The MA+ Guide

A guide to More Accessible sexuality-related assistive technology

Narelle Higson Occupational Therapist MSWA

The Multiple Sclerosis Society of Western Australia (Inc) A word from the author:

This guide is not a collection of facts; it is a collection of ideas. Ideas about pleasure, having fun, being playful, trying something different, finding new ways of doing things, thinking outside the square. Ideas about different ways to achieve and enrich sexual pleasure, on your own or with a partner.

You may not particularly like these ideas…or prefer your own. That is absolutely ok. (I would love to hear your ideas if you are willing to share  ) This guide merely tries to be a conversation starter…a thought prompter.

The MA+ Guide does not seek to educate about sexuality or the potential impact of MS on sexual function – there are already many wonderful resources available on that topic (please see the resource section at the end for details of these).

This guide is in no way intended to be prescriptive, it simply seeks to identify sexuality and positioning products which:  May be easy to use  May be easy to adapt  Have useful features  Are readily available in Australia (unless otherwise noted)

This guide does not intend to be prescriptive in any way and does not replace the advice of your healthcare practitioner.

Although up to date at the time of writing (2012), the products listed are just a small sample chosen from local or online suppliers. Please feel welcome to contact the MSWA Sexuality Service (or your local MS Society) for further information on current pricing and availability or alternative products which may be of use for you.

A word for Health Professionals: This guide can be printed in full as a general resource. Alternatively, its design enables relevant sections to be printed individually to meet specific needs.

I wish to acknowledge the generosity of the MSWA in supporting the creation of this resource – and hope you find it helpful  Narelle Higson (OT- Sexuality Service) [email protected]

2 This resource is intended as a guide only and should not be seen as the MS Society’s specific recommendation or endorsement of any product/company. Contents

Holding On 4

Taking Control 13

Extending your reach 18

Getting into position 20

Alternatives to batteries 23

Altered sensation 26

Fatigue 29

Privacy 30

Continence 31

Lubrication 32

Men only 33

Cleaning and safety tips 38

A brief word about anatomy 39

Resources 40

3 This resource is intended as a guide only and should not be seen as the MS Society’s specific recommendation or endorsement of any product/company. Holding on

Is it ever challenging to get and keep a good grip on a toy? (…or do you imagine it could be?)

Whether you choose to wear it, stick it or prop it...there are many ways to use toys that don’t involve holding them... Wear it

Why? Wearing a toy on your body means that you don’t have to hold on to it. Some toys are designed to be worn; others are shaped in such a way that they can be tucked into clothing. Using a toy with a remote control enables you to be in control even if the toy is out of reach.

Wear it: On your hand Why? Anywhere your hand can reach you can experience a different sensation, without the need to hold on. Can be used on self or partner, wherever it may feel pleasurable or as part of a massage. Glove style massagers are generally very quiet as the vibrating units are very small. As with all gloves, they may be tricky to put on, however they will usually stay in place once put on correctly.

Name: Fukuoko 5 Finger Massage Glove (Fukouko) Approx. cost: $80 What is it? Waterproof stretch fabric glove, with small vibrating units at the tip of each finger. Powered by 3 AAA batteries housed in pouch at base of glove. Small sliding on/off switch on battery compartment also selects hi/lo speeds. It is available in left or right hand and can be used in the bath or shower. http://www.fukuokuglove.com

Other ideas: For a cheaper alternative to a glove, consider putting a small bullet vibrator in the finger of a loose latex or leather glove (e.g. golf glove).

4 This resource is intended as a guide only and should not be seen as the MS Society’s specific recommendation or endorsement of any product/company. Wear it: On your finger Why? As with the glove massagers, finger vibes allow you to turn your fingers (or toes…or anything else they may fit onto) into a vibrator, without the need to continually hold onto it. Finger vibes are very quiet and are often waterproof for use in the shower or bath (where they can also be cleaned). Depending on the model, these small vibrators use batteries ranging from small watch cell type to larger AAA size, which may be easier to replace.

Name: Micro Finger Tingler (California Exotics) Approx cost: $40 What is it? Small, hard plastic finger vibe. Small sliding switch at side turns on/off and controls multiple speeds. Powered by 2 x watch cell batteries. http://www.calexotics.com

Name: The FingO (Screaming O) Approx. cost: $20 What is it? Waterproof textured silicone sleeve with a vibrating bullet, designed to slip over any finger. On/off switch is at the base of the bullet. Available in different textures. Powered by 3 x watch cell batteries. http://www.thescreamingo.com/

Name: Finger Tingles (Rocks-Off) Approx. cost: $40 What is it: A bullet powered vibrator made from soft stretchy rubber. It is worn in such a way that your fingertip also becomes a buzzing part of the toy. Powered by a 1.5V N battery. http://www.rocks-off.com

Name: Ipo waterproof finger vibe (PicoBong) Approx. cost: $50 Features: This silicone waterproof vibrator is powered by 1 x AAA battery held in place by a screw cap, which lasts approximately 2hrs. A two button interface controls 12 vibration patterns. These buttons are housed under the smooth silicone coating and identified by raised symbols. http://www.picobong.com

5 This resource is intended as a guide only and should not be seen as the MS Society’s specific recommendation or endorsement of any product/company. Wear it: On your tongue

Why? Tongue vibrators require little hand function for use, although positioning on the tongue may require assistance. They are designed to add a tickling, buzzing sensation in any area that can be kissed in partner play. Tongue vibes can also be used on other body parts (fingers, toes…) and can be slipped over non-vibrating toys to turn them into buzzing ones. They are lightweight, waterproof and quiet. Tongue vibrators are available in cheaper disposable or more expensive reusable models.

