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  1. Condoms are widely recommended for the prevention of sexually transmitted infections STIs. Sexual functioning has been regularly identified as a neglected area of the quality of life in patients with rheumatoid arthritis. This can include the lack of a knowledgeable healthcare provider trained and experienced in counseling those with ID on sexual intercourse. These copulatory reflexes are controlled by hormones and facilitated by sexual pheromones. In non-Latin, Catholic countries Poland and Lithuania are mentioned , age at sexual initiation was higher, suggesting later marriage and reciprocal valuing of male and female virginity.

  2. Approximately 46 million pregnancies per year reportedly end in induced abortion. Those with ID may have hesitations regarding the discussion of the topic of sex, a lack of sexual knowledge and limited opportunities for sex education.

  3. Those seeking treatment will typically see a physician for pharmacological management and therapy. For gay male pairings, there is the option of surrogate pregnancy; for lesbian couples, there is donor insemination in addition to choosing surrogate pregnancy. There remains a lack of "dialogue around this population's human right to consensual sexual expression, undertreatment of menstrual disorders, and legal and systemic barriers". While most consider penile—vaginal intercourse to be sex, whether or not anal or oral intercourse is considered sex is more debatable, with oral sex ranking lowest.

  4. Penile—vaginal penetration is the most common form of sexual intercourse. The subsequent route of the sperm from the vault of the vagina is through the cervix and into the uterus , and then into the fallopian tubes. Those with ID may have hesitations regarding the discussion of the topic of sex, a lack of sexual knowledge and limited opportunities for sex education.

  5. However, doctors caution against the unnecessary use of these drugs because they are accompanied by serious risks such as increased chance of heart attack.

  6. They added that "several co-factors may increase the risk of HIV transmission through oral sex"; this includes ulcers, bleeding gums , genital sores, and the presence of other STIs. Women with ID may lack sexual health care and sex education. Some, in particular HIV and syphilis, can also be passed in other ways, including from mother to child during pregnancy and childbirth , through blood products , and by shared hypodermic needles. Infants born to mothers with untreated gonorrhea or chlamydia can develop neonatal conjunctivitis a serious eye infection , which can lead to blindness. Those seeking treatment will typically see a physician for pharmacological management and therapy.

  7. Artificial insemination is a form of assisted reproductive technology , which are methods used to achieve pregnancy by artificial or partially artificial means. This couple may emphasize different aspects of sexual intercourse on different occasions, being playful during one episode of sexual intercourse recreational , experiencing deep emotional connection on another occasion relational , and later, after discontinuing contraception, seeking to achieve pregnancy reproductive, or more likely reproductive and relational.

  8. Lerner and Laurence Steinberg state that researchers also "rarely disclose" how they conceptualize sex "or even whether they resolved potential discrepancies" in conceptualizations of sex. Those with ID may have limited knowledge and access to contraception, screening for sexually transmitted infections and cervical cancer. These crimes often remain underreported. Syphilis can result in stillbirths and neonatal deaths. Addiction to sexual intercourse is thought to be genetically linked.

  9. Lerner and Laurence Steinberg state that researchers also "rarely disclose" how they conceptualize sex "or even whether they resolved potential discrepancies" in conceptualizations of sex. Untreated gonococcal infections result in miscarriages , preterm births and perinatal deaths. It has been linked to atypical levels of dopamine, a neurotransmitter.

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