
<h2><strong> Why Does It Hurt When I Have Sex? </strong></h2>
<p>Women may experience pain during sex for several reasons, which can be physical (e.g. infection, illness, injury or hormone imbalance) or psychological (e.g. anxiety, relationship issues or past trauma) in nature.</p>
<p>Below are some potential <a title="NHS overview of dyspareunia" href="https://www.royalberkshire.nhs.uk/media/bimgplg4/dyspareunia_oct20.pdf" target="_blank">causes of dyspareunia</a>: </p>
<p><strong>Infections:</strong> Genital infections such as thrush, sexually transmitted infections (STIs) and urinary tract infections (UTIs) can cause inflammation and irritation of the vagina and vulva. Chlamydia, gonorrhoea and genital herpes are common STIs that can cause painful sex. </p>
<p>In rare cases, STIs such as chlamydia or gonorrhoea can lead to <a title="NHS overview of pelvic inflammatory disease" href="https://www.nhs.uk/conditions/pelvic-inflammatory-disease-pid/" target="_blank">pelvic inflammatory disease (PID)</a>, which affects the uterus (womb), ovaries or fallopian tubes and is typically felt as a deep pain in the abdomen or pelvis during sex. </p>
<p>Talking of STIs, it’s important not only to get checked, but to prevent STIs in the future by using barrier contraception (condoms). A range of condoms are available free from sexual health clinics. If you’re looking for a more stylish condom, we really love <a title="HANX Vegan Condoms by ILOH" href="https://iloh.co.uk/products/hanx" target="_blank">Hanx Vegan Condoms</a>, which are 100% vegan, biodegradable, and come in a discrete box that you’d be happy to display on your bedside table.</p>
<p><strong>Vaginal Dryness: </strong>If your vagina is not well lubricated, penetration will cause friction and rubbing that may even tear the delicate skin. You may experience vaginal dryness for several reasons, such as:</p>
<ul>
<li>Menopause: Menopause causes a drop in oestrogen levels which can lead to vaginal dryness and thinning of the tissues, making things more prone to tearing. Read our blog article on <a title="Yoxly article on the impact of menopause on vaginal health" href="https://yoxly.com/blogs/yoxly-news/how-does-menopause-impact-vaginal-health" target="_blank">the menopause and vaginal health</a> to find out more.</li>
<li>Medications: Certain types of medication have the side effect of vaginal dryness.</li>
<li>Pregnancy: Pregnancy, childbirth and breastfeeding can all alter hormone balance, which may lead to dryness.</li>
<li>Arousal: Being aroused can facilitate natural vaginal lubrication. Taking your time, engaging in foreplay and ensuring you are comfortable with your partner can aid in arousal.</li>
</ul>
<p><a title="NHS description of vaginismus" href="https://www.nhs.uk/conditions/vaginismus/" target="_blank"><strong>Vaginismus</strong></a><strong>: </strong>Those that have watched the hit Netflix series “Sex Education” might be familiar with this condition as it was featured on the show. Vaginismus causes the vaginal muscles to contract and tighten before something is inserted, making penetration painful or impossible - this can be anything from a finger to a sex toy to a penis. The causes of vaginismus are not well understood, but it may be linked with expectations around sex, <a title="IPM article on vaginismus and dyspareunia" href="https://www.ipm.org.uk/15/news-archive/post/6/vaginismus-and-dyspareunia-relationship-with-general-and-sex-related-moral-standards" target="_blank">conflicting moral values</a>, shame, trauma and sexuality. Vaginismus can be overcome by understanding the relationship between the body and the mind, and by engaging in relaxed, pressure-free sexual contact.</p>
<p><strong>Genital Irritation, Allergies Or Skin Problems:</strong> Women with sensitive skin or allergies may have a reaction to condoms, lubricants, sanitary products or cosmetics such as soap, which can cause soreness and irritation. It’s recommended to avoid scented products near the vulva and vagina and only to use products specifically designed for use in this area.</p>
<p><a title="NHS description of vulvodynia" href="https://www.nhs.uk/conditions/vulvodynia/" target="_blank"><strong>Vulvodynia</strong></a><strong>: </strong>Vulvodynia is persistent pain or discomfort in the vulva and vagina, with no identifiable cause. It is often worsened by touch, such as during sexual intercourse.</p>
<p><a title="NHS description of endometriosis" href="https://www.nhs.uk/conditions/endometriosis/" target="_blank"><strong>Endometriosis</strong></a><strong>:</strong> This is a condition that causes tissue similar to the lining of your womb to grow in other areas of the reproductive tract, such as the ovaries and fallopian tubes. Sex can cause pulling and stretching of this tissue, which is often extremely uncomfortable.</p>
<p><a title="NHS description of fibroids" href="https://www.nhs.uk/conditions/fibroids/" target="_blank"><strong>Fibroids</strong></a><strong>:</strong> These are non-cancerous growths that grow on the wall of the uterus. If they grow near your vagina or cervix, sexual penetration can disturb them, causing pain and irritation. Fibroids are more common in women over the age of 30, and often also cause heavy menstrual bleeding.</p>
<p><strong>Irritable Bowel Syndrome (IBS): </strong>This is a digestive disorder that can cause constipation, bloating, stomach cramps and gas, all of which can contribute to painful sex.</p>
<h2><strong>What Do I Do Next?</strong></h2>
<p>If you are experiencing painful sex, a good first step is to get tested for STIs. You can do this easily and comfortably by ordering one of <a title="At-home STI test kit" href="https://yoxly.com/#order" target="_blank">Yoxly’s at-home STI kits</a>. Give yourself a full sexual health screening and get your results within 48 hours!</p>
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<p>As well as getting checked for STIs, it’s a good idea to visit your doctor or sexual health clinic and talk openly about your symptoms. A medical professional can often diagnose the underlying cause of your dyspareunia by carrying out a physical examination. Depending on the outcome of this, they can offer you advice or medical treatment, such as:</p>
<ul>
<li>Oestrogen creams, rings or pessaries to reduce vaginal dryness</li>
<li>Lubricants</li>
<li>Local anaesthetic creams to numb the genital area and reduce pain</li>
<li>Pain medication such as <a title="DermNet overview of tricyclic antidepressants" href="https://dermnetnz.org/topics/tricyclic-antidepressants" target="_blank">tricyclic antidepressants </a>
</li>
<li>Vaginal dilators to allow your vagina to get used to penetration and reduce spasms</li>
<li>Antibiotics or antifungal medications to treat infection</li>
<li>Psychological therapies such as cognitive behavioural therapy</li>
</ul>
<p>There are also a number of things you can try yourself to prevent pain during sex.</p>
<p>Becoming familiar with your pelvic floor muscles can help with painful penetration. Your pelvic floor muscles are found inside the vagina, between your coccyx (tailbone) and pubic bone, and function to keep all your pelvic organs in place. When these muscles are tense, sex can be painful. There is good guidance available on how to practice <a title="NHS overview of dyspareunia" href="https://www.royalberkshire.nhs.uk/media/bimgplg4/dyspareunia_oct20.pdf" target="_blank">pelvic floor muscle relaxation exercises</a>, which can be done at any time. Plus, giving your pelvic floor muscles a workout can <a title="NIH article on pelvic floor muscle strength" href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7801170/" target="_blank">lead to better orgasms</a> - result!</p>
<p>In terms of sex, firstly, ensure you feel as relaxed as possible before attempting any penetration. Engaging in a massage, perhaps using <a title="FINE BONE Latest Flame Massage Candle by ILOH" href="https://iloh.co.uk/collections/sets/products/fine-bone-latest-flame" target="_blank">ILOH’s FINE BONE Latest Flame Massage Candle</a> can help ease anxieties and promote connection with your partner. The <a title="IROHA by TENGA Sakura Massage Vibrator by ILOH" href="https://iloh.co.uk/collections/products-single/products/sakura" target="_blank">IROHA by TENGA Sakura Massage Vibrator</a> can be used for a more intimate massage. This cute little vibrator fits perfectly in the palm of a hand and has a gentle V-shape, which is just perfect for clitoral stimulation.</p>
<p>Talking of clitoral stimulation, some women find masturbating alone or with a partner prior to intercourse can help with relaxation. Sex toys such as ILOH’s <a title="DAME Fin Finger Vibrator by ILOH" href="https://iloh.co.uk/collections/products-single/products/fin-1" target="_blank">DAME Fin Finger Vibrator</a>, which forms a natural extension of a hand and gives seamless vibration pleasure, can be a fun addition to foreplay and/or masturbation. </p>
<p>Another crucial point to remember is that for enjoyable sex, having things nice and slippy definitely helps. And lubricants don’t have to be clinical and unsexy; try <a title="INTO THE WYLDE Wylde One Lubricant by ILOH" href="https://iloh.co.uk/collections/products-single/products/wylde?variant=37238960881847" target="_blank">ILOH’s INTO THE WILD Wylde One Lubricant</a>, which contains a unique, pH-balanced blend of herbal extracts that can help prevent friction. You should aim to avoid scented products, which can cause irritation and dry things out even more. </p>
<p>Experimenting with the sensations of penetration by using a finger or toy can help you ease into pain-free and pleasurable intercourse. ILOH’s handmade <a title="FINE BONE Prudence Porcelain Pleasure Tool by ILOH" href="https://iloh.co.uk/collections/products-single/products/prudence" target="_blank">FINE BONE Prudence Porcelain Pleasure Tool</a> is one of the most beautiful and elegant toys we’ve seen, which can be used for penetration, sensation play and more.</p>
<p>Perhaps the most innovative tools we’ve seen to alleviate potentially painful sex is <a title="OHNUT Wearable Buffer Rings by ILOH" href="https://iloh.co.uk/collections/products-single/products/ohnut" target="_blank">ILOH’s OHNUT Wearable Buffer Rings</a>. This set of super stretchy rings can be placed onto a sex toy or a penis and allow you to control the depth of penetration by stacking one or more rings. You may find certain positions more comfortable than others, so don’t be afraid to have some fun playing around!</p>
<p>If penetration is not possible or is too uncomfortable, this doesn’t mean you can’t engage in intimacy. It’s important to learn what works for you in the bedroom and what doesn’t. Experimenting with other sexual activities such as mutual masturbation, use of toys or oral sex is all part of the fun of sex. These can all be equally pleasurable and, for some, even more so! Sex isn’t all about penetration, after all.</p>
<h2><strong>Summary</strong></h2>
<p>We are taught that sex is supposed to feel good, so when it hurts, it might be difficult to talk about. But if things hurt, don’t ignore it! Pain during sex may be due to an easily-treated underlying problem such as an infection, hormonal imbalance or skin condition. One of the most common causes of painful sex is STIs, so make sure to get tested for STIs (<a title="At-home STI test kit" href="https://yoxly.com/#order" target="_blank">grab yourself one of Yoxly’s home test kits</a>). If your pain persists, it is important to see a healthcare professional for further evaluation.</p>
<p>Even in cases where there isn’t an organic cause found, psychological therapies and altering your sexual practices, such as using lubricants and spending more time focusing on foreplay, can facilitate a happy and pleasurable sex life. <a title="ILOH" href="https://iloh.co.uk/collections/products-single" target="_blank">ILOH</a> has a full range of sexual wellness products, including toys, vibrators, lubricants and more, to help you in your journey to a happy and fulfilling sex life. Above all, remember that penetration is not the be-all and end-all of sex.</p>
<p> </p>

When Sex Is Painful For Women

<p>Inclusivity is one of the most important values in today’s world. It means that everyone, regardless of their race, gender, sexual orientation, or religion, is welcomed and accepted. Many people have embraced this value in recent years, and great strides have been made toward inclusion. But we still have a long way to go.</p>
<p>There are still many places where people are not welcome simply because they are different. And there are still many people who face discrimination and exclusion every day. We need to do better. We need to be more inclusive. We need to make sure that everyone feels valued and respected. We need to make sure that everyone knows that they belong here.</p>
<p>In this article, we’ll be talking about pansexuality and the history of Pansexual Pride Day. We’ll talk about what it means to be pansexual, why there is a need for Pansexual Pride Day, and how you can show your support.</p>
<h4><strong>What Is Pansexuality?</strong></h4>
<p>Pansexuality is the sexual, romantic, or emotional attraction to people regardless of their sex or gender identity. Pansexual people can be attracted to people of any gender or sex, including cisgender, transgender, agender, genderfluid, bigender, androgynous and intersex people. Hence the prefix pan-, meaning “all.”</p>
<p>Pansexuality is often seen as a more inclusive and progressive form of sexuality than bisexuality, as it does not place limitations on who a person can be attracted to. Many pansexual people see their sexuality as fluid and ever-changing, and some use the term "queer" to describe their attractions.</p>
<p><a href="https://www.educateandcelebrate.org/pansexual-pride-day-2021/" target="_blank" title="E&amp;C overview of Pansexuality Pride Day " rel="noopener noreferrer">National Pansexual Pride Day is on December 8th</a> and celebrates strides taken by the pansexual and panromantic community to be accepted and understood. In addition, pride events are a great opportunity to meet other pansexual people and learn more about this unique form of sexuality.</p>
<h4><strong>The History Of Pansexuality And Pansexual Pride Day</strong></h4>
<p>Pansexuality is a sexual orientation characterised by the potential for aesthetic attraction, romantic love, or sexual desire for people regardless of gender identity or biological sex. Pansexual people may refer to themselves as gender-blind, omnisexual, polysexual, queer, third-gender, bi-, or pansexual.</p>
<p>The history of pansexuality is difficult to trace, as the term itself is relatively new. However, the concept of being attracted to people regardless of gender has been around for centuries. In the early 1900s, <a href="https://aninjusticemag.com/freud-believed-that-everyone-is-bisexual-5f7d7eadac27" target="_blank" title="An Injustice Magazine article on Freud’s belief that everyone is bisexual " rel="noopener noreferrer">Sigmund Freud posited</a> that people are naturally bisexual. This theory was later expanded upon by <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6771704/" target="_blank" title="NCBI article on age, gender, and the history of modern male homosexuality   " rel="noopener noreferrer">Magnus Hirschfeld</a>, who believed that people could be attracted to both sexes.</p>
<p>The term pansexual <a href="https://www.seattlepride.org/news/national-pansexual-pride-day" target="_blank" title="Seattle Pride overview of National Pansexual Pride Day   " rel="noopener noreferrer">first appeared as ‘pansexualism’ in 1914</a> and was theorised as sex being “the motivator of all things.” The term gained popularity in the 70s when <em>The New York Times</em> published an article mentioning the term. In more recent years, pansexuality has become more visible with the rise of social media and the LGBTQIA+ rights movement.</p>
<h4><strong>How Pansexuality Is Different From Other Sexualities</strong></h4>
<p>Pansexuality can often be confused with bisexuality. However, there is a key difference between the two orientations. Bisexuality is being attracted to both men and women. Pansexuality is being attracted to all genders and sexes. This includes people who identify as transgender, non-binary, and genderqueer.</p>
<p>According to <a href="https://www.stonewall.org.uk/about-us/news/5-common-misconceptions-about-pansexuality" target="_blank" title="Stonewall article on 5 common misconceptions about pansexuality " rel="noopener noreferrer">Stonewall.org.uk</a>, some common misconceptions of pansexuality include</p>
<ul>
<li>Some use bisexual and pansexual interchangeably (this is ultimately a personal decision, but it’s important to understand the difference)</li>
<li>One of the biggest misconceptions is that pansexuality is transphobic</li>
<li>Pansexuals are greedy</li>
<li>Pansexual people are confused</li>
<li>Pansexuality is just a new fad</li>
</ul>
<p>Like all misconceptions, these can be dangerous for those who identify as pansexual. So, understanding them and overcoming any biases is essential to representing our diversity and human beings.</p>
<p>The term “pansexual” was first coined in the early 1900s. However, the concept of pansexuality has been around for much longer. In fact, many ancient cultures recognised that people could be <a href="https://www.lgbthealth.org.uk/lgbt-health-blog/transgenderism-in-ancient-cultures/" target="_blank" title="LGBT Health and Wellbeing article on transgenderism in ancient cultures" rel="noopener noreferrer">attracted to more than one gender</a>. The term “pansexual” has been gaining popularity recently as more people begin to identify as pansexual.</p>
<p>Several pride flag colours represent pansexuality, including the three horizontal stripes: pink, yellow, and blue. The pink represents attraction to women, the yellow represents attraction to non-binary people, and the blue represents attraction to men.</p>
<h4><strong>How To Celebrate Pansexual Pride Day</strong></h4>
<p>For many, Pansexual Pride Day is a time to reflect on their personal journey and celebrate who they are. It’s a time to be proud of who you are and to show the world that you’re comfortable in your own skin.</p>
<p>There is no wrong way to celebrate. Whether you want to celebrate by flying the flag high, sharing your story with others, participating in the community, or just keeping it low-key and honouring pansexuality in your own way.</p>
<p>However, here are a few ideas if you would like to celebrate:</p>
<h5><strong>Share Your Story</strong></h5>
<p>One of the best ways to celebrate anything, especially lesser-known topics to share your story with others. This can be done in person or online. If you’re not ready to share your story publicly, consider talking to a close friend or family member about your experiences.</p>
<h5><strong>Get Involved In The Community</strong></h5>
<p>There are likely pansexual-friendly groups and organisations in your area. Getting involved is a great way to meet new people, learn more about pansexuality, and make a difference in the world.</p>
<h5><strong>Educate Yourself And Others</strong></h5>
<p>Pride is about more than just celebrating who you are – it’s also about educating yourself and others about the struggles and challenges that members of the LGBTQIA+ community face every day. Spend some time reading about pansexuality or watching videos about coming out. Then, take what you’ve learned and start conversing with others about these important topics.</p>
<h4><strong>The Importance Of Sexual Health For Pansexuals</strong></h4>
<p>When it comes to sexual health, pansexuals face similar challenges as any sexually active person. However, like many in the LGBTQIA+ community, they may not feel comfortable talking about their sexuality with healthcare providers or may not know who to turn to for support.</p>
<p>Fortunately, online resources are available to learn more about those risks and <a href="https://yoxly.com/" target="_blank" title="Yoxly" rel="noopener noreferrer">take steps toward managing your own sexual health</a> (even anonymously).</p>
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<div class="ad1"><img src="https://cdn.shopify.com/s/files/1/0282/1187/1878/files/adimage.jpg?v=1656010285" class="adimage"></div>
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<h1 class="blogad">Shop Our At-Home STI Test Kits</h1>
<p class="blogadtext">Test your sexual health from home with our range of at-home STI tests.</p>
<a href="https://yoxly.com/pages/order-your-kit" class="btn">Shop Now</a>
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<p>The most important aspects of understanding your sexual health include:</p>
<ul>
<li><a href="https://yoxly.com/blogs/yoxly-news/sexual-orientations-what-you-should-know" target="_blank" title="Yoxly article on sexual orientations and what you should know" rel="noopener noreferrer">Understanding who you have sex with and the type of sex you have</a></li>
<li>Your own anatomy and the anatomy of your partners</li>
<li>Which barrier methods you use</li>
<li><a href="https://yoxly.com/blogs/yoxly-news/5-ways-to-reduce-your-risk-of-getting-an-sti" target="_blank" title="Yoxly article on 5 ways to reduce your risk of getting an STI" rel="noopener noreferrer">Whether you use barrier methods correctly</a></li>
<li><a href="https://yoxly.com/blogs/yoxly-news/im-bisexual-what-stis-should-i-be-worried-about" target="_blank" title="Yoxly article on bisexuality and what STIs you should be worried about" rel="noopener noreferrer">Knowing warning signs and risks of STIs</a></li>
<li><a href="https://yoxly.com/blogs/yoxly-news/the-advantages-of-at-home-sti-tests" target="_blank" title="Yoxly article on the advantages of at-home STI tests" rel="noopener noreferrer">How to get tested</a></li>
</ul>
<p>Overall, pansexuality is a beautiful thing that should be celebrated and honoured. So, on Pansexual Pride Day, let’s come together to celebrate the people who identify as pansexual and strive to create a more inclusive and accepting society.</p>
<p> </p>

Pansexuality And The History Of Pansexual Pride Day

<p>Coming up with new and exciting Christmas presents for your partner isn’t always easy. You may have already gotten them every book or game they like, showered them with all the toiletries they will ever need in their life and maybe even surprised them with the odd TV or phone. But after a while, you start running out of ideas. Before you start panicking about this year's presents, check out these 8 sexy gift ideas for yourself and your partner to spice things up over the holiday period. </p>
<div style="text-align: center;"></div>
<h2><strong>1. <a title="The Tub Kit Gift Set by Unfabled" href="https://unfabled.co/products/maude-soaking-salts-and-coconut-milk-bath-set" target="_blank">The Tub Kit Gift Set</a></strong></h2>
<div style="text-align: left;"><img style="float: none;" alt="The Tub Kit Gift Set by Unfabled" src="https://cdn.shopify.com/s/files/1/0282/1187/1878/files/The-Tub-Kit-Gift-Set_480x480.webp?v=1669819521"></div>
<p>Take a relaxing and sensual bath alone or with your partner with <a title="Unfabled" href="https://unfabled.co/" target="_blank">Unfabled</a>’s Tub Kit including nourishing mineral bath salts and a hydrating coconut milk bath, made from hand-harvested blends that infuse the water with nourishing vitamins and minerals. This duo will hydrate and exfoliate your skin and leave you feeling relaxed and radiant. </p>
<h2><strong>2. <a title="Dame Arc And Fin Gift Set by ILOH" href="https://iloh.co.uk/collections/products-single/products/fin-arc-set-navy-pink" target="_blank">I THINK WE'RE ALONE NOW Dame Arc And Fin Gift Set</a></strong></h2>
<div style="text-align: left;"><img style="float: none;" alt="Dame Arc and Fin Gift Set by ILOH" src="https://cdn.shopify.com/s/files/1/0282/1187/1878/files/Dame-Arc-and-Fin-Gift-Set_480x480.webp?v=1669820045"></div>
<p><a title="ILOH" href="https://iloh.co.uk/" target="_blank">ILOH</a>’s I THINK WE’RE ALONE NOW gift set can be enjoyed alone or with your partner. This set includes a Fin finger vibrator, which slides smoothly between your fingers to become an extension of your hand, giving you seamless vibration, and an Arc G spot vibrator, which is perfect for exploring all kinds of sensations. Combine the two and you’re in for an unforgettable night.</p>
<h2><strong>3. <a title="Sex Chocolate Truffles With Shatavari by Unfabled" href="https://unfabled.co/collections/sexual-wellness/products/phasey-sex-chocolate-truffle-with-shatavari-pack-of-7" target="_blank">Sex Chocolate Truffles With Shatavari - Pack of 7</a></strong></h2>
<div style="text-align: left;"><img style="float: none;" alt="Sex Chocolate Truffles with Shatavari by Unfabled" src="https://cdn.shopify.com/s/files/1/0282/1187/1878/files/Sex-Chocolate-Truffles_480x480.jpg?v=1669820116"></div>
<p>Does your partner love chocolate? Does your partner love sex? Why not combine the two with <a title="Unfabled" href="https://unfabled.co/" target="_blank">Unfabled</a>’s Sex Chocolate Truffles, laced with organic Shatavari, to support libido, energy and stress relief. These Sex Chocolate Truffles are 100% vegan, 100% organic and 100% fun!</p>
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<div class="ad1"><img class="adimage" src="https://cdn.shopify.com/s/files/1/0282/1187/1878/files/adimage.jpg?v=1656010285"></div>
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<div class="ad2">
<h1 class="blogad">Shop Our At-Home STI Test Kits</h1>
<p class="blogadtext">Test your sexual health from home with our range of at-home STI tests.</p>
<a class="btn" href="https://yoxly.com/pages/order-your-kit">Shop Now</a>
</div>
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<h2><strong>4. <a title="Crave Vibrating Necklace &amp; HANX Condom Gift Set by ILOH" href="https://iloh.co.uk/collections/products-single/products/crave-hanx-3-set" target="_blank">DATE WITH THE NIGHT - Crave Vibrating Necklace &amp; HANX Condom Gift Set</a></strong></h2>
<div style="text-align: left;"><img style="float: none;" alt="Crave Vibrating Necklace &amp; HANX Condom Gift Set by ILOH" src="https://cdn.shopify.com/s/files/1/0282/1187/1878/files/Crave-Vibrating-Necklace-HANX-Condom-Gift-Set_480x480.webp?v=1669820163"></div>
<p>Gift your partner an unforgettable date night with <a title="ILOH" href="https://iloh.co.uk/" target="_blank">ILOH</a>’s DATE THE NIGHT gift set. This set includes a Vesper Vibrator Necklace, which is designed to be worn anytime and anywhere, giving you a totally unique sensation, as well as vegan condoms, helping you to stay safe while enjoying new adventures with your partner.</p>
<h2><strong>5. <a title="Variety Condom Bundle by Pasante" href="https://pasante.com/collections/condom-bundles/products/variety-condom-bundle-50-pack" target="_blank">Variety Condom Bundle (50 Pack)</a></strong></h2>
<div style="text-align: left;"><img style="float: none;" alt="Variety Condom Bundle by Pasante" src="https://cdn.shopify.com/s/files/1/0282/1187/1878/files/Variety-Condom-Bundle_480x480.webp?v=1669820190"></div>
<p>In need of some ideas to fill up your partner's stocking? Why not add <a title="Pasante" href="https://pasante.com/" target="_blank">Pasante</a>’s Variety Condom Bundle with 10 different types of condoms to mix things up in the bedroom? This is the best way to try out multiple condom types and choose your favourites. </p>
<h2><strong>6. <a title="Naughty Or Nice Gift Hamper by Unfabled" href="https://unfabled.co/products/naughty-or-nice" target="_blank">Naughty Or Nice Gift Hamper</a></strong></h2>
<div style="text-align: left;"><img style="float: none;" alt="Naughty Or Nice Gift Hamper by Unfabled" src="https://cdn.shopify.com/s/files/1/0282/1187/1878/files/Naughty-or-Nice-Gift-Hamper_480x480.webp?v=1669820225"></div>
<p>This Naughty or Nice Gift Hamper by <a title="Unfabled" href="https://unfabled.co/" target="_blank">Unfabled</a> is the perfect invitation to spice things up in the bedroom. This set includes luxury Sex Chocolate Truffles infused with libido-boosting Shatavari, a bottle of premium CBD lube and an indulgent massage candle in a scent of your choice.</p>
<h2><strong>7. <a title="Latest Flame Massage Candle by ILOH" href="https://iloh.co.uk/collections/sets/products/fine-bone-latest-flame" target="_blank">Latest Flame Massage Candle</a></strong></h2>
<div style="text-align: left;"><img style="float: none;" alt="Latest Flame Massage Candle" src="https://cdn.shopify.com/s/files/1/0282/1187/1878/files/Latest-Flame-Massage-Candle_480x480.webp?v=1669820255"></div>
<p>Is your partner always asking for a massage? Make their wildest massage dreams come true with <a title="ILOH" href="https://iloh.co.uk/" target="_blank">ILOH</a>’s Latest Flame Massage Candle, formulated with a soy wax base, nourishing cold-pressed coconut and soothing almond oils. This vegan massage candle is scented with organic cacao butter, tonka bean and sandalwood and will take your sexual wellness experience to the next level.</p>
<h2><strong>8. <a title="At-Home STI Test Kit by Yoxly" href="https://yoxly.com/pages/order-your-kit" target="_blank">At-Home STI Test Kit</a></strong></h2>
<div style="text-align: left;"></div>
<div style="text-align: left;"><img style="float: none;" alt="At-home STI Test Kit by Yoxly" src="https://cdn.shopify.com/s/files/1/0282/1187/1878/files/STI-Test-Kit_480x480.webp?v=1669820493"></div>
<p>This might feel a little unconventional, but the best gift you can give your partner this holiday season is peace of mind when it comes to sexual health. Choose one of <a title="Yoxly" href="https://yoxly.com/" target="_blank">Yoxly</a>’s easy and convenient at-home STI test kits and show your partner that you care about their safety.</p>
<p> </p>

The Ultimate Sexy Gift Guide

<p><em>by: <a href="https://www.linkedin.com/in/christiana-funmi-tsakas-nee-ogunmodede-15533868/" target="_blank" title="Christiana Funmi Tsakas (nee Ogunmodede)'s LinkedIn" rel="noopener noreferrer">Christiana Funmi Ogunmodede</a></em></p>
<p>It's the 1<sup>st</sup> of December, and the advent chocolate calendars can finally come out. However, before we start munching away, let’s not forget today is also <a href="https://www.worldaidsday.org/" target="_blank" title="World AIDS Day" rel="noopener noreferrer">World AIDS day</a>. <a href="https://yoxly.com/blogs/yoxly-news/world-aids-day-2021" target="_blank" title="Yoxly article on world AIDS day" rel="noopener noreferrer">Each year</a> we come together to raise awareness about HIV, and this year is no different.</p>
<p>This year we discuss HIV pre-exposure prophylaxis (HIV PrEP), a firm cornerstone in England’s <a href="https://www.gov.uk/government/publications/towards-zero-the-hiv-action-plan-for-england-2022-to-2025/towards-zero-an-action-plan-towards-ending-hiv-transmission-aids-and-hiv-related-deaths-in-england-2022-to-2025" target="_blank" title="GOV overview of the action plan towards ending HIV transmission" rel="noopener noreferrer">action plan</a> to achieve an 80% reduction in new HIV cases by 2025 and zero new transmissions by 2030. Find out what PrEP is, how it came about, where to access it for free, how to take it and how effective it is.</p>
<h4><strong>What Is HIV PrEP?</strong></h4>
<p>PrEP stands for pre-exposure prophylaxis. It involves taking medication before unprotected sex to stop you from catching HIV. PrEP is not the same as HIV post-exposure prophylaxis (PEP), which is taken <em>after</em> sex to prevent HIV infection. For more information about PEP, see our previous article on it <a href="https://yoxly.com/blogs/yoxly-news/pep-what-is-it-how-does-it-work-and-where-can-i-get-it" target="_blank" title="Yoxly article on what PEP is and where to get it" rel="noopener noreferrer">here</a>. The two HIV medicines commonly used for PrEP are tenofovir disoproxil (TD or TDF) plus emtricitabine (FTC). </p>
<h4><strong>What Is The History Behind PrEP?</strong></h4>
<p>The concept of HIV PrEP dates back to 1995 when scientists in the United States experimented with macaque monkeys. The monkeys were given an experimental HIV prevention drug and then exposed to simian immunodeficiency virus (a virus similar to HIV). The scientists found that the experimental drug prevented the monkeys from becoming infected with the simian virus. There were subsequent studies after this, and in 2007, the first large-scale HIV PrEP clinical trial (<a href="https://www.aidsmap.com/news/nov-2010/anti-hiv-drugs-prevent-hiv-infection-trial-shows-if-you-take-them" target="_blank" title="NAM article on whether anti-HIV drugs prevent HIV infection" rel="noopener noreferrer">Iprex study</a>) started. Three years later, the results were published, which showed a 44% reduction in HIV infections when the subjects took HIV PrEP. Other clinical trials took place in England in <a href="https://www.mrcctu.ucl.ac.uk/studies/all-studies/p/proud/" target="_blank" title="MRC study on the PRe-exposure option for reducing HIV in the UK" rel="noopener noreferrer">2012</a> and <a href="https://www.prepimpacttrial.org.uk/" target="_blank" title="PrEP Impact Trial description of PrEP" rel="noopener noreferrer">2017</a>, which also demonstrated the effectiveness of PrEP. Eventually, in 2020, HIV PrEP became widely available in the UK for free to those deemed to be at high risk of getting HIV.</p>
<p>The illustration below summarises key events in the history of HIV PrEP. </p>
<p> </p>
<div style="text-align: center;"><img src="https://cdn.shopify.com/s/files/1/0282/1187/1878/files/prep-what-is-it-how-does-it-work-and-where-can-i-get-it-yoxly_1024x1024.png?v=1669379211" alt="An infographic illustrating an overview of key significant event of HIV PrEP" style="float: none;"></div>
<h4><strong>How To Take PrEP?</strong></h4>
<p>There are two ways of taking HIV PrEP: daily dosing and event-based dosing.</p>
<p><a href="https://i-base.info/guides/testing/prep" target="_blank" title="i-BASE description of PrEP" rel="noopener noreferrer">Daily dosing</a>: This involves taking ONE tablet every day. This is the recommended option for women taking PrEP and for transgender women on hormone treatment. The time to HIV protection is 7 days for vaginal sex.</p>
<p><a href="https://i-base.info/guides/testing/prep" target="_blank" title="i-BASE description of PrEP" rel="noopener noreferrer">Event-based dosing</a>: Also known as the “on demand” dosing. PrEP is only taken when needed using the 2-1-1 dosing schedule. This means TWO tablets are taken 2–24 hours before having sex, one tablet 24 hours after sex and another tablet 48 hours after sex. This regime is only recommended for men who have sex with men only, as it has only been shown to be effective for anal sex.</p>
<h4><strong>How Effective Is HIV PrEP?</strong></h4>
<p>PrEP is very effective for HIV prevention. The <a href="https://www.aidsmap.com/news/nov-2010/anti-hiv-drugs-prevent-hiv-infection-trial-shows-if-you-take-them" target="_blank" title="NAM article on whether anti-HIV drugs prevent HIV infection" rel="noopener noreferrer">Iprex study</a> – the first HIV PrEP study in humans, showed that taking HIV PrEP reduces the incidence of HIV infection by 44%. The <a href="https://www.mrcctu.ucl.ac.uk/news/news-stories/2015/february/proud-study-shows-pre-exposure-prophylaxis-is-highly-protective-against-hiv-infection/" target="_blank" title="MCR PROUD study on PrEP" rel="noopener noreferrer">PROUD study</a> showed that HIV PrEP reduces the risk of HIV infection by 86% in men that have sex with men. The Terrence Higgins Trust (The UK’s leading HIV and Sexual Health charity) also states that “HIV PrEP offers almost <a href="https://www.iwantprepnow.co.uk/prep-trials/" target="_blank" title="I want PrEP now overview of the evidence base for the use of PrEP" rel="noopener noreferrer">100% protection against HIV</a><u>”</u>.</p>
<p>Whilst PrEP is effective for HIV prevention; it does not protect against other <a href="https://www.sexwise.org.uk/stis/sti-types" target="_blank" title="Sexwise overview of STI types" rel="noopener noreferrer">sexually transmitted infections</a> (STIs) such as <a href="https://yoxly.com/blogs/yoxly-news/syphilis-the-great-comeback" target="_blank" title="Yoxly article on Syphilis" rel="noopener noreferrer">syphilis</a>, <a href="https://yoxly.com/blogs/yoxly-news/stis-throughout-the-ages-the-fascinating-history-of-gonorrhoea" target="_blank" title="Yoxly article on the history of Gonorrhoea" rel="noopener noreferrer">gonorrhoea</a> and<a href="https://www.sexwise.org.uk/stis/chlamydia"> </a><a href="https://www.sexwise.org.uk/stis/chlamydia" target="_blank" title="Sexwise overview of Chlamydia " rel="noopener noreferrer">chlamydia</a>. Therefore, it is highly recommended that individuals that use HIV PrEP have regular STI screening every 3 months.  You can stay on top of this using our affordable <a href="https://yoxly.com/pages/order-your-kit" target="_blank" title="At-home STI test kits" rel="noopener noreferrer">at-home testing kits</a>.</p>
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<h4><strong>Where Do I Get PrEP From?</strong></h4>
<p>You can get free PrEP from your <a href="https://www.iwantprepnow.co.uk/prep-on-the-nhs/" target="_blank" title="I want PrEP now overview of PrEP availability on the NHS " rel="noopener noreferrer">local NHS sexual health clinic</a> if you meet the eligibility criteria. Alternatively, you can buy PrEP <a href="https://www.iwantprepnow.co.uk/buy-prep-now/" target="_blank" title="I want PrEP now overview of where to buy PrEP" rel="noopener noreferrer">online</a> if you do not qualify for free PrEP but still wish to use it.</p>
<p>In England, HIV PrEP is free if any of the criteria below applies:</p>
<ul>
<li>You are HIV-negative with a HIV-positive partner, their HIV level is not yet undetectable, and you expect that you will have condomless sex with them (excluding oral sex)</li>
<li>You are a man or transgender women who has sex with men, you have had condomless sex (excluding oral sex) in the preceding 3 months, and you are likely to continue to do so in the next 3 months</li>
<li>When reviewed by specialist staff, you are assessed to be at high risk of acquiring HIV infection. This may include:
<ul>
<li>If you have condomless sex with partners from countries where HIV is more prevalent such as South-East Asia, Southern Africa</li>
<li>You are a commercial sex worker and have condomless (excluding oral) sex.</li>
</ul>
</li>
</ul>
<p>Before issuing PrEP, the clinic will ensure you meet one or more of the above criteria and perform some baseline blood tests (including HIV and kidney function). This is to ensure that you are not HIV-positive and have healthy kidney function before starting PrEP. You will also likely be offered a full STI screen (including syphilis, gonorrhoea and chlamydia. Then, you are issued three months' supply at a time, with repeat supplies issued as long as you still meet the eligibility criteria.</p>
<p>In <a href="https://www.friskywales.org/wales-prep-project.html" target="_blank" title="Public Health Wales overview of PrEP in Wales" rel="noopener noreferrer">Wales</a> and <a href="https://www.nhsinform.scot/hiv-prep-pre-exposure-prophylaxis/" target="_blank" title="NHS overview of PrEP in Scotland" rel="noopener noreferrer">Scotland</a>, there may be additional eligibility criteria. Your local sexual health clinic will be able to advise you about this. I-base has a<a href="https://i-base.info/guides/prep/buying-prep-online"> </a><a href="https://i-base.info/guides/prep/buying-prep-online" target="_blank" title="I-BASE guide to buying PrEP in the UK" rel="noopener noreferrer">useful guide</a> on safely buying PrEP online if you live in the UK. It is also important to mention that you can still get advice and support from your local NHS sexual health clinic even if you decide to buy HIV PrEP online. </p>
<h4><strong>PrEP: The Present &amp; The Future</strong></h4>
<p>It’s been 38 years since HIV was first identified, and a lot has changed. PrEP means we can prevent HIV in those at higher risk. <a href="https://yoxly.com/blogs/yoxly-news/living-with-hiv-a-death-sentence-think-again" target="_blank" title="Yoxly article on living with HIV" rel="noopener noreferrer">HIV is also no longer a death sentence</a> thanks to the multiple classes of HIV drugs available. The UK government continues to work hard towards reducing HIV transmission. They have met the <a href="https://www.unaids.org/en/resources/909090" target="_blank" title="UNAIDS overview of 90-90-90" rel="noopener noreferrer">UNAIDS 90-90-90</a> target for the last 3 years, i.e. 90% of those living with HIV are diagnosed, 90% of those with HIV are getting treatment, and 90% of people on treatment do not have HIV detectable in their blood.</p>
<p>Yoxly is proud of the achievements so far. We continue to do our part to raise awareness about HIV, and we also ask that you do the same, too. So hopefully, in 2030, we can look back and celebrate achieving the ambitious target of zero new HIV transmissions.</p>
<p>---</p>
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<p><em><a href="https://www.linkedin.com/in/christiana-funmi-tsakas-nee-ogunmodede-15533868/" target="_blank" title="Christiana Funmi Tsakas (nee Ogunmodede)'s LinkedIn" rel="noopener noreferrer">Christiana</a><a href="https://www.linkedin.com/in/christiana-funmi-tsakas-nee-ogunmodede-15533868/" target="_blank" title="Christiana Funmi Tsakas (nee Ogunmodede)'s LinkedIn" rel="noopener noreferrer"> Funmi Ogunmodede</a> is an Antimicrobial Pharmacist working for the Royal Berkshire NHS. In her role within the NHS, Christiana specialises in pharmaceutical administration for microbial diseases, infectious diseases, sexual health and HIV.</em></p>
<p> </p>

PrEP - What Is It, How Does It Work, And Where Can I Get It?

