PSA – Effexor antidepressant side effect

Please note: I am not a doctor and this post does not constitute medical advice! Please talk to your doctor regarding any decisions to take of not take any medication. 

This is a warning for woman who are prescribed the SNRI antidepressant Effexor. One of my clients, a woman 40’s was prescribed Effexor to help manage the symptoms of menopause including hot flushes and mood swings. Her GP didn’t feel that HRT was appropriate, so she prescribed and antidepressant instead.

The manufacturer had studies that showed that it was effective for the symptoms that my client was experiencing. Her GP didn’t tell her what the pottential side effects were.

This client has been seeing me monthly for over eight years now and she never has any trouble reaching orgasm from masturbation or from oral sex. However, within *three days* of starting to take Effexor she lost her ability to reach orgasm through any means!

Now, not everyone responds to a particular drug the same way, so if you are considering taking it then you may not have the same experience. Even if you do find that it has the same effect, it has to be weighed against whatever benefits it may give.

So you need to make the best decision for you and your mental and physical health. I just want women to be aware that this potential side effect exists so that they are not caught out by it unexpectedly and can make better informed health decisions.

John

PSA for men: you need to listen to her body

It’s great to be enthusiastic and want to do all of the things to give your partner a great time when you have sex, but guys – you also have to listen to her body (as well as her words).

She might LOVE receiving oral sex, but the way that you are doing it – whatever that may be – might not be right for her at this moment. “Normally” perhaps she likes it firm and direct on her clit – but that might only be after a bunch of low key foreplay kissing and cuddling and touching and rubbing that got her plenty aroused and ready. However this time things advanced faster for whatever reason so here you are going down on her without so much “warm up”.

That’s ok – but you may need to go slower and more gently until she is ready for that full on clit stimulation – and her body (if not her words) will be telling you that. Is she as wet as you would expect? Is she more sensitive? Ok, then slow down and spend more time circling around her inner thighs, mons pubis, and labia before you “…rush like a bull at a gate for her clitoris!” (to quote Monty Python).

Conversely, when you are in the middle of oral, or sex and you feel her muscles tensing in her thighs and abdomen – don’t stop what you are doing – it’s working! And don’t change what you are doing – don’t go faster/harder/slower/softer – what you are doing is working, just keep doing that. If she wants more or less, then, again, her body will let you know.

Sex isn’t something that we are naturally born good at. It is a skill that we learn – and an important way to learn is to listen to all of the feedback that you are getting.

John

Do you want to be more confident in bed?

I know – it sounds like the subject line from a spam email, but it’s a serious question. Over the years I have met many women who lacked confidence in their bodies, their attractiveness, their sexual knowledge, and their abilities to please a lover.

These concerns are so common that I even offer a course to help teach the skills and give women the opportunity to practice them in a safe, controlled environment.

Many people make the assumption that sex – being natural and normal between people – is something that everyone (except for them!) just knows how to do. In reality none of us know anything more than what we see others doing (usually porn of some form) and what we experience ourselves.

So if you have little or no experience then sex can be really intimidating.

This is why I offer my course. I want everyone who wants to be confident in bed to have a place they can go to learn the skills they want to have.

This is the course outline that I use as a starting point to plan out lessons when you book with me…

Potential topics:

  • Touch (clothed)
  • Kissing (lips)
  • Undressing
  • Touch (naked)
  • Cuddling
  • Hair
  • Erotic massage
  • Body slide/full body touch
  • Kissing (full body)
  • Reading your partner
  • Intimate touch
  • Giving oral sex
  • Receiving oral sex
  • Masturbation
  • Edging
  • “Showing off” / being seen
  • Penetrative sex, positions, rhythm, flow
  • Anal play, giving and receiving
  • Anal sex, giving and receiving
  • Spanking
  • After care

You can pick as many or as few items as you want. If it’s a short list then we can probably cover it in one or two sessions of two hours each. If it’s a longer list then it will require more.

You can of course add any topic that you might be interested in that isn’t listed here.

I prefer to keep lessons to two hours with a break in the middle as that is a length of time that is enough without being too much to handle physically and mentally.

So if you want to improve your confidence, or broaden your knowledge then why not drop me a line with your educational wish list!

John

Yoni massage

If you have spent any time learning about, or in the sex positive community then you have probably come across the term “yoni massage”, but you may not be familiar with what it actually means.

While browsing YouTube recently I watched a video on the topic that I thought was quite a good explanation.

In short yoni massage is the massaging of the area of the mons pubis, inner thighs including vulva and the perineum, and inside the vagina. For a more detailed explanation the video does a great job.

If you are thinking about booking a session with a straight male sex worker like myself, but you aren’t sure if you want to go all the way to having penetrative sex then a yoni massage might be a great middle ground to give you an intense erotic experience without being too challenging!

