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Tanya Bass, MS, CHES Southern Sexologist TM /Sexuality Educator www.tanyambass.com tmbass95@gmail.com Define sex and human sexuality Discuss the sexual frame of reference Develop practical approaches to having meaningful conversations with partners and physicians Discuss challenges of sex and chronic illness and disease 1 2 3 4 YOUR NAME HERE 5 6 7 8 "Sex is more than an act of pleasure, sex is the ability to be able to feel so close to a person, so connected, so comfortable that it's almost breath- taking to the point you feel you can't take it. And at this moment you're a part of them." Sophia Loren Sexual intelligence involves selfunderstanding, interpersonal sexual skills, scientific knowledge, and consideration of the cultural context of sexuality, and these abilities help us make responsible decisions about our sexual behavior based on our personal values. Our Sexuality, 2014, 2011 Wadsworth Publishing, Cengage Learning 1

Human sexuality encompasses the sexual knowledge, beliefs, attitudes, values, and behaviors of individuals. Its various dimensions involve the anatomy, physiology, and biochemistry of the sexual response system; identity, orientation, roles, and personality; and thoughts, feelings, and relationships. Sexuality is influenced by ethical, spiritual, cultural, and moral concerns. All persons are sexual, in the broadest sense of the word. The Sexuality Information and Education Council of the United States (SIECUS) Person A Person B The role of the five senses in sexual foreplay Photos Photos.com 2

The role of the human body s five senses Seeing Hearing Touching Smelling Tasting Touch Sexual touching is central to sexual stimulation Gentle touching and caressing of the skin Sight The power of visual images in prevalent in society Books, magazines, films, and television in sexual stimulation Smell Popularity of perfumes and colognes Pheromones Hearing Words and sounds Taste Kissing can be a very erotic, sensual activity in and of itself Reduced sexual desire Impaired sexual arousal Erectile dysfunction in men Lack of lubrication or dryness and discomfort in women Orgasm dysfunction Delayed ejaculation or an inability to reach orgasm in men Difficulty reaching orgasm or inability to reach orgasm or intensity Painful intercourse Conditioned reflex of the muscles in which they clamp shut Penetration is extremely painful or impossible for both men and women 3

Plan sexual activity for the time of the day when you have the most energy and your health problems are least problematic. Be sure you are rested and relaxed. Wait at least two hours after eating to have sex. Take any required pain medication 30 minutes before sexual activity. Alcohol and tobacco can affect sexual function. Reduce or stop taking medications that have a negative impact on sexual functions before sexual activity (on the advice of a physician). Communicate with your partner. Be honest and open. Tell your partner what you like and do not like. Listen to your partner's likes and dislikes. Try different sexual positions to accommodate your body's changing abilities. Experiment with positions that minimize weight bearing or tir- ing movements. Try personal lubricants to reduce discomfort during sexual intercourse. Book appointments for sex with your partner. Conserve your energy and save it for some intimate time with your partner. Consider either self-stimulation or mutual stimulation. Try something different or NEW Increase your mental arousal (play music, meditate, practice visualization before sex). Increase genital stimulation (practice on self and then transfer to a partner situation). Use a personal lubricant. Try something different or NEW Explore new ways to pleasure one another without being orgasm-oriented. Use sight, sounds and smells. Expand your sexual repertoire to include, fantasy and sensory experience. 4

Tanya Bass, MS, CHES Southern Sexologist TM (919) 438-3659 www.tanyambass.com 5