<p>UTIs or urinary tract infections may seem like just a "woman's problem." But the truth is that <a href="https://www.webmd.com/men/urinary-tract-infection-in-men" target="_blank" title="WebMD description of UTIs in men" rel="noopener noreferrer">men can contract UTIs</a> as well. While men are less likely to get UTIs than women, the infection can be more severe when they do.</p>
<p>Some of the <a href="https://www.webmd.com/men/urinary-tract-infection-in-men" target="_blank" title="WebMD description of UTIs in men" rel="noopener noreferrer">most common causes of UTI symptoms in men</a> are sexually transmitted infections (STIs). Chlamydia and gonorrhoea are the most common STIs and are easily passed on via unprotected sexual intercourse (including vaginal, oral and anal sex). UTIs are caused by other bugs, which are not commonly sexually transmitted. </p>
<p>This article discusses UTIs in men, including what they are, what to look for, how to treat them and any underlying conditions that could be causing them.</p>
<h4><strong>What Is A UTI?</strong></h4>
<p>A urinary tract infection (UTI) is a bacterial infection that can occur anywhere in the urinary tract, including the urethra and bladder. UTIs are caused by bacteria entering the urinary tract through the urethra. UTIs are relatively common, and <a href="https://www.nhsinform.scot/illnesses-and-conditions/kidneys-bladder-and-prostate/urinary-tract-infection-uti" target="_blank" title="NHS inform description of UTIs" rel="noopener noreferrer">women are more likely to experience them than men</a> because a woman's urethra is shorter than a man's, making it easier for bacteria to travel from the outside world into the body.</p>
<p>However, men can still develop UTIs, especially those with diabetes, a weakened immune system, or certain other conditions. Treatment for a UTI typically involves antibiotics, and in most cases, the infection will clear up within a week.</p>
<h4><strong>What Are The Symptoms Of UTI In Men?</strong></h4>
<p>In men, the most common symptom of UTI is a burning sensation during urination. UTIs can occur in men of any age, though they are <a href="https://bestpractice.bmj.com/topics/en-gb/76" target="_blank" title="BMJ description of UTIs in men" rel="noopener noreferrer">most common in men over 50</a> and men who <a href="https://www.nhs.uk/conditions/urinary-catheters/risks/#:~:text=The%20main%20risk%20of%20using,urinary%20tract%20infections%20(UTIs)." target="_blank" title="NHS overview of risks of a urinary catheter" rel="noopener noreferrer">use catheters</a>.</p>
<p>The main <a href="https://www.nhs.uk/conditions/urinary-tract-infections-utis/" target="_blank" title="NHS description of UTIs" rel="noopener noreferrer">symptoms of UTI in men</a> include:</p>
<ul>
<li>Burning or stinging when peeing</li>
<li>A strong urge to urinate</li>
<li>Cloudy or discoloured urine</li>
<li>Stomach or pelvic pain</li>
<li>Back pain</li>
<li>Feeling hot or shivery</li>
<li>A high temperature (fever)</li>
</ul>
<p>If you think you have a UTI, you must see a doctor as soon as possible. If untreated, UTIs can lead to serious bladder, kidney, and even blood infections (sepsis).</p>
<h4><strong>What If It's Not A UTI?</strong></h4>
<p>If you're experiencing the symptoms of a UTI, it's important to see a doctor to get the right diagnosis, as other conditions can cause similar symptoms. For example, interstitial cystitis can cause pelvic pain and frequent urination. However, unlike a UTI, it's not caused by an infection, and antibiotics will not help to treat it. Likewise, kidney stones can cause pain and difficulty urinating and sometimes need surgical intervention. Overall, STIs are one of the most common other reasons for having symptoms of a UTI.</p>
<h4><strong>UTI VS STI?</strong></h4>
<p>Many people think that STIs and UTIs are two completely different things, but there are actually a few STIs that cause symptoms that are very similar to a UTI.</p>
<p>Perhaps the most important distinction between UTIs and STIs is that a UTI is an infection caused by non-sexually transmitted organisms like<em> e.coli</em>, which commonly live in the gut and around the anus. Conversely, STIs are infections caused by sexually transmitted organisms, like chlamydia and gonorrhoea, which like to live within the genitals.</p>
<p>Something to consider when trying to figure out if you have a UTI or an STI is that STIs are more common, with more than 1 million STIs <a href="https://www.who.int/news-room/fact-sheets/detail/sexually-transmitted-infections" target="_blank" title="WHO overview of STIs" rel="noopener noreferrer">acquired every day worldwide</a>.</p>
<h5><strong>Signs It’s More Likely To Be An STI</strong></h5>
<p>The most obvious indication it’s more likely to be an STI is having had unprotected sex recently!</p>
<p>Other signs to look for include:</p>
<ul>
<li>Discharge from the penis</li>
<li>Genital rash, sores or itchiness</li>
<li>Swollen glands around the groin area</li>
<li>Testicular discomfort or pain</li>
<li>Discoloured semen (yellow, green, brown or blood-tinged)</li>
</ul>
<h5><strong>Signs It’s More Likely To Be A UTI</strong></h5>
<ul>
<li>Peeing more frequently</li>
<li>A rise in your urgency to pee</li>
<li>Cloudy urine</li>
<li>Lower abdominal pain</li>
<li>Back or side pain</li>
<li>Smelly urine</li>
<li>Discoloured urine (dark yellow, brown or red)</li>
<li>A temperature</li>
<li>Nausea or feeling generally unwell</li>
</ul>
<p>If you think you might have an STI or UTI, it's important to see a doctor for testing and treatment. Left untreated, both can cause serious health problems. There are also <a href="https://yoxly.com/blogs/yoxly-news/the-advantages-of-at-home-sti-tests" target="_blank" title="Yoxly article on advantages of at-home STI tests" rel="noopener noreferrer">at-home tests you can take</a> to rule out STIs.</p>
<p> </p>
<div style="text-align: center;"><img src="https://cdn.shopify.com/s/files/1/0282/1187/1878/files/infographic-guide-to-what-your-symptoms-indicate_600x600.png?v=1667840177" alt="An infographic illustrating a guide to what your symptoms indicate" style="float: none;"></div>
<h4><strong>Can Men Pass On A UTI?</strong></h4>
<p>UTIs are not passed from person to person during sex in the same way as STIs. So unless you have an STI, you don’t need to worry about passing on the infection during body-to-body contact or sexual intercourse. However, having said that, sexual intercourse does increase the risk of getting a UTI, as all that bumping and grinding can move bacteria from the back passage to the genitals, where they can multiply and cause a UTI.</p>
<h4><strong>Treating A UTI In Men</strong></h4>
<p>If you think you might have a UTI, the first step is to see your doctor. They can confirm the diagnosis with a urine test and prescribe antibiotics to treat the infection. They can also help rule out possible STIs. The sooner you start treatment, the better.</p>
<p>Another option to rule out STIs is to get an <a href="https://yoxly.com/pages/order-your-kit" target="_blank" title="At-home STI test kits" rel="noopener noreferrer">at-home STI testing kit</a>. </p>
<p>With prompt treatment, most UTIs clear up within a week or two. In the meantime, you can do a few things to ease your symptoms. Drink plenty of fluids, especially water, to help flush out the infection. Avoid caffeine and alcohol, which can irritate your urinary tract. And urinate when you feel the need — holding it in can worsen your symptoms.</p>
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<h4><strong>How Men Can Avoid Getting UTIs</strong></h4>
<p>The good news is that men can take a few simple steps to reduce their risk of UTIs.</p>
<p>One of the most important things men can do is practice good hygiene. Men should urinate when needed and not hold pee for too long. It is also important to empty the bladder thoroughly after urinating. And opt for showers instead of baths.</p>
<p>Practising safe sex principles, especially for men who have anal sex, is another way to reduce the risk of UTIs (<a href="https://yoxly.com/blogs/yoxly-news/im-bisexual-what-stis-should-i-be-worried-about" target="_blank" title="Yoxly article on bisexuality and which STIs to be worried about" rel="noopener noreferrer">and STIs, for that matter</a>).</p>
<p>To learn more about STIs, testing kits, and overall sexual health, check out <a href="https://yoxly.com/blogs/yoxly-news" target="_blank" title="Yoxly news" rel="noopener noreferrer">Yoxly's blog articles and pages</a>.</p>
<p> </p>

Can Men Get A UTI?

<p>Embarking on any fertility journey inevitably involves complex emotions and requires <a href="https://myparla.com/preparing-for-ivf/" target="_blank" title="Parla overview of IVF preparation" rel="noopener noreferrer">physical and mental preparation</a>. <a href="https://www.nhs.uk/conditions/ivf/" target="_blank" title="NHS description of IVF" rel="noopener noreferrer">In vitro fertilisation</a> (IVF), in particular, requires a whole host of tests, including testing for sexually transmitted infections (STIs). It can also be incredibly helpful to test your hormones before embarking on an IVF journey, as it will give you an indication of how your body may react to the process. Luckily, testing for both STIs and hormones is now more accessible than ever, with brands like <a href="https://myparla.com/hormone-test/" target="_blank" title="Parla Hormone Test" rel="noopener noreferrer">Parla</a> and <a href="https://yoxly.com/products/comprehensive-sti-test-kit?utm_source=Blueheart+Partnership&amp;utm_medium=Blog+article&amp;utm_campaign=Yoxly+test+kit+promotion" target="_blank" title="Yoxly Comprehensive STI Test Kit" rel="noopener noreferrer">Yoxly</a> making it possible to get to know your body in the comfort of your own home.</p>
<h4><strong>Why Do I Need An STI Test Before IVF?</strong></h4>
<p>The first reason to test for STIs is that certain infections can actually <a href="https://myparla.com/the-link-between-stis-and-fertility/" target="_blank" title="Parla article on the link between STIS and fertility" rel="noopener noreferrer">cause or contribute to infertility</a>, so they are important to rule out right at the beginning of your fertility journey! As many STIs have no symptoms, people may unknowingly have an infection for years. Infections like chlamydia can cause chronic inflammation and damage to the female reproductive organs, such as the fallopian tubes, and make <a href="https://yoxly.com/blogs/yoxly-news/do-stis-affect-fertility" target="_blank" title="Yoxly article on the effects of STIs on fertility" rel="noopener noreferrer">getting pregnant more difficult</a>. If left untreated in men, chlamydia can cause damage to the testicles and hinder sperm production.</p>
<p>The second reason is that STIs can pass from mother to baby <a href="https://yoxly.com/blogs/yoxly-news/pregnant-with-sti-what-to-know" target="_blank" title="Yoxly article on pregnancy with an STI" rel="noopener noreferrer">during pregnancy</a>, birth and breastfeeding. Having an undiagnosed and untreated STI during pregnancy can increase the chances of pregnancy loss, pregnancy complications, and in some cases, can adversely affect a baby’s development.</p>
<p>The third reason is to avoid spreading infection, either to your sexual partner(s), or to the healthcare professionals handling your samples during your IVF journey.</p>
<p>The <a href="https://www.hfea.gov.uk/" target="_blank" title="HFEA UK fertility regulator" rel="noopener noreferrer">Human Fertilisation &amp; Embryology Authority</a>, or HFEA, is the governing body that regulates fertility treatments in the UK and requires that all people involved in fertility treatment via a licenced clinic be tested for certain STIs. This includes egg and sperm donors, even if they are anonymous.</p>
<h4><strong>So What Do We Test For?</strong></h4>
<h5><strong>Chlamydia</strong></h5>
<p><a href="https://www.nhs.uk/conditions/chlamydia/" target="_blank" title="NHS description of Chlamydia" rel="noopener noreferrer">Chlamydia</a> is the most common bacterial STI in the UK, affecting both men and women. It is spread through sexual contact, including vaginal, oral and anal sex. It often displays no symptoms; however, it can cause vaginal discharge or pelvic pain in women, and testicular pain in men. Chlamydia is easily treated with a short course of oral antibiotics. Yet if left untreated, it can cause <a href="https://www.nhs.uk/conditions/infertility/diagnosis/" target="_blank" title="NHS description of infertility " rel="noopener noreferrer">infertility</a> in both sexes by damaging the reproductive organs.</p>
<h5><strong>HIV</strong></h5>
<p>HIV (<a href="https://www.nhs.uk/conditions/hiv-and-aids/" target="_blank" title="NHS description of HIV and AIDS" rel="noopener noreferrer">human immunodeficiency virus</a>) is transmitted through contact with the blood or bodily secretions of an infected person, and often has no noticeable symptoms for many years. HIV attacks the immune system and, if left untreated, can leave a person vulnerable to even the mildest of infections. Without treatment, HIV can be passed from mother to baby during pregnancy, childbirth and breastfeeding. Although HIV cannot be cured, the advent of highly effective medications has made it possible for an HIV-positive mother to give birth to a healthy, HIV-negative baby.</p>
<h5><strong>Syphilis</strong></h5>
<p><a href="https://www.nhs.uk/conditions/syphilis/" target="_blank" title="NHS description of Syphilis" rel="noopener noreferrer">Syphilis</a> is an infection caused by the bacteria Treponema pallidum. The infection is spread  from person to person through close bodily contact, usually during sex. It can cause symptoms such as a genital ulcer or rash, but it may also go unnoticed, as symptoms can be vague and quickly resolve. Syphilis can be passed from mother to child during pregnancy, but it is entirely curable with antibiotic therapy! If left untreated, <a href="https://yoxly.com/blogs/yoxly-news/syphilis-the-great-comeback" target="_blank" title="Yoxly article on Syphilis" rel="noopener noreferrer">syphilis in pregnancy</a> is associated with miscarriage, premature birth, stillbirth, congenital abnormalities and neonatal death.</p>
<h5><strong>Hepatitis B</strong></h5>
<p><a href="https://www.nhs.uk/conditions/hepatitis-b/" target="_blank" title="NHS description of Hepatitis B" rel="noopener noreferrer">Hepatitis B</a> is a virus that is readily transmitted through exposure to the bodily fluids (e.g. blood, semen, vaginal secretions, saliva) of an infected person. This can happen during sex, when sharing toothbrushes or razors, or from mother to baby during pregnancy and/or delivery. Hepatitis B often causes no symptoms, and in fact, most people are able to naturally clear the infection without treatment. However, hepatitis B can also cause serious liver problems, even in those who go on to clear the infection. Hepatitis B is treatable with the use of antiviral medications. Some groups of people (for example, healthcare workers), are routinely <a href="https://yoxly.com/pages/hepatitis-and-hpv-vaccinations" target="_blank" title="Yoxly article on Hepatitis and HPV vaccination" rel="noopener noreferrer">vaccinated</a> against hepatitis B, because of their increased risk of exposure. Similarly, babies born to mothers who have hepatitis B are typically recommended vaccination, to prevent them from acquiring the infection.</p>
<h5><strong>Hepatitis C</strong></h5>
<p>Although less common than hepatitis B, <a href="https://www.nhs.uk/conditions/hepatitis-c/" target="_blank" title="NHS description of Hepatitis C" rel="noopener noreferrer">hepatitis C</a> is another viral infection that is transmitted via contact with infected blood. Hepatitis C can also go unnoticed, with vague symptoms such as fever or skin discolouration, and cause serious liver problems. Unfortunately there is no vaccination to protect against hepatitis C, but it can be effectively treated using antiviral medications. Hepatitis C can be passed from mother to baby during pregnancy and/or delivery, so it’s important to check for this virus before becoming pregnant.</p>
<h5><strong>Other Infections</strong></h5>
<p>Although not required by the HFEA, your clinic may ask you to test for other infections, like gonorrhoea, which is also sexually transmitted, rubella and cytomegalovirus (CMV). It’s important to tell your clinic if you have travelled recently, as you may be recommended additional testing for infections such as malaria or Zika virus.</p>
<h4><strong>How Are These STIs Tested For?</strong></h4>
<p>Screening for chlamydia requires a vaginal swab sample from women, or a urine sample from men. While chlamydia can also be detected in women’s urine, best practice guidelines stipulate that a vaginal swab is more accurate. At Yoxly, we recommend women use vaginal swabs, so you can be confident that your result will be as accurate as possible.</p>
<p>For both women and men, screening for HIV, syphilis, hepatitis B and hepatitis C requires a blood test.</p>
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<h4><strong>Hormone Testing Before IVF</strong></h4>
<p>If you have been struggling to conceive for a while, it might be that you have already had some fertility tests to help understand what could be causing the problem. However, if you are earlier in your journey, the chances are that testing would not have been offered to you. </p>
<p>As with all things when it comes to fertility, taking a proactive stance can help you feel more prepared and confident in taking next steps. The Parla At-Home Hormone Test can not only give you a detailed overview of your fertility but can also give you an indication of how your body may react to IVF and the chance of success.</p>
<p>The finger prick blood test can be obtained at home on the 3rd day of your cycle and then posted back to our labs. You’ll then receive the results within a few days, with a detailed report delivered over email.</p>
<h4>
<strong>What Does The Parla Hormone Test Cover?</strong> </h4>
<p>The test covers all of the major hormones involved in reproduction:</p>
<ul>
<li>Anti mullerian hormone (AMH)</li>
<li>Follicle stimulating hormone (FSH)</li>
<li>Luteinizing hormone (LH)</li>
<li>Prolactin (P)</li>
<li>Thyroxine (T4)</li>
<li>Thyroid stimulating hormone (TSH)</li>
</ul>
<p>This specific panel of hormones is not generally offered on the NHS. Testing for Anti Mullerian hormone (AMH), the hormone that helps you understand your egg reserve, is not commonly offered on the NHS - but it’s an incredibly important hormone to understand if you are considering IVF.</p>
<p>Taking fertility testing into your own hands at the start of your fertility journey can help you make the right decisions for you and your partner and save you time and money in the long run by helping you choose the right fertility route for yourself. Likewise, getting a clean bill of sexual health before embarking on your road to parenthood can ensure both you are your partner are safe, which is the most important thing. It can also give you the confidence that there won’t be any unexpected STI-related bumps in the road if you do decide to go down the route of assisted fertility.</p>
<p> </p>

Getting Ready For IVF: STI And Hormone Testing

<p>Engaging in sexual activity is a natural part of life, but finding yourself with a sexually transmitted infection (STI) months later, makes such encounters less exciting. There are vaccination opportunities available that could help minimise risks to many individuals. Should you take them? What types of STIs could you receive a vaccine for?</p>
<h2><strong>Which STIs Can Be Vaccinated Against?</strong></h2>
<p>It is common for people not to want to talk about STIs such as <a title="Yoxly article on genital warts" href="https://yoxly.com/blogs/yoxly-news/genital-warts-what-are-they-and-how-can-you-get-rid-of-them" target="_blank">genital warts</a>, yet these are very real, common and often uncomfortable conditions that many people may have to deal with. Some people may not know that vaccines are available for some of these conditions, which could mean that you have less risk of contracting a harmful infection. In addition, a vaccine can help alleviate worry about contracting a potentially serious infection during your next sexual encounter.</p>
<p>The following are some sexually transmitted infections that have vaccination options available. They are well worth discussing with your doctor even if you are not sexually active now but could be at some time in the future.</p>
<h2><strong>Hepatitis B</strong></h2>
<p>The hepatitis B virus can cause severe liver disease. This may include liver scarring or cirrhosis and increasing the risk of liver cancer. Therefore, left untreated, it can be life-threatening. The <a title="NHS description of hepatitis B vaccine" href="https://www.nhs.uk/conditions/vaccinations/hepatitis-b-vaccine/" target="_blank">hepatitis B vaccination</a> (e.g. <em>Engerix B<sup>®</sup></em>) may reduce or eliminate the risk of contracting this virus. That is why this routine vaccination is available to those who qualify.</p>
<p>In the UK, the hepatitis B vaccine is routinely given to babies as a part of the <a title="NHS description of 6-in-1 vaccine" href="https://www.nhs.uk/conditions/vaccinations/6-in-1-infant-vaccine/" target="_blank">6-in-1 vaccine</a>, administered at 8, 12, and 16 weeks of age. Some babies are at a higher risk of contracting the virus if their <a title="NHS description of hepatitis B vaccine" href="https://www.nhs.uk/conditions/vaccinations/hepatitis-b-vaccine/" target="_blank">mother is known to be infected</a>; therefore, they are recommended extra doses at birth and at four weeks and one year.</p>
<p>Those most at risk for contracting hepatitis B include those who inject drugs or have a partner who injects drugs, those with multiple sexual partners and men who have sex with men.</p>
<p>You can test for hepatitis B using one of Yoxly’s<a href="https://yoxly.com/products/standard-sti-test-kit"> </a><a title="At-home STI test kits" href="https://yoxly.com/products/standard-sti-test-kit" target="_blank">STI kits</a>, with our <a title="At-home standard STI test kit" href="https://yoxly.com/products/standard-sti-test-kit" target="_blank">standard</a> and <a title="At-home comprehensive STI test kit" href="https://yoxly.com/products/comprehensive-sti-test-kit" target="_blank">comprehensive</a> kits testing for hepatitis B, among other common STIs. One of the most effective ways of preventing hepatitis B from being transmitted during sexual intercourse is to <a title="Yoxly article on different types of condoms" href="https://yoxly.com/blogs/yoxly-news/types-of-condoms-what-they-are-their-uses-and-how-to-pick-the-right-one" target="_blank">use condoms</a> for every episode of sex.</p>
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<h2><strong>Human Papillomavirus (HPV)</strong></h2>
<p>The human papillomavirus (HPV) is one of the most commonly transmitted STIs. There are various forms of HPV. Some types cause genital warts, which are harmless fleshy outgrowths that appear on or around the genitals; these are known as low-risk types. Some types (such as HPV-16 and HPV-18) are associated with genital cancers such as cervical, anal and penile cancers; these are known as high-risk types (hr-HPV).</p>
<p>HPV spreads through contact with someone with the virus during vaginal, anal, or <a title="Yoxly article on how to have safer oral sex" href="https://yoxly.com/blogs/yoxly-news/how-to-have-safer-oral-sex" target="_blank">oral sex</a>. It can also spread through close touching during sex, even if no penetration occurs. HPV may be transmitted to others even when there are no signs or symptoms of the condition. In some situations, a person may develop signs of the HPV infection many years after contracting the virus. The good news is that most HPV infections <a title="NHS description of human papillomavirus" href="https://www.nhs.uk/conditions/human-papilloma-virus-hpv/" target="_blank">do not require any specific treatment</a> and are spontaneously cleared by our immune system. Therefore, there is no routine testing for HPV infection.</p>
<p>The <a title="GOV overview of HPV vaccination guidance for healthcare practitioners" href="https://www.gov.uk/government/publications/hpv-universal-vaccination-guidance-for-health-professionals/hpv-vaccination-guidance-for-healthcare-practitioners" target="_blank">HPV vaccination programme</a> was initially introduced in the UK in 2008 for girls aged 12–13. Now, vaccination is recommended for all boys and girls in school at ages 12–13. The newest vaccine, <a title="EMA description of Gardasil 9" href="https://www.ema.europa.eu/en/medicines/human/EPAR/gardasil-9" target="_blank"><em>Gardasil-9</em><em><sup>®</sup></em></a>, protects against nine types of HPV, including some types of high-risk HPV, and comprises two or three doses.</p>
<p>Those who did not receive their <a title="NHS description of HPV vaccine" href="https://www.nhs.uk/conditions/vaccinations/hpv-human-papillomavirus-vaccine/" target="_blank">HPV vaccination</a> when offered at school (girls born after 1 September 1991 and boys born after 1 September 2006) are usually eligible to receive the vaccine free of charge on the NHS up to the age of 25.</p>
<p>Additionally, this vaccine is recommended for all men who have sex with men (MSM) up to the age of 45 if they are attending specialist sexual health clinics.</p>
<p>For those not eligible for free vaccination, a number of private clinics offer HPV vaccination.</p>
<h2><strong>Hepatitis A</strong></h2>
<p>Hepatitis A is a liver infection caused by the hepatitis A virus (HAV). This virus is detectable in the stool or the blood of a person with the infection. It is a highly contagious virus that spreads through contact with infected blood or stool. Even at very small, microscopic levels, it can cause significant risk to individuals. It can also spread when there is close personal contact with a person with hepatitis A or by eating food or drink contaminated with the virus.</p>
<p>There is a <a title="NHS description of hepatitis A vaccination" href="https://www.nhs.uk/conditions/hepatitis-a/vaccination/" target="_blank">vaccine available for hepatitis A</a> (e.g. <em>Avaxim<sup>®</sup></em> or <em>Havrix<sup>®</sup>)</em>; however, this is not routinely offered in the UK. This is because, for most people, the risk of contracting hepatitis A is low.</p>
<p>Those at higher risk include people who are likely to come in contact with someone diagnosed with hepatitis A, those who plan to <a title="NHS description of hepatitis A causes" href="https://www.nhs.uk/conditions/hepatitis-a/causes/#at-risk-destinations" target="_blank">travel or live in an area</a> where the virus is more common, those who liver disease, MSM, and people who inject drugs.</p>
<p>The hepatitis A vaccine is often given in conjunction with the <a title="EMC description of Twinrix Adult Vaccine" href="https://www.medicines.org.uk/emc/medicine/2061" target="_blank">hepatitis B vaccine</a> (e.g. <em>Twinrix</em>) or the <a title="NHS description of typhoid fever" href="https://www.nhs.uk/conditions/typhoid-fever/" target="_blank">typhoid fever vaccination</a> (e.g. <em>ViATIM<sup>®</sup></em>).</p>
<p>Testing for hepatitis A is not widely available, so if you are worried you may have been exposed to hepatitis A, it’s important to speak with a healthcare professional.</p>
<h2><strong>Monkeypox</strong></h2>
<p><a title="GOV description of Monkeypox" href="https://www.gov.uk/guidance/monkeypox" target="_blank">Monkeypox is a rare disease</a>. It spreads when a person with the infection comes in contact with another person but does not spread easily between people. It may spread during sexual contact and enters the body through broken skin, the respiratory tract, or mucus membranes such as the eyes, nose, and mouth. A person with skin lesions or scabs may be at a higher risk of <a title="Yoxly article on monkeypox and sexual health" href="https://yoxly.com/blogs/yoxly-news/monkeypox-and-sexual-health-whats-the-link" target="_blank">contracting monkeypox</a>.</p>
<p>However, it is not a true STI in the natural sense. That is, monkeypox can spread through sexual contact, but it can also be transmitted where there is no sexual contact.</p>
<p>In the UK, there is no specific <a title="GOV description of Monkeypox" href="https://www.gov.uk/government/publications/monkeypox-vaccination-resources/monkeypox-waiting-for-your-vaccination" target="_blank">monkeypox vaccine</a>; however, those at high risk of contracting monkeypox may be offered the <a title="CDC description of smallpox vaccine" href="https://www.cdc.gov/smallpox/vaccine-basics/index.html" target="_blank">smallpox vaccine</a>, which protects against monkeypox. However, this vaccine is only available to a very limited cohort of people, so it is important that you speak with your doctor or visit your local sexual health service if you think you are at a high risk of monkeypox.</p>
<p> </p>
<div style="text-align: center;"><img style="float: none;" alt="An infographic illustrating a guide to the various types of STI vaccinations" src="https://cdn.shopify.com/s/files/1/0282/1187/1878/files/infographic-guide-to-STI-vaccinations_600x600.png?v=1666689306"></div>
<h2><strong>Conclusion</strong></h2>
<p>It's always wise to understand the risks you face. Learn more about <a title="Yoxly article on genital warts" href="https://yoxly.com/blogs/yoxly-news/genital-warts-what-are-they-and-how-can-you-get-rid-of-them" target="_blank">hepatitis and HPV vaccinations</a> and speak to your doctor or clinic if you may be eligible for them. Regular <a title="At-home STI test kits" href="https://yoxly.com/pages/order-your-kit" target="_blank">STI testing</a> is important, as an early infection is usually easier to treat.</p>
<p> </p>

STI Vaccinations – Could You Get a Vaccine to Stop Worrying?

<p>We often hear the question, “what does herpes look like”? Because no one really likes to talk about the details of what happens to your private parts when you have a sexually transmitted infection (STI). But, it’s time to break that barrier!</p>
<p>As squeamish as it might make you, learning how to identify herpes can benefit you and your partner(s) in the long run. You’ll thank yourself (and us) later. </p>
<p>In this blog, we will explain the visual aspects of herpes so that you know what to look for. But first, let’s quickly brush up on our herpes knowledge.</p>
<h2><strong>What Is Herpes?</strong></h2>
<p>Herpes is a <a title="Yoxly article on how common herpes is" href="https://yoxly.com/blogs/yoxly-news/how-common-is-herpes-and-what-does-it-mean-for-me" target="_blank">common sexually transmitted infection (STI)</a> caused by the herpes simplex virus that causes sores or blisters to emerge on certain parts of the body.</p>
<p>There are two types:</p>
<ul>
<li>
<strong>Herpes simplex virus type 1 (HSV-1): </strong>HSV-1 is the most common type of herpesvirus and the <a title="BASHH description of herpes" href="https://www.bashhguidelines.org/current-guidelines/genital-ulceration/anogenital-herpes-2014/" target="_blank">most common cause of both oral and genital herpes</a>. HSV-1 can cause symptoms around the mouth (“oral herpes”) or the anogenital area (“genital herpes”). Around the lips and mouth, this causes “cold sores” - not to be confused with coleslaws, like we often hear! It is estimated that <a title="NIH description of herpes simplex virus type 1 in Europe" href="https://pubmed.ncbi.nlm.nih.gov/32675066/" target="_blank">4% of European adults are infected with HSV-1</a>.</li>
</ul>
<ul>
<li>
<strong>Herpes simplex virus type 2 (HSV-2): </strong>HSV-2 is almost exclusively sexually transmitted, and causes sores and blisters around the genitals, anus, thighs or buttocks. In rare cases, HSV-2 can also infect the mouth and cause oral herpes. In addition, <a title="BASHH overview of genital herpes" href="https://www.bashh.org/documents/HSV%20PIL%202015%20Screen-friendly.pdf" target="_blank">HSV-2 is more likely to cause recurrent episodes of genital herpes than HSV-1</a>.</li>
</ul>
<p>The visual appearance of HSV-1 and HSV-2 is indistinguishable, and both types cause exactly the same symptoms. Therefore, you cannot tell by looking which type of HSV is causing an outbreak.</p>
<p>The herpes virus infects the epithelium (skin) cells of the body, and likes to infect parts of the skin that become moist, such as the vulva, vagina, penis, mouth and anus. Any <a title="NHS description of genital herpes" href="https://www.nhsinform.scot/illnesses-and-conditions/sexual-and-reproductive/genital-herpes" target="_blank">contact with an infected area of skin</a> can transmit the virus. No, you can’t get it from a toilet seat--this is a common misconception. <a title="Yoxly article on whether you can get herpes from a toilet seat and other faqs" href="https://yoxly.com/blogs/yoxly-news/can-you-get-herpes-from-a-toilet-seat-and-other-faqs" target="_blank">Read more</a> about the transmission of herpes in our blog post.</p>
<p>Currently, there is no cure for the herpes virus, and most people <a title="NICE description of herpesvirus infections" href="https://bnf.nice.org.uk/treatment-summaries/herpesvirus-infections/" target="_blank">don’t need any specific treatment</a>. Once someone has contracted herpes, technically they will have it for life as the virus persists inside nerve cells. Some people will never develop symptoms at all, some people will have one episode of symptoms in their whole life, and some people will experience infrequent or frequent flare-ups.</p>
<p>So, what does herpes look like?</p>
<h2><strong>What Does Herpes Look Like On A Man?</strong></h2>
<p>Male genital herpes can cause singular or clusters of blisters to develop anywhere in the genital region. The most common place for genital herpes on a man is the penis, particularly around the head of the penis and the shaft. However, in some cases, herpes lesions can be inside the urethra and may not be fully visible. Herpes can also affect the anus, particularly in men who have sex with men.</p>
<p>The first noticeable sign is often a patch of redness or swelling on the skin, which then develops small red or white pimples, typically in a cluster of 2–3. These then develop into blisters, filled with a clear yellow fluid. Sometimes the blisters can coalesce (join together) to form larger fluid-filled blisters. The sores typically burst and ooze a clear or yellow discharge, before crusting over and forming a yellow scab. The scab drops off as the lesions heal, and the skin repairs itself back to normal in a few days.</p>
<p>Genital herpes can also cause swollen lymph nodes, which can be visible as soft bumps in the groin area.</p>
<h2><strong>What Does Herpes Look Like On A Woman?</strong></h2>
<p>Women with genital herpes typically develop blisters on the vulva, but these can also develop inside the vagina, on the cervix, around the anus or on the thighs. </p>
<p><strong>Quick anatomy lesson:</strong> the vulva is the external part of the female genitals and includes the outer lips (labia majora), inner lips (labia minora), clitoris, vaginal opening and the urethral opening.</p>
<p>Genital sores look the same in women as they do in men–often the first noticeable visual change is a redness or swelling. Then, small white pimples or bumps develop. These then become <a title="NHS description of genital herpes" href="https://www.nhs.uk/conditions/genital-herpes/" target="_blank">fluid-filled blisters</a> which are raised from the surrounding skin, which may be red and irritated. The blisters then burst, becoming wet ulcers that then scab over and heal completely. Often ulcers and scabbing can be difficult to see on the vulva, and may just look like slightly differently coloured areas. </p>
<p>Unusual <a title="NHS description of genital herpes" href="https://www.nhs.uk/conditions/genital-herpes/" target="_blank">vaginal discharge</a> can be a symptom of genital herpes, but may also be a sign of another infection, such as chlamydia or gonorrhoea. Not sure what “normal” is? <a title="Yoxly article on vaginal discharge" href="https://yoxly.com/blogs/yoxly-news/got-vaginal-discharge-let-s-talk-about-it" target="_blank">Read our blog on vaginal discharge</a> and consider ordering one of our <a title="At-home STI test kits" href="https://yoxly.com/pages/order-your-kit" target="_blank">at-home STI testing kits</a> to rule out other infections.</p>
<p>Herpes can also cause sores around the anus, which can be difficult to see, and in some cases, soft swellings around the groin caused by <a title="NHS description of swollen glands" href="https://www.nhs.uk/conditions/swollen-glands/" target="_blank">swollen glands</a>.</p>
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<h2><strong>What Does Oral Herpes Look Like?</strong></h2>
<p>Oral herpes causes blisters, known as <a title="NHS description of cold sores" href="https://www.nhs.uk/conditions/cold-sores/" target="_blank">cold sores</a>, to develop around the mouth, lips, chin, tongue or below the nose. These may start as an area of dry, red or swollen skin. Then the tell-tale fluid-filled blisters form, which are usually red, yellow or white. These burst and form a yellow-ish scab which crusts and heals. Again, these may start out looking like small pimples, which can be easily confused with your average spot. So how can you tell?</p>
<p>There are a few key differences to be aware of to help you identify cold sores vs spots:</p>
<ul>
<li>Cold sores generally show up around the mouth area, whereas spots appear anywhere on the face</li>
<li>Cold sores may feel itchy, tingly or have a burning sensation before any actual blistering appears, whereas spots usually start off feeling tender and raised</li>
<li>Cold sores are usually made up of a cluster of small blisters, whereas a spot usually has a single blackhead or whitehead.</li>
</ul>
<p> </p>
<div style="text-align: center;"><img style="float: none;" alt="An infographic illustrating how herpes looks like" src="https://cdn.shopify.com/s/files/1/0282/1187/1878/files/infographic-guide-to-how-herpes-looks-like_e55a15df-7ae3-4bf0-87d5-783901c379c6_600x600.png?v=1665395193"></div>
<div style="text-align: center;"></div>
<h2><strong>Other Symptoms Of Herpes</strong></h2>
<p>Other than the symptoms discussed above, common herpes symptoms to look out for include:</p>
<ul>
<li>Itchy, dry, inflamed, red or swollen skin</li>
<li>A <a title="BMJ patient information on genital herpes" href="https://bestpractice.bmj.com/patient-leaflets/en-gb/download/1558452773447/Genital%20herpes.pdf" target="_blank">burning sensation during urination </a>
</li>
<li>Tingling, throbbing or pain in the affected area</li>
<li>Flu-like symptoms such as aches, pains, fever and fatigue</li>
</ul>
<p>However, herpes does not always have symptoms, so many people don’t know they have it. The virus <a title="ScienceDirect article on strength in diversity: understanding the pathways to herpes simplex virus reactivation" href="https://www.sciencedirect.com/science/article/pii/S0042682218302137" target="_blank">lies dormant in your body</a> and you may not experience a flare-up for years after you have contracted it, or you might never be troubled with symptoms.</p>
<p>Symptoms may also be very mild so are often confused with things like spots, ingrown hairs or the flu.</p>
<p>It’s also important to remember that even though visible herpes symptoms go away after time, the virus stays in your body and you can still pass it on to others, using barrier protection during sexual intercourse reduces the chances of transmission.</p>
<p>Take the stress out of getting an STI check-up by ordering one of our <a title="At-home STI test kits" href="https://yoxly.com/pages/order-your-kit" target="_blank">at-home STI testing kits</a>. We deliver straight to your door, so you don’t even need to leave the comfort of your home!</p>
<h2><strong>Conclusion</strong></h2>
<p>After reading this post, if someone were to ask you “what does herpes look like?”, we hope you will have the answer. But let’s quickly recap to make sure!</p>
<p>Herpes is a common STI that is caused by the HSV virus. It causes visible sores or blisters to develop around the mouth (oral herpes) or genital area (genital herpes). In both men and women, a genital herpes flare-up begins as small pimples on or around the penis, vulva, vagina, anus, buttocks or thighs. These develop into larger fluid-filled blisters which burst and form scabs.</p>
<p>Oral herpes causes these same blisters to appear around the mouth area. As sores start out as small pimples, it is easy to confuse them with spots, so it’s important to be aware of the differences.</p>
<p><a title="At-home STI test kits" href="https://yoxly.com/pages/order-your-kit" target="_blank">Yoxly’s STI test kits</a> help you take control of your sexual health, without the hassle. Check out our different kits and get today. You can also find out more information about sexual health and STIs on our <a title="Yoxly sexual health blog" href="https://yoxly.com/blogs/yoxly-news" target="_blank">blog</a>.</p>
<p> </p>

What Does Herpes Look Like?