Name: Ling O Vibrating Tongue Ring (Screaming O) Approx. cost: $20 Features: Attached to tongue by a stretchy silicone strap. Vibrating area is textured silicone for added sensation. Disposable – powered by a small non-replaceable battery. http://www.thescreamingo.com/

Name: Tongue Joy (Tongue Joy) Approx. cost: $120 Features: Chrome plated vibrating unit attached to the tongue (or finger) via a silicone elastic band. Silicone sleeves are available for added comfort, texture and to reduce the potential for damage if the unit comes into contact with teeth. Powered by 2 x watch cell batteries. An optional wired Turbo Pack is available which uses 2 x AA batteries, provides higher intensity variable vibration and longer usage time. http://www.tonguejoy.com.au

6 This resource is intended as a guide only and should not be seen as the MS Society’s specific recommendation or endorsement of any product/company. Wear it: On your body Why? Once positioned correctly, a wearable vibrator can stay comfortably in place without any need for adjustments. Those controlled via a remote control (wired or not) often have larger more accessible controls and may be easier to use once in place.

Name: Fetish Fantasy Elite Vibrating Panty (Pipedream) Approx. cost: $55 Features: A bullet vibrator situated inside a shaped silicone sleeve is held firmly in place inside the underwear with two elastic straps. To turn on/off or change the vibration pattern or intensity, the button at the base of the bullet must be accessed (making this tricky when the underwear is in place). http://www.pipedreamproducts.com

Name: 10 function remote control vibrating fantasy panty (Pipedream) Approx. cost: $90 Features: A ten function bullet housed inside a textured rubber sleeve designed to be worn internally (inside the vagina). Once in position, the bullet is controlled via wireless remote control from a distance of up to 8m. Requires 1 x 23A and 2 x N batteries. http://www.pipedreamproducts.com

Name: Micro Wireless Venus Butterfly (California Exotics) Approx. price: $40 Features: A bullet vibrator powered by 1 x AAA battery is housed inside a silicone sleeve (in this instance shaped like a butterfly). The vibrator is held in place by removable elastic straps which are placed around the thighs and waist and are adjustable to ensure a secure fit. As this model does not have a remote control, it is easier to turn it on to the desired setting before putting in position. http://www.calexotics.com

7 This resource is intended as a guide only and should not be seen as the MS Society’s specific recommendation or endorsement of any product/company. Wear it: On your body - Other ideas: A small, ergonomically shaped vibrator can be worn inside regular underwear or tucked between two pairs of underwear to hold in place. They may also be strapped to the hand with an elastic, Velcro© or neoprene strap.

Name: Spirit (Leaf) Approx. price: $105 Features: A waterproof rechargeable silicone vibrator which is controlled by a press and hold button. http://www.leafvibes.com/

Name: Bon Bon (Natural Contours) Approx. price: $65 Features: Designed for external stimulation and to fit easily within the hand, this hard plastic vibrator is powered by 2 x AAA batteries and controlled via a raised button which can be activated by pressing with finger or any firm surface. http://www.naturalcontoursaustralia.com

Name: Vibrating sponge (Sportsheets) Approx. price: $25 Features: A waterproof bullet housed within a sponge designed for bath or shower use. This model has a wide elastic strap to slip over the hand and hold it in place. http://www.sportsheets.com.au

8 This resource is intended as a guide only and should not be seen as the MS Society’s specific recommendation or endorsement of any product/company. Strap it: toys designed for penetration

Why? Toys designed for penetration are called dildos or dongs. They may be used by men or women and come in a large variety of shapes, colours and sizes. Dildos may be hand held or attached to the body via harness or straps. They may also be attached to other objects (cushions, furniture) by using extension straps, or have a suction base to attach to the floor, wall, chair etc. The toys below are designed to be worn on the body and used in partner play.

Strap it: On your thigh

Name: Sedeux Thigh Harness (Sportsheets) Approx. price: $40 Features: A harness made from neoprene (wetsuit material) which is fastened using Velcro for a firm fit. For use with a partner or may be strapped around a pillow for solo use. http://www.sportsheets.com.au Strap it: On your pelvis Name: Fetish Fantasy Cumfy Hollow Strap-On (Pipedream) Approx. price: $26 Features: This strap on dildo is hollow to accommodate a flaccid or semi-erect penis, however can be used by males or females. The pliable PVC dildo is lined on the inside with soft foam for comfort and worn on the pelvis using an elastic harness. http://www.pipedreamproducts.com

Note: a wide range of pelvis worn harnesses are available for both males and females to accommodate a wide range of hollow or solid dildos. They may be made out of stretch materials (as above), PVC or leather and have differing methods of adjustment.

9 This resource is intended as a guide only and should not be seen as the MS Society’s specific recommendation or endorsement of any product/company. Strap it: On your chest

Name: Sedeux Chest Harness and Dildo kit (Sportsheets) Approx. price: $90 Features: A 4 point adjustable harness which may be strapped around the chest, thigh or pillow. It may be used with most dildos that have a flared base. http://www.sportsheets.com.au

Strap it: On a pillow

Name: Sportsheets Pleasure Pillowcase (Sportsheets) Approx. price: $50 Features: Velcro compatible pillowcase that can be used for positioning or to attach a dildo or tethers. Enables hands-free use of a dildo. http://www.sportsheets.com.au

Stick it

Why? Suction based toys are available in two types and allow hands free use for solo or couple play. Suction based vibrators are designed for external use. Suction based dildos are available in both vibrating and non-vibrating styles and designed for penetration by both males and female. Some suction toys are one piece, with the suction cup built in to the bottom of the toy. Others are two- piece, with a detachable double sided suction cup allowing use with a range of toys. Suction based toys may be fastened to the floor, wall or smooth furniture (e.g. chair).

Name: Sex in the Shower Double Sided Suction Cup and Dildo (Sportsheets) Approx. price: $50 Features: A double sided suction fitting which can be used with a variety of compatible dildos. Can be used with a vibrating penis ring to add a vibrating element. http://www.sportsheets.com.au

10 This resource is intended as a guide only and should not be seen as the MS Society’s specific recommendation or endorsement of any product/company. Name: Ono Cleo Bath Massager (Lelo) Approx. price: $70 Features: A waterproof, silicone suction based vibrator that can be attached to any flat surface for hands free use. Powered by 3 x AA batteries, there are 8 vibration modes which are accessed by pressing the “O” letters on the silicone top. Very quiet. Can be used with or without the double sided suction base. http://www.lelo.com/

Name: The Cone Vibrator (The Cone) Approx. price: $140 Features: Although not suction based, this heavy vibrator has a non-slip rubber base which enables it to sit firmly on any smooth surface enabling hands free use for males or females. It is powered by 3 x C batteries, increasing its usable time and power and has a moderate noise level. Two raised buttons near the base of the unit are used for on/off and to control the vibration pattern.

