October 21, 2009
Since I started speaking in 1992, it seems that everyone wants to take me aside and ask me questions about sex. It doesn't matter where I am, from the office of the IRS (Internal Revenue Service) to the Archdiocese of Paterson, N.J.; people have questions about sex, love, relationships, body image and plumbing. My mailbox is full of questions every day. After lectures I often find little slips of paper with inquires hastily scribbled out.
I was thinking about how I came to know so much about sex. I know about sexual wounding after surviving several sexual assaults, some brutal, while others were more emotionally devastating.
I spent several years as an escort and then as a dominatrix or as I like to say, a fantasy facilitator (I'll write all about this in a future blog!). I wrote a sex column for POZ magazine for 10 years and have been teaching safer sex for almost two decades since I found out I was HIV positive.
I have a degree in health education, but I think I learned more in the dungeon than anywhere else. The line I use in my performance is -- "I thought I was just a slut, little did I know it was all research!" It always gets a laugh.
In reality, I have slept with more men and women than I could possibly keep track of, but I guess that gives me the Ph.D. in sexuality.
Sex is a funny, popular, scary, interesting, shameful topic. Actually you can put any adjective behind that sentence and for someone that is his or her truth.
It seems my destiny is tied up with sex and sexuality (no pun intended), I accept this role with open arms and tired fingers. I have opened my website to questions and in my lecture I offer the option of texting me on stage with questions. Although I have about 400 questions that I still need to answer, feel free to send your inquiries in or check my questions archive in my website www.riverhuston.com.
Here are a couple of questions from this week:
Is it normal for a 16-year old guy to jerk-off five times a day?
Let's start with normal. There has never been a study that has determined what is "normal" sexual behavior. We have been conditioned through the media; religion and society as to what type of sexual behaviors are "normal".
In reality, our sexuality is as unique to each individual as are our fingerprints. For some people, masturbating five times a day would reduce them to the same state as a wet noodle. For others, it means they are done with their morning masturbation session and ready for the afternoon games to begin.
I think that you need to find out what is comfortable for you. Put aside the outside influences mentioned earlier and check with yourself, your body, and your emotional state. Decide what you need and what you are comfortable with.
I know that when I was a young girl I used to masturbate all the time (still do). I didn't know if this was acceptable behavior. After every session I would promise myself that I wouldn't do it again. I remember the freedom I felt when I said to myself that I could do it as much as I wanted. This liberation allowed me to truly indulge in masturbatory pleasure to the point that I was really making love to myself.
I don't think of masturbation as a substitute for "not getting it," but just another part of my sex life. If you feel that masturbating five times a day makes your life unmanageable or causes you emotional distress, then it is important to address the reasons for your discomfort. Sometimes just understanding why you do something eases the emotional stress.
Do you think that it is necessary for HIV-positive people to tell a one-night stand partner that they are infected before engaging in safer sex?
That is really up to the individual. But in most states there are laws that can send you to jail for a really long time. The laws vary state to state and you can read more on the legality of being HIV positive and having sex without disclosing here.
Personally I think that at this time in our history, people who engage in sexual activity are aware of the risks. It is necessary for both partners to take responsibility for their actions.
I remember watching "America's Most Wanted" one night. On the show they had this guy in leg chains and handcuffs (I kind of like that stuff myself), but he did not look too happy. He was arrested in 1995 for having unprotected sex with two women, knowing he was HIV positive. He didn't tell either woman about his diagnosis. Both women became infected. They were interviewed from behind a screen.
I kept thinking, why aren't they in leg chains? What is their responsibility when it comes to having consensual sex when by now, we should all know the risks? Sounds harsh, but come on, we all have to take responsibility for our actions.
Don't get me wrong. I find it horrendous and despicable when someone knowingly infects another person because of anger, revenge or whatever, but there is a simple way to defend against this behavior, unless of course it is rape, and that is protect yourself each and every time.
In my past life, before matrimony, when I wanted to have adventurous sex, I would tell the person simply because I felt more comfortable. Also, since I am a public person, I was afraid they would find out in a not-so-sensitive way -- like seeing me on television.
I know that sometimes I wanted to forget all about HIV and just have a good time. I tried it once (totally safe sex, so don't go nuts here, and the statue of limitations has passed) and I was so plagued with doubts, I couldn't enjoy the experience.