<p>Ah, September is here, and you know what that means. Well, yes, it's fall. And yes, Pumpkin Spice Lattes are finally available. But we're not talking about any of that. We're talking about…</p>
<h2><strong>World Sexual Health Day and Sexual Health Awareness Week! </strong></h2>
<p>As a company that likes to think we know a thing or two about sexual health and awareness, this is one of our favourite times of the year. So, we thought we'd take a moment to discuss all that September represents with these topics and how you can practice better sexual health in your life.</p>
<p>Let's get started!</p>
<h2><strong>World Sexual Health Day 2022</strong></h2>
<p>The first World Sexual Health Day was celebrated in 2010 and launched by then-President of the World Association for Sexual Health (WAS), Rosemary Coates. The goal of the day is to "<a title="World Association for Sexual Health overview of World Sexual Health Day 2022" href="https://worldsexualhealth.net/world-sexual-health-day/" target="_blank">bring the global community together to promote sexual health and well-being</a>."</p>
<p>For many, it's a day to create a world where sexual health is optimised for all.</p>
<p>This brings us to the theme of 2022, <em>Let's Talk Pleasure</em>.</p>
<p>Pleasure is a critical part of sexual health and is central to our health and well-being. It's an important conversation and one that doesn't happen often enough. Part of the day, which occurred on September 4th this year, is to discuss what exactly sexual pleasure is. We'll discuss this a little later.</p>
<h2><strong>Sexual Health Awareness Week</strong></h2>
<p>Beyond just World Sexual Health Day is Sexual Health Awareness Week. Because why celebrate sexual health and pleasure for just one day when you can for a whole week (or even a month!)? Sexual Health Awareness Week is from September 12th through September 18th. </p>
<p>The week is designed to highlight the importance of sexual health as part of overall human health. This includes getting regular checkups and <a title="At-home STI test kits" href="https://yoxly.com/pages/order-your-kit" target="_blank">testing for STIs</a>. It's also a time for promoting and raising awareness of what makes a relationship healthy.</p>
<p>The hope is that weeks and experiences like this can reduce the stigma many have about sex and talk about their own sexual lives. Throughout the week, we hope people will discover new healthy practices and increase their <a title="Yoxly Sexual Health Blog" href="https://yoxly.com/blogs/yoxly-news" target="_blank">knowledge of safe sex practices</a>.</p>
<p>Sexual Health Awareness Week was started by Brook, a U.K.-based charity, to raise awareness of sexual health. As a result of their work, the <em>Children and Social Work Act of 2017</em> began. This established criteria for sex education in schools, which was made mandatory in 2019 across all levels of schooling, including special education facilities.</p>
<p>While the week of activities has been postponed (as of this writing), you can learn about all the great upcoming events and check out resources at the <a title="Brook Charity Website" href="https://www.brook.org.uk/shw/" target="_blank">Brook website</a>.</p>
<h2><strong>September is Also "Pleasure Your Mate" Month</strong></h2>
<p>We're not professional historians or archaeologists, but we think we can safely assume that human sexuality and pleasure go back to the beginning of the human race. Yet, even after hundreds of thousands of years, we're still figuring out how the heck we can do it better and safer.</p>
<p>Pleasure can mean different things to different people, but it's as <a title="LloydsPharmacy overview of the top 10 health benefits of sex" href="https://onlinedoctor.lloydspharmacy.com/uk/sexual-health-advice/10-health-benefits-of-sex" target="_blank">vital a part of a healthy life</a> as diet and exercise.</p>
<h2><strong>What Do We Mean by "Sexual Pleasure?"</strong></h2>
<p>The working definition of sexual pleasure, as <a title="GAB description of the working definition of sexual pleasure" href="https://www.gab-shw.org/our-work/working-definition-of-sexual-pleasure/" target="_blank">outlined by the GAB</a> is:</p>
<p><em>"Sexual pleasure is the physical and/or psychological satisfaction and enjoyment derived from solitary or shared erotic experiences, including thoughts, dreams and autoeroticism.</em></p>
<p><em>Self-determination, consent, safety, privacy, confidence and the ability to communicate and negotiate sexual relations are key enabling factors for pleasure to contribute to sexual health and well-being. Sexual pleasure should be exercised within the context of sexual rights, particularly the rights to equality and non-discrimination, autonomy and bodily integrity, the right to the highest attainable standard of health and freedom of expression. The experiences of human sexual pleasure are diverse and sexual rights ensure that pleasure is a positive experience for all concerned and not obtained by violating other people's human rights and well-being." </em><em>(GAB, 2016)</em></p>
<p>To us, the standout words in that statement include <em>sexual rights, non-discrimination, "pleasure is a positive experience for all,"</em> and pleasure is <em>"not obtained by violating others."</em> </p>
<p>It's a powerful statement we hope you'll read a few times to truly understand what it says.</p>
<p>Here at Yoxly, we talk primarily about sexual health and <a title="At-home STI test kits" href="https://yoxly.com/" target="_blank">STI testing and prevention</a>, but sexual pleasure is right up there with the things we care about and hope for in all people.</p>
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<h4><strong></strong></h4>
<h2><strong>Barriers to Sexual Pleasure and How to Overcome Them</strong></h2>
<p><a title="NATSAL website" href="https://www.natsal.ac.uk/" target="_blank">According to NATSAL</a>, 1 in 4 men and women in a relationship do not share the same interest in sex as their partner. Whether it's a loss of interest or differing desires, some barriers to sexual pleasure include not wholly understanding how to please your partner(s) or possibly yourself. This could be due to the stigmas of sex that many of us were brought up with. It could also be that we don't feel comfortable enough to have sexual discussions with ourselves or our partners.</p>
<p>Of course, ageing, <a title="NHS description of ejaculation problems" href="https://www.nhs.uk/conditions/ejaculation-problems/" target="_blank">physical problems</a>, and <a title="NHS description of loss of libido" href="https://www.nhsinform.scot/illnesses-and-conditions/sexual-and-reproductive/loss-of-libido" target="_blank">loss of libido</a> can also play a role in preventing sexual pleasure. And for women, the risk of pregnancy and childbearing can <a title="NIH overview of factors affecting initiation of sexual intercourse" href="https://www.ncbi.nlm.nih.gov/books/NBK219217/" target="_blank">prevent the initiation of sex</a>.</p>
<h2><strong>How to Discuss Pleasure With Yourself and Your Partners</strong></h2>
<p>With the creation of these types of awareness programs, we've seen some major strides across the UK in positive sexual discussions. But, those discussions should be happening during all months of the year, not just Sextember–<em>oops, we mean September</em>. Everyone must understand that sex and pleasure play significant roles in adult life. This means that stigmas need to be erased, and lessons on <a title="Metro article on why sex education needs to start focusing on pleasure" href="https://metro.co.uk/2017/03/24/why-sex-education-needs-to-start-focusing-on-pleasure-6531804/" target="_blank">sex AND pleasure</a> should be taught (responsibly) even before adulthood is reached.</p>
<p>We hope that <a title="Yoxly Sexual Health Blog" href="https://yoxly.com/blogs/yoxly-news" target="_blank">blogs like ours help</a>, and we encourage our readers to digest any credible resources they can find if they want to learn more.</p>
<p>We encourage you to challenge yourself and learn more about sexual health and awareness throughout September. We also encourage you to take this time to understand your own sexual health more with <a title="At-home STI test kits" href="https://yoxly.com/pages/order-your-kit" target="_blank">STI testing</a>.</p>
<p>After all, and especially after these last couple of years, don't we all deserve a little more pleasure in our lives?</p>
<p> </p>

World Sexual Health Day 2022

<p>We’re celebrating menopause awareness month! As you reach your forties and fifties, you’ll likely start to notice changes to your body and mood and might wonder, “am I entering menopause?” Knowing what to look out for can help you recognise the start of menopause and understand what’s normal. Plus, you’ll know what to expect and how best to manage your symptoms.</p>
<p>To help prepare you, in this blog we explain what happens during menopause and discuss some common signs that may indicate you are menopausal. Plus, get some top tips on how to alleviate your symptoms!</p>
<h4><strong>What Happens During The Menopause</strong></h4>
<p><a href="https://www.nhs.uk/conditions/menopause/" target="_blank" title="NHS description of menopause" rel="noopener noreferrer">Menopause</a> is a natural part of ageing for all women. It marks the end of your periods and reproductive years, but the start of a new life chapter - much like when you got your first ever period. Many women find menopause a time of liberation, as period troubles and pregnancy scares become a thing of the past.</p>
<p>As women get older, oestrogen levels slowly begin to decline. This causes your ovaries to stop releasing eggs every month, and your periods may become irregular, before stopping altogether. A loss of oestrogen also gives rise to other menopausal symptoms, which we will cover in greater detail below.</p>
<p>But first, it’s important to under the three stages of menopause:</p>
<ul>
<li>
<strong>Perimenopause:</strong> is the time leading up to your last period and describes the transitionary phase to menopause. Most women will enter this stage between 45 and 55, although some may experience it much earlier. Generally, perimenopause is when women tend to experience the most menopausal symptoms, as oestrogen levels plummet. This stage can last anywhere from a few months to several years.</li>
<li>
<strong>Menopause:</strong> is the time when your menstrual cycle completely stops altogether.</li>
<li>
<strong>Postmenopause:</strong> begins when it has been 12 months since your final period. For many women, this is a time of liberation. Periods are mostly, quite literally, a pain after all!</li>
</ul>
<p>So, how can you tell if you’re entering perimenopause? Several tell-tale signs can alert you to the start of menopause. Understanding what these are can ensure you are prepared for this next stage in life so that you can support your own physical and mental health in the best possible way.</p>
<h4><strong>Common Menopause Symptoms</strong></h4>
<p>Every woman has her own journey through menopause. Some may only experience mild symptoms, while others may experience more severe changes. The main point to remember is that what is happening to your body is normal - if sometimes unpleasant!</p>
<h5><strong>1. Irregular Bleeding</strong></h5>
<p>This is usually the first sign that you are entering menopause. You may find your periods come more or less frequently, are longer or shorter, and are lighter or heavier than usual.</p>
<p>This disruption is caused by declining oestrogen levels, which plays havoc on your menstrual cycle. Why? Because oestrogen plays a key role in the development of the uterus lining and the release of an egg during ovulation. Without sufficient levels, these processes cannot take place and things get thrown very much out of whack.</p>
<p>But irregular bleeding is not always a sign of menopause and can also have other causes, such as pregnancy or an STI. So if you notice any changes, it’s always a good idea to see your doctor to ensure there isn’t another underlying cause. You can even order one of our <a href="https://yoxly.com/pages/order-your-kit" target="_blank" title="At-home STI test kits" rel="noopener noreferrer">at-home STI testing kits</a>, to rule out STIs, without even needing to leave the comfort of your own home.</p>
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<h5><strong>2. Mood Changes</strong></h5>
<p>Ah yes, the dreaded mood swings. Many women reading this will be familiar with these, as it is common to experience mood changes during your monthly cycle as a result of hormone fluctuations. Well, the same goes for menopause, so nothing new really!</p>
<p>Some women report changes in mood during perimenopause, including increased irritability, depression, anxiety, stress and fatigue. These are all normal feelings, and it can help to remember that your feelings may be exaggerated due to changes in your hormones.</p>
<p>Try to get plenty of sleep every night, do regular exercise, schedule some me-time, and take part in relaxing activities such as yoga. These can all help boost your mood and keep you from feeling blue. Multiple <a href="https://www.sciencedirect.com/science/article/abs/pii/S0378512217308563" target="_blank" title="ScienceDirect article on exercise and mental health" rel="noopener noreferrer">scientific studies</a> have found that regular physical activity has significant beneficial effects on mental health and mood state - so dust off the running shoes and get your sports bras on, ladies!</p>
<h5><strong>3. Hot Flushes</strong></h5>
<p><a href="https://www.bupa.co.uk/newsroom/ourviews/symptoms-menopause-hot-flushes" target="_blank" title="Bupa article on symptoms of menopause" rel="noopener noreferrer">Hot flushes</a>, also called hot flashes, are another very common symptom of menopause. They describe a sudden feeling of warmth in your body and face, reddening of the skin, and sweating. Not exactly pleasant if you’re in a meeting at work. But the good news is, there are things you can do to help you manage. Here are our top tips:</p>
<ul>
<li>Wearing loose-fitting light clothing. Layers, layers and more layers! This means you can easily shed clothing when you feel a hot flush coming on.</li>
<li>Avoid triggers like alcohol, smoking and caffeine.</li>
<li>Place a fan in your bedroom or on your desk at work.</li>
<li>Keep a sneaky spray bottle in your bag so you can mist yourself to help you cool down.</li>
<li>Eat a healthy diet.</li>
<li>Avoid hot baths and showers.</li>
</ul>
<h5><strong>4. Vaginal Changes</strong></h5>
<p>As you enter menopause, you will also begin to notice changes to your downstairs department, so it’s important to pay attention to your vaginal health during this time. As oestrogen levels decline, the vagina walls may become drier and thinner, known as vaginal atrophy. This can cause itching, burning, pain or discomfort, particularly during sex. You may also notice changes to your vaginal discharge. To help ease these symptoms, you can try:</p>
<ul>
<li>
<strong>Vaginal moisturisers:</strong> can help prevent dryness and keep vaginal tissues moist.</li>
<li>
<strong>Vaginal lubricants:</strong> can help make sexual intercourse more comfortable.</li>
<li>
<strong>Systemic hormone replacement therapy (HRT): </strong>delivers synthetic oestrogen to help treat a variety of menopause symptoms.</li>
<li>
<strong>Vaginal oestrogen creams and pessaries: </strong>contain oestrogen and help reduce dryness and symptoms of vaginal atrophy.</li>
</ul>
<p><a href="https://yoxly.com/blogs/yoxly-news/how-does-menopause-impact-vaginal-health" target="_blank" title="Yoxly article on how menopause impacts vaginal health" rel="noopener noreferrer"><em>Read our blog</em></a><em> on how menopause affects the vagina to find out more.</em></p>
<h5><strong>5. Problems Sleeping</strong></h5>
<p><a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6718648/" target="_blank" title="NIH article on sleep disorders and menopause" rel="noopener noreferrer">According to research</a>, low levels of progesterone and oestrogen as seen in menopausal women, can negatively impact sleep, as these hormones play a key role in bodily processes involved in regulating sleep. Hot flushes and mood changes can also have an effect. Here are a few tips to help you get your forty winks at night.</p>
<ul>
<li>Do regular exercise.</li>
<li>Limit screen time near bedtime.</li>
<li>You may feel more tired than usual during the day, but try to avoid naps.</li>
<li>Avoid drinking alcohol, eating big meals, or having caffeine late in the evening.</li>
<li>Create a cosy sleeping environment. Block out sound and light, and keep your room cool.</li>
<li>Keep a regular sleep schedule - yes, even on weekends!</li>
</ul>
<h4><strong>Summary</strong></h4>
<p>Menopause usually begins between the ages of 45 and 50 and is caused by a drop in the hormone oestrogen. There are three stages: perimenopause, menopause and postmenopause.</p>
<p>A decline in oestrogen brings on a number of changes to your body, all of which are totally normal, if a bit unpleasant. One of the first signs of menopause is irregular menstrual bleeding. Other symptoms to look out for that signify you may be menopausal include, hot flushes, vaginal changes such as dryness and pain during sex, mood changes, and sleeping problems.</p>
<p>The good news is there are a number of steps you can take to take back control of your own health. Follow our tips listed above and your menopause journey will be more than manageable.</p>
<p> </p>

Five Signs You May Be Menopausal

<p>Let’s talk about the morning after pill – the emergency contraceptive that’s not only used for the morning after.</p>
<p>Despite the abundance of available <a href="https://www.nhs.uk/conditions/contraception/emergency-contraception/" title="NHS description on emergency contraception" target="_blank">Information and education</a> surrounding the use of emergency contraception, there’s little talk as to what actually goes on behind the closed doors of a pharmacy consultation room. Is it confidential? Is it discreet? Is it nerve-racking? We’re here to give you a comprehensive breakdown of the goings on in a pharmacy’s consultation room.</p>
<p>First, let’s quickly go over the fundamentals of the morning after pill.</p>
<h2><strong>What is The Morning After Pill?</strong></h2>
<p>The <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2792670/" title="NIH article on emergency contraception" target="_blank">emergency contraceptive</a><a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2792670/"> </a>or morning after pill is taken to prevent an unwanted pregnancy following unprotected sexual intercourse. The morning after pill can often be purchased without needing a prescription following a consultation with a pharmacist.</p>
<p>The emergency contraceptive is often called the morning after pill, however the two available pills are proven to be effective for 72 or 120 hours following unprotected sex:</p>
<ol>
<li>
<a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4313438/" title="NIH article on mechanism of action of levonorgestrel emergency contraception" target="_blank"> Levonelle</a> (three days, 72 hours)</li>
<li>
<a href="https://pubmed.ncbi.nlm.nih.gov/21287767/" title="NIH description of emergency contraception EllaOne" target="_blank"> EllaOne</a> (five days, 120 hours)</li>
</ol>
<h2><strong>How Does it Work?</strong></h2>
<p>As mentioned, there are two main emergency contraceptive pills: Levonelle and ellaOne. Both work in different ways to achieve a similar response - preventing unwanted pregnancy.</p>
<p>Let’s take a look at how these work.</p>
<p><strong>Levonelle </strong>(levonorgestrel) is a progesterone-only emergency contraceptive pill that works by suppressing the action of gonadotropins (a group of hormones that are secreted by the <a href="https://www.yourhormones.info/glands/pituitary-gland/" title="You &amp; Your Hormones description of the pituitary gland" target="_blank">pituitary gland</a> to regulate ovarian function), thereby interfering with the ovulation process. Specifically, it binds to progesterone receptors to prevent the surge of <a href="https://pubmed.ncbi.nlm.nih.gov/30969514/" title="NIH description of luteinizing hormone" target="_blank">luteinising hormone</a> (LH) that triggers ovulation. Levonorgestrel also thickens the mucus of the cervix, which makes it more difficult for the sperm to pass through. <a href="https://www.ncbi.nlm.nih.gov/books/NBK539737/" title="NIH description of levonorgestrel" target="_blank">Studies</a> report that Levonelle is most effective when taken before ovulation (ovulation usually occurs 14 days before your period is due).</p>
<p>Levonelle is most effective when taken as soon as possible after unprotected sex and is up to 95% effective at preventing pregnancy when taken within 24 hours of unprotected sex. Levonelle is also effective up to 72 hours (3 days) after unprotected sex.</p>
<p><strong>EllaOne</strong> (ulipristal acetate) is a selective progesterone receptor modulator, and is the first-line oral medication to prevent unwanted pregnancy. It works by <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3138379/" title="NIH description of ulipristal acetate" target="_blank">binding to the body’s progesterone receptors</a> to delay or suppress ovulation and reduce endometrial thickness. The exact mechanism of ulipristal acetate is yet to be confirmed, although <a href="https://pubmed.ncbi.nlm.nih.gov/21072297/" title="NIH article on emergency contraception" target="_blank">studies suggest</a> that its action varies depending on the phase of the menstrual cycle during which it is taken; </p>
<ol>
<li>If taken before ovulation, it causes a delay in <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2846061/#:~:text=Ovarian%20follicles%20are%20composed%20of,independent%20of%20the%20pituitary%20gonadotropins." title="NIH article on basic biology and clinical implications of ovaries" target="_blank">follicle</a> development and prevents the release of the egg.</li>
<li>When taken during the LH surge, just before ovulation, it causes <a href="https://bioone.org/journals/zoological-science/volume-12/issue-4/zsj.12.359/Molecular-Mechanism-of-Follicle-Rupture-during-Ovulation/10.2108/zsj.12.359.full" title="BioOne Complete article on follicle rupture during ovulation" target="_blank">follicular rupture</a>, which delays the release of the egg.</li>
<li>And finally, when taken during the latter part of the menstrual cycle, after ovulation, its effect may be attributed to its ability to <a href="https://www.sciencedirect.com/science/article/abs/pii/S0301211517302154" title="ScienceDirect description on endometrial changes during ulipristal acetate use" target="_blank">reduce the thickness of the endometrium</a>.</li>
</ol>
<p>EllaOne is up to 98% effective at preventing pregnancy when taken within 120 hours (5 days) of unprotected sex.</p>
<h2><strong>Emergency Intrauterine Device</strong></h2>
<p>An emergency copper intrauterine device (“IUD” or “copper coil”) is actually the most effective way of preventing unwanted pregnancy after unprotected sex, with an efficacy of over <a href="https://www.nhs.uk/conditions/contraception/iud-coil/" title="NHS description on intrauterine device" target="_blank">99%</a> if taken within 120 hours (5 days) of unprotected sex. It can sometimes be inserted even longer after unprotected sex, as it is also effective up to 120 hours (5 days) following ovulation. A copper coil has the added advantage of providing effective contraception for 5–10 years when left in place. Copper acts as a spermicide, killing almost all sperm that enters the vaginal cavity. It also prevents fertilisation and implantation of any fertilised embryo.</p>
<p>The copper IUD is not available from pharmacies in the UK and requires insertion by a trained clinician, so whenever you attend for the morning after pill, the pharmacist will also tell you how to access the copper IUD.</p>
<p>There are some instances where the morning-after pill may not work or be as effective. As discussed, the morning-after pills work by delaying the release of the egg. If the egg is already released when sex occurs, then the effects of the morning-after pill are diminished. In such circumstances, the copper coil may be the only effective method for preventing pregnancy.</p>
<p> </p>
<div style="text-align: center;"><img src="https://cdn.shopify.com/s/files/1/0282/1187/1878/files/infographic-guide-to-emergency-contraceptives_5e64e14e-00bf-4c69-b844-fd1417e42711_600x600.png?v=1664450292" alt="An infographic illustrating a guide to the various types of emergency contraceptives" style="float: none;"></div>
<h2><strong>What Does a Visit to The Pharmacy For The Morning After Pill Look Like?</strong></h2>
<p>Emergency contraception has been made easily accessible and widely available through a number of different services, including GPs, pharmacies, and online pharmacies. However, there are some restrictions on who can obtain a free NHS emergency contraceptive. Most pharmacists are licensed to work under a <a href="https://www.nhs.uk/conditions/contraception/where-can-i-get-emergency-contraception/" title="NHS overview on where to get emergency contraception" target="_blank">patient-group-direction</a> (PGD) which allows them to supply the emergency contraceptive for free, given that the patient meets the requirements for supply. </p>
<p>So what exactly goes on behind the closed doors of a pharmacy?</p>
<p><strong>1.   The Asking and Waiting</strong></p>
<p>Arriving at a pharmacy may at first feel daunting. However, you should be aware that all staff in the pharmacy have signed confidentiality agreements and respect everyone’s privacy.</p>
<p>Statistics indicate that in 2021 alone, <a href="https://www.statista.com/statistics/573272/emergency-contraceptives-provided-by-srh-in-england-by-age/#:~:text=Rate%20of%20emergency%20contraceptives%20provided,England%202020%2F21%2C%20by%20age&amp;text=Among%20women%20aged%20between%2018,health%20services%20in%202020%2F21." title="Statista overview of the rate of emergency contraceptives provided by services in England 2020/21" target="_blank">9 in 1,000 women</a> obtained emergency contraception, making it a much more common occurrence than you may think. You can raise your query to the pharmacist if they’re immediately available, or ask one of the pharmacy staff if you can speak with the pharmacist when they’re free.</p>
<p>You may be asked to wait before your consultation, depending on how busy the pharmacy is. During this time, you can check out the information regarding emergency contraception on the <a href="https://www.nhs.uk/conditions/contraception/emergency-contraception/" title="NHS description of emergency contraception" target="_blank">NHS website</a> or ask for a leaflet from one of the pharmacy staff.</p>
<p><strong>2.   The Private Consultation</strong></p>
<p>Some women may consider the consultation with the pharmacist to be somewhat <a href="https://www.mamamia.com.au/morning-after-pill-shaming/" title="Mamamia article on morning after pill" target="_blank">uncomfortable</a>, however, we’re here to reassure you that, in fact, it isn’t. So yes, it may be personal and the questions asked may feel close to home, but they’re asked to ensure your safety.</p>
<p>When the pharmacist is ready, you’ll be taken into a confidential treatment room. The pharmacist will then introduce themselves to you and make you feel at ease before asking you a number of questions about why you need the morning after pill. And don’t worry, this is not an interrogation. It’s simply to ensure your safety and make sure you’re suitable for the morning after pill.</p>
<p>The questions the pharmacist will usually ask are:</p>
<h2><strong>Are you currently on any contraception?</strong></h2>
<p>EllaOne may interact with certain contraceptive pills by reducing their effectiveness for the five days following administration. If this is the case, the pharmacist will counsel you on when to restart your contraceptive pill and to use another form of contraception (e.g. condoms) for five days to prevent further unintended pregnancies. EllaOne is also less effective if you’ve taken certain contraceptives in the past seven days.</p>
<h2><strong>When did you have unprotected sex?</strong></h2>
<p>The pharmacist will need to know when you’ve had unprotected sex during your current menstrual cycle. Oral emergency contraception may not be suitable if you have had unprotected sex more than once in your current cycle.</p>
<h2><strong>When was your last period?</strong></h2>
<p>This helps the pharmacist to determine where you are in your menstrual cycle. If you had unprotected sex after ovulation, the morning after pill may be less effective or not appropriate.</p>
<h2><strong>Are you currently taking any medication?</strong></h2>
<p>Some medicines, such as anti-epilepsy medications, interact with the morning after pills. The pharmacist must know which medications you take to give you the appropriate advice or refer you for a copper IUD if your medications mean the morning after pill is not suitable.</p>
<h2><strong>Do you have any symptoms?</strong></h2>
<p><strong>I</strong>f you are experiencing symptoms such as <a href="https://yoxly.com/blogs/yoxly-news/what-is-thrush-an-sti-or-something-else-everything-you-need-to-know" title="Yoxly article on everything you need to know about thrush" target="_blank">painful urination</a>, <a href="https://yoxly.com/blogs/yoxly-news/got-vaginal-discharge-let-s-talk-about-it" title="Yoxly article on vaginal discharge" target="_blank">unusual vaginal discharge</a>, or irregular bleeding, you may have contracted an STI and require further investigations. STI tests can be acquired discreetly from Yoxly <a href="https://yoxly.com/pages/order-your-kit" title="At-home STI test kits" target="_blank">here</a>.</p>
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<h2><strong>Was the sexual act consensual?</strong></h2>
<p>Pharmacists need to know whether or not consent was involved. If a sexual act was performed without your consent, the pharmacist will offer to help you seek legal advice/additional services to ensure your safety.</p>
<h2><strong>Can I ask how much you weigh?</strong></h2>
<p>Although this may seem personal and intrusive, pharmacists need to know your weight. <a href="https://pubmed.ncbi.nlm.nih.gov/25528415/" title="NIH article on the effect of body weight and BMI on the efficacy of levonorgestrel emergency contraception" target="_blank">Studies</a> suggest that levonorgestrel is not as effective in those with a BMI of over 30kg/m<sup>2</sup> or weighing over 70kg. If you do have a BMI of over 30kg/m<sup>2</sup> or weigh &gt;70kg, you may be required to take two levonorgestrel tablets, ellaOne, or be referred to a sexual health clinic.</p>
<p><strong>3.   Administration of The Morning After Pill</strong></p>
<p>Once the pharmacist is satisfied with your answers, they’ll offer you one of the morning after pills (if you’re eligible). You can either take these pills in the pharmacy consultation room or ask to take them at home.</p>
<p>The morning after pill should be taken as soon as possible with a glass of water.</p>
<p><strong>4.   After Taking The Morning After Pill</strong></p>
<p>You’ll be told that if you experience any vomiting or diarrhoea in the 3 hours after taking the pill, the dose must be repeated.</p>
<p>You’ll be counselled on when to expect your next period as this may be later than usual. You’ll also usually be advised to take a pregnancy test three weeks after the unprotected sex, to ensure you have not become pregnant, as the morning after pill is not 100% effective.</p>
<h2><strong>See? It’s Not <em>THAT</em> Bad</strong></h2>
<p>All information given to healthcare professionals in the UK remains confidential. Pharmacists are there to help you obtain the safest and most effective treatment, so don’t be worried or nervous about the consultation - it’s short and only there to make sure that you understand how your treatment works.</p>
<p>No matter your approach to discussing emergency contraception with a pharmacist, make sure to be honest with your answers. You can take your time to answer any questions they may ask, and use this opportunity to raise any questions or concerns you may have about emergency contraception.</p>
<p> </p>

What Happens When I Visit The Pharmacy For The Morning After Pill?

<p><span style="font-weight: 400;">"Jane, you ignorant slut." Sadly, when those words were uttered back in 1979 on one of the top television shows (Saturday Night Live), it was met with massive cheers and applause. We'd like to think a line like that wouldn't fly today, but the word slut is so readily used that even its</span><span style="font-weight: 400;"><a href="https://en.wikipedia.org/wiki/Slut" target="_blank"> </a><a title="Wikipedia description on slut" href="https://en.wikipedia.org/wiki/Slut" target="_blank">Wikipedia page</a></span><span style="font-weight: 400;"> says, "the term slut has a pervasive presence in popular culture."</span></p>
<p><span style="font-weight: 400;">In today's article, we discuss slutshaming, including what it is, who are the main targets of it, and the lasting effects it can have on victims of it.</span></p>
<h2><strong>What is Slutshaming?</strong></h2>
<p><span style="font-weight: 400;">Slutshaming is the act of criticising someone for their sexual behaviour or for being sexually active. It's a widespread form of sexism – as it's usually directed at women and girls – and it can have a major impact on a person's life. Unfortunately, in our society, similar male behaviour is </span><a title="NIH article on the continued existence of sexual double standards" href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7153231/" target="_blank"><span style="font-weight: 400;">seen as okay, even heroic</span></a><span style="font-weight: 400;">.</span></p>
<p><span style="font-weight: 400;">Slutshaming is often used to control and silence victims, and it can be particularly damaging to young girls and women still exploring their sexuality. It can also be a way to deflect blame from men onto women - for example, if a woman is "asking for it," then it's her own fault if she gets raped or sexually assaulted.</span></p>
<p><span style="font-weight: 400;">Slutshaming is wrong, and it needs to stop. We need to create a world where women are free to express their sexuality without judgement or shame.</span></p>
<p><span style="font-weight: 400;">But, not all instances of slutshaming are so obvious. There are plenty of subtle or seemingly harmless ways people slutshame as well.</span></p>
<p><span style="font-weight: 400;">Here are a few to know:</span></p>
<ul>
<li style="font-weight: 400;"><span style="font-weight: 400;">Laughing or mocking the number of sexual partners they have or had.</span></li>
<li style="font-weight: 400;"><span style="font-weight: 400;">Calling someone's sexual kinks "weird" or "not normal."</span></li>
<li style="font-weight: 400;"><span style="font-weight: 400;">Saying a woman is "like a man" because she has casual sex (like hookups or one-night stands).</span></li>
<li style="font-weight: 400;"><span style="font-weight: 400;">Sharing intimate or nude images without the person's approval or knowledge.</span></li>
<li style="font-weight: 400;"><span style="font-weight: 400;">Commenting or judging someone's style of clothing negatively.</span></li>
<li style="font-weight: 400;">
<span style="font-weight: 400;">Shaming someone </span><a title="Yoxly article on ten myths about masturbation" href="https://yoxly.com/blogs/yoxly-news/10-myths-about-masturbation-that-might-cause-you-to-blow-your-load" target="_blank"><span style="font-weight: 400;">for masturbation</span></a><span style="font-weight: 400;">.</span>
</li>
<li style="font-weight: 400;"><span style="font-weight: 400;">Saying someone (usually a woman) only dresses a certain way to attract men or sex.</span></li>
<li style="font-weight: 400;">
<a title="Yoxly article on the advantages of at-home STI tests" href="https://yoxly.com/blogs/yoxly-news/the-advantages-of-at-home-sti-tests" target="_blank"> <span style="font-weight: 400;">Openly discussing a person's STIs</span></a><span style="font-weight: 400;"> with others mockingly or because they are a "slut."</span>
</li>
</ul>
<h2><strong>Who is Targetted by Slutshaming?</strong></h2>
<p><span style="font-weight: 400;">Slutshaming can happen to anyone. Women, men, transgender, and </span><a title="Yoxly article on gender identity" href="https://yoxly.com/blogs/yoxly-news/what-is-gender-identity-and-why-stis-dont-give-a-damn" target="_blank"><span style="font-weight: 400;">gender non-conforming</span></a><span style="font-weight: 400;"> people can all be victims. However, it's often directed at women – and even worse, women or girls of all ages. Slutshaming can occur in person or online, and it can be done by strangers, acquaintances, or even close friends or family members.</span></p>
<p><span style="font-weight: 400;">People who engage in sex work like OnlyFans, webcam work, or those who sell photos and videos online. It can also be directed at "booth" girls (women hired to work in booths at trade shows), </span><a title="Geek Feminism Wiki description on slut shaming" href="https://geekfeminism.fandom.com/wiki/Slut_shaming" target="_blank"><span style="font-weight: 400;">cosplayers, and female nerds</span></a><span style="font-weight: 400;">.</span></p>
<p><span style="font-weight: 400;">Slutshaming of teen girls is also </span><a title="Verywell Family article on what slut-shaming is" href="https://www.verywellfamily.com/the-effects-of-slut-shaming-on-teen-girls-460586" target="_blank"><span style="font-weight: 400;">one of the fastest-growing forms of cyberbullying</span></a><span style="font-weight: 400;">. In fact, </span><a title="AERA article on sexual harassment and sexual violence experiences among middle school youth" href="https://www.aera.net/Newsroom/Recent-AERA-Research/Sexual-Harassment-and-Sexual-Violence-Experiences-Among-Middle-School-Youth" target="_blank"><span style="font-weight: 400;">studies have shown</span></a><span style="font-weight: 400;"> that one in four middle school students has experienced unwanted verbal or physical harassment of a sexual nature at school.</span></p>
<h2><strong>Effects of Slutshaming</strong></h2>
<p><span style="font-weight: 400;">Slutshaming can majorly impact its victims, leading to feelings of shame, isolation, and anxiety. In some cases, it can even lead to </span><a title="NIH article on slutshaming in adolescence" href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8296320/" target="_blank"><span style="font-weight: 400;">depression and suicidal thoughts</span></a><span style="font-weight: 400;">. Additionally, slutshaming contributes to a culture of silence around sexual assault and consent issues. As a result, victims of sexual assault are often afraid to speak out because they fear they will be blamed for the attack. This creates a dangerous cycle that allows perpetrators to continue victimising others with impunity.</span></p>
<p><span style="font-weight: 400;">Victims of slutshaming may experience a lifetime of being unable to engage in sexual health discussions or services. They could be unable to talk with partners about what kinds of sex they like. They may feel as though they should lie about their sexual experience or risks associated with sex (like STIs). Fortunately, STI kits can now be </span><a title="At-home STI test kits" href="https://yoxly.com/pages/order-your-kit" target="_blank"><span style="font-weight: 400;">purchased discretely online</span></a><span style="font-weight: 400;">.</span></p>
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<p><span style="font-weight: 400;">Women may also face an increased risk of unwanted pregnancy because they feel unable to access contraceptives.</span></p>
<p><span style="font-weight: 400;">The effects of slutshaming resound far and wide in victims' lives, and they may not even be aware of them.</span></p>
<h2><strong>How to Stop Slutshaming</strong></h2>
<p><span style="font-weight: 400;">Slutshaming is harmful and hurtful, and it's something that needs to stop. Here are three ways you can help put an end to slut-shaming:</span></p>
<ol>
<li><span style="font-weight: 400;">Speak up when you hear it happening. If you hear someone being slutshamed, call it out. Let the person know that what they're doing is wrong and that it's not okay to speak to someone like that.</span></li>
</ol>
<ol start="2">
<li><span style="font-weight: 400;">Stand up for others. If you see someone being slutshamed, stand up for them. Defend them against unfair criticism and help them to feel supported.</span></li>
</ol>
<ol start="3">
<li>
<span style="font-weight: 400;">Normalise and destigmatise. Help </span><a title="Yoxly sexual health blog" href="https://yoxly.com/blogs/yoxly-news" target="_blank"><span style="font-weight: 400;">break down the stigma around sexuality</span></a><span style="font-weight: 400;"> by being open and positive about your sex life. Show others that there's nothing to be ashamed of when it comes to being sexual.</span>
</li>
</ol>
<ol start="4">
<li><span style="font-weight: 400;">Be willing to listen. When someone expresses their pain or shares their experiences with you, listen without judgement. Have empathy and show them you care.</span></li>
</ol>
<p><span style="font-weight: 400;">Ending slutshaming starts with each and every one of us. We need to call it out when we see it happening, and we need to stand up for those who are being shamed. Only then can we hope to create a world where everyone is free to express their sexuality without fear of judgement or shame.</span></p>
<p><span style="font-weight: 400;">Perhaps Ms Norbury said it best in Mean Girls:</span></p>
<p><span style="font-weight: 400;">"You all have got to stop calling each other sluts and whores. It just makes it OK for guys to call you sluts and whores."</span></p>
<p> </p>

Slutshaming: What It Is And Why It's Unacceptable!

<p>Anyone can contract a sexually transmitted infection (STI) during oral, vaginal, or anal sex, regardless of gender or sexual orientation. However, for several reasons, bisexual persons are typically at <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8373045/" target="_blank" title="NCBI article on bisexual people’s utilisation of sexual health services" rel="noopener noreferrer">greater risk of contracting STIs</a>, including HIV.</p>
<p>At Yoxly, we don't care what your sexuality is! But we do care about your sexual health.</p>
<p>With <strong>Bisexual Pride Day</strong> on September 23rd and <strong>Bisexual Awareness Week</strong> from September 17th–23rd, we wanted to celebrate and do our part to raise awareness of bisexuality and the increased propensity for developing STIs.</p>
<h4><strong>Bisexuality and STIs</strong></h4>
<p>Lesbian and bisexual women are as at risk of catching an STI as their non-bisexual and non-gay counterparts. They can catch STIs like chlamydia and gonorrhoea during sexual activity where bodily fluids are exchanged. Using the same hand to touch yourself and your partner<a href="https://www.nhs.uk/live-well/sexual-health/sexual-health-for-lesbian-and-bisexual-women/"> </a><a href="https://www.nhs.uk/live-well/sexual-health/sexual-health-for-lesbian-and-bisexual-women/" target="_blank" title="NHS description of sexual health for lesbian and bisexual women" rel="noopener noreferrer">can also increase the risk</a>. Even skin-to-skin contact can transmit infections such as genital herpes, genital warts and monkeypox.</p>
<p>For bisexual men, the risk of contracting an STI is even greater because unprotected penetrative sex is the <a href="https://www.nhs.uk/live-well/sexual-health/sexual-health-for-gay-and-bisexual-men/" target="_blank" title="NHS description of sexual health for gay and bisexual men" rel="noopener noreferrer">most likely way to pass one on</a>.</p>
<p>Fortunately, there are several ways of reducing the risk of STIs.</p>
<h4><strong>How to Reduce STI Risk</strong></h4>
<p>STIs don't care about your sexual orientation or preferences. However, taking precautions during and before sex reduces those risks.</p>
<h5><strong>Sex Toys</strong></h5>
<p>Keep sex toys clean using soap and water between sessions. You can also use condoms on sex toys to add extra protection; just be sure to use a new condom each time and for each partner.</p>
<h5><strong>Oral Sex</strong></h5>
<p>To reduce the risk of transmitting or catching an oral STI, you should use a dental dam for all oral sex. A dental dam provides a thin layer of protection and acts as a barrier to help prevent passing STIs such as chlamydia and genital herpes. If you have any sores or cuts on your mouth or lips, the risk of acquiring an STI from an infected partner increases.</p>
<h5><strong>Wash Your Hands</strong></h5>
<p>Some infections can be passed through touching. Be sure to wash your hands before and after sex and between touching different partners.</p>
<h5><strong>Wear Latex or Protective Gloves</strong></h5>
<p>We're not just talking about condoms (of course, you should wear those too!), but consider wearing protective gloves over your hands and using a water-based lubricant for activities such as vaginal and anal fisting. </p>
<h5><strong>Have Regular Checkups and Tests</strong></h5>
<p>Checkups are essential to understanding your own sexual health. Fortunately, you can find <a href="https://yoxly.com/pages/order-your-kit" target="_blank" title="At-home STI test kits" rel="noopener noreferrer">STI tests online</a> that will come straight to your door privately and help you avoid an extra trip to the clinic.</p>
<p>If you believe you do have an STI, see your healthcare provider immediately for treatment. Early detection is the best way to reduce the effects of STIs and prevent spreading.</p>
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<h4><strong>5 Questions You Might Have About Being Bisexual and STI Testing</strong></h4>
<p>Here are some common questions we've heard regarding bisexuality and STI testing.</p>
<p><strong>Question #1</strong> - I'm a woman who has had sex with a woman; what STI testing should I do?</p>
<p>Women who only have sex with other women are at low risk of STIs; however there is still a risk of:</p>
<ul>
<li>Genital herpes</li>
<li>Genital warts</li>
<li>Trichomoniasis</li>
<li>Chlamydia</li>
<li>Gonorrhoea</li>
</ul>
<p>There is limited data on HIV, hepatitis and syphilis transmission between women, and it is unclear if these infections can be transmitted via sexual contact between women. </p>
<p>Some test kits offer comprehensive results, while others focus on specific infections. <a href="https://yoxly.com/pages/order-your-kit#order" target="_blank" title="At-home STI test kits" rel="noopener noreferrer">Be sure to choose the correct one</a>.</p>
<p><strong>Question #2</strong> - My boyfriend is bisexual. Am I at greater risk of STI? </p>
<p>Any form of unprotected sex can leave you at risk. Men who have sex with men (MSM) are at risk of all STIs, including:</p>
<ul>
<li>Hepatitis A, B, and C</li>
<li>Gonorrhoea</li>
<li>Non-specific urethritis (NSU)</li>
<li>Chlamydia</li>
<li>Genital herpes</li>
<li>Genital warts</li>
<li>Syphilis</li>
<li>HIV </li>
</ul>
<p>In addition, MSM are found to be at greater risk of contracting certain STIs, particularly HIV.</p>
<p>If you or your partner(s) <a href="https://yoxly.com/pages/order-your-kit#order" target="_blank" title="At-home STI test kits" rel="noopener noreferrer">haven't been tested in a while</a>, or have had other partners between testing, consider checking in on your sexual health.</p>
<p><strong>Question #3</strong> - Should I get tested more often if I have sex with both men and women?</p>
<p>If you have multiple sexual partners, you should get <a href="https://www.tht.org.uk/hiv-and-sexual-health/sexual-health/improving-your-sexual-health/healthy-sex-life" target="_blank" title="THT description of a healthy sex life" rel="noopener noreferrer">tested at least once every three months</a>. If you have a high-risk encounter, get tested sooner. Otherwise, it's suggested to have an STI test once every six months to a year.</p>
<p><strong>Question #4</strong> - Can you get an oral STI from cunnilingus? </p>
<p>It's a common misconception that oral sex is "safer" than sexual intercourse. However, there is still STI risk involved if <a href="https://yoxly.com/blogs/yoxly-news/how-to-have-safer-oral-sex" target="_blank" title="Yoxly article on how to have safer oral sex" rel="noopener noreferrer">precautions are not taken</a>. You can contract an STI such as chlamydia, gonorrhoea and genital herpes via oral sex.</p>
<p><strong>Question #5</strong> - Having oral sex with both men and women, what STIs am I at risk of?</p>
<p>There is less risk of contracting most STIs from oral sex than vaginal or anal sex, but there is still a risk for transmission. <a href="https://www.health.qld.gov.au/news-events/news/oral-sex-STI-protection-condom-dental-dam#:~:text=While%20the%20risk%20of%20contracting,or%20anus%2C%20or%20vice%20versa." target="_blank" title="Queensland Government description of oral sex and STIs" rel="noopener noreferrer">Having oral sex with both men and women can cause</a>:</p>
<ul>
<li>Chlamydia</li>
<li>Genital herpes</li>
<li>Gonorrhoea</li>
<li>Syphilis</li>
</ul>
<p>Unfortunately, not all symptoms from STIs will present themselves immediately. But that doesn't mean they won't cause health problems and damage. So finding out sooner rather than later can <a href="https://yoxly.com/blogs/yoxly-news/the-advantages-of-at-home-sti-tests" target="_blank" title="Yoxly article on the advantages of at-home STI tests" rel="noopener noreferrer">potentially save your life</a>.</p>
<p><em>Have more questions?</em> We'd love to answer them. As we said earlier, we care about your sexual health, and you can <a href="https://yoxly.com/pages/contact" target="_blank" title="Yoxly contact" rel="noopener noreferrer">Contact Us</a> anytime about anything.</p>
<p> </p>

I'm Bisexual – What STIs Should I Be Worried About?