Ideas for use: As the entire top surface of The Cone vibrates, it can be used in solo or couple play – e.g. propped between legs when seated; positioned to provide external clitoral or perineal/prostate stimulation during sexual intercourse (experimenting would be required to find useful comfortable position). http://www.theconevibrator.net/

11 This resource is intended as a guide only and should not be seen as the MS Society’s specific recommendation or endorsement of any product/company. Prop it

Why? Propping a vibrator in a purpose designed or custom made cushion (cushions of the lounge?) may enable you to find a comfortable position without needing to hold the toy. If the toy offers particularly strong vibration, it may be less important to position yourself precisely as the vibration of the massager may be transmitted through the cushion (near enough may be good enough).

Name: Body Wand Vibe Station (Liberator) Approx. price: $60 Features: A machine washable firm but soft pillow with a cut- out to hold any size of the Body Wand (or similar wand style) massagers. Designed to be straddled during solo or partner play, this cushion enables hands free use of the vibrator. http://www.theliberator.com.au

Name: Hump Bump and Vibe (Sportsheets) Approx. price: $50 Features: A small firm foam pad with Velcro bottom which houses a vibrating bullet for hands free external stimulation during solo or partner play. Designed to be used with Pleasure Pillowcase (see pg. 10), however could be attached to any suitable surface as required. http://www.sportsheets.com.au

Name: Lovebumper Iceberg (Lovebumper) Approx. price: unknown Features: Manufactured (and sold) in Canada. A firm foam wedge cushion with a waterproof washable removable cover and an inbuilt pocket. Designed to hold a battery operated or rechargeable vibrator enabling hands free use by lying over the wedge. http://www.lovebumper.com

12 This resource is intended as a guide only and should not be seen as the MS Society’s specific recommendation or endorsement of any product/company. Taking control

Are you ever bothered by small, fiddly or difficult to see controls? Go simpler

Why? Depending on what you would like your toy to do, buying one with larger or simple controls may mean that you don’t need to modify or adapt the toy to be able to use it. These toys may also be easier to switch adapt if required. Often the toys with the largest controls are those with a remote control.

Name: Remote Control Velvet Touch Egg (Nanma) Approx. price: $46 Features: A waterproof remote controlled egg designed for external or internal use. This vibrating egg has 3 speeds accessed via a single large button on the remote. Uses 4 x watch cells and 1 x 23A battery. http://www.nanma.com

Name: Micro Tingler Bullet (Seven Creations) Approx. price: $25 Features: A small, high powered vibrating bullet is attached to a remote with a dial controller. The dial protrudes from the side and may be controlled with the fingers or rolled along any firm surface. Requires 2 x AA batteries. It can be used for internal or external stimulation and has a very low noise level. http://www.sevencreations.net

Name: Neon Luv Touch 5 Function Bullet (Pipedream) Approx. price: $28 Features: A wired remote controlled egg which has a single raised button to control 5 functions, which may be pressed with finger or against any firm surface. It is suitable for internal or external stimulation. Requires 3 x AAA batteries. http://www.pipedreamproducts.com

13 This resource is intended as a guide only and should not be seen as the MS Society’s specific recommendation or endorsement of any product/company. Name: Berman Pomona Palm Sized Massager (California Exotics) Approx. price: $30 Features: Shaped massager with 2 vibration speeds controlled by a single raised button, which can be pressed by pushing against any firm surface. Requires 2 x AAA batteries. http://www.calexotics.com

Go smarter

Why? A number of toy on the market make use of new and innovative methods of control. Instead of the usual buttons and switches, some toys are activated by movement, touch, music, sound or voice. Think of the possibilities…

Go smarter: movement activated

Name: Lelo range of movement activated vibrators (Lelo) Approx. price: $150 - $200 Features: A range of waterproof rechargeable vibrators controlled by a movement sensitive remote. Vibration intensity is controlled by tilting, shaking or rotating the disk-like controller; synchronised vibrations in the controller mirror those in the vibrator, so it is possible to feel what a partner is experiencing from the vibrating main unit. The range includes a vibrating egg (Lyla) (above) suitable for internal or external use; a ring designed to be worn around the base of the penis (Oden); and an internal/external vibrator (Tiani) designed to be worn inside the vagina during intercourse. There are 2 x AAA batteries in the remote.

Oden Tiani http://www.lelo.com/

14 This resource is intended as a guide only and should not be seen as the MS Society’s specific recommendation or endorsement of any product/company. Go smarter: touch activated

Name: iTap Bullet (California Exotics) Approx. price: $30 Features: This remote controlled wired bullet is activated by touch pads on the top surface of the remote. Any part of the hand (or body) which can be brought into contact with the touch sensitive area can be used to turn on/off and control vibration intensity. Requires 2 x AAA batteries and has very low noise level. http://www.calexotics.com

Name: iTap Vibrator (California Exotics) Approx. price: $40 Features: These 5 function vibrators are controlled by tapping the base of the units. They are designed for internal and external use and require 2 x AA batteries. Low noise level. http://www.calexotics.com

15 This resource is intended as a guide only and should not be seen as the MS Society’s specific recommendation or endorsement of any product/company. Go smarter: sound activated

Name: OhMiBod wired and wireless vibrators (OhMiBod) Approx. price: $100 - $160 Features: This range of vibrators includes those that are wired (plug into music or sound source: e.g. MP3 player; iPhone; music system) and those that are wireless. The wired vibrators have a 1m length cord with a splitter that allows headphones to be used. The wireless vibrators have a transmitter which is plugged into the music source and wirelessly transmits to the unit. The vibrators may be used in music or manual mode. When in music (or voice over an iPhone?) mode, the rhythm and intensity of the music control the vibrations. Manual mode may also be selected which allows for 7 vibration patterns. The vibrators are rechargeable, with the wireless transmitters requiring 2 x AAA batteries. www.ohmibod.com.au/

