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Aging changes in the Female Sexuality

 

As a woman ages, a number of changes take place in the female reproductive system. For women, the cessation of menses (menopause) is an obvious sign of aging. But, it is by no means the only change. A transition period, called the climacteric, lasts for many years before and after a woman's last menstrual period.

See also: Menopause
Information

For a woman, aging changes involve hormone levels, physical changes in the woman's entire reproductive tract, and psychological changes. Changes occur in the intricate relationship between the ovarian hormones and those produced by the pituitary gland (in the brain).

AGING CHANGES

Menopause is a normal part of a woman's aging process. The ovaries stop releasing eggs (ova), and menstrual periods stop. Most women experience menopause around age 50, although it occurs before age 40 in about 8% of women. Prior to menopause, menstrual cycles often become irregular.

The ovaries become less responsive to stimulation by follicle-stimulating hormone (FSH) and luteinizing hormone (LH). To try to compensate for the decreased response, the body produces more of these ovary-stimulating hormones for a time. The level of these hormones will eventually decrease.

The hormones produced by the ovaries include the different forms of estrogen (including estradiol), progesterone, and androgens (including testosterone). These hormones also decrease around menopause. The ovaries continue to produce small amounts of testosterone and some estrogen. The hormones produced by the pituitary gland are also decreased.

Because hormone levels fall, changes occur in the entire reproductive system. The vaginal walls become less elastic, thinner, and less rigid. The vagina becomes shorter. Secretions become scant and watery. The external genital tissue decreases and thins (atrophy of the labia).

In both men and women, reproductive system changes are closely related to changes in the urinary system.

EFFECT OF CHANGES

Prior to menopause, fertility varies depending on hormone levels. Menopause is said to have occurred when there has been one year without a menstrual period. With menopause, reproductive capacity is lost (the woman can no longer become pregnant).

Symptoms that accompany menopause vary in severity. Many of the symptoms are triggered by the hormone changes. Only about 20% to 30% of all women have symptoms that are severe enough that they seek medical attention.

Changes occur in the woman's breast tissue at the same time as other reproductive changes. A woman may experience changes in her sex drive (libido) and her sexual response may change, but aging does not prevent a woman from being able to have or enjoy sexual relationships. Most often, things such as availability of a partner, symptoms from vaginal dryness and thinning vaginal walls, and psychological and social factors affect a woman's sexual response more than direct aging changes.

COMMON PROBLEMS

The pubic muscles lose tone, and the vagina, uterus, or urinary bladder can fall out of position. This is called vaginal prolapse, bladder prolapse, or uterine prolapse, depending on which structure drops. A prolapse of any of these structures increases the risk of problems such as stress incontinence (urine leakage). Most prolapses can be treated.

Irritation of the external genitals can occur (pruritus vulvae). The vaginal walls become thinner and dryer and may become irritated (atrophic vaginitis). Sexual intercourse may become uncomfortable for some women (dyspareunia). There are changes in the levels of normal microorganisms in the vagina, and there is an increased risk of vaginal yeast infections.

Similar changes to the bladder and urethra may increase symptoms such as frequency and urgency of urination, and there is an increased risk of urinary tract infection after menopause.

Hot flashes, mood disturbances, headaches, and sleep disturbances are also common symptoms that occur during menopause. The causes of these changes are not well understood, but they are also related to the decreasing amount of estrogen produced by the ovaries.

Osteoporosis risk is greater in older women. This is caused, in part, by decreased estrogen levels.

PREVENTION and TREATMENT

Adequate lubrication (with a water-soluble lubricant) can help prevent painful sexual intercourse. A topical estrogen (applied inside the vagina) is sometimes recommended to help maintain the structure of the vaginal tissues. Sexual changes can also be related to factors other than simple aging.

Estrogen replacement (such as pills or patches) can prevent or reduce many of the symptoms associated with menopause, including vaginal atrophy and hot flashes. It also decreases the risk of complications such as osteoporosis.