It can be a very enjoyable form of foreplay or it can be an entire experience in an of itself. It can also be a great starting point for a woman who is a virgin and wants to have sex for the first time (or for the first time in a long while), but would like to build up to the experience of vaginal penetration.

John

Why would a doctor prescribe a vibrator?

So today I learned that as women age the nerves in their clitoris that detect soft touch can deteriorate and degrade a woman’s ability to feel soft and gentle stimulation. However – there is another type of nerve that detects strong stimulation like vibration that is more durable and less likely to be damaged over time.

This is good news for women who through the process of aging find themselves less able to enjoy soft, gentle stimulation. Vibrators exist and it’s ok to use one and enjoy the results.

I learned this very useful information from this article:

https://www.aarpethel.com/health/why-would-a-doctor-prescribe-a-vibrator

I think that it is worth a read for any woman who finds herself in this situation, experiencing a loss of sensation as she gets older.

There is an addendum to add here though!

If you use a very strong vibrator and you use it a lot and you find that it is becoming less effective – then it’s time to dial it down and reset your responsiveness. Very strong stimulation will cause your body and brain to react and “turn down the volume”. It’s not permanent and is easy enough to reset by lowering the stimulation level and letting your body adjust to the new, lower level of stimulation.

John

There is a problem with antidepressants

Disclaimer – I am not a doctor. Please don’t take anything I say here as medical advice. Check with your doctor before you make any decisions about using antidepressants.

Over the years I have met a lot of women who have been taking SSRI antidepressants (selective serotonin re-uptake inhibitors). Many of them have, as a side effect, found it either very difficult, or impossible to reach orgasm while taking these medication – and the effects don’t just disappear as soon as you stop taking an SSRI, it can take time and may leave you experiencing sexual stimulation differently.

Everyone has to make the decision that is right for them about the medication that they take, whether they can accept the side effects given the benefits etc. My problem is that doctors seem to down play, or not explain – or possibly not even know – many of the side-effects of the medications that they are prescribing. 

In the case of SSRI’s I believe that the effects on sexual function are seen as virtually irrelevant by many doctors and are rarely explained.  You could reasonably say that treating the symptoms of depression, which can be very serious, are more important than a woman being able to have an orgasm.  But that is treating depression in a very narrow way and in my opinion overlooks the benefits of a healthy sex life.

SSRIs tend to smooth out emotional swings, preventing the huge dips and also preventing the highs, but it should also be recognised that taking away what is a very intimate pleasure – being able to achieve orgasm – can be extremely distressing. 

We shouldn’t – in my opinion – be sacrificing one thing for another – or, at the very least, making sure that people are *fully* aware of the consequences of taking the medication that they are being prescribed before they start to take it.

John

Sensual afternoon…

Would you like to slow down for a little while? Take a bath together… Spend some time exploring touch and kissing… Then going further…

I wanted to make a film that showed how a booking with me might look and feel. It took a lot of talk and planning and effort to create something that we are both happy with – but we succeeded – and I hope that you enjoyed it too.

Making this film with Emelia was a journey that I am proud to have been a part of and to have shared with her. I am proud to share this special film with the world.

I have been wanting to create a film for John’s website for a while now however, I have always had some hesitation and insecurities about my appearance not being good enough especially when I am naked in the bedroom.

Being a late forties, size 12,  petite A cup breasted women with cellulite to my body in particular to my thighs and buttocks on most days, I am ashamed to look at myself naked in the mirror.

It took several conversations and reassurance from John that with the right lighting and camera angles, my body would indeed look sexy for me to finally agree with myself that I was brave enough to make the film with him.

I am hoping that prospective clients watching the film will see that John provides a safe and non judgemental environment regardless of your age, body type, disability, or background.

It’s a place where you can experience immense pleasure, explore and grow in your own sexuality.

Thank you John for allowing me to create this with you. I am more confident within myself and the mirror now sees a body that is unique and beautiful in it’s own way.

I would like to say thank you to Emelia for her courage and generosity both to me and to the women who might be struggling with their self image in similar ways to her.  You are all beautiful and sexy just the way you are.

John

PSA for men and women – Sometimes SHE’S the one who will come too quickly!

So.  Most women take more than an minute of two to reach orgasm.  Some however can cum much quicker.  There is a group of women for whom this isn’t a problem as they can just orgasm again and again in waves.  However for women who generally only climax once (and then become highly sensitive, or just experience their arousal naturally decreasing) holding off that one big orgasm actually becomes central to a sexual experience that is satisfying and intense.

As someone who has experienced and had to overcome the curse of premature ejaculation I feel this is a topic that I can add some value to.

The problem for most men is that we are used to women who are the other way around and require a strong stimulation and a long build up.  So that’s what we tend to assume a woman needs and wants.