Name: Club Vibe (OhMiBod) Approx. price: $110 Features: This wireless shaped vibe is designed to be worn in underwear, although it may also be hand held. The remote has a built-in microphone which controls the vibration by responding to ambient sound: music or voice. The remote may also be used in manual mode to control 5 pre-set vibration patterns. A 23A battery is required for the remote. The vibrator is charged via USB. www.ohmibod.com.au/

16 This resource is intended as a guide only and should not be seen as the MS Society’s specific recommendation or endorsement of any product/company. Go switch

Why? Switch adapting a toy may open a whole world of possibilities for you (and your partner!) Some toys are easier to adapt than others, so if you are interested in getting something adapted, it may be worth seeking advice from your friendly Occupational Therapist. Sometimes the toys themselves can be adapted, or adaptations can be made to remote controls to enable them to be accessed easier. Powered toys can be switched too, through the use of a switch adapted remotely controlled powerboard. Almost anything is possible...if in doubt, ask 

 A switch adapted remote control powerboard for use with mains powered items: simply plug the toy into the powerboard, and a switch into the adapted control box to enable the switch to turn the item on and off. http://www.novitatech.org.au

 Switch adapted toy (can be seen at the Indpendent Living Centre of WA) ) http://www.ilc.com.au/

 Examples of adapted remote controls (Perspex wedge made for easier access to push- button remote control) (can be seen on display at ILCWA) http://www.ilc.com.au/

17 This resource is intended as a guide only and should not be seen as the MS Society’s specific recommendation or endorsement of any product/company. Extending your reach

Is it ever tricky to reach where you would like (on yourself or your partner)? Extra length

Why? Consider buying a toy that offers you extra length. Even if you don’t need the toy to be as long as it is, it may mean that you will have room to hold onto it and still reach where you would like.

Name: Body Wand Original Massager (Body Wand) Approx. price: $100 Features: A mains powered extra strength massager that is 32cm in length. Vibration intensity is controlled by a dial in the middle of the handle. http://www.thebodywand.com

Extra flexible

Why? Toys that can be bent to go around curves may be easier to position (and keep in position)

Name: Luv Touch Flexa Pleaser Waterproof Massager (Pipedream) Approx. price: $16 Features: With an overall length of 28cm, this flexible massager designed for internal or external use has 10 vibration patterns controlled by a push button on the base. Requires 2 x AA batteries. http://www.pipedreamproducts.com

18 This resource is intended as a guide only and should not be seen as the MS Society’s specific recommendation or endorsement of any product/company. Name: Power Flex Sunny (Doc Johnson) Approx. price: $30 Features: Suitable for internal or external stimulation, this 3 speed massager is 30cm in length and has a flexible shaft to assist with reach and positioning. It requires 3 x AA batteries. http://www.docjohnson.com

Name: Flex-a-Pleasure (Doc Johnson) Approx. price: $50 Features: This 28cm long vibrator has a flexible shaft which can be angled then stays in place to assist with reach and positioning. The base is twisted to select one of 5 speeds. It requires 2 x N batteries. http://www.docjohnson.com

Extra thought (adapted)

Why? Any of the handy methods you already use to access difficult to reach places may be useful. Could a toy be attached to a long handled reacher? ...a bendable long handled bath sponge? Could that feather be attached to a long handled shoe horn? The possibilities are only limited by your imagination! Your Occupational Therapist may be able to assist you in adapting your favourite toy to make it easier to use, or point you in the direction of services that may be able to assist.

Name: Starburst Feather Body Tickler (Sportsheets) Approx. price: $15 http://www.sportsheets.com.au

19 This resource is intended as a guide only and should not be seen as the MS Society’s specific recommendation or endorsement of any product/company. Getting into position

Does tiredness, pain or spasm ever stop you moving (or not moving) your body as you would like?

Add a cushion Why? A firm supportive cushion may provide more support than a pillow in helping you get and stay in a comfortable position.

Add a cushion: Foam

Name: Liberator Shapes range of Positioning Cushions (Liberator) Approx. price: $130 - $230 Features: A range of soft core foam cushions with removable microfibre covers, available in a variety of shapes, sizes and colours. May be used in a wide variety of ways during sexual activity, e.g.: support pelvis in upward tilt; support leg when lying on side; support under hips when on hands and knees. Due to their non-slip surface, the cushions can be used together to create new support shapes as required. The covers are moisture-proof and washable. Note: The “Black Label” range has clips attached to enable the use of soft cuffs and tethers. http://www.theliberator.com.au

20 This resource is intended as a guide only and should not be seen as the MS Society’s specific recommendation or endorsement of any product/company. Add a cushion: Inflatable

Name: Inflatable Position Master (Pipedream) Approx. price: $45 - $60 Features: An inflatable wedge cushion with handles at the side to aid with positioning for sexual activity whether lying on back or front. The cushion is available in a small and large size and has a non-slip flock surface. http://www.pipedreamproducts.com

Take a ride

Why? Purpose built sturdy equipment can open up new possibilities for movement and exploration with a partner. Care must be taken to follow manufacturer instructions regarding installation, use and load capacity.