<p>Whether you have a positive HPV test or you’re concerned that you’ve contracted the <a href="https://yoxly.com/blogs/yoxly-news/how-are-stis-transmitted-the-facts" target="_blank" title="Yoxly article on how STIs are transmitted" rel="noopener noreferrer">sexually transmitted infection (STI)</a>, you may be wondering what happens next. Can the infection be cured or treated? Or will it be something you have to deal with for the rest of your life?</p>
<p>In this article, we aim to answer some of your most pressing questions about HPV and shed light on the next steps to take if you have been diagnosed with the disease.</p>
<h4><strong> What is HPV? </strong></h4>
<p>HPV stands for human papillomavirus, and is one of the most common <a href="https://yoxly.com/blogs/yoxly-news/5-ways-to-reduce-your-risk-of-getting-an-sti" target="_blank" title="Yoxly article on ways to reduce your risk of getting an STI" rel="noopener noreferrer">STI</a>s. There are more than 200 types of HPV. The infection is usually harmless and tends to go away on its own. However, some types can lead to cancer or genital warts.</p>
<p>Therefore, it is not the infection itself that causes concern for healthcare professionals. It is the infection’s potential to lead to other more <a href="https://www.cancerresearchuk.org/about-cancer/causes-of-cancer/infections-eg-hpv-and-cancer/does-hpv-cause-cancer#:~:text=Cervical%20cancer%20is%20the%20main,most%20common%20cancer%20in%20women." target="_blank" title="Cancer Research UK description on whether HPV can cause cancer" rel="noopener noreferrer">serious conditions like cancer</a>.</p>
<p>HPV can be spread through vaginal, anal, or oral sex with someone who has the virus. People infected with the virus can also spread it through close skin-to-skin contact, for example, during sex. The virus can be contagious even if the person has no signs or symptoms.</p>
<p>So, if you are sexually active, you can get HPV, even if you have only one sexual partner. Moreover, symptoms may take years to show up after having sex with an infected person. This often makes it difficult for many patients to determine when they first got the infection.</p>
<h4><strong>What Does “HPV Positive” Mean on a Cervical Smear?</strong></h4>
<p>An HPV positive result on your cervical smear test essentially means that you have a type of high-risk HPV that may be linked to cervical cancer. This means that you may have a higher risk of getting cervical cancer in the future. It does not mean that you have cervical cancer.</p>
<p>In the UK, when someone’s cervical smear is positive for a high-risk HPV type, the cells collected from the cervix are studied under microscopy to check if there are any abnormal cells, precancerous or cancerous changes.</p>
<h4><strong>What Does “No Abnormal Cells” Mean?</strong></h4>
<p>If your smear shows you are positive for a high-risk HPV, however, have no abnormal cells, this means there is no evidence of precancerous or cancerous cell changes. In this case, you are normally invited to return for a repeat smear test in 6–12 months. In most cases, the HPV will have cleared, and you will be returned to the regular smear testing schedule. If you are still HPV positive at the repeat smear, your cells will be checked again under the microscope to check that there are no worrying changes.</p>
<h4><strong>What Does “Abnormal Cells” Mean?</strong></h4>
<p>If you have a positive HPV test, and it finds that your cervix does have <a href="https://www.cancerresearchuk.org/about-cancer/cervical-cancer/treatment-for-abnormal-cervical-cells/what-are-abnormal-cervical-cells" target="_blank" title="Cancer Research UK description on abnormal cervical cells" rel="noopener noreferrer">abnormal cells</a>, it means that cell changes were found on your cervix. Abnormal cells include cells that have the potential to turn into cancer, or are precancerous or even cancerous. In this case, you will normally be invited to attend a colposcopy to determine what kind of abnormality is present. Abnormal cells does not automatically mean you have cancer, however it is important to attend follow-up appointments.</p>
<p>Abnormal cells are usually due to cervical intraepithelial neoplasia (CIN). This is a condition where there are changes to the cells of the cervix that may become cancerous in the future. CIN is divided into CIN1, CIN2 and CIN3. CIN1 carries a very low risk of turning into cancer, so normally, treatment is not required, however, you may be asked to attend a repeat smear test in 6–12 months. CIN2 and CIN3 have a greater risk of turning cancerous, so you will likely be advised to have these cells removed during a colposcopy.</p>
<h4><strong>What is a Colposcopy?</strong></h4>
<p>Where abnormal cells have been found on your smear test, or your history dictates you may be at higher risk of cervical cancer, your healthcare provider may <a href="https://www.nhs.uk/conditions/colposcopy/" target="_blank" title="NHS description of colposcopy" rel="noopener noreferrer">recommend a colposcopy</a>.</p>
<p>Colposcopy is a procedure that’s used to closely examine the cervix and see it more clearly. Your doctor will insert a speculum into your vagina similar to your smear test, and will look directly at your cervix through a colposcope, which acts like a microscope. This allows the clinician to look at your cervix in greater detail.</p>
<p>During the procedure, the doctor may take a sample of cells from your cervix for testing in the lab. In some cases, areas of abnormal cells are completely removed there and then. Colposcopy usually only takes about five to ten minutes.</p>
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<h4><strong>When Will I Have Another Smear Test?</strong></h4>
<p>You will receive written information on when to attend for your next smear test. If you tested positive for HPV, but your cervical cells were normal, you will usually be invited for another <a href="https://www.nhs.uk/conditions/cervical-screening/" target="_blank" title="NHS description of cervical screening" rel="noopener noreferrer">smear test</a> within one year.</p>
<p>Where you have attended colposcopy or had treatment for abnormal cells, you may be invited for a repeat smear or colposcopy in 6–12 months. Otherwise, you will be recalled routinely at 3–5 years.</p>
<h4><strong>Does This Mean I Have Cancer?</strong></h4>
<p>A positive HPV test doesn’t mean you have cervical cancer. In fact, only a small number of women who have one of the HPV strains that cause cervical cancer will ever actually develop the disease. However, a positive HPV test is a warning sign that cervical cancer could develop in the future. This is why regular testing is so important.</p>
<h4><strong>How Do I Get Rid of HPV?</strong></h4>
<p>There is no cure for HPV. But in most cases, the infection <a href="https://www.cancerresearchuk.org/about-cancer/causes-of-cancer/infections-eg-hpv-and-cancer/does-hpv-cause-cancer" target="_blank" title="Cancer Research UK description on whether HPV can cause cancer" rel="noopener noreferrer">will clear up on its own</a>, within two years. While there isn’t a cure for HPV, there is a vaccine available that can prevent most cases of cervical cancer.</p>
<p>However, you should get the vaccine before you’re exposed to the virus. In most cases, the vaccine is given to <a href="https://www.nhs.uk/conditions/vaccinations/hpv-human-papillomavirus-vaccine/#:~:text=In%20England%2C%20girls%20and%20boys,vaccine%20to%20be%20properly%20protected." target="_blank" title="NHS overview of HPV vaccine" rel="noopener noreferrer">girls and boys between 12 and 13</a>. However, the youngest age an individual can get the vaccine is 9.</p>
<h4><strong>Will HPV Go Away on its Own?</strong></h4>
<p>According to the <a href="https://www.cdc.gov/std/hpv/stdfact-hpv.htm#:~:text=In%20most%20cases%20(9%20out,bumps%20in%20the%20genital%20area." target="_blank" title="CSC description of genital HPV infection" rel="noopener noreferrer">CDC</a>, most cases (9 out of 10) of HPV go away on their own within two years.</p>
<h4><strong>Does This Mean My Partner Has Cheated on Me?</strong></h4>
<p>While it’s possible, having HPV does not necessarily mean your partner is having sex outside your relationship. Due to HPV’s long <a href="https://yoxly.com/blogs/yoxly-news/your-guide-to-incubation-latency-and-window-periods" target="_blank" title="Yoxly article about incubation, latency and window periods" rel="noopener noreferrer">latency period</a>, it can be difficult to determine where you or your partner got it from.</p>
<h4><strong>A Step Towards Better Sexual Health</strong></h4>
<p>Getting a HPV diagnosis can be a scary experience. While the infection can lead to more serious problems like cancer, this is rare. However, it’s always important to protect your sexual health by practicing safe sex, getting regular STI testing, and attending on time for your cervical smear tests.</p>
<p>Want the convenience of testing for different STIs in your own home? Check out our <a href="https://yoxly.com/pages/order-your-kit" target="_blank" title="At-home STI test kits" rel="noopener noreferrer">STI test kits</a>. You can also click the Resources tab on our website to learn <a href="https://yoxly.com/pages/how-it-works" target="_blank" title="Yoxly description of how STI test kits work" rel="noopener noreferrer">how the testing process works</a> and <a href="https://yoxly.com/pages/sti-information" target="_blank" title="Yoxly overview of STI information" rel="noopener noreferrer">get information about common STIs</a>. Yoxly is here to help you take control of your sexual health today.</p>
<p> </p>

Help! I Have HPV. Now What?

<p>The Human Immunodeficiency Virus (HIV) is a sexually transmitted infection that attacks and damages your body’s immune system and cells. If left untreated, it may lead to <a title="NHS description on HIV and AIDS" href="https://www.nhs.uk/conditions/hiv-and-aids/" target="_blank">acquired immune deficiency syndrome (AIDS)</a>, a term used to describe the serious infections that arise from a severely damaged immune system.</p>
<p>HIV is transmitted through bodily fluids such as blood, semen and vaginal fluid, often during unprotected vaginal, anal, and oral sex or by sharing needles with HIV-infected people.</p>
<p><a title="Yoxly article on the various types of condoms and how they should be used" href="https://yoxly.com/blogs/yoxly-news/types-of-condoms-what-they-are-their-uses-and-how-to-pick-the-right-one" target="_blank">Condoms</a> are highly effective for preventing HIV transmission. But let’s face it, we all slip up sometimes and fail to use one, or maybe it breaks. Many people also don’t realise the importance of condoms during oral sex (read our <a title="Yoxly article on how to have safer oral sex" href="https://yoxly.com/blogs/yoxly-news/how-to-have-safer-oral-sex" target="_blank">blog article</a> on how to have safe oral sex to brush up on your knowledge).</p>
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<p>While there is no cure for HIV at present, the good news is there are effective treatments that enable people to still live a long and healthy life without ever developing AIDS - we’ve got a great <a title="Yoxly article on HIV and why its no longer a sin" href="https://yoxly.com/blogs/yoxly-news/hiv-why-its-no-longer-a-sin" target="_blank">blog article</a> on the advancements of HIV and AIDs over the years, go check it out!</p>
<p>If you think you may have been exposed to HIV, you’ll want to make an appointment with your sexual health provider as soon as possible to take an HIV test. <a title="NHS description on antiretroviral treatment and it's effect on HIV-infected individuals" href="https://www.nih.gov/news-events/news-releases/starting-antiretroviral-treatment-early-improves-outcomes-hiv-infected-individuals" target="_blank">Evidence suggests</a> that early treatment of HIV improves outcomes for infected people and significantly reduces the risk of developing AIDS.</p>
<p>In this blog article, we will arm you with all the knowledge you need about HIV testing, including the types of tests available and when to take them.</p>
<h2><strong>What Types of HIV Testing Are There?</strong></h2>
<p>There are <a title="CDC description on HIV testing" href="https://www.cdc.gov/hiv/testing/index.html" target="_blank">three main things a HIV test will look for</a> to identify infection.</p>
<p><strong>Antibody Test:</strong> When the body is exposed to HIV, the immune system produces antibodies that bind to the virus and signal immune cells to destroy it. Antibody tests look for HIV antibodies in your blood, namely IgG and IgM.</p>
<p><strong>Antigen Test: </strong>Antigens are foreign molecules which are part of HIV, such as a molecule called p24. These molecules trigger an immune response and can often be detected sooner than antibodies.</p>
<p><strong>Nucleic Acid Test (NAT): </strong>These blood tests look for genetic material contained within the virus itself, and can usually detect HIV infection quicker. Generally, this type of test is only offered to people who have had a high-risk exposure recently or have symptoms of HIV infection but have tested negative with other tests.</p>
<p>Tests in the UK are usually either 3rd generation (antibody only) or 4th generation (antibody and antigen) tests. According to the national <a title="BHIVA description on HIV testing guidelines" href="https://www.bhiva.org/file/5f68c0dd7aefb/HIV-testing-guidelines-2020.pdf" target="_blank">guidelines from BASHH/BHIVA</a>, antigen/antibody tests (4th generation tests) should be the first choice for HIV testing. At Yoxly, you can be reassured that our lab uses 4th generation testing.</p>
<h2><strong>How Soon is My Result Accurate?</strong></h2>
<p>It’s important to get tested out with the <a title="BHIVA description on HIV testing guidelines" href="https://www.bhiva.org/file/5f68c0dd7aefb/HIV-testing-guidelines-2020.pdf" target="_blank">window period for any HIV test</a>; otherwise, you risk inaccurate results.</p>
<p><strong>4th Generation (Antigen/Antibody) Tests:</strong> These are testing for both molecules attached to HIV and your own immune response. When a healthcare professional takes your blood directly from a vein, these tests will detect most infections 45 days after exposure; however, the window period for a conclusive negative result is 90 days after exposure. For self-testing using fingerprick sampling (these are the kind of tests Yoxly uses), the window period is defined as 90 days.</p>
<p><strong>3rd Generation (Antibody) Tests: </strong>These are testing for the antibodies produced by your body in response to HIV infection. It takes time for your body to produce enough antibodies to show up on a test; therefore, the window period for 3rd generation tests is 60–90 days.</p>
<p><strong>NATs:</strong> These can detect HIV infection sooner than other tests, usually between 10-33 days post-exposure.</p>
<p>Almost everyone with an HIV infection will show up positive on all tests 90 days after exposure. If you initially test negative before this time has passed, it is recommended to repeat your test to be sure you have not contracted HIV.</p>
<h2><strong>How Often Should I Get Tested?</strong></h2>
<p>If you often have unprotected sex, it is good practice to test yearly for HIV and other STIs, even if you don’t think you are infected. If you have unprotected sex with multiple sexual partners, you might want to get tested more frequently.</p>
<p>Groups at higher risk of HIV infection, including men who have sex with men (MSM), black African men and women, and those engaging in transactional sex, should get tested routinely every three months if having unprotected sex with new or casual partners.</p>
<p>At Yoxly, we use 4th generation testing, which is the most accurate type of testing, and is likely to detect most infections after 45 days. However, for a conclusive result, we recommend repeating your HIV test 90 days after exposure.</p>
<p>Yoxly’s home STI testing kits make the process of getting tested for HIV more convenient and allow you to do it in the privacy of your own home.</p>
<p><span data-mce-fragment="1">Why not try our </span><a title="window period calculator" href="https://yoxly.com/en-GB/pages/window-period-calculator" data-mce-fragment="1" target="_blank" data-mce-href="https://yoxly.com/en-GB/pages/window-period-calculator">window period calculator</a><span data-mce-fragment="1"> to help guide you on when to get tested?</span></p>
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<h2><strong>Emergency HIV Treatment</strong></h2>
<p>If you think you might have HIV, you should not need to wait for a diagnosis before seeking help. <a title="NHS description on HIV and AIDS treatment" href="https://www.nhs.uk/conditions/hiv-and-aids/treatment/" target="_blank">Post-exposure prophylaxis (PEP) medicine</a> taken within 72 hours of coming into contact with the virus can help prevent infection from happening altogether! </p>
<p>Usually, this treatment is recommended for people who have come into contact with the virus through a HIV-positive sexual partner or have had another high-risk encounter. You can get PEP from sexual health clinics or A&amp;E departments. See our blog article about <a title="Yoxly article on what PEP is and where to get it" href="https://yoxly.com/blogs/yoxly-news/pep-what-is-it-how-does-it-work-and-where-can-i-get-it" target="_blank">where to get PEP</a>!</p>
<h2><strong>Conclusion</strong></h2>
<p>HIV is a sexually transmitted infection that can cause damage to the immune system if left untreated. However, the wonders of modern medicine now mean HIV-positive people can live long and healthy lives if the infection is caught early.</p>
<p>The three main types of HIV testing are antigen/antibody (4th generation) tests, antibody tests (3rd generation) tests and NATs. According to guidelines from BASHH/BHIVA, antigen/antibody (4th generation) tests should be the first port of call, as these detect most infections at 45 days after exposure, and are conclusive 90 days after exposure.</p>
<p>It is recommended to get tested yearly if you have frequent unprotected sex, or every three months if you are at higher risk. If you have been exposed to HIV, don’t wait around, you can get emergency treatment to help reduce the risk of infection - this can make all the difference!</p>
<p>Try an at-home <a title="At-home STI test kits" href="https://yoxly.com" target="_blank">STI testing kit from Yoxly</a> and stay on top of your sexual health.</p>
<p> </p>

HIV Testing: When is My Result Accurate?

<p>Thrush is one of the most common infections to affect the genitals and can cause distressing symptoms such as pain, itchiness and unusual discharge. Although it shares some of the same symptoms as many sexually transmitted infections (STI), thrush is NOT an STI.</p>
<p>This article explains everything you need to know about thrush, including the symptoms, risk factors, treatment and how to prevent recurring infections.</p>
<h2><strong>What is Thrush?</strong></h2>
<p><a title="NHS - Thrush in men and women" href="https://www.nhs.uk/conditions/thrush-in-men-and-women/" target="_blank">Thrush</a> is a very common infection of the genitals caused by an overgrowth of yeast, most commonly a species called candida albicans, which normally lives naturally in mucus membranes in small numbers. Yeast often lives harmlessly in and on our bodies; however, when the balance of microorganisms inhabiting our private parts becomes disrupted, yeast numbers can skyrocket, resulting in the uncomfortable symptoms of thrush. </p>
<p>Now to get some facts straight!</p>
<ul>
<li>While thrush mainly affects the vagina because candida thrives in warm, moist conditions, it can affect penis owners too!</li>
<li>Thrush is not classified as a sexually transmitted infection (STI), but it can sometimes be triggered by sex, and it is <a title="Vaginal yeast infection (thrush): Overview" href="https://www.ncbi.nlm.nih.gov/books/NBK543220/" target="_blank">possible to pass on candida through sex</a>.</li>
<li>Thrush infections are not solely limited to the genitals. It can affect other body areas, including the mouth, armpits, groin, and between the fingers.</li>
</ul>
<p>Thrush is often mistaken for an STI, as it exhibits similar symptoms. If you notice anything unusual going on downstairs and are unsure whether you have a yeast infection or an STI, remove the stress and uncertainty by taking one of <a title="Yoxly - Order your kit" href="https://yoxly.com/#order" target="_blank">Yoxly’s at-home STI kits</a>.</p>
<h2><strong>Thrush Symptoms</strong></h2>
<p>If you’ve got thrush, you’ll usually notice something is up, although sometimes it is symptomless. Here are the main symptoms of thrush to look out for.</p>
<p><strong>Vagina owners:</strong></p>
<ul>
<li>White, odourless vaginal discharge similar to cottage cheese. (Read our <a title="Yoxly: Got vaginal discharge? Let’s talk about it." href="https://yoxly.com/blogs/yoxly-news/got-vaginal-discharge-let-s-talk-about-it" target="_blank">blog article</a> on vaginal discharge to learn what’s normal and what is cause for concern).</li>
<li>Itching, swelling and soreness around the vulva or vagina.</li>
<li>Pain or a stinging sensation during sex or urination.</li>
</ul>
<p><strong>Penis owners:</strong></p>
<ul>
<li>Irritation, burning and redness around the head of the penis or under the foreskin.</li>
<li>Cottage cheese-like discharge.</li>
<li>Unusual or unpleasant smells.</li>
<li>Difficulty pulling back the foreskin.</li>
</ul>
<p>The symptoms of thrush are not in the slightest bit pleasant, but it’s important to remember it is nothing to be ashamed of! Your body is host to a whole menagerie of microorganisms that sometimes have a mind of their own. So it is perfectly normal for things to go a bit awry once in a while…</p>
<p> </p>
<div style="text-align: center;"><img style="float: none;" alt="Infographic - Guide to Thrust Symptoms" src="https://cdn.shopify.com/s/files/1/0282/1187/1878/files/infographic-guide-to-thrush-symptoms_1024x1024.png?v=1660248954"></div>
<h2><strong>Risk Factors for Thrush</strong></h2>
<p>Several risk factors can disrupt the delicate balance of bacteria in the body and increase the likelihood of a thrush infection. These include:</p>
<ul>
<li>Pregnancy</li>
<li>Using soaps, shampoos and shower gels in the genital area</li>
<li>Use of combined hormonal contraceptives</li>
<li>Use of hormone replacement therapy</li>
<li>Damaged or irritated skin</li>
<li>Antibiotic use</li>
<li>Poorly controlled diabetes</li>
<li>A weakened immune system due to chemotherapy or autoimmune diseases like HIV</li>
<li>Menstruation</li>
<li>Smoking</li>
<li>Corticosteroid use</li>
<li>Stress</li>
<li>Hormonal or vaginal pH changes</li>
</ul>
<p>While often there isn’t anything you can do to change some of these risk factors, it’s important to be aware of them and to keep an eye out for signs of thrush.</p>
<h2><strong>Treatment</strong></h2>
<p>If you are experiencing any of the symptoms listed above for the first time and think you might have thrush, the best first step is to visit your GP or sexual health clinic to get a diagnosis.</p>
<p>Mostly, thrush is easily treated with antifungal suppositories, creams or tablets, and symptoms usually go away within 7–14 days. Antifungal medicine can be purchased over-the-counter in pharmacies, so if you’ve had a diagnosis in the past and know the symptoms, you can treat it yourself. But bear in mind that antifungal medicine should not be used more than twice in 6 months without consulting your doctor or a pharmacist.</p>
<p>If your thrush doesn’t clear up or comes back frequently, you might need to take longer treatment, sometimes for up to 6 months. In this case, seek medical advice from a doctor who can recommend the best treatment and try to identify the root cause of your infections.</p>
<h2><strong>Self-Care Tips to Prevent Thrush</strong></h2>
<p><a title="Vaginal yeast infection (thrush): Overview" href="https://www.ncbi.nlm.nih.gov/books/NBK543220/" target="_blank">Roughly 75 out of every 100 women</a> will experience thrush at least once in their lifetime, with many suffering recurring infections. It is not only uncomfortable but can also leave us feeling ashamed and embarrassed.</p>
<p>To reduce your risk of recurring infection, follow these simple tips.</p>
<ul>
<li>Avoid using soaps and shower gels that are heavily perfumed when washing your delicate parts. Instead, use water and emollients such as E45 cream.</li>
<li>Make sure to dry yourself properly after washing - candida loves warm, moist conditions!</li>
<li>Wear cotton or other breathable underwear. Avoid wearing tight underwear and tights.</li>
<li>Don’t use douches or deodorants on your genitals, as this can disrupt your natural balance of bacteria.</li>
<li>Avoid sex until your thrush has cleared up.</li>
</ul>
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<h4><strong></strong></h4>
<h2><strong>Summary</strong></h2>
<p>Thrush is a yeast infection that can affect both male and female genitals, causing itching, soreness and an unusual, white discharge. It isn’t an STI, although it can cause similar symptoms and can be triggered and passed on by sex.</p>
<p>Risk factors such as antibiotics, pregnancy, and a weakened immune system can all increase the chances of developing thrush. You can buy most antifungal thrush medicines over-the-counter at a pharmacy, without a prescription. But, if you have never experienced thrush before,  it is a good idea to visit your doctor first.</p>
<p>Recurrent thrush infections are common. To keep it at bay, avoid soaps and tight underwear, abstain from sex if you have an infection, and keep your bits as dry as possible! Seek medical advice if your thrush infection doesn’t clear up or keeps coming back.</p>
<p> </p>

What is Thrush—an STI or Something Else? Everything You Need To Know

<p>Every year, on July 28, we aim to spread awareness about viral hepatitis, which impacts more than <a title="CDC Resource on World Hepatitis Day" href="https://www.cdc.gov/hepatitis/awareness/worldhepday.htm" target="_blank">354 million people worldwide</a>. This important day is World Hepatitis Day, which is also Dr Baruch Blumberg’s birthday, the physician who discovered the hepatitis B virus and developed the first vaccine for it.</p>
<p>In our mission to educate our audience about the potentially serious infection, we’d like to share this article, which provides an overview of what hepatitis is, the different types, the method of transmission, symptoms, and testing for the virus.</p>
<h2><strong>What is hepatitis?</strong></h2>
<p><a title="NHS resource on Hepatitis" href="https://www.nhs.uk/conditions/hepatitis/" target="_blank">Hepatitis</a> is a term used to describe inflammation of the liver. An inflamed liver means the tissues are swollen, which can ultimately result in liver damage. This swelling and damage can affect how your liver functions.</p>
<p>Viral infections are the most common cause of hepatitis. However, there are other causes of the disease. Hepatitis can either be a short-term or long-term infection. The duration of the illness depends on the type of hepatitis you have.</p>
<h2><strong>What are the different types of hepatitis?</strong></h2>
<p>There are many types of hepatitis, each of which has different effects on the body. The different types include: </p>
<ul>
<li>
<a title="What is Viral Hepatitis?" href="https://www.niddk.nih.gov/health-information/liver-disease/viral-hepatitis#:~:text=Viral%20hepatitis%20is%20an%20infection,cause%20acute%20and%20chronic%20infections." target="_blank"> <strong>Hepatitis A, B, C, D, and E</strong></a><strong>: </strong>Viral hepatitis is caused by an infection that attacks the liver. Acute viral hepatitis usually goes away on its own. But more severe forms of hepatitis can cause chronic or long-term infection.</li>
<li>
<a title="Alcoholic Hepatitis" href="https://www.hopkinsmedicine.org/health/conditions-and-diseases/hepatitis/alcoholic-hepatitis" target="_blank"> <strong>Alcoholic hepatitis</strong></a><strong>:</strong> Inflammation of the liver caused by heavy alcohol use over many years. This inflammation leads to liver cell damage and cell death, which results in scarring – known as cirrhosis of the liver. While scarring of the liver is permanent, the liver can repair some of the damage caused by alcohol once a person stops drinking.</li>
<li>
<a title="Mayo Clinic resource on Toxic Hepatitis" href="https://www.mayoclinic.org/diseases-conditions/toxic-hepatitis/symptoms-causes/syc-20352202" target="_blank"> <strong>Toxic hepatitis</strong></a><strong>:</strong> Results from liver inflammation caused by certain substances, such as alcohol, chemicals, drugs, or nutritional supplements. Symptoms often go away once exposure to the toxin stops.</li>
<li>
<a title="Autoimmune Hepatitis" href="https://www.hopkinsmedicine.org/health/conditions-and-diseases/hepatitis/autoimmune-hepatitis#:~:text=Autoimmune%20hepatitis%20is%20when%20your,living%20with%20other%20autoimmune%20conditions." target="_blank"> <strong>Autoimmune hepatitis</strong></a><strong>:</strong> A rare form of hepatitis in which your body’s immune system attacks your liver. The cause of this type of hepatitis is unknown. It’s a long-term chronic liver disease.</li>
</ul>
<p>In this article, we’ll mainly focus on hepatitis B and C since they’re the most common hepatitis infections in the world.</p>
<p>Hepatitis B is an infection caused by the hepatitis B virus (HBV). The infection can be chronic for some people, which means it lasts more than six months. People with chronic hepatitis B have an increased risk of developing liver failure, liver cancer, or cirrhosis.</p>
<p>Children and infants are more likely to suffer from chronic hepatitis B, while most adults have a full recovery, even with severe symptoms. <a title="Yoxly - Can You Get Vaccinated For STIs?" href="https://yoxly.com/blogs/yoxly-news/can-you-get-vaccinated-for-stis-in-some-cases-yes-what-you-need-to-know" target="_blank">A vaccine</a> can prevent the infection, but once you have it, there’s no cure. However, the virus can be controlled with oral antiviral agents. This treatment can reduce the risk of developing more serious liver disease.</p>
<p>Hepatitis C is a liver infection caused by the hepatitis C virus (HCV). Like with hepatitis B, most people with hepatitis C experience short-term illness. And people with chronic illness from hepatitis C can have the same complications as those with chronic hepatitis B.</p>
<p>While there are treatments you can take to control the infection, there’s no vaccine to prevent hepatitis C. So, it’s important to avoid the behaviours that can spread the disease (which we’ll discuss in the next section).</p>
<h2><strong>How do I catch hepatitis?</strong></h2>
<p>Hepatitis B infection can pass from person to person through blood, saliva, semen, or other bodily fluids. Therefore, HBV can be spread by sharing needles and sexual contact with an infected person. Pregnant women with HBV can also spread the virus to their babies through childbirth. However, in almost all cases, the newborn can get a vaccine to prevent infection.</p>
<p>Hepatitis C is primarily spread by contact with contaminated blood. So, you can contract hepatitis C by simply sharing needles or from unsterile tattoo equipment. While it’s not common for hepatitis C to be <a title="CDC Resource - Sexual Transmission and Viral Hepatitis" href="https://www.cdc.gov/hepatitis/populations/stds.htm#:~:text=Although%20not%20common%2C%20hepatitis%20C,person's%20risk%20for%20hepatitis%20C." target="_blank">transmitted through sexual activity</a>, it is possible. Your risk of contracting hepatitis C may increase if you have sex with multiple partners, already have an <a title="Yoxly - How are STIs transmitted?" href="https://yoxly.com/blogs/yoxly-news/how-are-stis-transmitted-the-facts" target="_blank">STI</a>, or engage in anal sex.</p>
<h2><strong>How do I know if I have hepatitis?</strong></h2>
<p>If you’re worried that you’ve contracted hepatitis, there are a few signs to look out for. First, however, it’s important to note that you may not notice any symptoms in the first week after infection, known as the acute phase.</p>
<p>Symptoms often appear weeks later. If you have hepatitis A, B, or C, symptoms may include:</p>
<ul>
<li>Stomach pain</li>
<li>Mild fever</li>
<li>Poor appetite</li>
<li>Nausea</li>
<li>Fatigue</li>
<li>Yellow skin or eyes (jaundice)</li>
</ul>
<p>If you have hepatitis B or C, and the infection becomes chronic, you may experience symptoms for years. On the other hand, many people don’t experience any symptoms. As a result, hepatitis often goes undiagnosed because some people don’t feel ill and remain symptom-free for years. Often, when symptoms do develop (sometimes years later), the liver may already be damaged.</p>
<p>And because the symptoms of hepatitis can be mild or mimic other diseases, it can be tricky to detect. Therefore, it’s important to regularly get tested for the disease if you share needles with others, have unprotected sex, or regularly have contact with potentially infected blood products (i.e. if you’re a healthcare provider).</p>
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<p>Also, visit your GP to rule out infection at the first sign of illness. And if you are infected with the virus, getting treatment as early as possible is best. Early treatment can reduce the risk of potential complications, such as cirrhosis, liver cancer, or liver failure.</p>
<h2><strong>Hepatitis: Outlook</strong></h2>
<p>While viral hepatitis can be a potentially serious disease, most people fully recover, although it may take several months for the liver to heal. If the disease does become chronic, those living with chronic hepatitis B infection should expect to live a long and healthy life if they get treatment.</p>
<p>Of course, prevention is best. That’s why we want to spread awareness about how to prevent hepatitis with vaccinations and smart lifestyle choices. To stay on top of your sexual health, you can use one of our <a title="Yoxly - Order your kit" href="https://yoxly.com/#order" target="_blank">STI kits</a>, which test for various sexually transmitted infections (STIs), including hepatitis B and C. <a title="Yoxly - Order your kit" href="https://yoxly.com/pages/order-your-kit" target="_blank">Choose your kit</a> today to get peace of mind without a trip to the clinic. Need support and advice? Check out <a title="Yoxly - Support and Advice" href="https://yoxly.com/pages/support-and-advice" target="_blank">this page</a>.</p>
<p> </p>

World Hepatitis Day

<p>Today, more and more people are choosing to test for sexually transmitted infections (STIs) by <a title="Yoxly - Order your kit" href="https://yoxly.com/pages/order-your-kit" target="_blank">buying STI tests online</a>. Online testing has many advantages, including convenience, flexibility, privacy, and cost.</p>
<p>When it comes to STI testing, knowing all of your options is beneficial, as your sexual health is vastly important and should never be taken lightly.</p>
<p>Hundreds of thousands of people in the UK will contract <a title="Yoxly - STI Information" href="https://yoxly.com/pages/sti-information" target="_blank">an STI</a> in any given year. Unfortunately, many of these infections go undiagnosed and untreated – possibly due to the hassle of getting tested. One of the best ways to protect yourself and your partner(s) is to have regular tests; however, many are embarrassed or anxious about going to a doctor or clinic to get tested.</p>
<p>This is where online STI testing comes in.</p>
<h2><strong>How Do At-Home STI Tests Work?</strong></h2>
<p>There are many different types of STI tests, but they all involve taking a sample of fluid or tissue from the body and testing it in the lab for the presence of STI-causing viruses or bacteria. Most STI tests can be done using a simple swab or blood sample, and results are usually available within a few days.</p>
<p>You can order a confidential STI test kit from Yoxly, which will be delivered discreetly to your door. The kit includes everything you need to collect your sample and send it off for testing. You'll receive your results online, and our experts are on hand to answer questions.</p>
<p>If you're considering getting an STI test, buying one online is a great option. Let's look at some of the advantages in more detail.</p>
<h2><strong>Convenience</strong></h2>
<p>Perhaps the most obvious benefit of online STI testing is convenience. You can order a test kit from the comfort of your home and take the test in your own time. This is especially helpful for people who have busy schedules, live in rural areas, or don’t have easy access to STI testing facilities.</p>
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<h4><strong></strong></h4>
<h2><strong>Privacy and Confidentiality</strong></h2>
<p>Online STI testing is privacy. Your personal information is kept confidential when ordering a test kit online. This can be a great relief for people worried about privacy or who want to keep their STI status private. We only collect the minimum information needed to offer you your test and results.</p>
<p>Some people feel embarrassed or ashamed about getting tested for STIs. They may not want to tell their doctor or anyone else that they’re getting tested. At Yoxly, we do not ask potentially embarrassing or nosy questions; we only ask what we need to know to offer you the correct test. We don’t ask about the ins and outs of your sex life nor make you feel awkward about who you have sex with or how often.</p>
<p>With an at-home STI testing kit, you don’t have to tell anyone else that you’re getting tested. Our test kits arrive in discreet, plain packaging, addressed to the name you give us. So you can do the test in the privacy of your own home, and no one else will know unless you choose to tell them. Your test samples are returned to us in the same discreet packaging, which can be dropped right into the post box - no need to visit the post office!</p>
<p>Plus, your test results are completely confidential – we will not routinely share them with anyone, not even your general practitioner or the NHS. The exception is certain notifiable infectious agents such as hepatitis B – which we must by law report to the UK Health Security Agency. Your test results are only available online, so no awkward phone calls or unexpected letters. You can rest assured that your privacy is protected.</p>
<h2><strong>Affordability</strong></h2>
<p>Plus, online STI tests can be more affordable than those performed at a doctor or clinic. Once you factor in taking time off work, travelling to a clinic and phoning for results, online testing has a clear financial advantage here! In addition, online testing companies often don't have the same overhead costs as physical clinics, and they can often offer discounts or coupons, further lowering the costs.</p>
<h2><strong>Speed</strong></h2>
<p>At-home STI testing kits are often a quicker way of checking your status. There’s no calling up looking for available clinic appointments, spending hours on hold, spending time sitting around in a clinic waiting room, or waiting for weeks for a call back with your results.</p>
<p>With Yoxly’s at-home STI test, the time you spend is the absolute minimum. Once you’ve ordered, the kit arrives in just 24–48 hours. Then, our tests take just minutes to perform, with clear and uncomplicated instructions included. Return first-class postage is included, so your samples get to us super quickly. With our partner laboratory, you'll receive your results within a few days, rather than waiting weeks or even longer for a callback for your results from a doctor or clinic. Plus, you can track everything online, so you'll know when we’ve received your samples.</p>
<h2><strong>Accuracy</strong></h2>
<p>Recent advances in testing technology have made at-home STI tests more accurate than ever before.</p>
<p>Yoxly's <a title="FAQs - Yoxly" href="https://yoxly.com/pages/faqs" target="_blank">partner laboratory</a> is one of the UK's leading pathology testing providers, accredited by UKAS in accordance with International Standard ISO 15189:2012, and registered with the Care Quality Commission (CQC) under the Health and Social Care Act 2008. This means that our tests meet the highest standards of quality and accuracy, and you can be confident in the results you receive. In addition, all results at Yoxly are reviewed by a licenced medical professional.</p>
<p>If you have any concerns about our tests' accuracy or your results, we’re here to answer your questions!</p>
<h2><strong>Choice</strong></h2>
<p>Ahhh freedom of choice! You get to decide what you're tested for. There are no unwanted tests, and you can decide which tests are important to you. Just choose the STI tests you want, and we'll take care of the rest. When you <a title="Order Your Kit - Yoxly" href="https://yoxly.com/pages/order-your-kit" target="_blank">order your kit</a>, you'll be able to choose from a range of different STI tests, including chlamydia, gonorrhoea, HIV, syphilis, and more.</p>
<p>You can choose how often you get tested, with no pressure from clinics or doctors to get tested at set intervals. For example, you might want to be tested for <a title="Basic STI Test Kit - Yoxly" href="https://yoxly.com/products/basic-sti-test-kit" target="_blank">chlamydia and gonorrhoea</a> once every three months and <a title="Standard STI Test Kit - Yoxly" href="https://yoxly.com/products/standard-sti-test-kit" target="_blank">HIV and syphilis</a> only once yearly – that’s entirely up to you!</p>
<h2><strong>Follow-Up and Advice</strong></h2>
<p>Just like at a regular doctor's visit, if your test comes back positive, we will provide you with <a title="Support and Advice - Yoxly" href="https://yoxly.com/pages/support-and-advice" target="_blank">free and confidential guidance</a> on what to do next, including how to get treatment. We don’t just leave you hanging with a positive result and nowhere to go! We will also provide you with information on how to protect yourself and your partner from STIs in the future and provide advice on various other sexual health topics.</p>
<h2><strong>Yoxly: At-Home STI Testing</strong></h2>
<p>We believe that Yoxly is the future of sexual health! Not only do we provide quick, confidential and choice-based STI testing; we also have a whole host of <a title="Sexual Health Blog - Yoxly" href="https://yoxly.com/blogs/yoxly-news" target="_blank">useful articles</a> and <a title="Support and Advice - Yoxly" href="https://yoxly.com/pages/support-and-advice" target="_blank">advice</a> on all things sexual health.</p>
<p>Visit our website to learn more, <a title="Order Your Kit - Yoxly" href="https://yoxly.com/pages/order-your-kit" target="_blank">order your first STI test kit</a>, and see just how easy it is to get peace of mind regarding your sexual health!</p>
<p> </p>

