Archive for the ‘Men’s Health-Erectile Dysfunction’ Category

METHODS OF CONTRACEPTION: THE CONDOM AND SPERMICIDES

Friday, March 27th, 2009

This method is also called the male barrier method, the sheath, prophylactics, ‘johnnies’, ‘jolly bags’. Trench letters’, ‘Durex’ (one of many brand names) and preventives. The condom fits on the erect penis in much the same way that a glove fits over a finger. The condom is placed over the erect penis prior to intercourse. (This must be done before the penis enters the vagina.) When the male ejaculates, the sperm are trapped in the condom so they don’t enter the vagina. After intercourse, before the penis becomes soft again, the condom is held firmly at the base of the penis (to avoid spilling sperm) and the penis and condom are withdrawn from the vagina. After use, the condom is discarded.

Spermicides-These are sperm-killing chemicals that come in the form of creams, jellies,

C-films, pessaries and aerosol foams. They are placed in the top of the vagina shortly before intercourse and work by killing sperm before they can get through the cervix, into the uterus. Some types of creams and jellies are used with caps and diaphragms, others are made to be used alone. However, when used alone they aren’t very effective at preventing pregnancy, and therefore are not recommended methods.

Contraceptive foam is more effective, especially when used with a condom. A special applicator is used to insert the foam into the top of the vagina, which may be done as many as three hours prior to intercourse. If more time elapses before intercourse, if a couple decides to have sex a second time or if the woman gets up and walks round, allowing the spermicide to drip out, more foam must be added before intercourse. The foam works by acting as a barrier as well as by killing or stunning the sperm.

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DOCTOR’S NOTES: HOW DOES DIABETES PUT THE BRAKES ON YOUR SEX LIFE?

Tuesday, March 24th, 2009

“So how does diabetes put the brakes on my sex life?”

“For the most part, the ED is induced by vascular disease caused by the diabetes, which results in blood vessel blockages, including the arteries of the penis. Nerves can also be damaged by the disease, which is another factor that hurts your erection capabilities.”

“So, can you fix my problems?” he asked hopefully.

“First of all, control of your diabetes is your most critical health issue right now,” I said. “That means you must make a serious effort to lose the extra weight you have put on over the last few years. And you can do that through regular exercise and adjustments in your diet. As for your erection problem, I can tell you this: while your specific type of ED is not curable, because it’s caused by diabetes, which is a chronic disease, it may be able to be successfully treated with a new oral medication.”

I explained to Jim that in the future Viagra would be_ one of the new medications available to him and that it had a great likelihood of being effective despite the strong biological impact of diabetes on his erectile performance. At the present time, I was using Vasomax in my study. Although it is less effective for men with moderate to severe dysfunction, it can work well for those with either mild to moderate dysfunction or ED caused by psychological reasons.

1 told Jim it was certainly worth trying Vasomax because it was well tolerated, with an excellent safety profile. I explained how the Vasomax study worked and offered him the opportunity to enroll as long as he met all the criteria. He did and three weeks later he called me. “I’m a private kind of guy, but I just had to tell you what happened,” he told me. “It’s been great, being able to really feel again and give Emily pleasure. It just made us grow even closer. I’m a complete man again. I can’t thank you enough. It’s a miracle—and I never thought I’d live to see it.”

Jim’s response gave me two reasons to be thrilled.’ One, I knew that the quality of Jim’s life had improved. And, two, the fact that he had responded to Vasomax pointed out that his diabetes was not as advanced as I had feared. Jim has since shed the extra weight, his diabetes is under control with Glyburide, an oral diabetes treatment, and he still takes his ED medication. The beauty of both Viagra and Vasomax is that they are compatible with drugs most commonly prescribed by physicians.

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VIRILITY SOLUTION: NEW SAFE MEDICATIONS IN PILL VASOMAX

Tuesday, March 24th, 2009

The best aspect of these medications is the unique way in which they react biochemically as facilitators and amplifiers of erections. But there must be normal sexual stimulation in order for an erection to occur. In other words, emotion and caring play a big part in how they work successfully. But one thing is certain: they will help a man achieve the best possible combination of desire and physical functioning.

Their expressions mirrored their skepticism, but Mark and Lucy were ready to try anything. After Mark and Lucy signed the necessary papers required for the study and I took a blood sample, I gave him a Vasomax pill to swallow. I noted his blood pressure and heart rate over the course of the next hour. A possible side effect of Vasomax is a sharp decrease in blood pressure and an associated rise in pulse. If his blood pressure dropped by more than 30 points over his predose reading, Mark would be ineligible to use the drug. His blood pressure dropped only 10 points, with no other noticeable change to him. His pulse went up 10 beats per minute, which was to be expected. Mark was eligible for the trial and I supplied him with a month’s worth of the drug.