Name: Intimate Rider (Intimate Rider) Approx. price: Intimate Rider + Rider Mate $1200 Features: A stable folding chair designed specifically for men for use in sexual activity with a partner. Using only a small amount of upper body effort, the chair will rock in a forward/ backward motion to aid with thrusting movements. The Rider Mate is a sling style support to enable a partner to be positioned at the correct height. Optional transfer legs provide extra stability when transferring from a wheelchair or for any other reason extra stability is required. www.seatingdynamics.com.au

Name: Sex Aid Sling Approx. price: $445 (available from the Spokz in the UK) Features: A padded swing designed for sexual activity and suitable for a wide range of sexual positions. The swing is attached to the ceiling with 2 hooks for greater stability, and can be adjusted before or after the user is in position. http://www.spokz.co.uk/products/sex-aid-sling.asp

21 This resource is intended as a guide only and should not be seen as the MS Society’s specific recommendation or endorsement of any product/company. Grab a hold

Why? Wouldn’t it be easier to move into position if you had handles? Now you can! For those not fortunate enough to have “love handles”, there are other options 

Name: I like it Doggie Style Strap (Sportsheets) Approx. price: $30 Features: A soft padded strap designed to support a partner’s pelvis in tilted position during rear entry sexual activity. http://www.sportsheets.com.au

Name: Soft Transfer Belt (Pelican) Approx. price: $80 Features: A padded, adjustable belt with handles designed to assist with transfers. Transfer belts may be useful during sexual activity to help a partner with positioning, moving and holding. http://www.pelicanmanufacturing.com.au

Name: The Sportsheet (Sportsheets) Approx. price: $195 Features: A velvet-like Velcro compatible fitted bed sheet to which anchor pads and cuffs can be attached. It may be useful in assisting maintain position during sexual activity. The Pleasure Pillowcase (or any other Velcro-compatible cushion) can be attached in any position on the sheet. http://www.sportsheets.com.au

22 This resource is intended as a guide only and should not be seen as the MS Society’s specific recommendation or endorsement of any product/company. Batteries (not included)

Do you find changing batteries difficult?

Small, fiddly batteries and difficult to access battery compartments are commonplace in smaller toys. There are, however, toys that use electricity, larger batteries or alternatives to batteries that may solve the problem.

Full power Why? Using an electrical item means there are no batteries at all, ever! (however it DOES mean you need to be near a power point and can’t use it near water...)

Name: Medisil Magic Touch Massager (Medisil) Approx. price: $170 Features: A mains powered extra strength massager with a rocker switch to control two vibration speeds. The tennis ball sized head is mounted on a spring base and there are optional heads designed for insertion and g spot stimulation available. Moderate noise level. http://www.medisilmagictouch.com

Note: other powered options include the Body Wand Vibe (pg. 18 ) and the Palm Power Massager (pg. 27)

Name: i7 eSensual USB Plug & Play Bullet (California Exotics) Approx. price: $30 Features: An egg shaped bullet designed for external use which is powered via a 1m long USB cable (PC or power). The top button on the controller turns on and cycles through 7 vibration functions. The bottom button turns the unit off. No batteries are required. http://www.calexotics.com

23 This resource is intended as a guide only and should not be seen as the MS Society’s specific recommendation or endorsement of any product/company. Rechargeable

Why? Rechargeable toys are generally more expensive to purchase, however there are no ongoing battery costs. If you are looking at a rechargeable toy, it is worth checking where the recharging socket is. Some toys require a small silicone flap to be lifted before inserting a micro-jack. Other options have magnetic attachments, which do not require as much manipulation to attach.

Name: Fun Factory range of Click ‘n Charge vibrators (Fun Factory) Approx. price: $75 - $120 Features: A range of vibrators designed for internal or external stimulation, available in a range of shapes and sizes. To recharge, plug in the charger and align the magnetic disk to the base of the unit – it will automatically click into place. http://www.funfactory.com.au

Name: Lelo Mia Rechargeable Lipstick Vibrator (Lelo) Approx. price: $110 Features: A discreet lipstick style vibrator rechargeable via a USB port or cable, with 2 hours of charging providing 4 hours of play. Two buttons control 4 vibration modes. http://www.lelo.com/

24 This resource is intended as a guide only and should not be seen as the MS Society’s specific recommendation or endorsement of any product/company. Battery pack Why? Some toys (for example the Tongue Joy (p ) have an optional power pack. Not only does this mean that the toy will last longer before replacing batteries, it also means that the batteries used will be larger and potentially easier to replace. Note: having separate batteries also means that the toy itself will be lighter.

Eco-alternatives

Why? Yes – you can have your sex toy and care about the environment at the same time  For those times when you may be travelling...or just because you feel like it, here are some greener options.

Name: Solar Powered Vibrating Bullet (California Exotics) Approx. price: $32 Features: A wired bullet style vibrator which is charged in direct sunlight or artificial light, with 60mins of use from 8hr charge. Vibration intensity is controlled using a sliding switch on top of the solar unit. http://www.calexotics.com

Name: The Earth Angel Wind Up Vibrator (Earth Angel) Approx. price: $109 Features: A vibrator with a flip out winding handle providing 30mins of use from 4 minutes of winding. http://www.naturalcontoursaustralia.com/p/1013706/the-earth-angel.html

25 This resource is intended as a guide only and should not be seen as the MS Society’s specific recommendation or endorsement of any product/company. Altered sensation Is genital numbness, hypersensitivity or heat tolerance an issue for you?

Some ideas: Genital numbness is a common experience for people living with MS. For some, adding a little extra stimulation from a vibrating sex toy can assist in increasing pleasure in sexual activities. For others, any touch at all can feel uncomfortable. If this is the case for you, smooth, cooling toys may assist in reducing unpleasant sensations.

Decreased sensation: Strong Vibration

Why? If reduced sensation or numbness is an issue for you, you may find it helpful to increase the level of stimulation during sexual activity. When considering the strength of different toys, as a general rule toys powered by mains power offer the strongest vibration. Rechargeable toys also offer strong vibration, with toys powered by the largest size of batteries usually next in vibration strength. Store owners are usually happy for you to test a toy – the tip of your nose is a good testing place  NOTE: if decreased sensation is an issue for you, be wary of using strong vibration or other extra strength stimulation in areas that you are not able to monitor for potential tissue damage.