I tried to make it as casual as possible when I told people about my diagnosis. Especially if my goal was to just get laid. I try not to make a big production and scare them off. In the beginning, I can remember crying every time I disclosed. Not very erotic! I often used humor and always assured them that they're safer with me than anyone. At least with me, they knew what they were dealing with and wouldn't take any risks that they might have if they didn't know that I was HIV positive.
I am HIV positive and have no desire to have sex. I don't even masturbate anymore. I have not had any serious illnesses. Could this be a mental problem?
It could be a mental problem, but I would first look at the physical issues at hand. Often when we go to the doctor, they ask how we are feeling. They look at a basic blood and chemical panels. Rarely, do they ask about our sex lives unless they are afraid we are infecting others or have a sexually transmitted disease. They never ask about arousal, unless we bring it up, which many HIV-positive people are reluctant to do.
I am not sure if it is because medical professionals are embarrassed or they don't think it's relevant. Because of this practice, many HIV-positive (and HIV-negative) people go for years without having any libido, when the culprit could possibly be a physical one.
Numerous people with HIV, both men and women, have low testosterone levels. For older women who have survived any years of life with HIV, we get to experience the joys of menopause, which also affects our libido.
Testosterone levels definitely should be checked, especially because it can be treated so easily. The recommended therapy for men is to apply a testosterone patch to the scrotum. For women, they are using testosterone cream on the clitoris. I know people who have had this treatment and are so happy with the results they are shipping out cartons of testosterone to friends and family for Christmas, Chanukah and birthday presents.
If it turns out that your hormone levels are normal, there are often drugs, in particular, antidepressants, that can turn off your sexual desires or if you have the desire, make you unable to experience orgasm.
Speak to your doctor about changing these antidepressant meds. There are some that have less impact on arousal. Also diabetes, arthritis and weight gain can also be culprits in diminishing your sex drive.
If all checks out physically, then you might look into the mental aspects of your sexual deficit. There are many emotional problems that affect our libido, from guilt, shame and the feeling of being undesirable, to depression. Sexual ardor is an important part of life -- even if you are not sexually active (with yourself or others). A sexual appetite gives you vitality and passion. We can use our sexual energy in many ways that has little to do with coupling or orgasm. It fuels creativity, productivity and desire to live.
So whatever the reason behind your lack of carnal enthusiasm, it is a good idea to remedy the situation. Don't sit back and think that it is just a part of being HIV positive. There is counseling, therapy and self-therapy. Take the time to explore your body, use vibrators and other sex toys. Explore what turn you on. You can watch porn, read erotica until you hit on something that gets you going. Don't give up! Our minds are the biggest sex organ we have. If we continually believe we have no libido, we are validating that belief and we will not have any libido. So open your mind and change the tape to one of curiosity and creativity.
I am an HIV-positive woman and was wondering when is the best time to disclose this information upon meeting someone new?
There is no optimum time, unless you have gun or the person is in a coma. Also you can always find willing partners in cancer wards and leprosy colonies (just kidding). Actually, I have thought about this quite a bit. Every situation is different.
I know of one woman who didn't disclose until after she was married. It was rough going for a while, but they eventually worked things out. I really don't recommend what she did since you can end up hurt or even in jail! (For more information on legalities of disclosing and sex go here.)
Some women feel if they disclose right away that a relationship would never have a chance to even get started. I know from experience that things can be going just peachy and when I disclosed, suddenly there is all this hemming and hawing.
In the long run, I noticed that I could talk people into going to bed with me easier than I can talk them into a commitment (but that happens HIV or not!) It is just more difficult with this illness. (OK a lot more difficult...)
Eventually what worked for me was always telling people upfront. Boom! If he can deal with that, then he can deal with me. If you are looking for a long-term relationship, this technique weeds out a lot of people who will not be able to handle it.
Though I have to say that sometimes at first they freak out, but then come back after they have gotten over the shock to ask questions. I always think back to how shocking it was for me, so, of course, some people may not react well at first.
We need a thick skin with this disease and we need to accept the role of educator, even if it means just educating the person you want to sleep with.
I give people a second chance. Most the time they just want more information or to talk about it and then they're fine or they're not fine.
My current husband is HIV negative and it has never been an issue except when I was dying, which then, of course, it was very sad. But he took it in stride when I disclosed and we have been together for nine years.
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