The Advantages of At-Home STI Tests

<p>PrEP, short for <a href="https://www.nhs.uk/conditions/hiv-and-aids/prevention/" target="_blank" title="HIV and AIDS - Prevention - NHS" rel="noopener noreferrer">pre-exposure prophylaxis</a>, is a medicine prescribed to prevent HIV before a person is exposed. Being <a href="https://www.cdc.gov/hiv/basics/prep/prep-effectiveness.html" target="_blank" title="How effective is PrEP?" rel="noopener noreferrer">99% effective</a> if used properly, PrEP presents itself as game-changing in the fight against HIV. But what exactly is PrEP and how does it work? <br><br>In this edition of Yoxly Face-to-Face, Yoxly's co-founder and CEO, <a href="https://yoxly.com/pages/danae-maragouthakis" target="_blank" title="Danae Maragouthakis" rel="noopener noreferrer">Dr Danae</a>, sat down to discuss the importance of PrEP with <a href="https://www.linkedin.com/in/christiana-funmi-tsakas-nee-ogunmodede-15533868/" target="_blank" title="Christiana Funmi Ogunmodede | LinkedIn" rel="noopener noreferrer">Christiana Funmi Ogunmodede</a>, an Antimicrobial Pharmacist working for the Royal Berkshire NHS.<br><br>In her role within the NHS, Christiana specialises in pharmaceutical administration for microbial diseases, infectious diseases and HIV. With her expertise in the field, Christiana talks through everything you should know about PrEP, including who is eligible for it on the NHS, the two different ways it can be administered and how the COVID-19 pandemic has affected this, possible side effects of PrEP. In an effort to further de-stigmatise HIV and PrEP, Christiana also shares some useful resources to educate yourself on these critical sexual health issues.</p>
<p> </p>
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<p><br><br>Here at Yoxly, we’re not only a mission to make services such as STI testing as easy as possible; we also want to ensure that you feel comfortable to discuss your test. That's also why we are building a curated online community where people can feel empowered to take charge of their sexual health through educating themselves with the informative content on our <a href="https://yoxly.com/blogs/yoxly-news" target="_blank" title="Yoxly News" rel="noopener noreferrer">blog</a> and social media platforms.<br><br>If you have any burning questions, things you're not clear about, or anything else you’d like to discuss, please <a href="https://yoxly.com/pages/contact" target="_blank" title="Contact - Yoxly" rel="noopener noreferrer">contact us</a>!</p>
<p> </p>

Yoxly Face-to-Face: PrEP - Your Common Questions Answered

<p style="text-align: left;">Sexual and reproductive health are intrinsically linked, and understanding this relationship in greater depth both in a physiological and social context is crucial to improving health holistically.</p>
<p>In this edition of Yoxly Face-to-Face, Yoxly's co-founder and CEO, Dr Danae, sat down to discuss the state of sexual and reproductive health with Dr Dupe Burgess, founder and CEO of <a href="https://www.bloomful.io/" target="_blank" title="Website for Bloomful: personalised, virtual, on-demand care for gynaecological health" rel="noopener noreferrer">Bloomful</a>.</p>
<p>Much like Danae, Dupe worked as an NHS doctor for six years and worked at the global consulting firm BCG before founding her startup. Bloomful aims to provide personalised, virtual, on-demand care for gynaecological health through simple assessments to triangulate symptoms, personalised insights and clinician check-ins. Danae and Dupe discuss the importance of privacy in personal healthcare, and how both Yoxly and Bloomful take a proactive approach in allowing people to take control of their sexual and reproductive health.</p>
<p style="text-align: center;"> </p>
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<p> </p>
<p>Here at Yoxly, we’re not only a mission to make services such as STI testing as easy as possible; we also want to ensure that you feel comfortable to discuss your test. That's also why we are building a curated online community where people can feel empowered to take charge of their sexual health through educating themselves with the informative content on our <a href="https://yoxly.com/blogs/yoxly-news" target="_blank" title="Yoxly - Sexual Health Blog" rel="noopener noreferrer">blog</a> and social media platforms.</p>
<p>If you have any burning questions, points of confusion, or anything else you’d like to discuss, please feel free to <a href="https://yoxly.com/pages/contact" target="_blank" title="Yoxly - Contact Us" rel="noopener noreferrer">contact us</a>!</p>
<p> </p>

Yoxly Face-to-Face: The State of Sexual and Reproductive Health

<p>Having just started emerging from the other side of the COVID-19 pandemic, the news that there is an outbreak of the monkeypox virus spreading worldwide is not necessarily what we want to hear. But luckily, unlike COVID-19, most people recover from monkeypox within a few weeks, and it is rarely life-threatening. However, it is still a serious illness worth educating yourself on.</p>
<p>There is currently limited research into whether the monkeypox virus is spread through sexual transmission. However, scientists are working hard to learn more about the mysterious virus and decipher its connection to sexual health. Here, we explain what is currently known about the virus, how it is linked to sexual health, and how you can limit your risk.</p>
<h4><strong>What is Monkeypox?</strong></h4>
<p><a href="https://www.nhs.uk/conditions/monkeypox/" target="_blank" title="NHS Resource on Monkeypox" rel="noopener noreferrer">Monkeypox</a> is a rare disease typically associated with countries in Central or West Africa, but recently cases have been confirmed in multiple European countries, including the UK, the US and Canada.</p>
<p>Monkeypox may sound jovial and harmless, but don’t let the name fool you. It is actually a nasty virus similar to smallpox, causing a flu-like illness and painful, itchy sores. Once infected with the monkeypox virus, the first symptoms usually develop after 5-21 days. These vary between individuals, but common symptoms include:</p>
<ul>
<li>Rashes or sores around the genitals, anus, hands, feet, chest and face, which may appear similar to chickenpox.</li>
<li>Fever</li>
<li>Headache</li>
<li>Muscle aches</li>
<li>Swollen lymph nodes</li>
<li>Chills</li>
<li>Fatigue</li>
</ul>
<p>The good news is that monkeypox is usually a mild illness, and most people recover within a few weeks and don’t need any specific treatment. However, some people are at higher risk of falling more seriously ill, so it is important to seek advice if you have symptoms and to isolate yourself to prevent spread. This leads us to the next important point - how you catch monkeypox.</p>
<p> </p>
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<h4><strong>How Monkeypox is Spread Between People</strong></h4>
<p>Monkeypox was originally caught from infected animals such as rodents and monkeys and is thought to have spread to humans in 1970. The current outbreak is transmitted among people who have not necessarily travelled to countries where the virus is endemic, and cases are rising. The monkeypox virus is passed between individuals through:</p>
<ul>
<li>Skin-to-skin contact and directly touching monkeypox blisters, sores or rash.</li>
<li>Contact with objects, fabrics and surfaces that an infected person has touched.</li>
<li>Respiratory droplets from coughing or sneezing or oral fluids.</li>
</ul>
<p>As monkeypox is spread via these routes, sexual or intimate contact is a common way the virus is contracted. Things like hugging, kissing, massage or even talking closely may seem innocent enough, but if you or your partner(s) are infected, the virus may spread.</p>
<p>Oral, anal or vaginal sex with an infected person exposes you to monkeypox rashes or sores commonly found in the genital area. Similarly, you can catch monkeypox if you touch the bedding, clothing or sex toys that were used by an infected person.</p>
<h4><strong>So is Monkeypox a Sexually Transmitted Infection?</strong></h4>
<p>In a sense, yes, monkeypox is a sexually transmitted infection as it can be transmitted through sexual contact. But it isn’t classified as such, as the virus has <a href="https://www.ncbi.nlm.nih.gov/books/NBK574519/" target="_blank" title="Journal on the Epidemiology of Monkeypox" rel="noopener noreferrer">other means of transmission that don’t involve sex</a>. It has not been confirmed whether the virus can be transmitted through semen, vaginal and other bodily fluids.</p>
<p>According to the <a href="https://www.who.int/news/item/25-05-2022-monkeypox--public-health-advice-for-gay--bisexual-and-other-men-who-have-sex-with-men" target="_blank" title="WHO Guidance on Monkeypox" rel="noopener noreferrer">World Health Organization</a>, most cases so far have appeared in men who have sex with men (MSM). This has raised concerns about the possible sexual transmission of the virus. <a href="https://pubmed.ncbi.nlm.nih.gov/35656836/" target="_blank" title="Journal on Potential Sexual Transmissibility of Monkeypox" rel="noopener noreferrer">One study found</a> that the monkeypox virus was present in the semen of four MSM patients with monkeypox infection. However, this does not necessarily mean semen is a source of transmission, as other viruses found in semen show no evidence of sexual transmission. Scientists are investigating this further, but it is <a href="https://www.mdpi.com/2076-0817/11/7/713/htm#B9-pathogens-11-00713" target="_blank" title="Monkeypox: Another Sexually Transmitted Infection?" rel="noopener noreferrer">hypothesised that sexual transmission is possible</a>.</p>
<p>Although most cases are found in men who have sex with men, it’s important to remember that anyone who comes into contact with the virus can get it, regardless of their sexuality!</p>
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<h4><strong>How to Reduce Your Risk During Sex</strong></h4>
<p>The potential risk of monkeypox transmission through sex means it is important to learn what precautions you can take to prevent infection during sex. These include:</p>
<ul>
<li>If you experience any of the symptoms mentioned above, avoid close contact with others and seek medical assistance. In addition, you can take one of our <a href="https://yoxly.com/#order" target="_blank" title="Yoxly - Order your Kit" rel="noopener noreferrer">at-home STI kits</a> to rule out other sexually transmitted infections.</li>
<li>If you or your partner has been diagnosed with monkeypox, you should abstain from all forms of sex and physical contact, including cuddling and kissing.</li>
<li>Avoid sharing objects like toothbrushes, towels, clothes etc. and consider sleeping in separate bedrooms from your infected partner.</li>
<li>If you have been advised to isolate at home, make sure you do so until your isolation time is up.</li>
<li>If you notice a new or unexplained rash or sore on your body, make sure to inform your partner and avoid intimacy until you have had it checked out.</li>
<li>Practice safe sex and wear condoms or dental dams.</li>
<li>If you do decide to have sex with an infected partner, try to limit skin-to-skin contact and have sex with your clothes on, or cover areas where a rash or sores are present.</li>
<li>Have other forms of sex that don’t involve physical contact, such as virtual sex, phone sex, or mutual masturbation.</li>
<li>Avoid kissing.</li>
<li>Wash your hands, sex toys, bedding, fetish gear etc., after sex.</li>
<li>Limit your number of sexual partners.</li>
</ul>
<p>Read more about how to reduce your risk of getting an STI in our <a href="https://yoxly.com/blogs/yoxly-news/5-ways-to-reduce-your-risk-of-getting-an-sti" target="_blank" title="Yoxly: 5 Ways to Reduce Your Risk of Getting an STI" rel="noopener noreferrer">previous blog post</a>.</p>
<h4><strong>Conclusion</strong></h4>
<p>Monkeypox is a rare disease usually found in parts of Africa but has recently spread to other parts of the world. It causes rashes and painful sores or blisters on the body, accompanied by flu-like symptoms. Generally, it is mild, and symptoms will disappear after a few weeks.</p>
<p>Monkeypox is on the rise in MSM communities, which has sparked concerns about it being transmitted through sexual activities. Current research states the virus is transmitted through close physical contact with an infected individual, touching fabrics or objects used by someone with the virus, and via respiratory droplets. In addition, some research suggests the virus may be present in semen, but further investigation is needed to confirm this.</p>
<p>Taking extra precautions during sex, especially in the MSM community, can help reduce your likelihood of catching the virus.</p>
<p> </p>

Monkeypox and Sexual Health: What’s the Link?

<p>Whilst lockdown has led to a significant decrease in sexual activity for many in the UK, the need for sexual health information, testing, and prevention continues. Unfortunately, COVID-19 has brought chaos in the UK to the National Health Service (NHS), resulting in limited access to sexual health services. </p>
<p>Here, we discuss the ways in which the pandemic has changed sexual behaviours in Great Britain, and its impact on access to sexual health services and the incidence of <a href="https://yoxly.com/blogs/yoxly-news/more-than-one-sti-at-once" title="Yoxly article: Can You Get More Than One STI At Once?" target="_blank">STIs</a>.</p>
<h2><strong>Changing Concerns About Sexual Health and Behaviours During COVID-19</strong></h2>
<p>During the pandemic, more and more people became concerned about sex. Many people wondered whether it was safe to have sex, and if they could contract the virus by having sexual contact with another person. People were also concerned that the virus could be passed on in saliva during kissing, and through faeces during anal sex or rimming. While there is still a lot we do not know about how the virus is passed on, the virus has been found in <a href="https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2765654" title="Results of Semen Tests Among Men With Coronavirus 2019" target="_blank">saliva</a>, <a href="https://www.webmd.com/lung/news/20200507/virus-found-in-semen-of-covid-19-survivors" title="Virus Found in Semen of COVID-19 Survivors" target="_blank">semen</a>, and faeces. Therefore, it is safe to say that sexual contact may increase the spread of COVID-19.</p>
<p>Despite the risks, many people in the UK continued engaging in sexual activity. <a href="https://sti.bmj.com/content/early/2021/12/14/sextrans-2021-055210" title="Impacts of COVID-19 on sexual behaviour in Britain" target="_blank">According to researchers</a> from UCL, the University of Glasgow, and the National Centre for Social Research (NatCen), 63% of adults had physical sex with someone after the lockdown started. And 76% of the sexually active adults were in cohabiting relationships. Another interesting finding from the survey was that over half (57%) of sexually experienced adults experienced no change in the number of times they had sex with a partner.</p>
<p>However, younger adults aged 18 to 24 were more likely to experience changes in their sexual behaviour during the pandemic. 66% of young people reported a decline in their sexual activity. This is perhaps partly due to young people being less likely to live with their partners, and being unable to meet sexual partners during the lockdown.</p>
<p>According to another study, people who were single or dating casually were <a href="https://www.tandfonline.com/doi/full/10.1080/00224499.2021.1897067" title="Changes in Sexual Behaviour among Young Adults during Lockdown" target="_blank">more likely to report decreases in sexual activity</a> than people in long-term relationships. The study also found that women experienced decreased levels of sexual desire compared with pre-lockdown reports.</p>
<p>Overall, sexual behaviour among people in the UK saw some change during the pandemic. Part of this is due to the concerns about contracting the virus as well as difficulties meeting with sexual partners during lockdown. But for people living with their partners, sexual activity has not really changed.</p>
<h2><strong>Rates of STIs During the Pandemic</strong></h2>
<p>Before the pandemic, the rates of many sexually transmitted infections (STIs) had soared. Rates of <a href="https://yoxly.com/blogs/yoxly-news/super-gonorrhoea-what-is-it-should-you-be-worried" title="Yoxly article on super gonorrhoea" target="_blank">gonorrhoea</a> were at the highest since the end of World War I, and the rates of syphilis tripled in less than 10 years. Because COVID-19 impacted access to testing, the UK saw decreases in STI rates in 2020.</p>
<p>For example, in 2020, there was a <a href="https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/1015176/STI_NCSP_report_2020.pdf" title="UK government data on STIs and screening for chlamydia in 2020" target="_blank">10% decrease in STI rates</a>, compared to 2019. This decrease in STI rates is partly due to the decrease in sexual health screens delivered by Sexual Health Services (SHS). It could also be due to people changing their sexual behaviour during the pandemic.</p>
<h2><strong>How Sexual Health Services Have Been Impacted by the Pandemic</strong></h2>
<p>A survey by <a href="https://members.bashh.org/resources/Documents/Covid-19/BASHH%20COVID-19%20Clinical%20Thermometer%20Survey%20-%20First%20Round%20Results%20Snapshot%20.pdf" title="COVID-19 Sexual Health ‘Clinical Thermometer’ Survey results" target="_blank">The British Association for Sexual Health and HIV (BASHH)</a> revealed that sexual health services operated at reduced capacity during the coronavirus pandemic, with 50% of sites closing and many others experiencing a drop in available staffing.</p>
<p>The survey has also shed light on the unequal access to sexual health services in the UK. Vulnerable populations such as men who have sex with men, sex workers and young people were disproportionally affected, with nearly 1 of 5 SHSs saying they were only able to offer limited, or no care at all, to these groups. </p>
<p><a href="https://sti.bmj.com/content/early/2021/11/05/sextrans-2021-055013" title="Canadian study on accessing sexual health services during the COVID-19 pandemic" target="_blank">Another recent survey</a> further illustrates the limited access to SHS during the pandemic in British Columbia (BC), Canada. Researchers found that of the respondents who reported needing any sexual health service since March 2020, over half (52%) did not manage to access the service. Others avoided or delayed accessing such services altogether.</p>
<p>The most common reasons for avoiding or delaying seeking access to SHS were concerns about contracting COVID-19 when at or travelling to a clinic and the closure of the usual place providing such services. Other barriers for people accessing SH include:</p>
<ul>
<li>Changes to clinic opening times</li>
<li>Termination of walk-in services</li>
<li>Limited access to public transport</li>
<li>Fear of judgement by health professionals for not adhering to social distancing guidance</li>
</ul>
<p>As a result, people were more likely to use alternative sexual health service models, such as home self-collection kits, <a href="https://yoxly.com/pages/order-your-kit" title="Yoxly - Order your kit" target="_blank">receiving test kits</a> or antibiotics at home, and express testing. Patients also used alternative remote channels of communication, such as telephone or video consultations.</p>
<p>However, many patients could not leverage virtual communications due to limited access to online devices, lack of credit/data on mobile phones, and a poor household internet connection. People with mental health concerns, learning disabilities, and language barriers might also struggle with navigating new ways of accessing sexual healthcare.</p>
<h2><strong>Looking Toward the Future</strong></h2>
<p>Thanks to the pandemic, people have become increasingly concerned about their sexual health and activity. Yet, many of them aren’t getting the services they need to maintain their sexual health as COVID-19 has disrupted sexual health services, causing limited access. This means more action is needed to support SHS to meet the high levels of demand they still face.</p>
<p>Today, many organisations are launching initiatives to counter the detrimental impact of COVID-19 on access to sexual health services and the control of STIs. But these initiatives can only do so much. It’s up to the individual to take charge of their sexual health. For more information about how to take care of your sexual health, visit our <a href="https://yoxly.com/pages/support-and-advice" title="Yoxly - Support and Advice" target="_blank">Support &amp; Advice</a> page or <a href="https://yoxly.com/pages/order-your-kit" title="Yoxly - Order your kit" target="_blank">order a home STI kit</a> today.</p>
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Sexual Health in a Pandemic: What Have We Learned?

<p>As more and more people become accepting of different gender identities and sexual orientations, many people within the LGBTQIA+ community are more comfortable “coming out” to the world. In 2019, an estimated <a title="Statistics on Sexual Orientation in the UK from 2019" href="https://www.ons.gov.uk/peoplepopulationandcommunity/culturalidentity/sexuality/bulletins/sexualidentityuk/2019" target="_blank">1.4 million</a> people aged 16 and over in the UK identified as lesbian, gay, or bisexual (LGB), up from 1.2 million in 2018.</p>
<p>This Pride month, we would like to educate people about the LGBTQIA+ community and spread awareness of different gender identities and sexual orientations.</p>
<h2><strong>What Does LGBTQIA+ Mean?</strong></h2>
<p><a title="What does LGBTQIA+ stand for?" href="https://www.independent.co.uk/life-style/lgbtqia-meaning-full-version-stand-for-plus-lgbt-pride-month-acronym-a9574351.html" target="_blank">LGBTQIA+</a> stands for lesbian, gay, bisexual, transgender, queer, intersex, and asexual. Some people also use the Q to stand for “questioning”, which represents people who are still undecided on their sexual orientation or gender identity.</p>
<p>Some people who identify as “questioning” might also be heteroflexible, which means that they’re mostly “straight” and are attracted to people of a different gender than theirs. However, they occasionally find themselves attracted to people who are of the same gender.</p>
<p>Here’s a general overview of what each term within the LGBTQIA+ acronym means:</p>
<ul>
<li>Lesbian: Refers to women who are romantically or sexually attracted to other women.</li>
<li>Gay: Refers to people who have a romantic or sexual orientation towards members of the same sex. Often used for homosexual men, but can also refer to homosexual women.</li>
<li>Bisexual: Refers to people who have sexual and romantic feelings for both sexes.</li>
<li>Transgender: Encompasses a variety of gender expressions, including crossdressers, drag queens and kings, transgenderists, transexuals, and bi-genders.</li>
<li>Queer: An umbrella term for people who are not heterosexual or are not cisgender. This means that their sexual orientation or gender identity falls outside of “gender norms”. A person who identifies as queer may be lesbian, gay, bisexual, transgender, queer, intersex, and/or asexual.</li>
<li>Intersex: People who were born with a reproductive or sexual anatomy that doesn’t fit the typical definitions of female or male.</li>
<li>Asexual: A person who does not experience sexual attraction to others</li>
</ul>
<p>The “plus” (+) sign was added to the LGBTQIA acronym to represent the queer community, highlighting pangender or pansexual individuals and those in unconventional relationship communities, such as polyamory, kink, and non-monogamy.</p>
<h2><strong>What’s the Difference Between Sexual Orientation and Gender Identity?</strong></h2>
<p>Many people assume that <a title="Statistics on Sexual Orientation in the UK for 2018" href="https://www.ons.gov.uk/peoplepopulationandcommunity/culturalidentity/sexuality/bulletins/sexualidentityuk/2018" target="_blank">sexual orientation</a> and <a title="Understanding gender identity for beginners" href="https://www.amnesty.org.uk/LGBTQ-equality/gender-identity-beginners-guide-trans-allies" target="_blank">gender identity</a> are the same thing. Gender identity is the gender (or genders) a person associates with. Often the gender someone identifies with matches their sex assigned at birth. This is termed “cisgender”. Whilst cisgender people vastly outnumber non-cisgender people, it is impossible to assume someone’s gender identity based on appearance or sex assigned at birth. Other genders include transgender, genderfluid, genderqueer, agender and non-binary. Gender identity is an internal personal feeling, and cannot be assumed by others.</p>
<p>Sexual orientation concerns who someone is attracted to, often compared with their own gender, for example, a woman attracted to other women may identify as lesbian, gay or homosexual. Other sexual orientations include heterosexual, bisexual, pansexual, asexual, sapiosexual and and demisexual. Sexual orientation can (and often does!) fluctuate and evolve over time.</p>
<p>Therefore, sexual orientation and gender identity are two distinct, but related, concepts. Sexual orientation refers to who you’re attracted to or feel drawn to romantically, emotionally, and/or sexually. On the other hand, gender identity is about who you are (i.e. male, female, transgender, genderqueer, etc.)</p>
<h2><strong>What Does Asexual or “Ace” Mean?</strong></h2>
<p>Some define an asexual individual as someone who doesn’t experience any sexual attraction for anyone. However, it’s not really that simple. Like other gender identities and sexual orientations, <a title="What people on the ace spectrum need you to know" href="https://www.stonewall.org.uk/about-us/news/7-things-people-ace-spectrum-need-you-know" target="_blank">asexuality is a spectrum</a>.</p>
<p>So, while some asexual people have little interest in having sex, they might experience romantic attraction. However, others may not. People who identify as asexual might be attracted to people of the same sex or gender as themselves or to other sexes or genders.</p>
<p>There are other identities that fall into the asexual or aromantic spectrum, which include:</p>
<ul>
<li>Aromantic: Describes people who don’t experience romantic attraction.</li>
<li>Demisexual: Describes people who only feel sexually attracted to someone only after developing a close emotional bond with that person.</li>
<li>Greysexual or greyromantic: Typically describes people who are somewhere between sexual and asexual. They might feel sexual or romantic attraction towards someone sometimes. They might also have a low sex drive, or may only have sexual/romantic attraction under certain circumstances.</li>
</ul>
<h2><strong>What Does Pansexual/Bisexual Mean?</strong></h2>
<p>To understand pansexuality, it’s important to understand the definition of bisexuality. Many people use the two terms interchangeably, but there is a subtle difference. A bisexual person is typically attracted to two (or more) genders, but not all. A pansexual person, on the other hand, is typically attracted to all genders. This includes cisgender, transgender, agender (i.e. not having a gender), and gender-nonconforming individuals.</p>
<p>It’s important to note that these definitions aren’t set in stone. Bisexuality and pansexuality, like any other sexual orientation, mean different things to different people.</p>
<h2><strong>What Does Sapiosexual Mean?</strong></h2>
<p>A <a title="What is sapiosexuality?" href="https://www.glamourmagazine.co.uk/article/sapiosexuality" target="_blank">sapiosexual</a> person is someone who finds intelligence sexually attractive or arousing. Sapiosexuals value the intelligence trait so much that they consider it to be the most important trait in a partner. Anyone, including LGBTQIA+ people and heterosexual people, can identify as sapiosexual.</p>
<h2><strong>What Does Demisexual Mean?</strong></h2>
<p>A <a title="What is demisexuality?" href="https://metro.co.uk/2019/03/29/what-does-it-mean-to-be-demisexual-9057682/" target="_blank">demisexual person</a> is an individual who is only sexually attracted to someone after they’ve formed a strong emotional bond with them. As a result, demisexual people may feel sexual attraction less often than the general population. But when they do, it usually follows a close emotional connection.</p>
<h2><strong>Moving Away From “Labels”</strong></h2>
<p>When it comes to sexual orientation and gender identity, there is often no “black and white” definition. These concepts exist on a spectrum, which is sort of symbolic because a rainbow represents a spectrum of light.</p>
<p>Different colours of the rainbow blend together to make new colours, which is similar to the LGBTQIA+ community. The colours of the rainbow flag reflect the spectrum of human sexuality and gender as well as the diversity of the LGBTQIA+ community</p>
<p>People within the LGBTQIA+ identify with many different genders, and they may be attracted to people of many genders. The LGBTQIA+ community includes all races, ages, sexual orientations and genders.</p>
<h2><strong>June: The Month of Pride</strong></h2>
<p>We live in a world with diverse people, of many ages, races, sexes, and genders. And we want to take the time to embrace the beauty in that. We also want to spread awareness about the importance of sexual health for all people, no matter who you identify as or who you’re sexually attracted to. Get tested for <a title="Yoxly blog on STI symptoms" href="https://yoxly.com/blogs/yoxly-news/the-most-common-sti-symptom-no-symptom-at-all" target="_blank">sexually transmitted infections (STIs)</a> regularly. Don’t want to go to the clinic? You can purchase one of our <a title="Yoxly - choosing a test kit" href="https://yoxly.com/pages/choosing-a-test-kit" target="_blank">home STI test kits</a>. We also offer <a title="Yoxly - trans and nonbinary support" href="https://yoxly.com/pages/trans-and-non-binary-support" target="_blank">trans and nonbinary support</a>, If you have concerns about how to answer questions about your sex and gender when ordering a test kit, please don’t hesitate to <a title="Yoxly - Contact Us" href="https://yoxly.com/pages/contact" target="_blank">contact us</a> You can also read our <a title="Yoxly blog: a beginner's guide to STI testing" href="https://yoxly.com/blogs/yoxly-news/a-beginners-guide-to-at-home-sti-testing" target="_blank">Beginner’s Guide to At-Home STI Test Kits</a>.</p>
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Sexual Orientations: What You Should Know

<p>Post-exposure prophylaxis (PEP) is a treatment that can prevent human immunodeficiency virus (HIV) infection after actual or potential exposure to the virus. PEP is most often used by people who have had unprotected intercourse, where there is a risk of contracting HIV. PEP is also used by healthcare workers who have potentially been exposed to HIV, for example, after accidentally pricking themselves with an infected needle.</p>
<p>For the treatment to be effective, it must be taken within <a href="https://www.cdc.gov/hiv/risk/pep/index.html" target="_blank" title="CDC resource page on Post-Exposure Prophylaxis (PEP)" rel="noopener noreferrer">72 hours after exposure</a>. In fact, according to a <a href="https://www.croiconference.org/abstract/self-start-home-pepse-to-reduce-uptake-time-and-increase-pepse-efficacy-rct/" target="_blank" title="Effectiveness of PEPSE and the speed of uptake following HIV exposure" rel="noopener noreferrer">UK study</a>, having 5-day <a href="https://www.aidsmap.com/news/may-2022/home-packs-cut-time-start-hiv-morning-after-pill-two-thirds" target="_blank" title="Home packs cut time to start HIV ‘morning after pill’ by two-thirds" rel="noopener noreferrer">starter parks of PEP at home</a> for people at risk of having HIV resulted in a significantly shorter time to start the drug, which is the most important factor for PEP efficacy.</p>
<p>Although PEP can prevent HIV infection, it is important to note that it is an <a href="https://www.nhs.uk/conditions/hiv-and-aids/treatment/" target="_blank" title="NHS resource on HIV and AIDS treatment " rel="noopener noreferrer">emergency measure</a>, which should not be relied upon as a way to prevent HIV transmission.</p>
<h4><strong>When Would I Need PEP?</strong></h4>
<p>If you have been possibly exposed to HIV, it is important to attend Accident and Emergency (A&amp;E), your general practitioner (GP) or a sexual health service right away to talk about if you need PEP. You might need PEP if you have potentially been exposed to HIV:</p>
<ul>
<li>During sex</li>
<li>Through sharing needles or syringes</li>
<li>If you have been sexually assaulted</li>
</ul>
<p>If you have potentially been exposed to HIV in any of these ways, a healthcare professional will assess your risk, and may offer you PEP. If PEP is appropriate for you and you choose to take this, you will be given a supply of pills to take daily for 28 days. You will require blood testing before starting PEP and you will be advised to return to your healthcare provider after the course of treatment for further testing.</p>
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<h4><strong>Where Do I Get PEP?</strong></h4>
<p>PEP is available from A&amp;E, sexual health clinics, and some GP practices. If you cannot get to a sexual health clinic or GP practice right away, go to A&amp;E as soon as you can. PEP is most effective when taken as soon as possible.</p>
<p>When you ask for PEP, a healthcare provider will talk to you about what happened to decide if PEP is right for you. If PEP is suitable for you, they will take your blood for HIV testing, and will offer you testing for other sexually transmitted infections (STIs). If you already have HIV, you will not be able to use PEP.</p>
<h4><strong>How to Take PEP</strong></h4>
<p>The standard course of PEP involves taking medication twice per day for 28 days. It is vital that you take the medication exactly as directed and complete the entire course. You should not skip doses, as this can reduce the efficacy of the drug. It is also important to attend any follow-up appointments.</p>
<p>PEP can be taken with or without food, and tablets should not be crushed unless advised by a healthcare professional. Common side effects include nausea, headaches, stomach upset and tiredness, which are more common in the first few days of taking the medication. If you struggle with side effects, speak with your healthcare provider.</p>
<h4><strong>How Effective is PEP?</strong></h4>
<p>Use of PEP following exposure to HIV is a highly effective method of preventing acquisition of the virus. Most evidence comes from <a href="https://pubmed.ncbi.nlm.nih.gov/11364581/" target="_blank" title="The scientific basis for PEP treatments from animal trials" rel="noopener noreferrer">animal studies</a> and studies in healthcare workers.</p>
<p>One of the first studies, in 1997, showed that PEP treatment in healthcare workers exposed to HIV <a href="https://www.nejm.org/doi/10.1056/NEJM199711203372101?url_ver=Z39.88-2003&amp;rfr_id=ori:rid:crossref.org&amp;rfr_dat=cr_pub%20%200www.ncbi.nlm.nih.gov" target="_blank" title="Study on HIV response among exposed healthcare workers" rel="noopener noreferrer">reduced transmission</a> by 80% compared to exposed workers who did not take PEP. More recent data from Public Health England from 2004–2013 looking at healthcare workers who had been exposed to body fluids, most of which started HIV PEP, have revealed no new cases of HIV. In fact, there has only been <a href="https://www.journalofinfection.com/article/S0163-4453(01)90811-4/pdf" target="_blank" title="Case study of seroconversion to HIV despite combination PEP treatment" rel="noopener noreferrer">one documented case of HIV acquisition following occupational exposure</a> in a healthcare worker in the UK since 1997, suggesting that PEP is highly effective.</p>
<p>In a <a href="https://pubmed.ncbi.nlm.nih.gov/16231265/" target="_blank" title="Non-occupational PEP against HIV" rel="noopener noreferrer">2005 study</a> of people who reported HIV exposure either through sex or injecting drug use, and who took a 28-day course of PEP, started within 72 hours, only 1% were found to have HIV after 12 weeks, suggesting PEP is also highly effective at preventing HIV transmission following exposure via sex.</p>
<p><a href="https://stacks.cdc.gov/view/cdc/38856?utm_medium=referral&amp;utm_source=r360" target="_blank" title="CDC guidelines on PEP usage after non-occupational exposure to HIV" rel="noopener noreferrer">Studies</a> support initiating PEP soon after exposure to HIV (ideally within 24 hours) and continuing the course for 28 days reduces the risk of acquiring HIV infection after exposure. PEP is not recommended if exposure was more than 72 hours ago.</p>
<p>Based on the evidence, one can conclude that PEP, if taken at the recommended dosage over a certain number of days (28), can be highly effective in preventing HIV infection.</p>
<h4><strong>What If I Can’t Get PEP In Time?</strong></h4>
<p>Timing is really important when it comes to getting PEP. The longer you wait, the greater the chance PEP won’t work. However, if you are unable to get PEP within 72 hours, it is still important to seek advice from a healthcare professional.</p>
<p>You may be offered <a href="https://www.bhiva.org/HIV-testing-guidelines" target="_blank" title="HIV testing guidelines" rel="noopener noreferrer">HIV testing</a> soon after your potential exposure, as early treatment of the infection is paramount.</p>
<h4><strong>What’s the Difference Between PEP and PrEP?</strong></h4>
<p>PEP stands for post-exposure prophylaxis, while PrEP stands for pre-exposure prophylaxis. Therefore, PEP is given <em>after</em> exposure to HIV, while PrEP is prescribed to prevent HIV <em>before</em> a person is exposed. So, the key difference between <a href="https://yoxly.com/pages/pep-and-prep" target="_blank" title="Yoxly blog: differences between PEP and PrEP" rel="noopener noreferrer">PEP and PrEP</a> is timing.</p>
<p>PrEP is for people who do not have HIV, but may be at risk of getting it. This may include those who:</p>
<ul>
<li>Have an HIV-positive partner</li>
<li>Have multiple partners</li>
<li>Have a partner whose HIV status is unknown</li>
<li>Share needles or other equipment to inject drugs</li>
<li>Have contracted an <a href="https://yoxly.com/pages/sti-information" target="_blank" title="Yoxly- STI information" rel="noopener noreferrer">STI</a> in the past 6 months</li>
<li>Have not consistently used a condom</li>
</ul>
<h4><strong>Stay On Top of Your Sexual Health</strong></h4>
<p>If you feel that you have been exposed to HIV and are worried about contracting the virus, get PEP as soon as possible. When it comes to your sexual health, there are many things you can do to stay safe and protected, and this is one.</p>
<p>Never think it is too late to get treatment or practice prevention. If you are worried about your sexual health, you can always take an <a href="https://yoxly.com/#order" target="_blank" title="Yoxly- order your kit" rel="noopener noreferrer">at-home test kit</a> to test for an STI like HIV. But beyond that, we always recommend getting <a href="https://yoxly.com/pages/support-and-advice" target="_blank" title="Yoxly - Support and Advice" rel="noopener noreferrer">support and advice</a> to protect your mental, physical, and sexual well-being. Have any questions? <a href="https://yoxly.com/pages/contact" target="_blank" title="Yoxly - Contact us" rel="noopener noreferrer">Contact us</a> today. We’re always happy to help!</p>
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PEP: What Is It, How Does It Work, and Where Can I Get It?

<p>The many parades and marches during<a href="https://inews.co.uk/inews-lifestyle/people/pride-month-2022-when-uk-events-lgbt-celebration-london-parade-date-1663300"> </a><a title="iNews Article: When is Pride Month 2022?" href="https://inews.co.uk/inews-lifestyle/people/pride-month-2022-when-uk-events-lgbt-celebration-london-parade-date-1663300" target="_blank">LGBTQ+ Pride Month</a> aim to celebrate the LGBT community and equal rights. The pride flag is a key part of the LGBTQ+ celebration.</p>
<p>This Pride month, we’d like to cover what the pride flag represents, what the pride flag LGBTQ+ colours mean, and the different versions of the pride flag.</p>
<h2><strong>History of the Pride Flag: When Was It First Used?</strong></h2>
<p>Ever since we could remember, the rainbow flag has represented a symbol for the LGBTQ+ rights movement. But the question is, how did the rainbow flag come to represent LGBTQ+ pride?</p>
<p>It all started with an openly gay man and drag queen named <a title="Flagmakers resource on the History of the Pride Flag" href="https://flagmakers.co.uk/blog/history/the-history-of-the-pride-flag/" target="_blank">Gilbert Baker</a>. Inspired by Harvey Milk, one of the United State’s first openly gay elected officials, Baker created a symbol of pride for the gay community — the pride flag, or what some call the rainbow flag.</p>
<p>The first versions of the rainbow flag could be seen at the 1978 San Francisco gay pride parade. The colours within the flag we see today reflect the immense diversity and unity of the LGBTQ+ community as well as the spectrum of human sexuality and gender.</p>
<h2><strong>What Do the Standard Colours in the Pride Flag Mean?</strong></h2>
<p>The Gilbert pride flag is the original flag. It included eight colours for the stripes: hot pink, red, orange, yellow, green, turquoise, indigo, and violet.</p>
<p>Here’s what the colours mean in this version of the pride flag:</p>
<ul>
<li>Hot pink symbolises sex</li>
<li>Red symbolises life</li>
<li>Orange symbolises healing</li>
<li>Yellow symbolises sunlight</li>
<li>Green symbolises nature</li>
<li>Turquoise symbolises art</li>
<li>Indigo symbolises harmony</li>
<li>Violet symbolises spirit</li>
</ul>
<p>Gilbert Baker introduced the original pride flag at the San Francisco Gay Freedom Day parade, which was handmade. He wanted it to be mass-produced for consumption by all. However, there were production issues, which resulted in the removal of the pink and turquoise stripes. Also, basic blue replaced indigo.</p>
<p>This resulted in the flag we see today, the six-colour pride flag. Today’s pride flag features red, orange, yellow, green, blue, and violet, like the natural rainbow.</p>
<h2><strong>Are There Variations of the Pride Flag? What About the New Pride Flag?</strong></h2>
<p>There are many variations and different types of the<a href="https://metro.co.uk/2020/06/01/happy-pride-month-different-pride-flags-what-represents-12786246/"> </a><a title="Metro article: What do all the Pride flags mean?" href="https://metro.co.uk/2020/06/01/happy-pride-month-different-pride-flags-what-represents-12786246/" target="_blank">pride flag</a>.</p>
<p><strong>Bisexual Pride Flag</strong></p>
<p>In 1998, activist Michael Paige designed the <a title="Biscuit resource on the bisexual pride flag" href="https://www.thisisbiscuit.co.uk/hoisting-our-colours-a-brief-history-of-the-bisexual-pride-flag" target="_blank">bisexual pride flag</a> with the mission to raise awareness and spread pride among bisexual people. The bisexual pride flag includes three colours: pink, blue, and purple.</p>
<p>Pink represents attraction to people of the same sex, while blue represents attraction to people of the opposite sex. The two colours overlap to create purple to represent attraction to both the same sex and opposite sex.</p>
<p><strong>Transgender Pride Flag</strong></p>
<p>In 1999, a transwoman named Monica Helms, created the transgender pride flag, which features blue, pink, and white. Pink represents femininity, while blue represents masculinity.</p>
<p>The colour white symbolises neutral or undefined genders, transitioning, and intersexuality. The transgender flag aims to affirm trans people, no matter how it’s flown, with either side on top.</p>
<p><strong>Genderqueer/Nonbinary Pride Flag</strong></p>
<p>The genderqueer and <a title="Stonewall article: Being non-binary in the UK today" href="https://www.stonewall.org.uk/about-us/news/being-non-binary-uk-today" target="_blank">nonbinary</a> flag was created by Marilyn Roxie, a genderqueer writer, musician, and digital media designer. The flag features the colours lavender, white, and green. The lavender represents a mixture of blue and pink (traditional colours associated with women and men).</p>
<p>Lavender symbolises androgynes and androgyny. Androgyny is a type of gender presentation that falls between masculine and feminine.  Androgyne is a non-binary gender identity associated with androgyny. Lavender also represents the “queer” in genderqueer, which describes people who don’t follow binary gender norms.</p>
<p>White represents agender identity, i.e. not identifying with a specific gender or being gender-neutral. The green in the genderqueer and nonbinary flag is the inverse of lavender, representing “third gender” identity, which refers to those who identify off the</p>
<p>traditional gender spectrum.</p>
<p>The three colours within the genderqueer and nonbinary flag aim to illustrate the different concepts and variations of gender and sexuality and how they’re interrelated.</p>
<p><strong>Genderfluid Pride Flag</strong></p>
<p><a title="Cosmopolitan UK article on gender fluidity" href="https://www.cosmopolitan.com/uk/body/a29325130/gender-fluid/" target="_blank">Genderfluid</a> is a subgroup of the genderqueer community. JJ Poole (they/them), an agender pansexual from New York created the genderfluid pride flag, which consists of five stripes:</p>
<ol>
<li>Pink - Femininity</li>
<li>White - Lack of gender</li>
<li>Purple - Combination of being both male and female, and the spectrums of androgyny</li>
<li>Black - All other genders, pangender, and third gender.</li>
<li>Blue - Masculinity</li>
</ol>
<p> This flag is meant to illustrate that genderfluid people identify with different gender identities over time. Many of them demonstrate “fluidity” and flexibility when it comes to gender expression, instead of committing to a single identity or definition.</p>
<p>Pansexual Pride Flag</p>
<p>The pansexual pride flag consists of the colours magenta, yellow, and blue. The magenta stripe symbolises women, while the blue stripe represents men. The yellow represents those of nonbinary gender, such as agender, bigender, or genderfluid.</p>
<p>The pansexual pride flag aims to show that pansexuals are sexually attracted to and have relationships with people of different genders and sexualities.</p>
<p><strong>The New Pride Flag</strong></p>
<p>The <a title="Independent article on pride flag redesign" href="https://www.independent.co.uk/life-style/pride-flag-month-redesign-inclusive-b1863630.html" target="_blank">new pride flag</a>, known as the Progress Pride Flag, is similar to the standard pride flag, except it includes the colours of the transgender flag (i.e. pink, blue, and white) and the colours brown and black to represent people of colour (POC). This is an important addition because POC have often been left out of the queer narrative.</p>
<p>The black and brown stripes also represent people living with HIV/AIDS, those who have died from it, and the stigma around the virus that’s still present in our society today.</p>
<p>The Progress Pride Flag also features a new shape, showing the white, pink, baby blue, black, and brown stripes in a triangle shape. The original rainbow colours are stacked next to them. The new colours in the arrow shape illustrate the progress still needed regarding POC and trans rights.</p>
<h2><strong>Being Proud of Your Gender Identity and Taking Sexual Health Seriously</strong></h2>
<p>The purpose of Pride month is to spread awareness about the different gender identities and sexual orientations and to show people that “queerness” is a spectrum, not black and white; hence, the rainbow flag. </p>
<p>Whether you’re heterosexual, homosexual, queer, bigender, or identify outside the binary, it’s essential to protect your sexual health. <a title="Yoxly resource on Types of Condoms" href="https://yoxly.com/blogs/yoxly-news/types-of-condoms-what-they-are-their-uses-and-how-to-pick-the-right-one" target="_blank">So use protection</a> and regularly test for <a title="Yoxly article: Can You Get More Than One STI At Once?" href="https://yoxly.com/blogs/yoxly-news/more-than-one-sti-at-once" target="_blank">STIs</a>.</p>
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If you don’t want to go to the clinic to get tested, you can get one of our <a title="Yoxly - order your kit" href="https://yoxly.com/pages/order-your-kit" target="_blank">at-home STI kits</a>. Depending on your needs, our tests cover a wide range of STIs, from chlamydia to <a title="Yoxly article on living with HIV" href="https://yoxly.com/blogs/yoxly-news/living-with-hiv-a-death-sentence-think-again">HIV</a>. Need support and advice? Feel free to <a title="Contact - Yoxly" href="https://yoxly.com/pages/contact" target="_blank">get in touch</a>.
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What Does the Pride Flag Mean?