26 This resource is intended as a guide only and should not be seen as the MS Society’s specific recommendation or endorsement of any product/company. Name: Palm Power Massager (BMS) Approx. price: $90 Features: An electrical powered massager providing extra strength vibration. Optional head attachments are available for internal stimulation. On/off and vibration intensity is controlled by a single press and hold button on the side of the handle. Measures 19cm in length. NOTE: not to be used around water. http://www.bmsfactory.com

Name: We-Vibe Tango (We-Vibe) Approx. price: $86 Features: A small extra strength waterproof vibrator, with 8 vibration modes accessed via a push button at the base of the vibrator (requires firm pressure to activate). The vibrator is rechargeable via a click / magnetic charging attachment which does not require precise placement. It is 8cm in length, with 90 minutes of charging providing 2 hrs of use. Note: May be difficult to hold due to vibration intensity and smooth surface. http://we-vibe.com/

Also consider: Body wand massager (pg. 18); Medisil magic touch massager (pg. 23) .

27 This resource is intended as a guide only and should not be seen as the MS Society’s specific recommendation or endorsement of any product/company. Increased sensation Do altered sensations ever make intimate activities uncomfortable?

Some ideas: Think about the surface of your toy: choosing toys that are smooth (eg glass or metal) may feel more comfortable. Choosing a vibratior that offers a variable range of control, rather than on/off enables you to choose a level that suits you best.

Cool it Why? Ice packs or toys that can be cooled may feel soothing prior to or after sexual activity. A wet sponge put in a zip-lock bag and placed in the freezer does not cause wetness when used as an ice pack. Avoid placing ice directly on the genital area for extended periods to avoid delicate tissue damage.

Name: Foreplay Ice Frost Vibrating Ice Massager (California Exotics) Approx. price: $36 Features: A waterproof silicone vibrator which is filled with water and frozen before use. The ice remains contained within the silicone chamber and does not come into direct contact with skin. The removable 3 speed bullet is powered by 3x watch batteries and is operated by a push button at the base. http://www.calexotics.com

Name: Sinclair Institute Select Onyx Cyberglass Dildo (Sinclair Institute) Approx. price: $55 Features: A solid glass-like dildo designed for prostate or g-spot stimulation which can be placed in the fridge to cool without cracking. http://www.sinclairinstitute.com/

28 This resource is intended as a guide only and should not be seen as the MS Society’s specific recommendation or endorsement of any product/company. For when you’re tired (but not that tired…)

Some ideas: make use of positioning pillows or supportive furniture which may allow you to rest your body during activity. If possible, plan to have any items you may find useful during solo or partner play within easy reach (hanging from the bedhead?). Choosing toys that are lighter, do not need to be held, or those made of unbreakable material so they are unlikely to be damaged if dropped may also be worth considering. Placing a condom or toy cover over your toy may make clean-up easier.

Name: Bygel Wire Basket (Ikea) Approx. price: $5 Features: A wire basket which may be hung over bed frame (or nearby furniture) to keep useful supplies (e.g. lubrication, condoms, vibrators, towels...) handy. http://www.ikea.com/aa/en

Name: Lelo Personal Moisturiser (Lelo) Approx. price: $40 – 150ml glass bottle. Features: A lubricant branded as moisturiser that can be kept on the bedside table for easy access – with a pump action for ease of use. http://www.lelo.com/

29 This resource is intended as a guide only and should not be seen as the MS Society’s specific recommendation or endorsement of any product/company. Private time Would you like to keep your activities private? Some ideas  Quiet please o Powered sex toys vary considerably in their noise level. As a general rule, vibrators powered by electricity are the noisiest and battery operated vibrators tend to be quieter. Many store websites give an indication of the noise level of the product. If shopping in person and sound level is an issue, ask to hear the item turned on.  Discreet o Many sex toys are clearly designed for intimate play and are created to resemble various body parts. Depending on your personal taste and living situation, you may prefer a toy that is less obvious in design. Consider obtaining a multipurpose device, such as a “body massager” which are readily obtained from electrical or department stores.  Easy clean o Some toys are designed for easy cleaning, which may reduce the need to ask someone to help you. Waterproof toys may be taken in the shower or bath. Placing a condom over a toy designed for insertion can reduce the need for cleaning.  Storage solutions o Purpose made zippered purchased or homemade cushions can make storage of your collection less obvious (and more accessible).  Battery alternatives o If you need to seek assistance to change batteries, you may wish to consider some of the alternatives mentioned previously (See: Batteries – not included ).

Name: Hide Your Vibe Pillow (Sportsheets) Approx. price: $65 Features: A padded 28cm x 28cm cushion with a secret inner zippered pocket. Washable. http://www.sportsheets.com.au

30 This resource is intended as a guide only and should not be seen as the MS Society’s specific recommendation or endorsement of any product/company. Continence

Having a towel handy can save the need for washing larger items (e.g. blankets/sheets). Purpose designed bed protection is available that stays feeling warm and dry, even when handling large amounts of fluid.

Name: Liberator Fascinator Throe (Liberator) Approx. price: $129 Features: A moisture proof blanket which is microfiber or plush on one side and satin on the other. The blanket is machine washable and has a moisture barrier contained within. http://www.theliberator.com.au

Name: Connie Mate Bedpad (Connie) Approx. price: $48 Features: Bed pads consisting of a soft polyester top layer, highly absorbent core and a breathable PUL waterproof backing. They are available with or without tuck-ins and are designed to keep the skin feeling dry. Able to absorb 2L of fluid over an 8hr period. http://www.conni.com.au/

31 This resource is intended as a guide only and should not be seen as the MS Society’s specific recommendation or endorsement of any product/company. A word about lubrication

Using too much is never enough when it comes to lubrication. Personal lubricants make parts fit together more easily and more comfortably. Keep water-based lubricant on hand and apply liberally. It can be refreshed by adding water or saliva (there’s no need to add more if you were generous with its application).

NOTE: If using silicone toys, water-based lubricant must be used, as silicone based lubricant will interact with the toy and cause it to deteriorate. Condoms must only be used with water based lubricant, as silicone lubricant will cause the condom to deteriorate.