Several days later,’ I received a fax from patient with just two words: “It worked!”

And a few months later, my patient was not only his old self, he was even better. He was surprised to find that on some occasions he no longer required the medication to achieve an erection. His job performance was stronger than before and he was drinking moderately, if at all. Most importantly, he understood how his ED had developed and hoped that soon he would not need the medication at all. But should his ED recur—for whatever reason—he felt confident knowing that he could go back on the medication under my supervision.

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THE VIRILITY SOLUTION: THE MEDICAL MIRACLE

Tuesday, March 24th, 2009

All adults are entitled to a fulfilling sex life. An active component of complete health, the ability to have satisfying sex is a marker signifying that all the elements which define us are working together seamlessly. By this I mean not only the physical, but the very important psychological and emotional factors as well. What it comes down to is this: sex is good for you.

As an internist in New York City, I see patients who represent a cross section of the population, from every background and of every age. They come to me for a range of reasons, from yearly checkups to follow-ups to surgery, and everything in between. Increasingly, however, my male patients are coming in to discuss their sex lives and, more specifically, their inability to consistently have erections. Whether they are in their thirties, forties, fifties, sixties, or older, this vital part of their being can sometimes falter, for any number of reasons. Wanting to be the best they can be, at every stage of their lives, they ask about the options available to them.

My goal is to give them the best that medical science has to offer to help restore erections. Today, there are extraordinary new additions to the world of prescription medicine which, without a doubt, rank among the most exciting discoveries in recent medical research. Drugs which accomplish what millions of men, and their partners, have been waiting for are finally available.

For every man who is worried about the possible loss of potency —the ability to have a firm erection each and every time he wants to have sex—for every male who has already experienced it, and for every partner who ever wondered what to do, there is not only hope, there is this new medical miracle.

Simply stated, a revolution has begun. Most men, who suffer from erectile dysfunction, or ED, may now restore their virility by taking a prescription pill. The impact on the estimated thirty million men who experience ED cannot be underestimated. Today, ED can be treated successfully more than 95 percent of the time. Nevertheless, fewer than 5 percent of those affected have received treatment.

Effective, and well tolerated, these amazing pharmacological virility remedies are Viagra, the brand name for sildenafil, and Vasomax (phentolamine). For the first time, it is possible to restore optimal sexual function to nearly every man who desires it. And they will put to rest the myth that ED is an irreversible function of aging. In a matter of minutes, the new oral medications can:

• allow a man to have firmer erections to ensure fulfilling sexual intercourse

• renew and strengthen an existing—or even dormant—sex life

• bolster self-confidence

• lift depression associated with ED, thereby positively affecting all facets of a man’s life, including his work

• help to create a relaxed, unhurried window of opportunity to proceed at a couple’s individual pace

• mend relationships torn by frustration

• offer joy in the sexual arena, where little or none had been felt for years

• solidify sexual bonds with a partner

• restore intimacy and thereby deepen relationships

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SEX IN ASEXUAL ENVIRONMENTS

Tuesday, March 17th, 2009

“Are we there yet?” Not quite. Our sexual journey is never quite over. To remain on course, we may have to make adaptations at various times of our lives.

At some time in our lives, we may live in environments that can be considered asexual. These environments include hospitals, prisons, the military, and religious organizations. Privacy is a major concern in these environments. So is the role of celibacy.

In a prison, privacy is a privilege. Masturbation might be the only option for sexual expression. Some people might refrain from all sexual expression in that environment. Others may turn to homosexual relationships. Straight women and men in prison may have sex with others of the same gender to satisfy their need for human physical contact. Most will return to having sex with the other gender after they are released. Same-gender rape is one of the risks of prison life.

Sexual expression may also be limited in the military Privacy is also scarce, and masturbation must be accomplished quietly There is often personal leave time off of the base that can allow for sexual expression. Some military people are married and have the privilege of living with their spouses on the military base. Other people in relationships can see partners or spouses periodically when they are on leave.

Sexual diversity in military life can be difficult. Currently, the military cannot ask personnel whether they are homosexual. However, if someone’s homosexuality is revealed, there is a great chance that person will receive a dishonorable discharge. Although homosexual activity is against the military code of conduct, significant numbers of lesbian, gay, bisexual, and transgender people are enlisted, or want to enlist. Each must make a personal decision about the level of risk she or he is willing to take to serve the country.