However, hormone therapy (HT) may have side effects such as vaginal bleeding, and it has been associated with an increased risk of breast cancer, stroke, and heart disease, depending on when it is started and how long it is used. The risk and benefit of treatment is different for each person so women should discuss the pros and cons of estrogen treatment with her own health care provider.

Bondage Harness

A bondage harness is a piece of BDSM equipment worn for the purposes of sexual bondage. It typically consists of a series of leather straps, typically between 1 and 2 cm wide, attached together in such a way as to allow a person to wear the item. The item can be worn by both men and women. However, modifications may be needed depending on which sex wears the item.

The item is very closely associated with BDSM play, and is often immediately identifiable as being something to do with bondage when depicted. For this reason, it is sometimes worn publicly as a way to reference fetish culture and gain attention. Often, the image of a person in a bondage harness is used by movie studios to provide a cliché of a person into fetish play. Other publications have also been known to use this cliché, a good example being the comic book series and movie Sin City, which has one of its characters wearing a bondage harness.

The harness consists of a main central strap that runs in front and at the back, but with two separating straps where it passes around the head. This central strap runs between the legs, between the buttocks and up to an area midway up the back where it meets the other end of the strap. The straps are then secured together — typically with a standard buckle such as that used on a belt to hold pants up.

When fitted to a male, the harness splits in half in a similar way to the way it splits to go around the head so as to pass around the male genitals. On a female, the harness usually runs straight between the legs. There are then several other straps running out at right angles from the main central strap usually, but not limited to, 3-4 straps. These straps wrap around the body with the two ends secured to each other using further buckles. On a female, the straps may be above and below the breasts, creating a form of breast bondage, with further straps around the waist. On a male, the straps usually criss-cross over the chest and abdomen to emphasize male physique.

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Voice auditions

Do people always say you should do something with that great voice of yours? Do you listen to the voices on TV and radio and think: That sounds like fun. I'd like to do that! What talent should do is make themselves "stick out" at an audition. Be on time, prepared and have several different voices for each character. Versatility and the ability to take direction are the key ingredients! Voice over work can be extremely lucrative and many actors make a living solely from voice over work. If you would like to get into the voice over business, but aren't sure how to get a demo or find a reputable company, go to Voice Over Work. A voice audition is a tryout by a voice over artist in order to secure work in television, film or commercials. Voice auditions are generally referred to as voice over auditions.

TV auditions are very similar to Film and Theatre auditions. The main difference is time. Television is always under a time constraint. A script is written in a week, and that next week it must be cast, in order to film the week after that. Most television auditions are for guest starring spots, under fives and extras. Since there are a limited amount of recurring roles on television shows, episodic character casting is what most TV auditions are for. To get more information on TV show auditions, visit TV show auditions.

Contraception

Contraception, also known as birth control, is designed to prevent pregnancy.

What are some methods of contraception?
There are several general methods of birth control, including (but not limited to):

Barrier methods, such as condoms, the diaphragm, and the cervical cap, designed to prevent the sperm from entering the uterus.
Intrauterine device, or IUD, is a small device that is inserted into the uterus by a health care provider. The IUD is more than 99 percent effective at preventing pregnancy. An IUD can stay in the uterus for up to 10 years until it is removed by a health care provider.
Hormonal birth control, such as birth control pills, injections, skin patches, vaginal rings, and implants release hormones into a woman’s body that interfere with fertility by preventing ovulation.
Sterilization is a method that permanently prevents a woman from getting pregnant or a man from being able to get a woman pregnant. Sterilization involves surgical procedures that must be done by a health care provider and usually cannot be reversed.

The choice of birth control depends on factors such as a person's overall health, age, frequency of sexual activity, number of sexual partners, desire to have children in the future, and family history of certain diseases. A woman should talk to her health care provider about her choice of birth control method.