<p>Sexually transmitted infections (STIs) are caused by either bacteria, viruses, or parasites and are passed between people through different types of sexual contact. This can include anything from kissing, to vaginal sex, to sharing sex toys. The different ways STIs are transmitted can get a little confusing. Many people aren’t aware of how easy it is to contract one.</p>
<p>Mostly, we are taught the basics about STIs at school and then they are never spoken of again. Apart from maybe during the odd trip to the doctor, or in conversations amongst our closest friends. As such, many of us will enter adulthood and not have much knowledge of how STIs can be transmitted.</p>
<p>In this article, we will arm you with all the knowledge you need about the transmission of STIs, so that you can take control of your sex life with confidence and reduce your risk of infections.</p>
<h4><strong>Common Examples of STIs</strong></h4>
<p>There are more than <a href="https://www.who.int/news-room/fact-sheets/detail/sexually-transmitted-infections-(stis)" target="_blank" title="World Health Organisation resource on STIs" rel="noopener noreferrer">30 different types of infections</a> that are transmitted through sexual contact. Some show no symptoms and may exist without the person knowing. Whereas others show symptoms, such as abnormal discharge, a burning sensation when urinating, genital ulcers and abdominal pain.</p>
<p>Some of the most common STIs include:</p>
<ul>
<li><a href="https://www.nhs.uk/conditions/chlamydia/" target="_blank" title="NHS resource on Chlamydia" rel="noopener noreferrer">Chlamydia</a></li>
<li><a href="https://www.nhs.uk/conditions/gonorrhoea/" target="_blank" title="NHS resource on gonorrhoea" rel="noopener noreferrer">Gonorrhoea</a></li>
<li><a href="https://www.nhs.uk/conditions/trichomoniasis/" target="_blank" title="NHS resource on trichomoniasis" rel="noopener noreferrer">Trichomoniasis</a></li>
<li><a href="https://www.nhs.uk/conditions/genital-warts/" target="_blank" title="NHS resource on genital warts" rel="noopener noreferrer">Genital warts</a></li>
<li><a href="https://www.nhs.uk/conditions/genital-herpes/" target="_blank" title="NHS resource on genital herpes" rel="noopener noreferrer">Herpes simplex virus (HSV)</a></li>
<li><a href="https://www.nhs.uk/conditions/pubic-lice/" target="_blank" title="NHS resource on pubic lice" rel="noopener noreferrer">Pubic lice</a></li>
<li><a href="https://www.nhs.uk/conditions/scabies/" target="_blank" title="NHS resource on scabies" rel="noopener noreferrer">Scabies</a></li>
<li><a href="https://www.nhs.uk/conditions/syphilis/" target="_blank" title="NHS resource on syphilis" rel="noopener noreferrer">Syphilis</a></li>
<li><a href="https://www.nhs.uk/conditions/human-papilloma-virus-hpv/" target="_blank" title="NHS resource on human papilloma virus (HPV)" rel="noopener noreferrer">Human papillomavirus (HPV)</a></li>
<li><a href="https://www.nhs.uk/conditions/hepatitis-b/" target="_blank" title="NHS resource on Hepatitis B" rel="noopener noreferrer">Hepatitis B</a></li>
<li><a href="https://www.nhs.uk/conditions/hiv-and-aids/" target="_blank" title="NHS resource on HIV and AIDS" rel="noopener noreferrer">HIV</a></li>
</ul>
<p>Not only can STIs make you feel generally under the weather, but some can have more <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3329009/" target="_blank" title="National Library of Medicine journal on the long-term impacts of STIs in women" rel="noopener noreferrer">serious impacts on your sexual and reproductive health</a>. These include infertility, cancers, pregnancy complications and an increased risk of contracting other STIs, including HIV.</p>
<p>However, as scary as this may sound, most of these complications arise as a result of long-term infections that remain untreated, or undiagnosed. Generally, frequent STI checks and practising safe sex can help prevent the long-term impacts on your health. </p>
<p>Get tested today by ordering one of <a href="https://yoxly.com" target="_blank" title="Yoxly" rel="noopener noreferrer">Yoxly’s easy, at-home STI testing kits</a> straight to your door!</p>
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<h4><strong>Transmission of STIs</strong></h4>
<p>Infections may pass between individuals via blood, semen, vaginal secretions and any other bodily fluids. Many people are not aware of the numerous ways STIs can be transmitted - it’s not just through penetrative sex! The mode of transmission is dependent on whether the infection is caused by bacteria, a virus, or a parasite.</p>
<h5><strong>Kissing</strong></h5>
<p>Herpes is one of the few STIs that can be readily passed on through kissing. It is caused by an infection from the herpes simplex virus (HSV), which often produces cold sores or blisters around the mouth or genital areas.</p>
<p>Kissing someone with an active sore around their mouth can <a href="https://www.healthline.com/health/can-you-get-herpes-from-kissing#active-vs-inactive-outbreak" target="_blank" title="Healthline article on oral transmission of herpes" rel="noopener noreferrer">spread oral herpes</a>. This is because the virus is present in saliva and the cold sore itself. Equally, performing oral sex with an active cold sore can transmit the infection to the genital area, and vice versa.</p>
<p>Once you have contracted the HSV virus, you will have it for the rest of your life. Although some people may never develop symptoms, or have very few outbreaks. If symptoms aren’t present, herpes is much less contagious, but can still be transmitted.</p>
<p>Contracting STIs through kissing is a common concern for many, particularly HIV, syphilis and hepatitis. However, you’ll be pleased to know that these STIs are highly unlikely to get passed on this way. </p>
<h5><strong>Oral Sex</strong></h5>
<p>While the risk of contracting STIs from oral sex is lower than vaginal or anal sex, it can still transmit a number of different infections through saliva, sores, or genital fluids. Generally, if you are the receiver of oral sex, the risks are reduced as you are less likely to be exposed to genital fluids.</p>
<p>Oral sex with an infected partner can lead to infections in the mouth, throat, genitals, or rectum. <a href="https://www.sexwise.org.uk/stis/oral-sex-and-sexually-transmitted-infections" target="_blank" title="Sexwise: Oral sex and sexually transmitted infections" rel="noopener noreferrer">STIs that are most commonly passed</a> on through this type of sexual activity include herpes, syphilis, gonorrhoea and chlamydia.</p>
<p>The good news is there are ways to make oral sex safer! Barrier methods like condoms and dental dams can reduce the risk of transmitting infection. You should also discuss your and your partner’s sexual history and previous risks and consider having an STI test prior to engaging in oral sex.</p>
<p><a href="https://yoxly.com/blogs/yoxly-news/how-to-have-safer-oral-sex" target="_blank" title="Yoxly article: how to have safer oral sex" rel="noopener noreferrer">Find out more about how to have safe oral sex</a>.</p>
<h5><strong>Vaginal Sex</strong></h5>
<p>This is perhaps the most obvious one of all, but is still worth mentioning. Having unprotected vaginal sex with an infected person can expose you to all types of STIs. Many are symptomless and you may not even realise you are infected. It is always a good idea to get tested before each new sexual partner, to avoid the infection spreading.</p>
<h5><strong>Anal sex</strong></h5>
<p>Anal sex carries a <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3052332/" target="_blank" title="National Library of Medicine journal on STI transmission through unprotected anal sex in women" rel="noopener noreferrer">higher risk of passing on infections</a> than unprotected vaginal sex. This is because the anus lacks a natural lubricant and has thinner tissues, which increases the risk of tearing. Tears can allow bacteria and viruses to directly enter the bloodstream.</p>
<p>According to the <a href="https://www.cdc.gov/hiv/basics/hiv-transmission/ways-people-get-hiv.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fhiv%2Frisk%2Fanalsex.html" target="_blank" title="CDC resource on HIV transmission" rel="noopener noreferrer">Centers for Disease Control and Prevention (CDC)</a>, anal sex is the highest-risk form of sex for HIV transmission, particularly for the receptive partner. As such, men who engage in frequent anal sex are advised to always get tested before a new sexual partner.</p>
<h5><strong>Sharing Toothbrushes, Razors or Needles</strong></h5>
<p>STIs that are transmitted through blood can be passed on by sharing things like toothbrushes, razors, needles, or any other objects that may cause cuts or bleeding. These include HIV and hepatitis B and C. To be on the safe side, avoid sharing these objects - always bring your own toothbrush with you if you are spending the night with a new partner! Or forgo the fresh breath!</p>
<h5><strong>Contaminated Food</strong></h5>
<p><a href="https://www.better2know.co.uk/std-sti-testing/hepatitis-a" target="_blank" title="Better2Know resource on Hepatitis A" rel="noopener noreferrer">Hepatitis A</a> is a viral infection that is often spread through contaminated food or water. The virus is found in the faeces of infected people and can be passed on during anal sex, through direct contact with infected faeces or via contaminated food or water. This is much more commonly seen in developing countries with poor sanitation and untreated water.</p>
<h5><strong>Skin-to-Skin Contact</strong></h5>
<p>The HPV virus can often be passed on without a person’s knowledge, as it is often symptomless. However, some strains can cause <a href="https://www.healthline.com/health/std/genital-warts" target="_blank" title="Healthline article on genital warts" rel="noopener noreferrer">genital warts</a> - soft growths that appear on the genitals - which can be transmitted through direct physical contact with the skin. According to the <a href="https://www.cdc.gov/std/hpv/stdfact-hpv.htm" target="_blank" title="CDC factsheet on HPV" rel="noopener noreferrer">Centers for Disease Control and Prevention (CDC)</a>, HPV is the most common of all STIs.</p>
<p>Similarly, syphilis can be spread through direct contact with a sore on the skin. These often develop around the mouth, penis, vagina and anus, but can show anywhere on the body. A common myth is that you can contract syphilis by sharing a toilet with a person who has the infection. This is not true! The bacteria that cause syphilis cannot live for long outside the body.</p>
<p>The HSV virus (genital herpes) can also be passed by skin-to-skin contact. Transmission is more likely where a sore is present.</p>
<h5><strong>Sharing Sex Toys</strong></h5>
<p>Unwashed sex toys can also harbour bacteria and viruses that cause STIs. <a href="https://www.nhs.uk/common-health-questions/sexual-health/are-sex-toys-safe/" target="_blank" title="NHS resource on using sex toys safely" rel="noopener noreferrer">Sharing uncleaned sex toys</a> with multiple people can therefore pass on STIs such as chlamydia, gonorrhoea, herpes, HPV and trichomonas. Always practice good sex hygiene and clean your sex toys after use!</p>
<h4><strong>Conclusion</strong></h4>
<p>That’s a lot of information to take in, we know. So, to quickly recap:</p>
<p>STIs are caused by viruses, bacteria, or parasites. They can be passed on through sexual or physical contact, but how they are transmitted depends on the type of infection. Some can be passed on much more easily than others, through kissing, or skin-to-skin contact. While others are only transmitted through bodily fluids or blood exchanged during anal or vaginal sex. Some blood-borne infections can also be passed on by sharing things like needles.</p>
<p>To reduce your risk of contracting an infection, it’s a good idea to do your homework on all the different STIs and how they are transmitted. And don’t forget to get regular STI checkups before every new sexual partner! Use our <a href="https://yoxly.com" target="_blank" title="Yoxly" rel="noopener noreferrer">at-home testing kits</a> to streamline the process and cut out the embarrassment.</p>
<p> </p>

How Are STIs Transmitted? The Facts!

<p><strong>Sexually transmitted infections (STIs) are passed between people through sexual contact. But in general, by taking the right precautions they are mostly preventable.</strong></p>
<p>The only guaranteed way to completely protect yourself from STIs is to abstain from all sexual contact. But that’s not everyone’s cup of tea! Here are five things you can do today to limit your risk of contracting an STI, while still enjoying an active sex life.</p>
<h2><strong>All You Need to Know About STIs</strong></h2>
<p><a title="NHS resource on STIs" href="https://www.nhs.uk/conditions/sexually-transmitted-infections-stis/" target="_blank">Sexually transmitted infections</a> are caused by bacteria, viruses or parasites that are transmitted during sexual contact, including vaginal, anal and oral sex (<a title="Yoxly article on how to have safer oral sex" href="https://yoxly.com/blogs/yoxly-news/how-to-have-safer-oral-sex">read our blog</a> on how to have safe oral sex). Some STIs, such as herpes and syphilis, can even be passed on through skin-to-skin contact, such as kissing.</p>
<p>Infections are typically able to pass between people via blood, semen, vaginal secretions and other bodily fluids. Types of sexual activities that are likely to cause tearing of skin, such as anal sex, carry higher risks of passing on infections.</p>
<p>Contracting an STI can cause a great deal of embarrassment. Many people feel ashamed or dirty, when really this is far from the truth. You wouldn’t feel so bad about yourself if you had the flu, for example. And while there are some hygiene measures you can take to reduce your chances of contracting an STI, like rinsing off after sexual contact, STIs themselves are not linked to personal hygiene. Absolutely anyone can get them! They are also extremely common. In fact, it is estimated by the World Health Organization that <a title="WHO news article: More than 1 million new curable sexually transmitted infections every day" href="https://www.who.int/news/item/06-06-2019-more-than-1-million-new-curable-sexually-transmitted-infections-every-day" target="_blank">1 million STIs are acquired every day worldwide</a>.</p>
<p>Some common symptoms to look out for that might indicate you have an STI include:</p>
<ul>
<li>Pain during urination</li>
<li>Unusual discharge from the vagina or penis (read our blog article all about <a title="Yoxly article on vaginal discharge" href="https://yoxly.com/blogs/yoxly-news/got-vaginal-discharge-let-s-talk-about-it" target="_blank">vaginal discharge</a>)</li>
<li>Sores or bumps in the genital, rectal or oral areas</li>
<li>Unusual vaginal bleeding</li>
<li>Pain during sex</li>
<li>Sore or swollen lymph nodes</li>
<li>Lower abdominal pain</li>
<li>Fever</li>
<li>Unusual rashes</li>
</ul>
<p>If you have any of these symptoms and are sexually active it's important to book yourself in as soon as possible with your doctor.</p>
<h2><strong>How to Reduce Your Risk</strong></h2>
<p><strong>Use Condoms</strong></p>
<p>Yep, you guessed it! Condoms (male or female) are one of the best barrier methods. They are <a title="Preventing STIs" href="https://www.yoursexualhealthmatters.org.uk/stis-and-hiv/preventing-stis" target="_blank">98% effective</a> at protecting against STIs that are passed through bodily fluids, like chlamydia and gonorrhoea. <a title="CDC resource on condom effectiveness" href="https://www.cdc.gov/condomeffectiveness/brief.html" target="_blank">Studies</a> that looked at the rate of HIV infection in condom users and non-users, who have HIV positive partners, found that those who used protection had significantly reduced infection rates.</p>
<p>However, they are not as effective at protecting you from STIs that are spread through skin-to-skin contact, including herpes, genital warts and syphilis. Which is why it’s important to discuss sexual history with your partner(s) before engaging in sexual activities.</p>
<p>But, as the majority of STIs are transmitted through genital fluids, condoms can significantly reduce your risk of contracting one, so we advise stocking up! Make sure to have them available at all times to ensure you don’t get caught out. Perhaps it might help to have them throughout the house, in your car, or wherever you’re likely to have sex!</p>
<p><a title="Yoxly article on condom types" href="https://yoxly.com/blogs/yoxly-news/types-of-condoms-what-they-are-their-uses-and-how-to-pick-the-right-one" target="_blank">Read our blog article</a> on the different types of condoms and how to pick the right one.</p>
<h2><strong>Be Open with Your Partner(s) About Your Sexual History</strong></h2>
<p>We know that talking about your sexual history can feel embarrassing and awkward, especially if you’ve just got a new sexual partner. But open communication can encourage trust and respect and help reduce the risk of STIs.</p>
<p>It can be helpful to discuss when you both last got tested for STIs, and whether you have had any sexual partners since. If your partner hasn’t been tested in a while, it might be a good idea to gently ask them if they could get checked before you engage in any sexual activities.</p>
<h2><strong>Get a Regular STI Check</strong></h2>
<p>This is one of the most important points. Sometimes STIs are symptomless and you may contract an infection from someone who appears to be healthy. It is completely possible to have an STI without knowing anything about it! Which is why it’s important to get tested regularly, to avoid passing it on.</p>
<p>How often you should get tested depends on how sexually active you are. If you don’t have a regular long term partner(s) and engage in lots of casual sex, it’s a good idea to get tested every time you change partners - and ask your partner(s) to do the same. <meta charset="utf-8"><span data-mce-fragment="1">Why not try our </span><a data-mce-fragment="1" title="window period calculator" href="https://yoxly.com/en-GB/pages/window-period-calculator" target="_blank" data-mce-href="https://yoxly.com/en-GB/pages/window-period-calculator">window period calculator</a><span data-mce-fragment="1"> to help guide you on when to get tested?</span></p>
<p>Yoxly’s at-home tests make getting an STI check more convenient, safe and secure. <a title="Yoxly" href="https://yoxly.com" target="_blank">Find out more</a> and get tested today! </p>
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<h2><strong>Limit Number of Sexual Partners</strong></h2>
<p>The more partners you have, the greater your risk of contracting an STI. Simple as that. We aren't by any means suggesting sticking only to one partner – many people find monogamous relationships don’t suit them. But if you are engaging in lots of casual sex with multiple partners, get tested frequently and remember to discuss your sexual history beforehand. Or, if you are worried about STIs, limit the number of people you have sex with.</p>
<h2><strong>Avoid Having Sex Under the Influence</strong></h2>
<p>We aren’t the fun police, but if you are trying to reduce your risk of contracting an STI, it might be a good idea to avoid sex when under the influence of alcohol or drugs. These substances can impact our ability to make good decisions when it comes to safe sex and may increase the risk of mistakes, like not putting on a condom properly.</p>
<h2><strong>Summary</strong></h2>
<p>STIs are transmitted through sexual contact in blood, semen, vaginal and other bodily fluids, as well as skin-to-skin contact. An STI is nothing to be ashamed of. Many people will contract an STI at some point in their lives - they’re probably more common than you think!</p>
<p>If you are sexually active, there are a number of ways you can reduce your risk of contracting an STI. Practising safe sex is key, so always use a condom and be open about your sexual history with a new sexual partner. Having sex with multiple different people can increase your risk of contracting an STI, especially if you are under the influence of alcohol or drugs.</p>
<p>To keep on top of your sexual health and make sure you aren’t passing on infections to new partners, get regular STI checkups. Use our super easy <a title="Yoxly - order your kit" href="https://yoxly.com/#order" target="_blank">at-home tests</a> to make the process less stressful!</p>
<p> </p>

5 Ways to Reduce Your Risk of Getting an STI

What is Gender Identity? And Why STIs Don't Give a Damn!

The History of Pride

Syphilis: The Great Comeback

How Does Menopause Impact Vaginal Health?

10 Myths About Masturbation That Might Cause You To Blow Your Load

STIs Throughout the Ages: The Fascinating History of Gonorrhoea

<p>Engaging in penetrative sex if you have endometriosis can be extremely painful and may deter you from engaging in any form of sexual activity. But, listen up ladies: you can still have a fulfilling sex life with endometriosis!</p>
<p>By taking certain steps to manage pain felt during or after sex, women with endometriosis can still have intimate relationships and engage in pleasurable sexual activities. In this article, learn about endometriosis and why it causes pain during sex, plus read our top tips on how to avoid painful sex to get your sex life back on track.</p>
<h3><strong>What is endometriosis?</strong></h3>
<p><a href="https://www.nhs.uk/conditions/endometriosis/" target="_blank" title="NHS - Endometriosis" rel="noopener noreferrer">Endometriosis</a> is a condition where tissue similar to that of the womb lining (a.k.a. endometrial tissue) begins to grow outside of the uterus, often around the ovaries, fallopian tubes or elsewhere in the pelvis. This tissue reacts to the natural rise and fall of hormones throughout the menstrual cycle in the same way as the tissue that lines the uterus, causing it to build up and shed monthly. However, shedding of this misplaced tissue results in bleeding outside of the uterus, which can cause pain, inflammation, swelling and the formation of scar tissue. Endometriosis is a common long-term condition that affects approximately <a href="https://www.bupa.co.uk/health-information/womens-health/endometriosis" target="_blank" title="Bupa - Information on Endometriosis" rel="noopener noreferrer">1 in 10 women of reproductive age</a> - so you are not alone!</p>
<p>Common <a href="https://www.nhs.uk/conditions/endometriosis/" target="_blank" title="NHS - Endometriosis" rel="noopener noreferrer">symptoms of endometriosis</a> include: </p>
<ul>
<li>Pain in the pelvic area which can worsen around the time of your period</li>
<li>Severe period pain and heavy menstrual flow</li>
<li>Pain when going to the toilet</li>
<li>Pain during sex or after sex</li>
<li>Diarrhea, constipation or nausea</li>
<li>Difficulty getting pregnant</li>
</ul>
<p>These symptoms can be experienced in varying severity and will differ between individuals.</p>
<h3><strong>How can endometriosis impact your sex life?</strong></h3>
<p>Unfortunately, the symptoms of endometriosis can have a <a href="https://www.endometriosis-uk.org/understanding-endometriosis" target="_blank" title="Understanding Endometriosis" rel="noopener noreferrer">significant impact on a woman's life</a>. Especially when it comes to sex. Not fair, right? As many women with endometriosis experience painful sex, this can understandably have a negative impact their sex life and libido. After all, sex is supposed to feel good!</p>
<p>The reality is that sex is heavily present in our everyday lives, whether it’s on TV, in music, or the topic of conversation amongst friends. Whilst sex is a normal and a natural part of life, it can be disheartening not being able to do the thing that everyone else seems to be doing. Not to mention the feelings that can accompany a lack of intimacy, such as low mood or  self-esteem, and the effects on your sex drive. Challenges surrounding sexual intmacy can also cause or compound relationship stress, especially if there is a lack of communication.</p>
<h3><strong>Why is sex painful with endometriosis?</strong></h3>
<p>Penetration can be painful because it stretches and pulls at the misplaced endometrial tissue, especially if it has grown behind the vagina, lower uterus or rectum. Irritating this tissue can sometimes result in bleeding, which is not only inconvenient, but can also be embarrassing. Women are all wonderfully unique, and so the perception of  pain can vary between individuals. Some may experience acute stabbing pains or deep aching pains during sex, whilst others only experience pain after sex.</p>
<p><em>Are you experiencing painful sex or unusual vaginal bleeding and think you might have an STI? Don’t worry, we offer </em><a href="https://yoxly.com/pages/order-your-kit" target="_blank" title="Yoxly - Order your at home STI test kit here" rel="noopener noreferrer"><em>at-home STI testing kits</em></a><em> which can be delivered straight to your door, and give you your results within a few days!</em></p>
<p><em>If you’d like to know more about sexually transmitted infections (STIs), check out our </em><a href="https://yoxly.com/pages/sti-information" target="_blank" title="Yoxly - STI information" rel="noopener noreferrer"><em>STI information page</em></a><em> that’s packed with useful knowledge.</em></p>
<h3><strong>How to avoid painful sex</strong></h3>
<strong>Change up your positions and rhythm</strong>
<p>Certain sex positions can cause more pain than others, so it’s important to find the position that’s most comfortable for you. Missionary is often reported to be the most painful position for women with endometriosis, because the uterus is tilted and penetration is deep. Deep penetration can be painful, as it puts more pressure on the sensitive areas nearest misplaced endometrial tissue. Positions with shallow penetration tend to be  more comfortable, and include side-by-side spoon, modified doggy style, face-to-face or raised hips.   </p>
<p>Quick thrusting is also likely to cause more pain than a gentle rhythm. Talk to your partner(s) about what is most comfortable for you, and try a position where you have control over the speed and depth of penetration.</p>
<p>Check out our handy infographic on four positions that can ease pain during sex:</p>
<p> </p>
<div style="text-align: center;"><img src="https://cdn.shopify.com/s/files/1/0282/1187/1878/files/endometriosis-and-sex-positions-to-avoid-pain-infographic_600x600.jpg?v=1651166770" alt="Infographic: Endometriosis and sex and 4 positions that can ease pain during sex" style="float: none;"></div>
<p> </p>
<p><strong>Try other sexual activities</strong></p>
<p>Far from being all about penetration, sex encompasses an array of other activities which can be just as pleasurable and intimate! In fact, <a href="https://pubmed.ncbi.nlm.nih.gov/28678639/" target="_blank" title="Women's Experiences With Genital Touching, Sexual Pleasure, and Orgasm" rel="noopener noreferrer">according to one study</a> on women’s sexual pleasure, only 36% of women claim they can reach orgasm through penetration alone.</p>
<p>If penetrative sex is too painful for you, why not try kissing, foreplay, oral sex, erotic massage or mutual masturbation? There are also a whole host of toys out there that don’t involve  penetration. Experimenting with different activities can bring you and your partner(s) sexual satisfaction, whilst also optimising your comfort level.</p>
<p><em>Read our </em><a href="https://yoxly.com/blogs/yoxly-news/how-to-have-safer-oral-sex" target="_blank" title="Yoxly - How to have safer oral sex" rel="noopener noreferrer"><em>blog article on safe oral sex</em></a><em>.</em></p>
<strong>Avoid having sex at certain times of the month</strong>
<p>You might find that penetrative sex is more painful at certain times of the month; often being more intense around the time of your period, and less painful following ovulation or just after your period. Tracking your cycle and when you have sex can help you identify times of the month that are least so you can plan accordingly.</p>
<strong>Use plenty of lube</strong>
<p>Vaginal dryness will only exacerbate discomfort felt during sex. If you are tense or anxious about the prospect of having sex, you may find it harder to become physically aroused. This is compounded by the fact that  endometriosis is <a href="https://www.nhs.uk/conditions/endometriosis/" target="_blank" title="NHS - Endometriosis" rel="noopener noreferrer">often treated with hormones</a>, which are known to cause vaginal dryness as a side effect. Using a vaginal lubricant can help reduce friction and discomfort during penetration - one less thing to worry about!</p>
<strong>Communicate with your partner(s)</strong>
<p>The key to improving your sex life is to communicate with your partner(s) about  endometriosis and how sex feels for you. While it may feel extremely personal and a bit awkward at first, openly communicating can help them better understand what you are going through. Let them know what it feels like and which sex positions are most comfortable. Or, if you’re not comfortable having penetrative sex, tell your partner know what else turns you on and have some fun exploring sexual fantasies or kinks!           </p>
<strong>Summary</strong>
<p>Although painful sex is a common symptom of endometriosis, there are a few things you can try to help minimise it. Start by communicating with your partner and fostering a safe, open environment to explore what forms of sex are most pleasurable for you. Always be sure to use plenty of lube and try to have sex at times of the month that are least painful. And don’t be discouraged if penetration is just too painful, because there are countless other sexual activities that you can take part in. With these tips in mind, you should be well on your way to a journey of sexual enjoyment and discovery.</p>
<p> </p>
<p> </p>

Endometriosis and Sex: Tips to Manage Pain and Encourage Intimacy

<p><em></em>No one likes to think of their parents messing about in the bedroom, but just because we age, doesn’t mean we lose interest in sex. In fact, a <a title="Sexual health and the older adult" href="https://www.bmj.com/content/344/sbmj.e688.full" target="_blank">study performed in the UK</a> showed that more than 80% of 50–90-year-olds are sexually active. And there is mounting evidence to suggest that an active sex life is associated with an overall <a title="How sex can help you have a healthy, happy life" href="https://www.smoa.jsexmed.org/article/S2050-1161(18)30111-9/fulltext" target="_blank">healthier, happier life</a> in older adults. Basically, as many older adults are finding out, sex is good for all ages. However, that proclivity has developed a more disturbing trend as of late we should all be aware of. And that’s the rise in sexually transmitted infections (STIs) in older adults.</p>
<p>In October 2019, <a title="age UK discussion on STIs in older people continuing to rise" href="https://www.ageuk.org.uk/latest-press/articles/2019/october/as-stis-in-older-people-continue-to-rise-age-uk-calls-to-end-the-stigma-about-sex-and-intimacy-in-later-life/" target="_blank"><em>Age UK</em> published an article</a> discussing the worrying increase in STIs in older adults. The most recent data for people aged 45–64 published by Public Health England shows that gonorrhoea diagnoses increased by 84% from 2015 to 2019, and in over 65’s the numbers have doubled! Other STIs such as syphilis are also on the rise, with the number of diagnoses increasing by 86% in people over 65 from 2015 to 2019! A <a title="NHS: Genital chlamydia and gonorrhoea infection in Scotland" href="https://publichealthscotland.scot/media/3295/2_genital-chlamydia-gonorrhoea-scotland-2010-2019.pdf" target="_blank">10-year study by Health Protection Scotland</a> shows that although STI diagnoses remain highest in people under the age of 25, the prevalence of genital chlamydia and gonorrhoea is increasing in all age groups.</p>
<div style="text-align: left;"><img style="float: none;" alt="Infographic: A chart showing the rise of STIs and chlamydia, gonorrhoea, and syphilis in adults aged 45+" src="https://cdn.shopify.com/s/files/1/0282/1187/1878/files/sti-increase-by-age-chlamydia-gonorrhoea-syphilis-older-adults-yoxly_1024x1024.png?v=1650630377"></div>
<p>It’s a worrying trend, because although STIs aren’t great news for anyone, <a title="A guide for older adults and their sexual health" href="https://www.health.ny.gov/diseases/aids/general/publications/docs/sexual_health_older_adults.pdf" target="_blank">older adults may fare worse</a> due to compromised immune systems or other health conditions.</p>
<p>In this article, we discuss:</p>
<p><em>“Why are STIs on the rise in older adults,” and “How do we help protect them?”</em></p>
<p>Let’s get started.</p>
<h2><strong>Why Are STIs on the Rise in Older Adults?</strong></h2>
<p>Changing social norms and several other factors may be contributing to the rise in sexual activity and STIs in older adults. Here are a few to consider:</p>
<h2><strong>New Partners Later in Life</strong></h2>
<p>While divorce rates have been shown to have <a title="Divorce statistics 2022" href="https://www.crispandco.com/site/divorce-statistics/" target="_blank">decreased overall</a> from 2018 to 2020, divorces among older adults have <a title="How lifelong marriage is going out of fashion with the older generation" href="https://qz.com/1032179/more-people-over-65-in-the-uk-are-getting-married-and-divorced/" target="_blank">actually risen</a>. Whether it’s because of divorce, bereavement, or simply discovering partners later in life, more older adults  are having  sex with different people later in life.</p>
<h2><strong>Lack of Understanding Around Protection</strong></h2>
<p>As we age and fertility declines, some older adults may believe that barrier contraception  is no longer necessary. Unfortunately, that’s not the case! While older adults may be less likely to have unintended pregnancies, <a title="Why STIs are on the rise for people over age 55" href="https://uk.news.yahoo.com/age-not-condom-why-stis-175616201.html" target="_blank">STIs can be transmitted at any age</a>.</p>
<h2><strong>Miseducation Around Sex</strong></h2>
<p><a title="A Brief History of British Sex Education" href="https://www.vice.com/en/article/nnqxaw/a-brief-history-of-british-sex-education-069" target="_blank">Sex education has been in England</a> for over a century, but it’s not until recently that schools or online resources (<a title="Yoxly - Home STI test kits for all genders delivered directly to you" href="https://yoxly.com/" target="_blank">like this one</a>!) have begun teaching sex-ed in more depth. Today, while there is more information about sex and STIs than ever before, there are still entire generations misinformed or uninformed about protection.</p>
<h2><strong>They Are Embarrassed</strong></h2>
<p>While talking about sex is becoming <a title="Breaking down barriers and taboos of sexual health in the elderly" href="https://pubmed.ncbi.nlm.nih.gov/23160504/" target="_blank">less taboo</a> with each generation, there are still many people who are ashamed to discuss it at all. Older adults may not feel comfortable discussing sex with partners, or disclosing symptoms to doctors and caretakers. Difficulties with communicating about safe sex with partners may increase the risk of picking up or passing on STIs, and older adults may not feel comfortable speaking to their doctor, instead leaving STIs undiagnosed and untreated.</p>
<h2><strong>Advances in Medicine and Technology</strong></h2>
<p>Before some recent pharmacological advancements, even if someone had the desire to have sex, they may not have physically been able to. With <a title="How medicine has advanced in tackling sexual dysfunction" href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5461829/" target="_blank">modern medications</a> (both prescription and over-the-counter), people are able to work around potential obstacles, such as erectile dysfunction and vaginal dryness, to facilitate a satisfying sex life. Furthermore, technological developments, like smart phones and dating apps, have increased opportunities for people to connect like never before. So now, just about anyone can develop a robust sexual relationship.</p>
<h2><strong>How Can We Help Protect Our Parents and Grandparents?</strong></h2>
<p>As children of older adults, it’s important to understand our parents’ and grandparents’ sexual desires and also put ourselves in a position to help them reduce any <a title="Yoxly - What Are STI Symptoms And When Will They Appear?" href="https://yoxly.com/blogs/yoxly-news/sti-symptoms-what-are-they-and-when-will-they-appear" target="_blank">risks associated</a> with sex. This begins with having empathy for who they are and what they are going through in life. We may be more informed about sex than the older people in our lives, and we can impart that knowledge in an open and non-judgmental way. Simply talking openly about sex can help the older adult in our lives to understand that sex is acceptable for people of all ages, however no sexual activity comes without risk.</p>
<h2><strong>How Can People of All Ages Practice Safer Sex?</strong></h2>
<p>Safe sex means not only protecting yourself from <a title="Yoxly - Can You Get Pregnant with an STI?" href="https://yoxly.com/blogs/yoxly-news/pregnant-with-sti-what-to-know" target="_blank">pregnancy</a>, but also from STIs. One of the best ways we can help everyone, including ourselves, practice safer sex is to understand what that means. <a title="age UK: Sex in later life" href="https://www.ageuk.org.uk/information-advice/health-wellbeing/relationships-family/sex-in-later-life/" target="_blank">Something we learn can be shared</a> with others and the same safe practices we take can be taken by older adults. We must help our parents and grandparents remove any taboos and have open dialogues about their sex lives.</p>
<h2><strong>Talk about Safe Sex Practices</strong></h2>
<p>Even if you feel certain that your parents or grandparents aren’t sexually active, you might want to have a conversation with them about sex. This is especially relevant  if one of your parents or grandparents has started actively dating. Being honest about your own sex life can open up the conversation. Begin the conversation discussing companionship and what that means for them in their lives.</p>
<p>From there, you can develop and grow your conversations to become more focused on the risks involved in sex. You might want to share your own experiences and how you protect yourself against sexual risks. You might be able to signpost them to resources online that will help them to understand how to have sex as safely as possible. You can also encourage them to have regular tests, and to be honest with their healthcare providers about their sexual habits.</p>
<h2><strong>How All Adults Protect Themselves</strong></h2>
<p>Barrier protection not only helps prevent pregnancy but also helps prevent transmission of common STIs. But, barrier protection isn’t just for intercourse, it’s actually a huge part of protecting you from <a title="Yoxly - How to have safer oral sex" href="https://yoxly.com/blogs/yoxly-news/how-to-have-safer-oral-sex" target="_blank">any sexual activity</a>. It might be worth noting that some older adults may not have any prior experience with condom usage (male or female). Therefore, you may want to share your own knowledge with them. </p>
<h2><strong>Get Tested</strong></h2>
<p>It might also be unlikely that an older adult has ever taken an STI test or even <a title="STI knowledge among older adults" href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7177870/" target="_blank">knows of their availability</a>. Anyone, even older adults, who are sexually active can benefit from regular testing. As we change partners or increase our sexual activity, testing can help us detect any issues early on to help us treat them and prevent further spread.</p>
<p>If the older adult in your life is sexually active, encourage them get regular tests done and help them understand <a title="Yoxly - A Beginner's Guide to At-Home STI Test Kits" href="https://yoxly.com/blogs/yoxly-news/a-beginners-guide-to-at-home-sti-testing" target="_blank">how tests work and what they can do</a>. It might be useful to show them where to get STI tests either in person or online.</p>
<h2><strong>Conclusion</strong></h2>
<p>While this trend of rising STI numbers in older adults is troublesome, now is a great time to do your part to eliminate the trend and help your loved ones understand their responsibilities and options for staying sexually active. Because one thing is for sure: sex never gets old.</p>
<p>To learn more about STI testing, and to order a kit for home, visit our <a href="https://yoxly.com/pages/order-your-kit">Home STI Kits</a> page.</p>
<p> </p>
<p> </p>

The Rise of STIs in Older Adults: The Reasons Behind It, And How We Can Protect Them