Religious life is also a unique sexual environment. Many religious people take vows of chastity or celibacy. This means that they promise not to be sexually active. But this does not mean that religious people are not sexual. Celibacy is one of the many ways we can express sexuality. Although difficult for most women and men, celibacy can be a personally rewarding and insightful way of life. Celibate women and men may enjoy deeply intimate, nonsexual relationships with others.

We know that sexual repression can cause mental health problems. It may seem ironic, then, that sexual expression is usually repressed in mental health settings. Partnered sex play, same-sex erotic attachments, and masturbation are all forbidden in most long-term, mental health care facilities. Romantic attachments between women and men are often ridiculed and discouraged. Moreover, many of the mood-altering medications used in these settings decrease sexual desire and arousal among the residents.

We need to remember that the mentally ill are also entitled to sexual expression, access to birth control, and safer-sex information. If it becomes necessary for friends or members of our families to spend long periods of time in institutional settings, we can try to evaluate those settings for humane and enlightened attitudes toward human sexuality.

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SEXUAL JOURNEY THROUGH MIDLIFE: EMOTIONAL CHANGES. MARITAL SEX

Tuesday, March 17th, 2009

Emotional Changes during Midlife

As adolescents, many of us were very anxious about the changes in our bodies. We wondered if the changes were okay and if we were normal. In midlife, we have those anxieties all over again.

We worry if our bodies are still attractive. We may develop performance anxiety. Men may become anxious about developing problems with their erections. These problems can be magnified by stress over money, ill health, career, sexual boredom, fatigue, or excessive drinking. One partner may blame herself or himself if the other is having problems. We can feel that we are no longer desirable or sexually attractive.

The slowing down of the sexual response cycle in women and men is natural. This slowdown may also make us anxious. But we may not feel as anxious if we understand that sex is a vital part of the lives of most middle-aged women and men. In fact, middle-aged women often have strong sexual desires, and they are more likely to reach an orgasm than younger women.

Women and men both report that midlife sexuality can bring a whole new world of sexual satisfaction: They have less fear of unintended pregnancy. Their children are likely to have left home, giving the older parents more privacy. They may even have financial freedom.

Marital Sex during Midlife

Sex patterns may change during the course of a married life. Although the frequency of sexual activity decreases with age, most married people 45 years and older still have sex once a week. After 15 or more years of any relationship, sex habits can be quite different from those of the first year of marriage. Time, children, and careers all contribute to personal growth. As people grow, so does their sexuality. But it is not necessary that sex become dull with age.

After being married for some time, a couple may have to make further adjustments. After women and men experience their climacterics, they might have to shift the frequency of sexual activity or the time of day they can enjoy sex with one another. Their choices of sexual activity may also change to allow for the changes that are taking place in their bodies.

The amount of nonsexual attention partners give each other may also undergo change. Communicating about fears and anxieties and educating one another about midlife changes can alleviate the stress over sexuality for both partners in a midlife relationship. Many partners are able to begin expressing more affection and pleasure with one another as their children leave home and allow them more privacy.

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PARENTHOOD: SEX AND PREGNANCY

Tuesday, March 17th, 2009

One of the biggest decisions we make in our adult years is whether or not to have a child. Deciding to have children brings with it a huge responsibility for another’s life. How to be a parent is not something that we learned in school. Most of what we learn about parenting we learn from our own parents. We really do not get a lot of formal training.

We need to know about equality, health care, discipline, understanding behavior, dealing with anger, praising, setting limits, and belonging—whether or not we were taught them by our parents! Becoming a parent is a life-altering decision that should be considered very carefully.

Being pregnant can have a big impact on a woman’s sexuality. Her sexual desire may increase or decrease while she is pregnant. It can vary from month to month or day to day. Hormone levels are constantly changing. In the first trimester, nausea, breast tenderness, and fatigue may make a woman less interested in having sex. In the second trimester, she may have increased sexual desire because her body is adjusting and becoming more balanced. Overall, there is a general decrease in sexual interest throughout pregnancy, with the lowest interest in the third trimester.

If a pregnancy is proceeding normally and the woman is healthy, health care providers will generally advise that sexual intercourse can safely be enjoyed up until the last four weeks of pregnancy. Sexual intercourse should be discontinued immediately if the woman experiences vaginal bleeding, abdominal pain, or any other symptom of miscarriage, or if her water breaks.

Experimenting with your partner will allow you to figure out which sexual positions are most comfortable. It may be necessary to find or modify some positions. The so-called missionary position of man on top may be uncomfortable if you are pregnant. Side by side, woman on top, and rear entry might prove to be more comfortable. Oral sex and manual genital stimulation as well as touching each other’s body and holding may also be satisfying. Condoms should be used to prevent sexually transmitted infections if either partner has been diagnosed with one.