What really helps at this point is some direction from her – a quick “I cum really easily and I’d like to hold off until XYZ” lets us know to go slowly and gently and just tease and edge her.  I find this really fun to do.  It’s a challenge to read her body and moderate my efforts as she gets close to orgasm, then increase them again as she drifts back…

There are also some things that the woman can do as well to slow herself down.  Just like a man with premature ejaculation the techniques are simple and when practiced can produce positive results quite quickly.

  1. Open your eyes – this helps to reduce any fantasy that may be running through your head and pushing you along faster. That was a big help to me when I was dealing with this issue myself
  2. Relaaaaaax – specifically your pelvic floor muscles. Pelvic floor tension is a great way for women who have trouble reaching orgasm to push themselves along. If you have the opposite problem, then relaxing your pelvic floor will help to slow things down
  3. Breath out the tension – similar to the point above, breathing helps you to relax your muscles and mind and that helps delay orgasm
  4. Stay in the experience – don’t try to distract yourself by “thinking boring thoughts”, stay with the experience, stay in your body and experience the pleasure, but recognise that it feels good, but not *too* good…
  5. Be aware of your arousal level – spend some time really concentrating on your arousal level and noticing what builds it and reduces it. The better we are at recognising where we are the easier it is to employ the techniques above to moderate or boost our arousal as and when we need and want to
  6. You need a partner to help you practice – you can start this process on your own, but as with men, having an understanding partner to help you develop your skills will make it easier and quicker and probably get you a better result in the end.

Ultimately practice and a dedication to changing the way your sexual response is wired is the key. Practice the techniques and you will see change. Practice enough and you will get to where you want to be – with control over your arousal level and able to choose when you are ready to let go and have your orgasm.

John

PSA for men – when you are giving her oral and she is close to orgasm…

Giving oral sex to women is one of my favourite things to do.  It always has been and I am generally told I am pretty good at it.  And most women can reach orgasm with me that way.

But there’s a trick to helping a woman orgasm from oral sex – it’s something that I think I have always done instinctively, but according to a number of women I have asked, many men just don’t understand it.

The trick, is to be consistent – don’t change your style when she is getting close to orgasm!

So you need to be aware of what that looks and feels like. There are many signs (but be aware that not all women will show them, so a little help sometimes from her saying she’s getting close can be good), arching her back, tensing her stomach muscles and thighs, her vagina clenching, change in pitch and tone of her voice and breathing…

It’s all there to read if you pay attention – and that is when you really, really need to just keep doing what you are doing for her. No need to go faster or harder – what you are doing is working, so just KEEP DOING IT!

Most of the time with most women she will continue to sail on to have an orgasm and all will be right in the world.

There’s a lot more I could say about giving good oral sex, but that’s a story for another time. This PSA was just about the ending – and making it as happy as possible!

John

Is there something that you particularly love, hate, or just wish that men new about sex? Drop a comment or an email john@john-oh-escort.com and I’ll do a PSA on it.

More about pregnancy, sex, and seeing a sex worker

After I posted a few weeks ago about women who are pregnant and wanting to see a sex worker I had a conversation on the topic with a woman who is a midwife. Since she is a medical professional I thought I would share some of her thoughts about sex while pregnant – with the warning of course that you must talk to your doctor or midwife about these issues and not rely solely on anything I write here. While this information may be relevant generally, it may not be right for you, so please take the time to discuss it further with the professionals you trust. Hopefully it can act as a starting point for an informative conversation.

So the main point that was made to me was that I made it sound like having “sex while pregnant is inherently risky for everyone whereas there are really only a couple of specific conditions where we recommend not having sex”. I may have made it sound more risky with my disclaimer, but I do so because I want to be quite clear that I’m not giving medical advice and not qualified to do so.

So there you have it – what you need to be doing specifically is determine if you have any specific condition that might make sex a risk to your pregnancy.

Some more directly practical things I was told to be aware of included: breasts and nipples can be extra tender. This can actually be a good thing for enjoying sex as it can equate, for some women, to greater sensitivity and pleasure.

Breasts can leak colostrum. Certainly something to be aware of, it might give your partner a surprise if they/you like having your nipples sucked!

Orgasm can cause painless tightening of the uterus. I have read in the past that this is one of the bodies ways of helping to recover from pregnancy and childbirth.

Importantly – the cervix can be more vascular, so inadvertent touching of it – say through deep penetrative sex – can occasionally cause superficial bleeding. This is a very good thing to know as I expect that unexpected bleeding could be concerning.

Another problem with deep penetration, especially later in pregnancy, is that it can become uncomfortable. So if that’s something you and your partner like then expectations may need to be adjusted for a while!

Lastly – and this I was not aware of at all – is that when a pregnancy is very advanced, laying on your back for extended periods can cause a drop in blood pressure due to weight of the uterus pressing on the major blood vessels. So laying on your side for sex is a good alternative to missionary position later in a pregnancy.

For my part I want to add this – whatever your situation is and needs are, if you want to see me then I am very happy to discuss them and work with you to give you a safe and enjoyable experience.

John.