<p><em></em><em>Oops</em>, you did it again! Just as things were getting hot and heavy, you realised that you never finished that research on which condom to wear. You know that they are one of the best ways to prevent <a title="Yoxly - Order Your Kit Here" href="https://yoxly.com/pages/order-your-kit" target="_blank">sexually transmitted infections</a> (STIs) as well as unplanned  pregnancies. <em>But…</em></p>
<p><em>What material should you pick? </em></p>
<p><em>What’s the correct fit or size? </em></p>
<p><em>Does any of this really matter?</em></p>
<p>Yes, yes it can matter! So, zip up those pants and ask your partner to hold off for just a few moments while we help you sort this all out. In this article, we discuss the different types of condoms available, and how to pick the right one for you.</p>
<h2><strong>A Quick History of Condoms</strong></h2>
<p>Condoms have actually been around for centuries, but just how long they’ve been around is up for debate. Some believe condoms (in a much more primitive form, of course) were used by ancient civilisations in Egypt, Greece and Rome. However, the earliest uncontested description of condom usage was in 16th-century Italy by <a title="Condom history - What's to know?" href="https://en.wikipedia.org/wiki/Condom#History" target="_blank">anatomist and physician Gabriele Falloppio</a>, who wrote a treatise on syphilis. He described condoms as <em>“linen sheaths soaked in a chemical solution held on by ribbons.”</em> If that description doesn’t make you feel safer in the bedroom, well…you’re not the only one!</p>
<p>After that, the seal was broken, and condoms (or other forms of “penis covering”) were written about throughout Europe. By the 18th century, condoms were available in a variety of qualities and sizes, and the most popular materials used were animal bladders and intestines.</p>
<p>As <a title="STI's: Four Startling Facts" href="https://yoxly.com/blogs/yoxly-news/stis-four-startling-facts" target="_blank">rates of STIs</a> began to skyrocket throughout the second half of the 19th century, schools began offering sex education classes that often taught abstinence as the only way to prevent STIs. <em>Yikes!</em></p>
<p>Then along came Charles Goodyear (yes, the “Goodyear Blimp” guy) who discovered a way of processing rubber to make it elastic. Using that same technology, the first latex condom was produced in 1855.</p>
<p>It’s worth noting that Goodyear, the guy whose discovery led to the development of the modern-day condom, also became known for <a title="Goodyear: How was the condom discovered?" href="https://en.wikipedia.org/wiki/Goodyear_Blimp" target="_blank">floating a giant phallic symbol</a> thousands of feet in the sky. A coincidence? We think not.</p>
<p>Though female condoms have also been used for centuries, the first description of a <a title="Internal (female) condoms 101" href="https://helloclue.com/articles/sex/internal-condoms-101#:~:text=The%20first%20modern%20description%20of,semen%20for%20breeding%20(5)." target="_blank">modern female condom</a> dates back to about 1907.</p>
<p>Most condoms, male and female, are made of rubber latex, but condoms made of lambskin, polyurethane, nitrile, and polyisoprene are also available.</p>
<h2><strong>The Importance of Condom Usage</strong></h2>
<p>Condoms create a physical barrier between you and your partner(s) to help reduce the chances of transmitting STIs and (for some) getting pregnant. When used correctly, condoms are <a title="Do condoms protect against all STIs?" href="https://www.getthefacts.health.wa.gov.au/faqs/do-condoms-protect-against-all-stis#:~:text=Condoms%20are%2098%25%20effective%20at,skin%2Dto%2Dskin%20contact." target="_blank">about 98% effective against most STIs</a>. However, it’s important to remember that condoms <em>do not</em> cover your <em>entire </em>genital area, so some STIs such as <a title="A BASHH guide to condoms" href="https://www.bashh.org/public/condoms/" target="_blank">herpes, genital warts, and syphilis</a><a href="https://www.bashh.org/public/condoms/">,</a> can still be transmitted - even with correct and careful condom use.</p>
<p>In 2017, Public Health England launched a <a title="PHE launches sexual health campaign" href="https://www.gov.uk/government/news/campaign-to-protect-young-people-from-stis-by-using-condoms" target="_blank">sexual health campaign</a> in response to the concerning rise of STI rates in 16 to 24-year-olds, and reports showing that <a title="Half of young people don't use condoms" href="https://www.independent.co.uk/news/uk/home-news/condoms-use-sex-new-partner-girlfriend-half-young-people-men-women-sti-a8112721.html" target="_blank">half of young people don’t use condoms during sex with a new partner</a>.</p>
<p>While condom usage appears to be <a title="Surveying adults on their sexual health" href="https://www.natsal.ac.uk/natsal-survey/natsal-3" target="_blank">generally increasing</a>, there are still many people who don’t use them routinely, perhaps because they don’t appreciate the advantages of condoms, or are unaware of all the available options. A 2017 survey revealed that 1 in 10 young people who are sexually active have <a title="Campaign to protect young people from STIs by using condoms" href="https://www.gov.uk/government/news/campaign-to-protect-young-people-from-stis-by-using-condoms" target="_blank">never used a condom</a>! Some people find condoms uncomfortable, while others are allergic to some condom materials! But rest assured, there’s a condom out there for everyone!</p>
<h2><strong>Types of Condoms</strong></h2>
<p>Gone are the days of using tortoise shells or animal horns to make condoms. Now, there are several new and improved materials to choose from, much to our relief!</p>
<div style="text-align: center;"><img style="float: none;" alt="Infographic: Different types of condoms and their uses" src="https://cdn.shopify.com/s/files/1/0282/1187/1878/files/How-to-pick-a-condom-yoxly_600x600.jpg?v=1649442074"></div>
<p><strong>Latex Condoms</strong></p>
<p>Latex is the most commonly used condom material. It’s durable, effective, and affordable. Latex is derived from natural rubber harvested from trees and can stretch up to <a title="The relationship between condom strength and failure during use" href="https://www.contraceptionjournal.org/article/0010-7824(80)90115-8/fulltext" target="_blank">800% before breaking!</a> However, latex condoms can become damaged when used with oil-based lubricants, and some people have an allergy to latex that prevents usage. <a href="https://allergynorthwest.nhs.uk/resources/allergy-leaflets/latex-allergy/#:~:text=Latex%20allergy%20is%20uncommon%20in,especially%20those%20with%20hand%20eczema.">I</a><a title="NHS - What is latex?" href="https://allergynorthwest.nhs.uk/resources/allergy-leaflets/latex-allergy/#:~:text=Latex%20allergy%20is%20uncommon%20in,especially%20those%20with%20hand%20eczema." target="_blank">n the UK, latex allergies affect less than 1 in 1,000 people</a>.</p>
<p><strong>Polyurethane Condoms </strong></p>
<p>Polyurethane is probably the most popular alternative to latex condoms. Polyurethane is a synthetically created, non-allergenic plastic and is safe to use with all types of lubricants. Polyurethane is also thinner than natural latex, and users find that it conducts body heat better. Polyurethane condoms do not have the same stretchability as latex condoms, so may be <a title="What is the effectiveness of a latex condom?" href="https://pubmed.ncbi.nlm.nih.gov/12636960/" target="_blank">more prone to breaking or slipping</a> during intercourse.</p>
<p><strong>Polyisoprene Condoms</strong></p>
<p>Polyisoprene, sometimes referred to as “synthetic rubber latex”, is another alternative for those with a latex allergy. They are made from “man-made” rubber and fit and stretch in much the same way as natural latex condoms, however, they don't contain the same allergens. Polyisoprene condoms are thicker than polyurethane, however many users prefer them because the <a title="The Complete Guide To Condom Materials" href="https://www.condomdepot.com/condom-information/condom-materials-a-complete-guide/" target="_blank">material is softer and feels less rubbery</a>. They’re also often slightly less expensive than polyurethane condoms.</p>
<p><strong>Lambskin Condoms</strong></p>
<p>Lambskin condoms are not as common as latex or polyurethane condoms, and they are not as effective at preventing STIs. They are made from the membrane of lamb intestines and are considered to be one of the oldest (if not the oldest) forms of contraception. Some prefer the natural lambskin material because they think it feels better during sex. Unfortunately, while they are about 98% effective at preventing pregnancy, <a title="Lambskin condoms: What are they?" href="https://www.menshealth.com/sex-women/a22738783/lambskin-condoms/" target="_blank">lambskin condoms are not able to prevent the transmission of bodily fluids</a> that can spread STIs like <a title="Yoxly - Why HIV is no longer a sin" href="https://yoxly.com/blogs/yoxly-news/hiv-why-its-no-longer-a-sin" target="_blank">HIV</a> or gonorrhoea as effectively as latex or polyurethane.</p>
<p><strong>Female Condoms</strong></p>
<p><a title="Female condoms -- What are they?" href="https://pasante.com/blogs/sexual-health-advice/what-are-female-condoms" target="_blank">Female condoms</a> also act as a barrier, but instead of being worn externally on the penis, they are worn inside the vagina. <a title="NHS - How female condoms work" href="https://www.nhs.uk/conditions/contraception/female-condoms/#:~:text=Female%20condoms%20are%20a%20barrier,condom%20has%20been%20put%20in." target="_blank">Female condoms help protect both partners from certain STIs, including HIV</a>. They are also a reliable method of preventing pregnancy and (if used correctly) have no serious side effects. One of the benefits of female condoms is that they can be inserted up to eight hours before intercourse, which helps to minimise interruption between foreplay and sex. However they can be trickier to use than male condoms, and so we’d advise having a practice before using them for the real thing! Female condoms are most commonly made from polyurethane, latex, or nitrile.</p>
<p><strong>Anal Sex Condoms</strong></p>
<p>Whilst most condoms can be used for anal intercourse, <a title="FDA permits use of first condom specifically used for anal sex" href="https://www.fda.gov/news-events/press-announcements/fda-permits-marketing-first-condom-specifically-indicated-anal-intercourse" target="_blank">the FDA recently approved the “myONE” male condom for anal sex</a><a href="https://www.fda.gov/news-events/press-announcements/fda-permits-marketing-first-condom-specifically-indicated-anal-intercourse">.</a> The <a title="Think all condoms are the same? Think again!" href="https://myonecondoms.co.uk/" target="_blank">myONE condom</a> is made of natural rubber latex, and is available in 66 different sizes, with a printable paper template to aid users in finding the right size.</p>
<h2><strong>How to Pick the Right Condom for You</strong></h2>
<p>People come in all different shapes and sizes, and so do, too. Here are a few things to consider when choosing the right condom for you and your partner(s).</p>
<ol>
<li>Think about the condom material, and how it feels and reacts during sex. While latex condoms are the most common, there are a multitude of options available to suit individual needs.</li>
<li>Consider how your partner(s) may react to the condom material. Even though one person wears the condom, all parties involved will come in contact with it.</li>
<li>Different materials offer different levels of protection from STIs and pregnancy. It’s worth remembering that no condom offers 100% protection against STIs and pregnancy, so it’s important to know the <a title="Yoxly - STI symptoms" href="https://yoxly.com/blogs/yoxly-news/sti-symptoms-what-are-they-and-when-will-they-appear" target="_blank">signs and symptoms</a> of STIs, and what to do if your condom fails.</li>
<li>Consider the size and fit of the condom. While it’s sometimes true that “size doesn’t matter,” using a condom tailored to your size can not only make it less likely to break or slip, but <a title="What size condom should I buy?" href="https://www.durex.co.uk/blogs/explore-sex/what-size-condom-should-i-buy" target="_blank">can also enhance pleasure</a>.</li>
<li>Consider comfort and confidence with the chosen condom. It's hard to enjoy yourself if a specific material doesn't feel or fit right, or if it causes you to question its reliability with every movement.</li>
</ol>
<p>When selecting a new type of condom, we’d recommend testing one out first, to avoid surprises later on – just be sure to start with a fresh one when you need it later on.</p>
<p>Ultimately, the goal is to find a condom that meets your needs and protects you and your partner(s). Whatever condom you choose, be sure to wear one<em> every time</em> you have <em>any type</em> of sex (<a title="Yoxly - How to have safer oral sex" href="https://yoxly.com/blogs/yoxly-news/how-to-have-safer-oral-sex" target="_blank">including oral</a><a href="https://yoxly.com/blogs/yoxly-news/how-to-have-safer-oral-sex">)</a>, to minimise the risk of picking up or passing on an STI. If you haven’t been using protection, or you just think it’s time to get tested, consider ordering one of our  <a title="Yoxly - Order your test kit" href="https://yoxly.com/pages/order-your-kit" target="_blank">at-home STI test kits</a>.</p>
<p>If you’d like to know more about what to expect in an at-home STI test kit, check out this <a title="Yoxly - A Beginner's Guide to At-Home STI Test Kits" href="https://yoxly.com/blogs/yoxly-news/a-beginners-guide-to-at-home-sti-testing" target="_blank">Beginner’s Guide</a>.</p>
<p>There you have it! A quick overview on choosing the right condom for you and your partner(s). Hopefully, you’ve still got your pants on and you can pop over to the shop to pick some up before running back to the bedroom – or wherever it is your partner has been patiently waiting.</p>
<p> </p>
<p> </p>

Types of Condoms: What They Are, Their Uses, And How To Pick The Right One

<p><em></em>Herpes is one of the most stigmatised and misunderstood <a href="https://yoxly.com/blogs/yoxly-news/sti-symptoms-what-are-they-and-when-will-they-appear" target="_blank" title="Yoxly's article on STI symptoms" rel="noopener noreferrer">sexually transmitted infections (STIs)</a>. As such, you’ve probably heard plenty of stories and supposed facts about herpes over the years. But is herpes <em>so</em> common that many of us have it and don’t even know? Could that be true? And if so, why is something so common still so stigmatised and misunderstood?</p>
<p>Let’s start by taking a closer look at herpes to find out how common it really is. Then we’ll cover what to expect if you’ve got it, and ways in which it can be prevented.</p>
<h3><strong>What is Herpes?</strong></h3>
<p>Herpes is caused by infection with the <a href="https://www.bad.org.uk/shared/get-file.ashx?id=208&amp;itemtype=document" target="_blank" title="Herpes simplex information leaflet" rel="noopener noreferrer">herpes simplex virus</a>, of which there are two main types: HSV-1 or HSV-2. It’s characterised by small blisters or ulcers that can technically affect anywhere on the body, depending on how and where someone comes into contact with the virus.</p>
<p>For the purposes of this article, we will be focusing on herpes in three specific areas: the mouth, genitalia, or anus.</p>
<p>When these ulcers or blisters  appear around the mouth, they are often referred to as “cold sores,” while  those around the vagina, penis, and/or anus are called “<a href="https://www.bashh.org/documents/HSV%20PIL%202015%20Screen-friendly.pdf" target="_blank" title="Genetial herpes - The Basics" rel="noopener noreferrer">genital herpes</a>”.</p>
<p>However not everyone with the virus will develop these lesions! So, they may never know they were infected in the first place, making it easier to unintentionally pass it on!</p>
<h3><strong>How Common Is Herpes?</strong></h3>
<p>In 2016 <a href="https://www.who.int/news-room/fact-sheets/detail/herpes-simplex-virus" target="_blank" title="World Health Organization: What is Herpes?" rel="noopener noreferrer">the World Health Organisation</a> (WHO) estimated that approximately 67% of the global population had been infected with HSV-1 (either orally or gentially). In the UK, <a href="https://www.bbc.co.uk/programmes/articles/5RPr1GVbLnH5HP3DMlRv70p/herpes-how-to-break-the-stigma-of-having-a-sexually-transmitted-infection" target="_blank" title="Herpes: How to break the stigma" rel="noopener noreferrer">approximately 70% of people will have herpes, either HSV-1 or HSV-2, by the age of 25</a><a href="https://www.bbc.co.uk/programmes/articles/5RPr1GVbLnH5HP3DMlRv70p/herpes-how-to-break-the-stigma-of-having-a-sexually-transmitted-infection">.</a> So in short, herpes is <em>extremely </em>common - both in the UK and around the world.</p>
<h3><strong>How Does Herpes Spread?</strong></h3>
<p>Herpes is transmitted through <a href="https://www.ashasexualhealth.org/five-things-you-should-know-about-herpes/" target="_blank" title="Five things you should know about herpes " rel="noopener noreferrer">skin-to-skin contact</a>, which commonly occurs during kissing, <a href="https://yoxly.com/blogs/yoxly-news/can-i-get-an-sti-from-oral-sex" target="_blank" title="Yoxly - Can I get herpes from oral sex?" rel="noopener noreferrer">oral sex</a>, vaginal sex, and anal sex. But penetration <em>isn’t </em>required to spread the virus because herpes can be passed on  through simply touching an infected area!</p>
<p>It’s important to note that herpes can spread through non-sexual behaviors, too. For instance, <a href="https://www.healthline.com/health/can-you-get-herpes-from-a-towel#herpes-transmission" target="_blank" title="Can I get herpes from a shared towel? " rel="noopener noreferrer">children</a> can pick up the infection from one another in the nursery by coming into contact with contaminated saliva.</p>
<p>Herpes is most transmissible when an infected person has sores and blisters in the affected area. However most people never develop herpes symptoms, and so <a href="https://www.bashh.org/documents/HSV%20PIL%202015%20Screen-friendly.pdf" target="_blank" title="Genital herpes: The basics" rel="noopener noreferrer">80% of people who have it don’t even know</a><a href="https://www.bashh.org/documents/HSV%20PIL%202015%20Screen-friendly.pdf">!</a></p>
<p>And people with herpes don’t always need to be experiencing an active outbreak to spread the infection. Those  who don’t have any sores or other symptoms can sometimes still pass the virus on to someone else. When this happens, it’s called “<a href="https://herpes.org.uk/frequently-asked-questions/passing-transmitting-herpes/" target="_blank" title="How easy is herpes to pass on?" rel="noopener noreferrer">asymptomatic shedding</a>”.</p>
<p>The good news is that herpes does <a href="https://www.cdc.gov/std/herpes/stdfact-herpes.htm" target="_blank" title="Facts about Genital Herpes" rel="noopener noreferrer">NOT spread through inanimate objects</a>. Since the virus doesn’t survive long outside the body, it’s safe to share toilet seats, towels, sheets, or clothes.</p>
<h3><strong>How Does Herpes Present, and How Long Do Outbreaks Last?</strong></h3>
<p>Herpes can affect different people to varying degrees.</p>
<p>A herpes outbreak presents as blisters or ulcers around the mouth, genitals, and/or anus. Initial <a href="https://www.nationwidechildrens.org/conditions/herpes-simplex-virus" target="_blank" title="What are the main symptoms of herpes?" rel="noopener noreferrer">symptoms typically begin to develop</a> between two and twenty days after  exposure to the virus.</p>
<p>At first you might feel like you have the flu, with symptoms such as fever, headaches, body aches, and swollen lymph nodes. You may also begin to feel an itching, burning, or tingling sensation at the site of infection. This is when you might discover a small cluster of blisters or bumps.</p>
<p><a href="https://www.sexwise.org.uk/stis/genital-herpes" target="_blank" title="What will happen if I get genital herpes?" rel="noopener noreferrer">Within a day or two</a>, these blisters will burst and develop into painful ulcers. The ulcers will crust over in one to two weeks, with most having fully healed by week three, leaving little to no trace behind.</p>
<p>After the initial outbreak, there’s a chance for repeat outbreaks to occur, <a href="https://www.cdc.gov/std/herpes/stdfact-herpes.htm#:~:text=Herpes%20sores%20usually%20appear%20as,occur%20during%20the%20first%20outbreak." target="_blank" title="CDC - Herpes Fact Sheet" rel="noopener noreferrer">especially in those with HSV-2.</a> However subsequent outbreaks  are shorter and less severe, and  the number of outbreaks tends to decrease with time.</p>
<p>Again, many people with herpes don’t develop signs or symptoms, but it doesn’t mean they can’t pass on the infection! Even for those who<em> do</em> develop symptoms, they are sometimes so mild that the infection goes unnoticed!</p>
<h3><strong>Can Herpes Be Cured or Treated?</strong></h3>
<p>Unfortunately, <a href="https://www.cdc.gov/std/herpes/treatment.htm#:~:text=for%20genital%20herpes%3F-,There%20is%20no%20cure%20for%20genital%20herpes.,of%20spreading%20it%20to%20others." target="_blank" title="Treatment for Genital Herpes and After Care" rel="noopener noreferrer">there isn’t a cure for the herpes virus</a>. However it can be effectively managed with <a href="https://herpes.org.uk/frequently-asked-questions/treating-genital-herpes/" target="_blank" title="How to treat Genital Herpes?" rel="noopener noreferrer">antiviral medicines</a> to help mitigate symptoms and reduce the chances of future outbreaks.</p>
<p>While some people try home remedies for herpes, like putting cornstarch on blisters or using aloe vera, these are <em>not </em>medically recognised treatments, as there<em> isn’t </em>enough scientific evidence to support their use. If you need help managing herpes symptoms, we always recommend that you consult a medical professional.</p>
<h3><strong>What Can I Do to Prevent Herpes?</strong></h3>
<p>Although herpes is very common, there are some things you can do to reduce the risk of picking up or passing on the virus.</p>
<ul>
<li>Practice safe sex by using condoms or other barrier methods</li>
<li>Don’t kiss or have sex if you or your partner(s) is experiencing an active outbreak</li>
<li>Thoroughly and regularly wash your hands, especially after touching an affected area</li>
</ul>
<h3><strong>If I Have Herpes, Should I Tell My Partner(s)?</strong></h3>
<p>If you know you have herpes, then you should <a href="https://yoxly.com/blogs/yoxly-news/having-the-talk-talking-to-your-partner-about-stis" target="_blank" title="Yoxly - Having 'The Talk' with your partner" rel="noopener noreferrer">tell your sexual</a> partner(s). Honesty is an important part of any relationship, and it allows you both  to better prepare for having sex more safely.</p>
<p>When is it safe to have sex? Whether it’s with existing partner(s) or someone new, you should <em>stop</em> having sex as soon as you experience the warning signs of an outbreak. You should<em> not </em>engage in <em>any</em> type of sexual activity during an outbreak, (<em>even if you’re using protection)</em>, and you should <em>wait </em>to resume sexual activity <em>until </em><a href="https://www.plannedparenthood.org/learn/ask-experts/i-was-just-diagnosed-with-herpes-how-can-i-have-sex-and-not-spread-it" target="_blank" title="Can you have sex without spreading herpes?" rel="noopener noreferrer"><em>seven days</em></a><em> after</em> the sores heal. Between outbreaks, it’s generally safe to continue having sex, but you should always use barrier methods to minimise the risk of spreading the virus. Finally, there are certain <a href="https://www.ashasexualhealth.org/herpes-treatment/" target="_blank" title="Types of herpes treatments" rel="noopener noreferrer">medications</a> that people with herpes can take to help suppress outbreaks and reduce herpes transmission<a href="https://www.cdc.gov/std/herpes/stdfact-herpes.htm">.</a></p>
<h3><strong>If Herpes Is So Common, Why Is It So Embarrassing? </strong></h3>
<p>People often feel afraid or  ashamed when they find out they have herpes. Why is that, considering herpes is so common? These negative associations exist largely because of the societal stigma and misconceptions that still surround the infection. In these circumstances, the stigma itself can sometimes cause more harm than the actual virus.</p>
<p>Many people fear herpes because it’s an STI that currently has no cure. So one of the best ways to combat this ill-informed stereotype is through better education. And who knows, a cure or <a href="https://yoxly.com/blogs/yoxly-news/can-you-get-vaccinated-for-stis-in-some-cases-yes-what-you-need-to-know" target="_blank" title="Yoxly - Can you get vaccinated for herpes?" rel="noopener noreferrer">vaccine</a> for herpes could soon be on the horizon!</p>
<h3><strong>Living with Herpes? Everything Will Be Fine!</strong></h3>
<p>Herpes is unlikely to cause any lasting damage to your body or internal organs. It’s extremely common, too, so you should know that you are <em>not</em> alone. If you’re in need of additional support, there are a number of groups you can reach out to, including:</p>
<ul>
<li><a href="https://herpes.org.uk/" target="_blank" title="All you need to know about herpes" rel="noopener noreferrer"> Herpes Viruses Association (HVA) </a></li>
<li>
<a href="https://www.themix.org.uk/sex-and-relationships/safe-sex/genital-herpes-4673.html" target="_blank" title="Genital herpes -- Safe sex" rel="noopener noreferrer"> The Mix</a> (for people under 25)</li>
</ul>
<p>Remember, herpes is a condition that can be so well managed that people with it go on to live completely normal lives – both in and out of the bedroom.</p>
<p> </p>

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<p><em></em>Sex is supposed to be a pleasurable experience. But when a headache comes out of the blue whilst you’re having a great time, it can ruin everything.</p>
<p>Are you having headaches during sex or <a href="https://www.womenshealthmag.com/sex-and-love/a19973481/orgasm-headache/" target="_blank" title="Orgasm Headaches Are A Thing—Here’s What You Can Do About Them" rel="noopener noreferrer">right before orgasm</a>? If so, you’re not alone! In fact, <a href="https://www.dailymail.co.uk/health/article-4250318/One-100-people-suffer-sex-headaches.html" target="_blank" title="People suffer from coital cephalalgia" rel="noopener noreferrer">1 in 100 people</a> get headaches associated with sexual activity!</p>
<p>But what causes these headaches, and how can you prevent them?</p>
<p>In this article, we’ll go over what primary sexual headaches are, some common causes, and how to prevent them.</p>
<h3><strong>What Is a Primary Sexual Headache?</strong></h3>
<p>A primary sexual headache associated with sexual activity (PHASA), also known as a sex headache, is just what the name suggests. Sexual activity—especially orgasms—can cause you to have a headache, whether it’s before or during sex.</p>
<p>During sex, you might notice a dull ache in your head and neck as sexual excitement increases. In other cases, you might experience a sudden, severe, throbbing headache just before or during an orgasm.</p>
<p>Some <a href="https://www.mayoclinic.org/diseases-conditions/sex-headaches/symptoms-causes/syc-20377477" target="_blank" title="Mayo Clinic - Sex Headaches" rel="noopener noreferrer">sex headaches can last</a> a few minutes, while others can linger for hours or even days.</p>
<p>According to the National Health Service (NHS), <a href="https://www.nhs.uk/conditions/headaches/10-headache-triggers/#:~:text=Doctors%20think%20sex%20headaches%20are,or%20up%20to%20an%20hour." target="_blank" title="NHS - 10 headache triggers" rel="noopener noreferrer">sex is one of ten common headache triggers</a> - and no, it’s not just an excuse! Doctors theorise that these headaches are caused by pressure build up in the head and neck muscles, which is likely related to tension.</p>
<p>Sex headaches simply caused by muscle tension are not a major cause for concern. And while they’re uncomfortable and inconvenient, they’re usually harmless, and they certainly don’t mean you have to avoid sex!</p>
<p>More rarely, however, a sex headache can be caused by life-threatening problems with the <a href="https://www.medicalnewstoday.com/articles/324719" target="_blank" title="What is an orgasm headache?" rel="noopener noreferrer">blood vessels</a> in the brain. Sex headaches in these circumstances are medical emergencies which require urgent attention. So, whilst most sex headaches are benign, there are a few serious causes which require immediate medical review.</p>
<h3><strong>What Causes Sex Headaches?</strong></h3>
<p>Sex headaches can occur as a result of any type of sexual activity.</p>
<p>There are many causes of primary sex headaches. In most cases, these headaches are relatively benign, and aren’t caused by a life-threatening illness. For example, if you’re regularly experience <a href="https://www.mayoclinic.org/diseases-conditions/sex-headaches/symptoms-causes/syc-20377477#:~:text=Abrupt%2Donset%20and%20slow%2Dto,inside%20your%20head%20(intracranial%20aneurysm)" target="_blank" title="Mayo Clinic - Sex Headaches" rel="noopener noreferrer">sex headaches that build slowly</a>, you might have a primary headache disorder that’s not associated with any underlying condition.</p>
<p>However, if for the first time, your headache comes on suddenly during sex, you may have something more serious going on. Possible causes include:</p>
<ul>
<li>
<a href="https://americanmigrainefoundation.org/resource-library/orgasmic-pre-orgasmic-headache/" target="_blank" title="Primary headache associated with sexual activity" rel="noopener noreferrer"> <strong>Primary sex headache</strong></a><strong>:</strong> Refers to sex headaches that don’t have a clear underlying cause. The exact reason why these headaches occur isn’t known. They could be due to physiological changes that occur during sexual activity, such as increased tension from excessive contraction of neck and jaw muscles, or changes in blood flow to the brain.</li>
<li>
<a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3645333/" target="_blank" title="Subarachnoid haemorrhage with orgasmic cephalgia" rel="noopener noreferrer"> <strong>Subarachnoid haemorrhage</strong></a><strong>:</strong> Bleeding in the brain, which can occur when a blood vessel in the brain ruptures. As a result, you might experience a sudden, severe headache alongside other symptoms that aren’t typically associated with primary sex headaches.</li>
<li>
<a href="https://thejns.org/view/journals/j-neurosurg/114/4/article-p969.xml" target="_blank" title="Sexual intercourse and cerebral aneurysmal rupture" rel="noopener noreferrer"> <strong>Intracranial aneurysm</strong></a><strong>: </strong>A weak spot on an artery in the brain that fills with blood.</li>
<li>
<a href="https://www.mayoclinic.org/diseases-conditions/arteriovenous-malformation/symptoms-causes/syc-20350544" target="_blank" title="Mayo Clinic - Arteriovenous malformation" rel="noopener noreferrer"> <strong>Arteriovenous malformation</strong></a><strong>: </strong>A tangle of blood vessels in the brain.</li>
<li>
<a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2117461/" target="_blank" title="Orgasmic headache and middle cerebral artery dissection" rel="noopener noreferrer"> <strong>Intracranial dissection</strong></a><strong>: </strong>A tear in the lining of an artery in the brain.</li>
</ul>
<p>Other causes of sex headaches include:</p>
<ul>
<li><a href="https://www.stclair.org/services/mayo-clinic-health-information/diseases-and-conditions/CON-20377462/" target="_blank" title="St. Claire Health - Sex headaches" rel="noopener noreferrer">Coronary artery disease</a></li>
<li><a href="https://pubmed.ncbi.nlm.nih.gov/8492007/" target="_blank" title="Sex hormones and headache" rel="noopener noreferrer">Oral contraceptives</a></li>
<li><a href="https://pubmed.ncbi.nlm.nih.gov/15012662/" target="_blank" title="Cerebral vasospasm and headache during sexual intercourse and masturbatory orgasms" rel="noopener noreferrer">Narrowing of the blood vessels in the brain</a></li>
<li><a href="https://my.clevelandclinic.org/health/diseases/17876-thunderclap-headaches" target="_blank" title="Thunderclap Headaches" rel="noopener noreferrer">A blood clot in a blood vessel in the brain</a></li>
<li><a href="https://www.beaconhealthsystem.org/library/diseases-and-conditions/sex-headaches?content_id=CON-20377462" target="_blank" title="Beacon Health System - Sex headaches" rel="noopener noreferrer">Bleeding into the spinal fluid</a></li>
</ul>
<h3><strong>Risk Factors</strong></h3>
<p>There are a few risk factors that might increase your chances of having benign sex headaches. For example, <a href="https://www.menshealth.com/health/a19544397/sex-headache/" target="_blank" title="Is It Normal to Get a Headache During Sex?" rel="noopener noreferrer">men are four times more likely to have orgasm headaches</a> than women. You might also be more likely to have sex headaches if you have a history of <a href="https://www.webmd.com/migraines-headaches/migraine-sex-intimacy" target="_blank" title="Migraine and Intimacy" rel="noopener noreferrer">migraines</a>.</p>
<h3><strong>Types of Primary Sex Headaches</strong></h3>
<p>There are <a href="https://thejournalofheadacheandpain.biomedcentral.com/articles/10.1007/s10194-010-0261-9" target="_blank" title="primary headache associated with sexual activity" rel="noopener noreferrer">two main types of primary sex headaches</a> which differ in terms of when they present and the nature of the headache:</p>
<ul>
<li>
<a href="https://www.uptodate.com/contents/primary-headache-associated-with-sexual-activity" target="_blank" title="Primary headache associated with sexual activity" rel="noopener noreferrer"> <strong>Pre-orgasmic headache</strong></a><strong>: </strong>Refers to a headache that occurs during sexual activity but <em>prior</em> <em>to</em> <em>orgasm</em>. With this type of headache, you might experience a dull pain at the back of your head on both sides, which gradually gets worse as you near climax. Pre-orgasmic headaches typically last <a href="https://www.medicalnewstoday.com/articles/324719" target="_blank" title="What is an orgasm headache?" rel="noopener noreferrer">between 5 minutes and one hour</a>.</li>
<li>
<a href="https://www.healthline.com/health/healthy-sex/orgasm-headache" target="_blank" title="What Causes an Orgasm Headache and How Is It Treated?" rel="noopener noreferrer"> <strong>Orgasmic headache</strong></a><strong>: </strong>This is the most common type of primary sex headache and refers to a headache that occurs <em>during orgasm</em>. With this type of headache, you might experience a sudden, explosive pain which lasts for up to 30 minutes before slowly subsiding into a dull throbbing that can linger for <a href="https://thejournalofheadacheandpain.biomedcentral.com/articles/10.1007/s10194-010-0261-9" target="_blank" title="primary headache associated with sexual activity" rel="noopener noreferrer">up to four hours</a><u>,</u> and in some cases three days!</li>
</ul>
<p>The symptoms of sex headaches differ according to their cause. But in general, if you experience any other symptoms during a sex headache, then it could be due to an underlying condition.</p>
<p>Concerning symptoms that may accompany a sex headache and could indicate something more serious include:</p>
<ul>
<li>
<a href="https://www.healthline.com/health/healthy-sex/orgasm-headache#:~:text=However%2C%20a%20sex%20headache%20can,loss%20of%20consciousness" target="_blank" title="What Causes an Orgasm Headache and How Is It Treated?" rel="noopener noreferrer"> <strong>Loss of consciousness</strong></a><strong>:</strong> Bleeding or blood clots in the brain could cause you to pass out.</li>
<li>
<a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8400207/" target="_blank" title="Headache Associated with Sexual Activity" rel="noopener noreferrer"> <strong>Nausea or vomiting</strong></a><strong>:</strong> Bleeding in the brain increases the pressure in your skull and may cause you to experience nausea or vomiting.</li>
<li>
<a href="https://www.healthline.com/health/healthy-sex/orgasm-headache#treatment" target="_blank" title="What Causes an Orgasm Headache and How Is It Treated?" rel="noopener noreferrer"> <strong>Neck pain or stiffness</strong></a><strong>:</strong> Bleeding in the brain or dissection of arteries that supply the brain may cause your neck to hurt or feel stiff.</li>
<li>
<a href="https://americanmigrainefoundation.org/resource-library/thunderclap-headaches/" target="_blank" title="Thunderclap Headaches" rel="noopener noreferrer"> <strong>Double vision</strong></a><strong>:</strong> If there’s damage to the nerves that play a role in moving the muscles that control eye movements, you might experience double vision.</li>
<li>
<a href="https://health.clevelandclinic.org/8-things-to-know-about-cervicogenic-headaches/" target="_blank" title="8 Things to Know About Cervicogenic Headaches" rel="noopener noreferrer"> <strong>Numbness or weakness</strong></a><strong>:</strong> Bleeding or blood clots in the brain can cause numbness and weakness in other areas of the body.</li>
</ul>
<h3><strong>How Can You Treat or Manage Sex Headaches?</strong></h3>
<p>Sometimes <a href="https://www.beaconhealthsystem.org/library/diseases-and-conditions/sex-headaches?content_id=CON-20377462" target="_blank" title="Sex headaches" rel="noopener noreferrer">your first sex headache is also your last</a>. Plus, some headaches go away quite quickly - before any pain relief has kicked in or even before you reach for a pill in the first place.</p>
<p>However, if your sex headaches come on often or last a while, there are <a href="https://www.mayoclinic.org/diseases-conditions/sex-headaches/diagnosis-treatment/drc-20377481#:~:text=Daily%20medications.,have%20frequent%20or%20prolonged%20attacks." target="_blank" title="Sex headaches" rel="noopener noreferrer">different medications</a> you can take to manage your symptoms.</p>
Preventative Medications
<ul>
<li>
<strong>Occasional medications:</strong> You can take Triptan—a medication used to treat migraines—before or after sex, allowing you to tackle a sex headache before it happens or gets worse. Taking an <a href="https://headaches.org/2009/04/06/case-studies-in-headache-headaches-with-sexual-activity/" target="_blank" title="Headaches with Sexual Activity" rel="noopener noreferrer">NSAID</a>, like <a href="https://headaches.org/2009/04/06/case-studies-in-headache-headaches-with-sexual-activity/" target="_blank" title="Headaches with Sexual Activity" rel="noopener noreferrer">ibuprofen</a> or <a href="https://pubmed.ncbi.nlm.nih.gov/17919305/" target="_blank" title="Headache associated with sexual activity: prognosis and treatment options" rel="noopener noreferrer">indomethacin</a>, 30 to 60 minutes before intercourse can also ease sex headaches.</li>
<li>
<strong>Daily medications: </strong>If you have an underlying condition that’s causing your headaches, you might take daily medications to keep things under control. For example, beta-blockers, such as propranolol or metoprolol can treat high blood pressure, coronary artery disease, and migraines.</li>
</ul>
<h3><strong>When Should You See a Doctor?</strong></h3>
<p>Primary sex headaches are usually harmless, and most don’t warrant a trip to the doctor. However, the first time you experience a sudden onset, severe sex headache, <em>or </em>if you experience a sex headache <em>in the presence of </em><a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6340385/" target="_blank" title="Red and orange flags for secondary headaches in clinical practice" rel="noopener noreferrer"><em>other symptoms</em></a>, you should <a href="https://www.medicalnewstoday.com/articles/324719#:~:text=prevent%20these%20headaches.-,When%20to%20see%20a%20doctor,sexual%20activity%20are%20primary%20headaches" target="_blank" title="What is an orgasm headache?" rel="noopener noreferrer">seek urgent medical advice</a> <u>to exclude a potentially life-threatening emergency</u>. If you start developing sex headaches more frequently, you should speak with your doctor, as they may help organise investigations to identify an underlying cause.</p>
<p>All in all, sex headaches aren’t funny, no matter how much the age old adage rings true. And while most headaches brought on by sex are generally considered harmless, it’s important to remember - when in doubt, get checked out!</p>
<p>Looking for more information on how to have a healthier sex life? Visit our <a href="https://yoxly.com/pages/support-and-advice" target="_blank" title="Yoxly's Support and Advice" rel="noopener noreferrer">Support &amp; Advice</a> page.</p>
<p>---</p>
<p><em>For more information about sexual health or to purchase an STI test, visit <a href="https://yoxly.com/" target="_blank" title="Yoxly: A Sexual Health Ecoystem" rel="noopener noreferrer">yoxly.com</a>.</em></p>
<p>Yoxly is on a mission to normalise, destigmatise, and simplify sexual health by supporting education, improving access to services, and empowering individuals to take a proactive approach.</p>
<p> </p>

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Can You Get More Than One STI At Once?