Name: Sylk Approx. price: $9 – 40g Features: Water-based lubricant available from pharmacies and supermarkets. Formulated from Kiwifruit vine extract. www.sylk.com.au/

Name: Wet Stuff Gold Approx. price: $25 – 1kg pump pack Features: A long lasting water-based lubricant. Apply liberally and refresh with water or saliva. http://www.gelworks.com.au

Name: Aqua by Pjur Approx. price: $20 – 100ml Features: Long lasting odourless water-based lubricant. http://www.pjurlubricants.com.au/

Name: Lelo Personal Moisturiser Approx. price: $40 – 150ml glass bottle. Features: Very long lasting water-based lubricant available in a glass pump-pack dispenser. http://www.lelo.com/

32 This resource is intended as a guide only and should not be seen as the MS Society’s specific recommendation or endorsement of any product/company. Men Only Masturbation sleeves

Why? Masturbation sleeves provide increased sensations and may be particularly useful if hand function (yours or your partner’s…) is reduced. The sleeves are usually made of soft, stretchy textured materials and may be warmed or cooled in water before use. Can be used in solo or partnered play.

Name: Fleshlight Approx. price: $90 Features: Fleshlights are soft, pliable, non-vibrating sleeves that are made from Real Feel Super Skin® housed in a hard plastic casing designed to resemble a flashlight. They are available in a range of styles resembling different body openings and must be used with lubrication. The sleeve may be immersed in hot water to add warmth (or iced water to cool down). To wash, the sleeve must be removed from the case, washed in hot soapy water and left to dry. As the inner sleeve itself is a tube, it may be turned inside out to assist with cleaning. Some Fleshlights are available with a bullet vibrating option. www.fleshlight.com

Name: Tenga Flip Hole Approx. price: $150 Features: A textured silicone masturbation sleeve housed in a plastic case which flips open to enable easier cleaning. When pressed, the three buttons on the case create separate sensations along the shaft of the penis- massaging at the head, sucking at the bottom. The Flip Hole stands 17.5cm tall and has an insertable length of 16.5cm. http://www.tenga.net.au/

Note: A new lighter weight version of the Flip Hole has been released which has a textured case.

33 This resource is intended as a guide only and should not be seen as the MS Society’s specific recommendation or endorsement of any product/company. Name: A10 Cyclone (Rends Toys) Approx. price: £124 (Sold by Spokz (UK) under the name “The Whirlwind”) http://www.spokz.co.uk/products/the- whirlwind.asp Features: A battery operated male masturbation toy with a corded push button remote control, which may be used on an erect or flaccid penis. It has seven different rotation patterns and seven speed levels for each pattern. Spacers are available to accommodate different lengths and a variety of silicone inner sleeves are available. The non-waterproof handle is attached to the silicone inner cup using a magnetic attachment system. This cup has a variety of nubs for stimulation and requires the application of lubrication before use. Although the unit disassembles into five pieces, it is only necessary to break it into three for cleaning. The power pack requires 3 C sized batteries. The hand held remote control may be used with other Rends toys. Note: Once positioned on the penis, no further movement is required apart from operating the remote control. http://www.rendstoys.com/r1-base-unit

Name: The Hand Solo (Rocks-Off) Approx. price: $35 Features: A vibrating silicone masturbation sleeve that has a handle on one side and is open on the other side to accommodate all sizes. It is designed for use on an erect penis, enhancing and mimicking the usual pleasuring movement. It is waterproof, powered by a vibrating bullet which can be positioned at the top or bottom during use and may be used in solo or partner play. As with all silicone toys, must be used with a water-based lubricant. http://www.rocks-off.com

Name: Super Head Honcho (California Exotics) Approx. price: $35 Features: An open-ended stretchy textured sleeve which may be flipped inside out for cleaning. http://www.calexotics.com

34 This resource is intended as a guide only and should not be seen as the MS Society’s specific recommendation or endorsement of any product/company. Penis rings

Why? The purpose of a penis ring (or cock ring / erection ring) is to trap blood inside the penis in order to maintain an erection, or encourage a stronger erection. In order to do this it must be placed at the base of the penis. Some rings are designed to be worn around the penis and testicles. Note: Penis rings must not be kept in place longer than about 30mins (or earlier if coldness/numbness is detected)

Name: Touch-Plus Disposable Penis Ring (Screaming O) Approx. price: $10 Features: A touch activated disposable vibrating penis ring that can be worn to enhance and prolong an erection and provide extra stimulation for both partners. Provides up to 60min of vibration. Can also be worn on fingers / toes, or placed on a dildo to add a vibrating element. http://www.thescreamingo.com/

Name: Adonis Caesar Silicone Penis Ring (California Exotics) Approx. price: $20 Features: A super stretchy silicone ring which can be stretched between the fingers using both hands and placed around base of penis and testes. http://www.calexotics.com

Name: Tor 6 Mode Rechargeable Cockring (Lelo) Approx. price: $140 Features: A rechargeable silicone penis ring that is designed to be worn during sexual intercourse, providing extra stimulation for both partners. There are 6 vibration modes. 2 hours of charging provides 1.5 hours of use. http://www.lelo.com

35 This resource is intended as a guide only and should not be seen as the MS Society’s specific recommendation or endorsement of any product/company. Penis vacuum pumps

Why? Penis pumps can be used to temporarily overcome symptoms of erectile dysfunction. Penis pumps are cylinders that are fitted over the penis and have a manual or motorised pump to create suction. As the partial vacuum is created around the penis, blood is drawn in creating an erection. A penis ring is pushed by hand onto the base of the erect penis before releasing the vacuum, which restricts blood flow out of the penis and maintains the erection. Penis rings must be removed after no more than 30 mins.

Name: Automatic Precision Penis Pump (California Exotics) Approx. price: $70 Features: A battery powered vacuum pump activated by a single button on the pistol shaped grip. The vacuum is released by pushing a second button. To be used in conjunction with a penis ring (slide off bottom of unit after erection is attained). Powered by 4 x AA batteries. http://www.calexotics.com

Name: Pump Worx Max Precision Power Pump (Pipedream) Approx. price: $80 Features: A pistol grip style large handled pump with gauge and pressure release button. A penis ring is included. http://www.pipedreamproducts.com

36 This resource is intended as a guide only and should not be seen as the MS Society’s specific recommendation or endorsement of any product/company. Prostate stimulators

Why? Many men find stimulation of the perineum, area around the anus and/or prostate highly pleasurable, even in the face of reduced sensation in other genital areas. As with all toys it is important to use plenty of good quality long lasting lubrication, particularly if using toys for insertion. Prostate stimulators may be used in solo or partnered play. NOTE: when considering toys for anal insertion, choose only smooth toys with a wide/ flared/ large base to avoid the toy being sucked up into the rectum (and avoid a visit to the emergency department to have it removed…).

