Even after extensive gynecological surgical procedures (such as hysterectomy, oophorectomy, salpingectomy, dilation and curettage, hymenotomy, Bartholin gland surgery, abscess removal, vestibulectomy, labia minora reduction, cervical conization, surgical and radiological cancer treatments and naked girls chemotherapy), sexual intercourse can continue. Sexual intercourse often remains possible after major medical treatment of the reproductive organs and structures. For those whose impotence is caused by medical conditions, prescription drugs such as Viagra, Cialis, and Levitra are available. Painful or uncomfortable sexual intercourse may also be categorized as dyspareunia.
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- Religious beliefs also play a role in personal decisions about sexual intercourse or other sexual activity, such as decisions about virginity, or legal and public policy matters.
- The pornography industry has been considered an influential factor in deciding the format wars in media, including being a factor in the VHS vs. Betamax format war (the videotape format war) and the Blu-ray vs. HD DVD format war (the high-def format war).
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- Social relationship scholars further distinguish quantitative (e.g., sexual frequency) and qualitative (e.g., sexual quality) dimensions of a relationship, and argue that both dimensions have significant implications for health (Umberson and Montez 2010).
- Sexuality at older ages, especially among the cohorts now in these ages, is almost exclusively experienced within long-established couples, virtually all of them married.
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During the home interviews, all NSHAP respondents were asked whether they had ever been told by a medical doctor that they had had a heart attack, heart failure, or stroke. Finally, we include a measure of self-reported general CVD events. When the heart cannot effectively deliver blood and oxygen to meet the needs of the body it will beat abnormally fast. We analyze these two variables as separate measures for the physical and emotional dimensions of sexual quality, respectively. If the respondent was not sexually active last year, the questions referred to their most recent partnered sexual relationship. They were also asked in a separate question how emotionally satisfying they found their sexual relationship to be.
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On the other hand, the social norms of gender and masculinity may indicate greater demands for men in a sexual relationship, which may lead to greater physical and emotional stress and thus poorer health. A social relationship and life course perspective directs attention to both benefits and costs of a sexual relationship for health (Umberson and Montez 2010), and suggests that the processes differ for men and women (Fuhrera and Stansfeld 2002). This result is in contrast with the general notion, mostly based on clinical or community-based research, that higher frequency of sex as a form of physical exercise may uniformly promote health on various dimensions (Brody 2010; Ebrahim et al. 2002). We make a further contribution by providing the first population-based evidence of the longitudinal association between partnered sexuality and cardiovascular health in later life using a nationally representative longitudinal data set. We conceptualize partnered sex within a social relationship framework and argue that partnered sex shapes individuals’ life context over time and in turn evokes cardiovascular response.
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