<p><em></em>If any of these questions have ever crossed your mind, you’re not alone! There’s a lot of misinformation out there about STIs, compounded by the unjustified stigma and shame that still surrounds the subject. For all of these reasons (and many more), STIs can feel awkward to talk about, be it with your closest friend or a medical professional.</p>
<p>But this has to change — particularly in places like the UK, where someone is diagnosed with an STI <a href="https://www.tht.org.uk/news/sti-diagnosis-every-70-seconds-england-new-report-calls-urgent-action" target="_blank" title="STI diagnosis every 70 seconds England" rel="noopener noreferrer">every 70 seconds</a>! STIs are increasingly common and nothing to be ashamed of. If the last year has shown us anything, it’s that infections happen…and luckily, we have ways to treat them.</p>
<p>Often people may not realize that they have an STI because many infections can have mild symptoms or no symptoms at all. Without symptoms, they don’t seek treatment. Without treatment, they continue to unknowingly infect others. And the longer they go without treatment, the greater their risk of developing chronic health complications from an ongoing STI.</p>
<p>Sexual health is an important part of your overall health, which can significantly affect your fertility. So whether you’re pregnant, trying to become pregnant, or thinking about becoming pregnant at some point in the future, here are some important points when it comes to STIs and fertility.</p>
<h3><strong>Can you become pregnant if you have/had an STI?</strong></h3>
<p id="293b" class="hx hy gh bb b hz jt ia ib ic ju id ie if jv ig ih ii jw ij ik il jx im in ip fn hd" data-selectable-paragraph="">Can you become pregnant if you have an STI? In short, the answer is yes. Pregnant people can contract and transmit all of the same STIs as people who are not pregnant. However<span> </span><a href="https://www.cdc.gov/std/pregnancy/stdfact-pregnancy.htm" class="dt ir" target="_blank" rel="ugc nofollow noopener noreferrer" title="STDs during pregnancy fact sheet">STIs in pregnancy</a><span> </span>have the potential to be passed from mother to child, resulting in serious<span> </span><a href="https://www.mayoclinic.org/healthy-lifestyle/pregnancy-week-by-week/in-depth/stds-and-pregnancy/art-20115106" class="dt ir" target="_blank" rel="ugc nofollow noopener noreferrer" title="STDs and pregnancy - get the facts">health problems for the baby</a><span> </span>and<span> </span><a href="https://www.cdc.gov/std/pregnancy/stdfact-pregnancy-detailed.htm" class="dt ir" target="_blank" rel="ugc nofollow noopener noreferrer" title="STDs during pregnancy fact sheet">adverse outcomes</a>. This is why people who are pregnant or trying to conceive are screened (and treated) for STIs as part of routine medical care.</p>
<p id="5a2c" class="hx hy gh bb b hz is ia ib ic it id ie if iu ig ih ii iv ij ik il iw im in ip fn hd" data-selectable-paragraph="">Can you become pregnant if you had an STI? Generally speaking, the answer is yes. But the biggest determinants of this are which STIs you’ve had, and how quickly and effectively the infections were treated.</p>
<h3 class="hx hy gh bb b hz is ia ib ic it id ie if iu ig ih ii iv ij ik il iw im in ip fn hd"><strong>How do STIs affect fertility?</strong></h3>
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<p id="5b9f" class="hx hy gh bb b hz jt ia ib ic ju id ie if jv ig ih ii jw ij ik il jx im in ip fn hd" data-selectable-paragraph="">First, let’s talk about how exactly STIs can affect fertility. Even if an STI isn’t causing any symptoms, it’s still causing inflammation in the genital tract. Inflammation (especially if recurrent or ongoing) leads to scarring, which can impair fertility for:</p>
<ul class="">
<li id="639a" class="hx hy gh bb b hz is ia ib ic it id ie if iu ig ih ii iv ij ik il iw im in ip jy jz ka hd" data-selectable-paragraph="">People with a penis and testicles: either by<span> </span><a href="https://healthengine.com.au/info/how-sexually-transmitted-infections-affect-sperm-health" class="dt ir" target="_blank" rel="ugc nofollow noopener noreferrer" title="How Sexually Transmitted Infections Affect Sperm Health">damaging the testicular tubes</a><span> </span>through which sperm travel (i.e. inhibiting sperm transport) or impairing the production of sperm in the testes (i.e. spermatogenesis).</li>
<li id="d782" class="hx hy gh bb b hz kb ia ib ic kc id ie if kd ig ih ii ke ij ik il kf im in ip jy jz ka hd" data-selectable-paragraph="">People with a vagina, uterus, and ovaries: by damaging the fallopian tubes, uterus, and/or surrounding tissues, thus preventing an egg from successfully implanting in the womb (i.e.<span> </span><a href="https://www.nhs.uk/conditions/pelvic-inflammatory-disease-pid/" class="dt ir" target="_blank" rel="ugc nofollow noopener noreferrer" title="Pelvic inflammatory disease overview">pelvic inflammatory disease</a>, or PID).</li>
</ul>
<p id="8415" class="hx hy gh bb b hz is ia ib ic it id ie if iu ig ih ii iv ij ik il iw im in ip fn hd" data-selectable-paragraph="">PID is one of the leading causes of infertility in women, with as many as 1 in 10 becoming infertile as a result. The good news? PID can be cured with antibiotics. The not so good news? Antibiotic treatment does not reverse scarring to the reproductive organs that has already been caused by infection. In an effort to avoid scarring, it is imperative that individuals with PID symptoms receive immediate treatment. According to the<span> </span><a href="https://www.cdc.gov/std/pid/stdfact-pid-detailed.htm" class="dt ir" target="_blank" rel="ugc nofollow noopener noreferrer" title="Pelvic Inflammatory Disease Fact Sheet">Centers for Disease Control and Prevention</a>, up to half of PID cases are caused by chlamydia or gonorrhea infection.</p>
<h3><strong>Can you get pregnant with chlamydia or gonorrhoea?</strong></h3>
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<p id="1186" class="hx hy gh bb b hz jt ia ib ic ju id ie if jv ig ih ii jw ij ik il jx im in ip fn hd" data-selectable-paragraph=""><a href="https://www.nhs.uk/conditions/chlamydia/" target="_blank" title="All about Chlamydia" rel="noopener noreferrer">Chlamydia</a><span> </span>and<span> </span><a href="https://www.nhs.uk/conditions/gonorrhoea/" class="dt ir" target="_blank" rel="ugc nofollow noopener noreferrer" title="All about Gonorrhoea">gonorrhoea</a><span> </span>are two of the most common bacterial STIs in the world, with<span> </span><a href="https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/1015176/STI_NCSP_report_2020.pdf" class="dt ir" target="_blank" rel="ugc nofollow noopener noreferrer" title="Chlamydia statistics in England">161,172</a><span> </span>and<span> </span><a href="https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/1015176/STI_NCSP_report_2020.pdf" class="dt ir" target="_blank" rel="ugc nofollow noopener noreferrer" title="Gonorrhoea statistics in England">57,084</a><span> </span>new diagnoses (respectively) in the UK last year. If left untreated, approximately<span> </span><a href="https://www.cdc.gov/std/infertility/default.htm" class="dt ir" target="_blank" rel="ugc nofollow noopener noreferrer" title="STDs and Infertility">10–15% of chlamydia cases</a><span> </span>and<span> </span><a href="https://www.nhs.uk/conditions/gonorrhoea/complications/" class="dt ir" target="_blank" rel="ugc nofollow noopener noreferrer" title="Gonorrhoea complications">10–20% of gonorrhoea cases</a><span> </span>will go on to develop PID.</p>
<p id="0403" class="hx hy gh bb b hz is ia ib ic it id ie if iu ig ih ii iv ij ik il iw im in ip fn hd" data-selectable-paragraph="">Fortunately, both chlamydia and gonorrhoea are curable with a course of antibiotics, making them the leading<span> </span><a href="https://www.cdc.gov/std/infertility/default.htm" class="dt ir" target="_blank" rel="ugc nofollow noopener noreferrer" title="STDs and Infertility">preventable</a><span> </span>causes of infertility. If treated early, most people who contract chlamydia or gonorrhoea won’t develop PID and won’t experience difficulties conceiving that are related to the infection.</p>
<h3><strong>Can you get pregnant with herpes?</strong></h3>
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<p><span>Genital herpes is a common STI caused by either strain of the </span><a href="https://www.nhs.uk/conditions/genital-herpes/" class="dt ir" target="_blank" rel="ugc nofollow noopener noreferrer" title="What is genital herpes">herpes simplex virus</a><span> (HSV1 or HSV-2), which affects the skin around the mouth or genitals. In the UK, it is estimated that </span><a href="https://www.nuffieldhealth.com/conditions/herpes" class="dt ir" target="_blank" rel="ugc nofollow noopener noreferrer" title="What is herpes">70%</a><span> of the population has HSV-1 and up to </span><a href="https://cks.nice.org.uk/topics/herpes-simplex-genital/background-information/prevalence/" class="dt ir" target="_blank" rel="ugc nofollow noopener noreferrer" title="How common is genital herpes simplex">20%</a><span> has HSV-2. There is no cure for HSV, so after infection the virus will stay in your body. However HSV remains dormant most of the time, unless it is reactivated, causing an outbreak. Even during outbreaks, the symptoms of HSV can be effectively managed with medications. While intimate contact should be avoided during an outbreak to prevent transmission, </span><a href="https://www.imperial.nhs.uk/~/media/website/patient-information-leaflets/sexual-health-and-hiv/genital-herpes-infection.pdf" class="dt ir" target="_blank" rel="ugc nofollow noopener noreferrer" title="Genital herpes information for patients">herpes is not thought to cause infertility</a><span>.</span></p>
<h3><strong>Can you get pregnant with HPV?</strong></h3>
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<p id="c279" class="hx hy gh bb b hz jt ia ib ic ju id ie if jv ig ih ii jw ij ik il jx im in ip fn hd" data-selectable-paragraph=""><a href="https://www.nhs.uk/conditions/human-papilloma-virus-hpv/" class="dt ir" target="_blank" rel="ugc nofollow noopener noreferrer" title="What is Human papillomavirus (HPV)">Human papillomavirus</a><span> </span>(HPV) is a collection of over 100 common viruses, many of which affect skin surrounding the mouth, throat, and anogenital areas. These viruses don’t cause problems in most people and the infection usually clears up on its own (without treatment), once the body develops its own immunity. However, as specific strains of HPV are known to cause anogenital warts, while others cause certain cancers, the different types of HPV are further classified as<span> </span><a href="https://nyulangone.org/conditions/human-papillomavirus-in-adults/types" class="dt ir" target="_blank" rel="ugc nofollow noopener noreferrer" title="Types of Human Papillomavirus">“low-risk” or “high-risk.”</a></p>
<p id="c984" class="hx hy gh bb b hz is ia ib ic it id ie if iu ig ih ii iv ij ik il iw im in ip fn hd" data-selectable-paragraph="">Infection with most low-risk HPV strains will not cause symptoms. These viruses have no association with cancer, but they can cause warts around the genitals, mouth, or anus. Two of these HPV strains (types 6 and 11) cause more than 90% of such warts. However these low-risk HPV infections will not affect your fertility.</p>
<p id="c2a5" class="hx hy gh bb b hz is ia ib ic it id ie if iu ig ih ii iv ij ik il iw im in ip fn hd" data-selectable-paragraph="">There are at least 12 high-risk HPV strains associated with cancer, of which two (types 16 and 18) cause the majority of HPV-related cancers, including cancer of the cervix, anus, penis, and throat. These high-risk HPV strains can cause “precancerous” changes in the cells that line the cervix (otherwise known as CIN — cervical intraepithelial neoplasia), which may lead to fertility issues.</p>
<p id="a468" class="hx hy gh bb b hz is ia ib ic it id ie if iu ig ih ii iv ij ik il iw im in ip fn hd" data-selectable-paragraph="">This is because the procedures used to treat CIN (i.e. cryotherapy, loop electrosurgical excision procedure [LEEP], and cone biopsy) can narrow the cervix and change the<span> </span><a href="https://www.miracare.com/blog/understanding-vaginal-discharge/" class="dt ir" target="_blank" rel="ugc nofollow noopener noreferrer" title="Understanding vaginal discharge">consistency of your cervical mucus</a>, both of which make it harder for sperm to reach and fertilize the egg. But according to Dr Bradley J Monk, MD and associate professor in the division of gynecologic oncology at the University of California Irvine School of Medicine,<span> </span><a href="https://www.parents.com/getting-pregnant/pre-pregnancy-health/general/hpv-cervical-cancer-and-protecting-your-fertility/" class="dt ir" target="_blank" rel="ugc nofollow noopener noreferrer" title="HPV and Pregnancy: What You Need To Know">your overall risk of infertility is very low</a>, as he estimates that these procedures might impact your ability to get pregnant by less than 5%.</p>
<h3><strong>How can you protect yourself?</strong></h3>
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<p id="c1d1" class="hx hy gh bb b hz jt ia ib ic ju id ie if jv ig ih ii jw ij ik il jx im in ip fn hd" data-selectable-paragraph="">To help optimize your fertility, preventing STIs and the complications of STIs is key!</p>
<ul class="">
<li id="3b74" class="hx hy gh bb b hz is ia ib ic it id ie if iu ig ih ii iv ij ik il iw im in ip jy jz ka hd" data-selectable-paragraph="">Have open and honest discussions with your partner(s) about their sexual health history. It is generally recommended that sexually active adults (and their partners) have a routine STI screen at least once per year.</li>
<li id="e185" class="hx hy gh bb b hz kb ia ib ic kc id ie if kd ig ih ii ke ij ik il kf im in ip jy jz ka hd" data-selectable-paragraph="">Use barrier methods (i.e. condoms, dental dams) consistently and correctly. It’s important to remember that barrier methods aren’t 100% effective and that they don’t cover all of the skin around your genitals — meaning that you can still contract/transmit herpes and HPV.</li>
<li id="2d37" class="hx hy gh bb b hz kb ia ib ic kc id ie if kd ig ih ii ke ij ik il kf im in ip jy jz ka hd" data-selectable-paragraph="">Listen to your body, regularly inspect your genitals, and quickly seek medical attention if you notice an unusual symptom or lesion.</li>
<li id="fd95" class="hx hy gh bb b hz kb ia ib ic kc id ie if kd ig ih ii ke ij ik il kf im in ip jy jz ka hd" data-selectable-paragraph="">Participate in the<span> </span><a href="https://www.nhs.uk/conditions/cervical-screening/" class="dt ir" target="_blank" rel="ugc nofollow noopener noreferrer" title="What is cervical screening">cervical national screening program</a>, and if you’re eligible, the<span> </span><a href="https://www.gov.uk/government/collections/hpv-vaccination-programme" class="dt ir" target="_blank" rel="ugc nofollow noopener noreferrer" title="HPV vaccination programme">national HPV immunization program</a><span> </span>(check out the NHS eligibility requirements<span> </span><a href="https://www.nhs.uk/conditions/vaccinations/who-should-have-hpv-cervical-cancer-cervarix-gardasil-vaccine/" class="dt ir" target="_blank" rel="ugc nofollow noopener noreferrer" title="Who should have the HPV vaccine?">here</a>).The HPV vaccine doesn’t protect against all types of HPV, but it does protect against the types that cause genital warts and cervical cancer.</li>
<li id="32be" class="hx hy gh bb b hz kb ia ib ic kc id ie if kd ig ih ii ke ij ik il kf im in ip jy jz ka hd" data-selectable-paragraph="">And finally, undergoing regular STI testing (for both you and your partner/s) allows for the prompt diagnosis and treatment of infection, which in turn helps minimize the risk of developing chronic health complications, including PID and infertility.</li>
</ul>
<p> </p>
<p> </p>

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<p>Most of us have been there. You’ve met someone new, the chemistry sparks, and you start hooking up. You decide to start practicing what you thought was safer sex through foreplay and oral sex as opposed to delving straight into sexual intercourse. What you may not know is that sexually transmitted infections (STIs) <a href="https://www.nhs.uk/common-health-questions/sexual-health/what-infections-can-i-catch-through-oral-sex/" target="_blank" title="NHS website: What infections can I catch through oral sex?" rel="noopener noreferrer">can be transmitted</a> via oral sex.</p>
<p>There is a common misconception that oral sex is always the safer alternative to intercourse. However, there are over 30 different STIs that can transmit through oral sex, and given that <a href="https://www.cdc.gov/std/healthcomm/stdfact-stdriskandoralsex.htm" target="_blank" title="STD Risk and Oral Sex - CDC Fact Sheet" rel="noopener noreferrer">84% of</a> adults ages 18-44 practice oral sex at least once per year, the chances that STIs spread orally are very high.</p>
<p>It is therefore essential that all sexually active individuals understand the concept of an STI, how they are transmitted, and when you can order your STI home testing kits and prevent developing or transmitting an STI.</p>
<h1><span style="font-weight: 400;">Which STIs Spread Through Oral Sex?</span></h1>
<p><span style="font-weight: 400;">Oral sex, vaginal sex, or anal sex all involve skin-to-skin contact in porous areas of the body where infections may harbour.</span></p>
<p><span style="font-weight: 400;">The </span><a href="https://www.nhs.uk/common-health-questions/sexual-health/what-infections-can-i-catch-through-oral-sex/" target="_blank" title="NHS - What infections can I catch through oral sex?" rel="noopener noreferrer"><span style="font-weight: 400;">most common</span></a><span style="font-weight: 400;"> STIs that spread through oral sex are genital herpes, gonorrhoea, and syphilis.</span></p>
<p><span style="font-weight: 400;">This post will give you the breakdown before you get down on information regarding oral-sex transmitted infections.</span></p>
<h2><span style="font-weight: 400;">Herpes Simplex Virus</span></h2>
<p><span style="font-weight: 400;">Otherwise known as HSV, this infection can reside in your mouth and throat as well as your genital area. HSV is categorised into </span><a href="https://www.who.int/news-room/fact-sheets/detail/herpes-simplex-virus" target="_blank" title="WHO - Herpes simplex virus" rel="noopener noreferrer"><span style="font-weight: 400;">two varieties</span></a><span style="font-weight: 400;">: HSV-1 and HSV-2. HSV-1 is the </span><a href="https://www.ncbi.nlm.nih.gov/books/NBK482197/" target="_blank" title="NCBI - Herpes Simplex Type 1" rel="noopener noreferrer"><span style="font-weight: 400;">main variant</span></a><span style="font-weight: 400;"> of the herpes simplex virus that is transmitted via oral contact and causes oral herpes, otherwise known as “cold sores”. However, participating in oral sex with HSV-1 infected individuals can result in the transmission of </span><a href="https://pubmed.ncbi.nlm.nih.gov/24136792/" target="_blank" title="National Library of Medicine Seroprevalence of herpes simplex virus types 1 and 2--United States, 1999-2010" rel="noopener noreferrer"><span style="font-weight: 400;">genital HSV-1</span></a><span style="font-weight: 400;">. </span></p>
<p><span style="font-weight: 400;">HSV-2 is more commonly </span><a href="https://www.nhs.uk/conditions/genital-herpes/" target="_blank" title="NHS Genital Herpes Information" rel="noopener noreferrer"><span style="font-weight: 400;">transmitted via sexual intercourse</span></a><span style="font-weight: 400;"> and is </span><a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2563883/" target="_blank" title="MCBI NIH Gender differences in the prevalence of sexually transmitted infections and genital symptoms in an urban setting in southern India" rel="noopener noreferrer"><span style="font-weight: 400;">more common</span></a><span style="font-weight: 400;"> in females than in males. Most people infected with HSV-2 are </span><a href="https://pubmed.ncbi.nlm.nih.gov/10727588/" target="_blank" title="NIH Reactivation of genital herpes simplex virus type 2 infection in asymptomatic seropositive persons" rel="noopener noreferrer"><span style="font-weight: 400;">asymptomatic</span></a><span style="font-weight: 400;"> or have mild symptoms which can be confused with other skin conditions.</span></p>
<p><span style="font-weight: 400;">So what are the common symptoms of Herpes Simplex Virus?</span></p>
<ul>
<li style="font-weight: 400;"><a href="https://yoxly.com/blogs/yoxly-news/the-most-common-sti-symptom-no-symptom-at-all" target="_blank" title="Yoxly Blog Post The Most Common STI Symptom? No Symptom at All" rel="noopener noreferrer">
<p>No symptom at all.</p>
</a></li>
<li style="font-weight: 400;">
<p>Flu-like reaction (headache or fever) when initially contracted</p>
</li>
<li style="font-weight: 400;">
<p>Painful, itchy sores at the location of the infection (cold sores around the mouth or the genitals)</p>
</li>
</ul>
<p><span style="font-weight: 400;">The </span><a href="https://pubmed.ncbi.nlm.nih.gov/22384842/" target="_blank" title="NIH Infectious co-factors in HIV-1 transmission herpes simplex virus type-2 and HIV-1: new insights and interventions" rel="noopener noreferrer"><span style="font-weight: 400;">incubation time</span></a><span style="font-weight: 400;"> for HSV-2 infections averages around 4 days (2-12 days) post-exposure (as a reminder, the incubation time is the time between exposure to an STI and when symptoms first develop). The infected vesicles surrounding your genitals may break and form painful ulcers 2-4 weeks afterwards in a process commonly known as “herpes outbreak”.</span></p>
<p><span style="font-weight: 400;">The herpes flare or outbreak is generally when a person becomes more infective, however, they are </span><a href="https://www.cdc.gov/std/herpes/stdfact-herpes-detailed.htm" target="_blank" title="CDC Genital Herpes Fact Sheet " rel="noopener noreferrer"><span style="font-weight: 400;">not always contagious</span></a><span style="font-weight: 400;">.</span></p>
<p><span style="font-weight: 400;">However, it is important to note that most people have some variant of herpes. Herpes can spread through other means of contact other than sexual or kissing. For example, </span><a href="https://kidshealth.org/en/parents/cold-sores.html" target="_blank" title="Kids Health Cold Sores Information " rel="noopener noreferrer"><span style="font-weight: 400;">children</span></a><span style="font-weight: 400;"> in nurseries can spread herpes by putting shared toys in their mouths.</span></p>
<h2><span style="font-weight: 400;">Gonorrhoea</span></h2>
<p><span style="font-weight: 400;">Commonly termed “the clap”, gonorrhoea is notorious for being transmitted orally. Gonorrhoea can reside in your throat without any symptoms, which makes it likely to continue to be passed back and forth. Genital gonorrhoea can be </span><a href="https://www.cdc.gov/std/gonorrhea/stdfact-gonorrhea-detailed.htm" target="_blank" title="CDC Gonorrhea Fact Sheet " rel="noopener noreferrer"><span style="font-weight: 400;">more common</span></a><span style="font-weight: 400;"> than we think; and as the </span><a href="https://pubmed.ncbi.nlm.nih.gov/4202519/" target="_blank" title="NIH Asymptomatic gonorrhea in men. Diagnosis, natural course, prevalence and significance" rel="noopener noreferrer"><span style="font-weight: 400;">majority of the infected individuals are asymptomatic</span></a><span style="font-weight: 400;">, the statistics may be much higher than anticipated.</span></p>
<p><span style="font-weight: 400;">Although the </span><a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1045109/" target="_blank" title="PMC NIH Gonorrhoea in 1972. A 1-year study of patients attending the VD Unit in Uppsala." rel="noopener noreferrer"><span style="font-weight: 400;">majority of infected people have no symptoms at all</span></a><span style="font-weight: 400;">, those who do have symptoms from gonorrhoea present with:</span></p>
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<ul>
<li>
<p>Discharge from the penis or vagina</p>
</li>
<li>
<p>Burning urination sensation</p>
</li>
<li>
<p>Painful testicles</p>
</li>
<li>
<p>Sore throat</p>
</li>
<li><a href="https://www.healthline.com/health/sexually-transmitted-diseases/oral-gonorrhea#symptoms-to-watch-for" target="_blank" title="HealthLine How to Identify, Treat, and Prevent Oral Gonorrhea" rel="noopener noreferrer">
<p>Swollen neck glands</p>
</a></li>
</ul>
<ul>
<ul></ul>
</ul>
<p><span style="font-weight: 400;">Treating oral gonorrhoea is </span><a href="https://www.cdc.gov/std/healthcomm/stdfact-stdriskandoralsex.htm" target="_blank" title="CDC STD Risk and Oral Sex" rel="noopener noreferrer"><span style="font-weight: 400;">slightly more difficult</span></a><span style="font-weight: 400;"> than treating the </span><a href="https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0211682" target="_blank" title="Plos One Prevalence and factors associated with gonorrhea infection with respect to anatomic distributions among men who have sex with men" rel="noopener noreferrer"><span style="font-weight: 400;">more common,</span></a><span style="font-weight: 400;"> genital variant, due to </span><a href="https://www.cdc.gov/std/gonorrhea/arg/default.htm" target="_blank" title="CDC Gonorrhea Antibiotic Resistance" rel="noopener noreferrer"><span style="font-weight: 400;">antibiotic-resistant</span></a><span style="font-weight: 400;"> strains; however, infection is usually treated using a course of antibiotics. </span></p>
<h2><span style="font-weight: 400;">Syphilis</span></h2>
<p><span style="font-weight: 400;">Syphilis is a bacterial infection that is spread through oral and intercourse sex. Once a killer in </span><a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3956094/" target="_blank" title="PMC JML Brief History of Syphilis" rel="noopener noreferrer"><span style="font-weight: 400;">medieval times</span></a><span style="font-weight: 400;">, syphilis is now commonly cured with a course of antibiotics.</span></p>
<p><span style="font-weight: 400;">As with every STI, syphilis symptoms should be treated early, as ongoing infection can lead to serious health complications down the line. The main syphilis symptoms to look out for are:</span></p>
<ul>
<li style="font-weight: 400;">
<p>Small sores around the genitals or mouth</p>
</li>
<li>
<p><a href="https://www.aafp.org/afp/2003/0715/p283.html" target="_blank" title="American Family Physician Diagnosis and Management of Syphilis" rel="noopener noreferrer">Rash</a> on your chest, back, palms of hands, or on soles of the feet</p>
</li>
<li style="font-weight: 400;">
<p>Flu-like symptoms</p>
</li>
</ul>
<p><span style="font-weight: 400;">Remember that although these STIs are the STIs most commonly transmitted by oral sex </span><a href="https://www.nhs.uk/common-health-questions/sexual-health/what-infections-can-i-catch-through-oral-sex/" target="_blank" title="NHS What infections can I catch through oral sex?" rel="noopener noreferrer"><span style="font-weight: 400;">according to the NHS</span></a><span style="font-weight: 400;">, there is still a long list of transmissible diseases out there that shouldn’t be forgotten:</span></p>
<ul>
<li style="font-weight: 400;">
<p>Scabies (skin to skin contact)</p>
</li>
<li style="font-weight: 400;">
<p>Pubic lice (Known as “crabs” in the streets)</p>
</li>
<li style="font-weight: 400;">
<p>Molluscum Contagiosum (A series of small round bumps that occur on the skin)</p>
</li>
<li style="font-weight: 400;">
<p>Hepatitis A, B, and C</p>
</li>
<li style="font-weight: 400;">
<p>Chlamydia</p>
</li>
</ul>
<h1><span style="font-weight: 400;">How Can I Prevent An STI From Spreading Orally?</span></h1>
<p><span style="font-weight: 400;">Although keeping up with regular sexual “housekeeping” doesn’t sound like the most erotic of sexual practices, it is vital in reducing your chances of transmitting and contracting STIs through oral, vaginal, and anal sex. </span></p>
<p><span style="font-weight: 400;">After extensive research, most medical professionals agree upon the following preventative methods:</span></p>
<h2><span style="font-weight: 400;">Regular STI Screening</span></h2>
<p><a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4135319/" target="_blank" title="PMC AIDS Patient Care Sexually Transmitted Infection Related Stigma and Shame Among African American Male Youth: Implications for Testing Practices, Partner Notification, and Treatment" rel="noopener noreferrer"><span style="font-weight: 400;">STIs have been widely stigmatised</span></a><span style="font-weight: 400;"> as diseases that only those who engage in deviant sexual practices will experience. BUT, STIs do not discriminate. They can affect everyone and anyone irrespective of their sexual hygiene or their sexual practices.</span></p>
<p><span style="font-weight: 400;">Since the majority of STIs show few symptoms (or no symptoms at all), testing is the only way of knowing your infection status. You can </span><a href="https://yoxly.com/pages/order-your-kit" target="_blank" title="Yoxly Order Your STI Test Kit" rel="noopener noreferrer"><span style="font-weight: 400;">test yourself</span></a><span style="font-weight: 400;"> more easily these days by ordering a kit online, receiving your discreet test kit in the post, and collecting and returning your samples to Yoxly’s laboratory.</span></p>
<p><span style="font-weight: 400;">We--</span><a href="https://nationalcoalitionforsexualhealth.org/media-center/ncsh-in-the-news/this-is-how-often-you-need-to-get-tested-for-stds-based-on-your-relationship-status" target="_blank" title="National Coalition for Sexual Health This Is How Often You Need To Get Tested For STDs, Based On Your Relationship Status" rel="noopener noreferrer"><span style="font-weight: 400;">and many other healthcare professionals</span></a><span style="font-weight: 400;">--recommend testing before and after each new sexual partner in order to minimise your chances of contracting or transmitting an STI.</span></p>
<h2><span style="font-weight: 400;">Barrier Methods</span></h2>
<p><span style="font-weight: 400;">Although these are often used for vaginal and anal sex, condoms can also work prior to receiving or giving oral sex in order to minimise skin-to-skin contact and reduce the risk of oral STI transmission.</span></p>
<p><span style="font-weight: 400;">Another barrier method is a </span><a href="https://www.thewomens.org.au/health-information/contraception/condoms-diaphragms" target="_blank" title="The Women's Condoms &amp; diaphragms" rel="noopener noreferrer"><span style="font-weight: 400;">dental dam</span></a><span style="font-weight: 400;">. This is a rectangular piece of latex that is used to cover the vulva before engaging in oral sex. </span></p>
<h2><span style="font-weight: 400;">Communication</span></h2>
<p><span style="font-weight: 400;">You and your partner(s) should normalise engaging in an open discussion about possible symptoms of STIs. Due to the absence of symptoms from the majority of STIs, you and your partner may be </span>unwittingly carrying an infection and unintentionally pass it on. </p>
<p><span style="font-weight: 400;">Thus the best way to stay protected is to engage in open discussion with your partner(s),  </span><a href="https://yoxly.com/pages/order-your-kit" target="_blank" title="Yoxly Order Your STI Test Kit " rel="noopener noreferrer"><span style="font-weight: 400;">carry out a test</span></a><span style="font-weight: 400;">, and get the appropriate treatment before you engage in any sexual activity.</span></p>
<h1><span style="font-weight: 400;">In Conclusion</span></h1>
<p><span style="font-weight: 400;">Oral sex carries a risk of transmitting or contracting an STI just like any other sex method.</span></p>
<p><span style="font-weight: 400;">Most STIs are symptomless, and if left untreated for prolonged periods of time, they can result in more significant health complications.</span></p>
<p><span style="font-weight: 400;">However, you can considerably reduce your risk of contracting or transmitting an STI by using certain barrier methods and ensuring you are </span><a href="https://yoxly.com/pages/order-your-kit" target="_blank" title="Yoxly Order an STI Test Kit" rel="noopener noreferrer"><span style="font-weight: 400;">regularly screened</span></a><span style="font-weight: 400;"> for infections.</span></p>
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<p><em><a href="https://www.linkedin.com/in/hassan-thwaini-878441138/" target="_blank" title="Hassan Thwaini's LinkedIn profile" rel="noopener noreferrer">Hassan Thwaini</a><span> </span>is a qualified Clinical Pharmacist who has completed his Master's degree at the University of Sunderland. Since then he has not only pursued community and clinical pharmacy, but has expanded to aid in humanitarian work across the less fortunate areas of the globe. Hassan is currently working as a medical writer and has successfully been published within various nutritional websites, produced unique content for his university board, and carried out research for renowned surgeons.</em></p>
<p> </p>
<p> </p>

Can I Get an STI from Oral Sex?

<p><em></em>Most of us have been there.</p>
<p>It’s your first week at university and the chlamydia tests have already been sent out. You do the test. You continue to party during freshers’ week. You meet someone, grab their number, and send an embarrassing drunken message. You wake up the next morning to your phone buzzing and immediately rise up (don’t be dirty here!). You check your phone. Your heart sinks. It’s the local GUM clinic giving you your first positive test result in university.</p>
<p>So what do you do?</p>
<p>IT's a question on the minds of many.</p>
<p>Sometimes, there is no way--besides testing--you could have known that you have an STI. As you may have learned in school (if you weren’t too distracted by your teacher putting a condom on a banana), sexually transmitted diseases can present with a variety of symptoms or with no symptoms at all.</p>
<p>Discussing STIs with your friends can be awkward. Even more uncomfortable is the thought of having to tell your recent sexual partner(s) that they might develop a burning sensation in the not-too-distant future, and that they should go get checked. But why does it have to be so embarrassing?</p>
<p>With over <a title="UK Government STI statistics" href="https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/914184/STI_NCSP_report_2019.pdf" target="_blank">450,000</a> new STI diagnoses in 2019 in the UK alone, and more than 1 million chlamydia tests carried out, nobody should be embarrassed at the thought of having to go for a test.</p>
<p>Here at Yoxly, we want to assure you that STIs are not embarrassing. We want to provide you with a community (strange as a sexual health community may sound) to remind you that you are not alone.</p>
<h2><strong>What Is An STI?</strong></h2>
<p>In case you didn’t pay attention to Mrs. Cocker’s lesson on sexual health during school, sexually transmitted infections (STIs) are infections that can get passed from person to person (often unintentionally) during sexual activity, whether it be vaginal, anal or oral sex. Surprisingly, some STIs can also be spread by skin-to-skin contact or via exposure to contaminated blood products.</p>
<p>There are <a title="World Health Organization STI information" href="https://www.who.int/news-room/fact-sheets/detail/sexually-transmitted-infections-(stis)" target="_blank">over 30</a> different types of viruses, bacteria, and parasites causing a variety of sexually transmitted infections. Of these, eight are linked to the most prevalent STIs, four of which are currently curable: Gonorrhoea, Chlamydia, Syphilis, and Trichomoniasis.</p>
<p>There is, however, a hidden, often unknown truth behind STIs...</p>
<p>Many STIs can be present <a title="Yoxly blog article on a common STI symptom being no symptom at all" href="https://yoxly.com/blogs/yoxly-news/the-most-common-sti-symptom-no-symptom-at-all" target="_blank">without showing any symptoms</a>. Just note, we are not referring to the <a title="Yoxly blog article on incubation, window, and latency periods" href="https://yoxly.com/blogs/yoxly-news/your-guide-to-incubation-latency-and-window-periods" target="_blank">incubation time</a> here, which is when an infection lays dormant until the symptoms start to prevent themselves.</p>
<p>Have we convinced you to get checked yet? When was the last time you had a test? If it has been a while, you can order our <a title="Yoxly's at-home test kits" href="https://yoxly.com/pages/order-your-kit" target="_blank">at-home testing kits</a> and send your samples straight to our laboratory for analysis. You’ll receive results quickly--and, whilst you wait, you may as well continue reading through our blog. You’ll be surprised how common these infections are--and by some famous figures who’ve had to endure the odd, uncomfortable itch!</p>
<h2><strong>What Are The Most Obvious Symptoms Of STIs?</strong></h2>
<p>We’ll delve right into the most common symptoms to look out for if you think you may have an STI:</p>
<ul>
<li>
<p>Discharge from your vagina, penis, or anus</p>
</li>
<li>
<p>Pain or discomfort when urinating (presuming you weren’t making salsa verde and comforted an itch “down there” after chopping your jalapenos)</p>
</li>
<li>
<p>Lumps or ‘cold sores around your genital region</p>
</li>
<li>
<p>Rash</p>
</li>
<li>
<p>Itchy genitals</p>
</li>
<li>
<p>Unusual vaginal bleed</p>
</li>
</ul>
<p>However, a very common symptom is no symptom at all!</p>
<h2><strong>How Long Does It Take For Symptoms To Show?</strong></h2>
<p>Unfortunately, there isn’t a general answer to this question. Most STIs have unique infective profiles and present themselves at different times.</p>
<p>Symptoms for the most common STIs occur after a few days or weeks. However, some symptoms for certain infections may take months or even years to show up.</p>
<p>As discussed in <a title="Yoxly's blog on incubation, window, and latency periods" href="https://yoxly.com/blogs/yoxly-news/your-guide-to-incubation-latency-and-window-periods" target="_blank">our blog</a>, an incubation period, without getting to sciency, is the time between exposure to an STI and the development of your first STI symptom (if any).</p>
<p>Below you’ll find a breakdown of the symptoms associated with some of the most common STIs, how quickly they appear, and when you should consider getting yourself tested.</p>
<p><strong>1. Chlamydia</strong></p>
<p>You may have heard chlamydia referred to by your friends or on the telly as “<a title="Center for Disease Control (CDC) fact sheet on chlamydia" href="https://www.cdc.gov/std/chlamydia/stdfact-chlamydia-detailed.htm" target="_blank">the silent STI</a>”--often because most people are unaware they have it!</p>
<p>Chlamydia symptoms typically present around 1-3 weeks after sexual contact, and can include:</p>
<ul>
<li>
<p>Vaginal or penile discharge (sometimes odorless)</p>
</li>
<li>
<p>Pain while urinating</p>
</li>
<li>
<p>Testicular or vaginal pain</p>
</li>
<li>
<p>Unusual vaginal bleeding after sex</p>
</li>
</ul>
<p>Remember, <a title="NHS information on STI symptoms" href="https://www.nhs.uk/common-health-questions/sexual-health/how-soon-do-sti-symptoms-appear/" target="_blank">over 50% of men and 70% of women</a> with a chlamydia infection do not have any symptoms. If you have an inkling of doubt as to whether or not you may have chlamydia, then you <a title="Yoxly order page for chlamydia tests" href="https://yoxly.com/pages/chlamydia" target="_blank">should order</a> a test as soon as possible, because early diagnosis and prompt treatment can minimize your risk of future complications!</p>
<p><strong>2. Gonorrhoea</strong></p>
<p>Colloquially known as “the clap” or “the drip”, gonorrhoea is one of the <a title="Center for Disease Control (CDC) statistics on STIs" href="https://www.cdc.gov/std/statistics/2019/default.htm" target="_blank">most common</a> STIs out there. Not only can gonorrhoea infect your genitals, but depending on the type of sexual activity, it can also infect your eyes and throat. So use protection–in the form of a condom, a dental dam, or a swanky pair of CAT safety specs. Do note, however, that barrier methods are still not always 100% protective. You should, therefore, opt for a test if you feel the need to!</p>
<p>Gonorrhoea symptoms usually appear between 10-14 days after sexual contact. The symptoms are a bit more specific, and therefore sometimes easier to distinguish. They include:</p>
<ul>
<li>
<p>Greenish-yellowish discharge from the tip of your penis or vagina (this discharge is sometimes so purulent that it may drip, hence the colloquial name “the drip”)</p>
</li>
<li>
<p>Pain when urinating</p>
</li>
<li>
<p>Painful, swollen testicles</p>
</li>
</ul>
<p><strong>3. Trichomoniasis</strong></p>
<p>Also known as “trich”, trichomoniasis is a common STI that has a unique presentation profile:</p>
<ul>
<li>
<p>Thick, white or green vaginal discharge, with a distinctive fishy odor.</p>
</li>
</ul>
<p>Trichomoniasis can also manifest as other common STI symptoms, such as pain on urination or ejaculation, and itching around the genitals.</p>
<p>The symptoms tend to show up between 5 - 28 days after sexual intercourse. However, in 70% of the population, the infection shows no symptoms!</p>
<p>The good news is that all of the aforementioned infections are curable (except for that pesky “<a title="World Health Organization (WHO) information on super gonorrhoea" href="https://www.who.int/campaigns/world-antimicrobial-awareness-week/2018/features-from-around-the-world/super-gonorrhoea-q-a-with-dr.-teodora-wi" target="_blank">super gonorrhoea</a>”)! There are a number of STIs out there that are incurable, such as hepatitis, HIV, and HPV. But thanks to scientific advancements, these STIs can be vaccinated against or successfully managed with appropriate medications.</p>
<h2><strong>So, How Can I Know Whether Or Not I Have An STI?</strong></h2>
<p>There’s no other way to put this: TEST YOURSELF REGULARLY.</p>
<p>Regular testing can help you to be confident about your STIs status. If you do develop any genito-urinary symptoms, an STI test is a key investigation to confirm or exclude the cause of your symptoms.</p>
<p>It is also important to establish when your partner(s) was last tested, to determine if they (or someone they’ve recently had sexual contact with) may have an STI. Embarrassing as it might be to ask, it is vital that you and your partner(s) have open and honest conversations about these things, in order to help keep healthy and safe.</p>
<h2><strong>Benefits Of Early Testing</strong></h2>
<p>We’re not here to scare you or judge you. We’re here to remind you about the importance of regular testing. Make an STI test kit part of your annual MOT--though you may need testing more often, depending on your level of sexual activity, or if you develop any symptoms.</p>
<p>Early diagnosis and treatment of STIs is critical and can prevent future health complications. A few health complications that can arise as a result of a chronic STI infection include:</p>
<ul>
<li>
<p>Pelvic inflammatory disease</p>
</li>
<li>
<p>Chronic pelvic pain</p>
</li>
<li>
<p>Subfertility</p>
</li>
<li>
<p>Epididymitis</p>
</li>
<li>
<p>Cervical cancer</p>
</li>
<li>
<p>HIV (being infected with certain STIs can increase your risk of contracting HIV, if exposed)</p>
</li>
<li>
<p>Death (extreme, we know, but syphilis was a killer back in the 1500s, when penicillin hadn’t been invented yet!)</p>
</li>
</ul>
<h2><strong>The Bottom Line</strong></h2>
<p>Taking care of yourself is important. So why not add sexual health to your self-care regimen, and <a title="Yoxly's at-home STI test kits" href="https://yoxly.com/pages/order-your-kit" target="_blank">get tested</a> regularly. This is an area of your health over which you have complete control--so do it to yourself, for yourself, and for those you love (even if it’s just for the night).</p>
<p>---</p>
<p><em><a title="Hassan Thwaini's LinkedIn profile" href="https://www.linkedin.com/in/hassan-thwaini-878441138/" target="_blank">Hassan Thwaini</a> is a qualified Clinical Pharmacist who has completed his Master's degree at the University of Sunderland. Since then he has not only pursued community and clinical pharmacy, but has expanded to aid in humanitarian work across the less fortunate areas of the globe. Hassan is currently working as a medical writer and has successfully been published within various nutritional websites, produced unique content for his university board, and carried out research for renowned surgeons.</em></p>
<p> </p>
<p> </p>

STI Symptoms: What Are They And When Will They Appear?