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It can also be due to side effects from medications such as antidepressants or high blood pressure medications, as well as alcohol use.

Because ED may be the first sign of an underlying medical condition, talk to your healthcare provider if you experience this problem. Before using ED medications and over-the-counter and herbal sex aids, make sure to discuss them with your provider or pharmacist.

Put the condom on after the penis is erect, leaving a 1/2 inch space at the tip. Your healthcare provider can offer additional advice about protecting yourself from STIs and when sex is safe with certain medical conditions such as after a heart attack.

Hold the condom at the base (open end) as you remove it. Your provider can also recommend treatments for common sexual problems such as vaginal dryness and erectile dysfunction (difficulty getting an erection, also known as ED).

"You can have the best high school sexuality curriculum in the world," he says, "but a lot of critical issues are not going to be addressed in those classes: How do I enjoy my sexuality if I've lost a breast to cancer?These sores and cuts can increase the risk of getting STIs.Do not use Vaseline or mineral oil with condoms because it destroys the condom lining.The students are asked to write down sexual experiences in chronological order, using the black pen for those that were in their control (such as a first kiss) and the red pen for those that were not (such as getting their first period).The women are a flurry of activity, practically tripping over each other to scribble—"played doctor," "found a pubic hair," "menstruation," "kissed a boy," "kissed a girl," "touched by a cousin," "fell in love," "lost my virginity," "had an abortion," "had a baby," "breasts sagging," "menopause," "discovered sex without love." The men look on and appear intimidated.

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Elizabeth, an information technology manager at a local government agency, is an athletic woman, efficient in her movements. So begins the fifth session of Our Whole Lives (OWL): Sexuality Education for Adults, at the First Unitarian Church of Austin.

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