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Sheryl Kingsberg, PhD

Professor Reproductive Biology and Psychiatry

Case Western Reserve University

Chief of Division of Behavioral Medicine

MacDonald Women's Hospital/University Hospitals

Cleveland Medical Center

Dr. Sheryl Kingsberg is the chief of the division of behavioral medicine at MacDonald Women's Hospital/University Hospitals Cleveland Medical Center and Professor in Reproductive Biology and Psychiatry at Case Western Reserve University. Her areas of clinical specialization include sexual medicine, female sexual disorders, menopause, pregnancy and postpartum mood disorders, and psychological aspects of infertility.

Dr. Kingsberg's primary research interests are in treatments for female sexual disorders and genitourinary syndrome of menopause (GSM). She has been the principal investigator for several clinical trials for treatments for female sexual disorders and consults for many pharmaceutical companies that are developing investigational drug treatments for sexual problems. She is an Associate Editor for Sexual Medicine Reviews and sits on the editorial boards of the journal Menopause and Climacteric.

Dr. Kingsberg is the Immediate Past President of The North American Menopause Society, and is a past president of The International Society for the Study of Women's Sexual Health.

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Sexual Insecurity

Ask the Expert

Q:

I haven't dated in many years because I am insecure sexually. I have never felt my G spot (if I have one). I have clitoral orgasms (although not as intense now) by myself, but not with a man. I'm afraid my partners will tell others I'm bad in bed or humiliate me in some other way. Help!

A:

The first bit of advice I'm going to give you is to stop comparing yourself to anyone else. There are probably more myths and more disinformation out there about women and sex than about any other health-related topic. The reality is that every woman (and man) is different, and what satisfies one woman may have no effect on another.

Before I launch into a discussion on orgasm, let me just give you some figures that come from leading researchers in women's sexuality:

  • Fifty percent of American couples between the ages of 18 and 60 years old have sex less than or equal to one time per week.
  • The majority of women are not reliably orgasmic with intercourse.
  • Twenty percent of committed couples have a low sex or no-sex union, defined as less than ten sexual encounters per year

So if you're shying away from a relationship because you think you have to have sex every day, and have to reach orgasm every time, stop. That's simply not how it works in the real world. In fact, an AARP survey of 745 women over age 45 found that less than a third said they always had an orgasm during intercourse, with slightly more than a third saying they "usually" reached orgasm.

Now let's talk about the issue of orgasm and G spots in women. The G spot, formally known as the "Gräfenberg spot," was first named in the early 1980s. It refers to the sensitive area on the front of the vaginal wall halfway between the back of the pubic bone and the cervix. However, the issue of whether a G spot even exists remains controversial even among medical researchers. Less controversial is the fact that its role in orgasm is dependent on the individual woman. For some women, it plays an important role in orgasm and sexual pleasure; for others, it makes no difference.

The other element you're forgetting in your concern about your performance in bed is your partner. If you are in a mature, loving relationship, your partner is not going to make fun of you or "talk" about you. Instead, he or she is going to take the time to learn what you enjoy, to bring you pleasure in ways that work for you—not some "ideal" version of a woman.

So I would encourage you to focus first on the relationship aspect of dating before you think about the sexual aspect. There's nothing wrong with spending weeks, months, even longer seeing someone and developing an intimate relationship before you move into the sexual phase of the relationship. Take your time, be honest about your needs and please stop judging yourself against some non-existent version of the "ideal" sexual woman.

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C. diff is the name of a common, easily transmittable infection caused by the bacterium Clostridioides difficile. The infection causes your colon (bowel) wall to become inflamed, resulting in severe, watery diarrhea. Left untreated, it can cause a serious complication called toxic megacolon.

C. diff affects about 250,000 people in the United States every year. Some people get it only once in their lifetime, but if you have a C. diff infection, there is up to a 1 in 4 chance you might relapse (the same infection returns) or get it again within eight weeks. People at the highest risk for a C. diff infection are those who take or have recently taken antibiotics, especially if they have a weak immune system.

The bacteria live in feces (poop), and in soil and water. They spread easily and can live for a long time on hard and soft surfaces, like linens and clothing. If someone who has C. diff on their hands touches a door handle and you touch it after, the bacteria transfer to your hand. They then can enter your gastrointestinal system if you touch your mouth or handle food before washing your hands.

Protect yourself and others from getting a C. diff infection in a healthcare setting

hand washing in a hospital

If you are a patient in a hospital, skilled nursing facility or rehabilitation center, you are at higher risk of getting a C. diff infection — not just because you likely have a weak immune system from the condition that put you in the facility but also because of the number of people you may encounter while you’re there.

Here are some steps you can take to lower the risk of getting C. diff in a healthcare facility:

  1. Make sure all healthcare workers and visitors wash their hands before they touch you and your things. If you don’t see them wash their hands, ask them to do so.
  2. Wash your hands well with soap and water every time you use the bathroom. If you use a bedside commode, ask to be transported to a sink to wash your hands or use a waterless hand sanitizer.
  3. Wash your hands before eating or drinking. If you can’t get to a sink, ask the staff or a friend to supply you with a waterless hand sanitizer to use while you are in bed or sitting in your chair.
  4. Allow cleaning staff access to your environment. Clear everything off the bedside table or nightstand, and remove clothing or linens from the bedside rails so they can be wiped down.

Patients with a diagnosed C. diff infection should not share a room with someone who does not have the infection. If you do share a room and your roommate contracts C. diff, ask to be moved.

Stop the spread of C. diff at home

household cleaning supplies

C. diff doesn’t just affect people in healthcare facilities. It can happen at home, too.

Here are steps you can take to reduce the risk of spreading C. diff at home:

  1. If your home has a second bathroom, reserve one for the person with the C. diff infection to limit exposure to others.
  2. If your home has only one bathroom, make sure the toilet seat, flusher, faucets, light switches and doorknob are cleaned with a bleach-based cleaner after each use.
  3. If the infected person is immobile, keep waterless hand sanitizer within reach.
  4. Clean common home surfaces (door knobs, light switches, fridge handles, etc.).
  5. Wash clothing (especially underwear), towels and linens separately and in the hottest water possible.
  6. Wear disposable gloves while handling clothing and linens, especially if the person is incontinent (loses control of their bowels). Wash your hands after removing the gloves.
  7. Shower with soap to remove C. diff that may be on the skin.

This educational resource was created with support from Seres Therapeutics and Nestle Health Science.