Name: Dr Joel’s Prostate Massager (California Exotics) Approx. price: $50 Features: A hard plastic waterproof vibrator powered by 3 x AAA batteries (housed under screw cap at the base of the unit). Variable speed is controlled by twisting the base of the screw cap. Suitable for internal or external use. 17cm in length. http://www.calexotics.com

Name: Sinclair Institute Select Onyx Cyberglass Dildo (Sinclair Institute) Approx. price: $55 Features: A solid glass-like dildo designed for prostate stimulation. It may be warmed or cooled in water as desired before use. http://www.sinclairinstitute.com/

Name: Rude Boy Prostate Pleasuriser (Rocks-Off) Approx. price: $70 Features: A vibrating silicone insertable toy designed to provide prostate and perineal stimulation. The toy is waterproof and measures 13cm in length, 2.8cm in width. http://www.rocks-off.com

Name: Colt Turbo Bullet (California Exotics) Approx. price: $32Features: A wired remote controlled egg shape bullet powered by 3 x AA batteries (housed in the remote) providing very strong vibration. Vibration intensity is controlled by a slider at the side of the remote. http://www.calexotics.com 37 This resource is intended as a guide only and should not be seen as the MS Society’s specific recommendation or endorsement of any product/company. Cleaning and safety tips

The best way to clean a sex toy depends on:  what the sex toy is made of  if the sex toy uses batteries and/or has parts that cannot be washed

Sex toys should come with advice about how to clean and store them. Follow the manufacturer’s instructions carefully.

Most toys can be cleaned with soap and hot water or with a special sex toy cleaner. It is important to keep water away from any vibrating motors and/or battery compartments.

It is important to wash toys between use:  on different parts of the body, such as the mouth, vagina and anus  by one person and another

Toys designed for insertion (e.g. dildos) can be used with a condom, which can then be discarded and the toy cleaned in the usual fashion.

It is also important to check sex toys regularly for any scratches or breaks in the surface material where germs could be present and spread, increasing the risk of infection.

Name: Toy Covers (California Exotics) Approx. price: $5 Features: Sanitary sleeves with a non-reservoir tip made of natural rubber latex, designed for slim and small toys. They are un-lubricated, allowing use of chosen lubrication. http://www.calexotics.com

38 This resource is intended as a guide only and should not be seen as the MS Society’s specific recommendation or endorsement of any product/company. A brief word about anatomy

Why? In order to use adult toys in a safe and pleasurable manner, it is helpful to have a basic understanding about how bodies work and “which bits are where”. Some toys are designed for internal use, whilst others are only safe to be used externally. If you haven’t yet become acquainted with all parts of your body, a propped mirror can be a handy thing! Female Genitals

Male Genitals

39 This resource is intended as a guide only and should not be seen as the MS Society’s specific recommendation or endorsement of any product/company. Resources: Western Australia - agencies

The Multiple Sclerosis Society of Western Australia Inc. 29 Parkhill Way, Wilson WA 6107 Locked Bag 2, Bentley DC WA 6983 Ph 08 9365 4888 Fax 08 9451 4453 Country callers: 1800 287 367 Email: [email protected] http://www.mswa.org.au/

FPWA Sexual Health Services (formerly Family Planning) 70 Roe Street Northbridge WA 6003 PO Box 141 Northbridge WA 6865 Ph 08 9227 6177 Fax 08 9227 6871 http://www.fpwa.org.au/ secca (Sexuality Education Counselling and Consultancy Agency) City West Lotteries House 2 Delhi Street West Perth WA 6005 Ph 9420 7226 Fax 9420 7229 Email: [email protected] http://secca.org.au/

Independent Living Centre WA Information, advice and display of disability related (including sexuality) assistive technology. The Niche 11 Aberdare Road, Nedlands Western Australia, 6009 TOLL Free: 1300 885 886 Email: [email protected] http://www.ilc.com.au/

40 This resource is intended as a guide only and should not be seen as the MS Society’s specific recommendation or endorsement of any product/company. Resources: online Sex and MS: a guide for men An informative guide produced by the MS Trust UK available free as a download from: http://www.mstrust.org.uk/shop/product.jsp?prodid=356

Sexuality and MS: a guide for women An informative guide produced by the MS Trust UK available free as a download from: http://www.mstrust.org.uk/shop/product.jsp?prodid=213

The Sexual Health Network The Sexual Health Network is dedicated to providing easy access to sexuality information, education, support, and other resources. It includes a section on disability and illness. www.sexualhealth.com

Outsiders The Outsiders is a UK based social and peer support network of disabled people with a focus on relationships and sexuality. The website includes links to a range of resources and has a variety of online leaflets available. www.outsiders.org.uk

Come As You Are A co-operatively run sex toy, book and dvd store with a website which has information and advice about a range of sex toys, their uses and newsletters. It includes a "Sex and Disability" section with disability resources and seniors' sexual health information. www.comeasyouare.com

Resources: books

Multiple Sclerosis: The Questions You Have, The Answers You Need, Fifth Edition (2012) Rosalind C. Kalb, PhD. Demos Medical Publishing, 365 pp ISBN: 978-1-936303-16-8

The Ultimate Guide to Sex and Disability: For All of Us Who Live With Disabilities, Chronic Pain and Illness (2003) Miriam Kaufman, Cory Silverberg, and Fran Odette Cleis Press P.O. Box 14648 San Francisco, CA, 94114 345 pp ISBN: 1-57344-176-7

41 This resource is intended as a guide only and should not be seen as the MS Society’s specific recommendation or endorsement of any product/company.

42 This resource is intended as a guide only and should not be seen as the MS Society’s specific recommendation or endorsement of any product/company.