Intimacy, eroticism, and sexual satisfaction can increase and continue during pregnancy. Being sensitive to and aware of a woman’s changing body and feelings, as well as accepting the need for adjustment, can add excitement to your sexual relationship.

Why do some pregnant women enjoy sex and others don’t? A decrease in sexual interest can be caused by physical discomfort during sex, feeling big and unattractive, or fear of hurting the fetus. Later in the pregnancy, an increased awareness of the fetus can make sex feel like a gathering of too many people!

Some women become more sexual during pregnancy. They may feel more womanly and less inhibited. The heightened awareness of their bodies can increase their sensuality. During pregnancy, there is increased flow of blood to the genitals. This increase can heighten sexual desire and response for some women.

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EMOTIONAL CHANGES DURING YOUNG ADULTHOOD

Tuesday, March 17th, 2009

The emotional and mental changes that take place in young adulthood are probably going to be more noticeable than the physical ones. Decisions about careers, living arrangements, and relationships become important. Our educational needs will also change.

One of the biggest concerns we have as young adults is our living arrangements. We usually remain living at home with our parents until we are financially able to have our own apartment or house.

Being a sexual adult while still living at home can have some drawbacks. When we enter adulthood and begin having intimate relationships with others, it may be difficult to express our sexuality when we know our parents are in the house!

Families have to get together and establish ground rules about privacy at home. Every member of the family can express what will allow her or him to be comfortable. Families may want to consider the risks young people take to have sex outside the home.

Sex in parked cars and other public places can lead to dangerous or humiliating situations. If being sexual at home is against the rules, then other solutions can be found. The partner’s home may be more appropriate. If neither home is an option, finding our own place might become necessary.

Living alone may offer great potential for personal fulfillment. We may have greater opportunities to travel, entertain, relax, pursue hobbies, and explore our own individualities. Maintaining independence and learning how to be a responsible person are additional benefits. The privacy of living alone enables us to be sexually active, if we choose, without the concerns of being in our parents’ home. But living alone—whether by choice or necessity—can also be difficult and lonely.

If living alone is not appealing or practical, sharing a home with a roommate may be the solution. People of the same or other gender can share housing. Roommates can provide companionship and share the costs of the home. They should establish ground rules regarding privacy and houseguests from the start.

As infants, children, and adolescents, we have emotional needs that must be met. We need affection, caring, and education. As adults, we still have these needs. These emotional needs are met through various people in our lives. We still receive and need love and affection from family. Our friends are also very important to us. But as adults, we find ourselves making new friends and forming new relationships that are unconnected to our families or the friendships of our childhood.

Not all of us make new friends when we become adults. Some young adults choose to avoid intimate relationships. They may fear taking risks with their emotions because of some past hurt, or they may be concerned with other changing parts of their lives, such as their careers or their changing relationship with their families.

Forming relationships, however, usually becomes a central part of our lives. Developing relationships, especially intimate ones, can be a challenge. It happens when we become comfortable enough to risk revealing our true identities and our most personal thoughts and feelings to someone else. In order for us to become intimate with someone else, we need to understand our own identities.

Intimacy is a closeness between two people. Intimacy can be an emotional, spiritual, social, or intellectual closeness. It usually involves both sharing and caring. Being free to communicate is essential in an intimate relationship. We can be intimate with family, friends, or sex partners, but sex does not have to play a role in intimacy.

Intimate friendships can be extremely rewarding. Yet forming them can be sometimes difficult. On the one hand, it seems so simple: The major reason we make new friends is that they are similar to us in some way, and they like us. We feel emotionally rewarded when we are with them, so we want to be with them. We also want them to feel as good as we do, so we return the emotional reward to them—we “reciprocate,” then they reciprocate, then we reciprocate, and so on.

On the other hand, reciprocity can have its downside. Even when both people want to reciprocate, they may fall short of one another’s expectations. One of them may be ill. Times may be hard. One person may not be as mature as the other. There are lots of reasons.

We also learn from experience that our judgment isn’t always good about the people with whom we choose to reciprocate. We can make mistakes about how much we think someone else cares for us. We can also overlook what it may cost us to reciprocate to the “wrong” person—especially if we have low self-esteem. In other words, we can get hurt.

As we learn more about relationships, we become more careful. Sometimes we become too careful. The better we understand ourselves, however, the more likely it is that we can have safe and secure reciprocal relationships. It can be the work of a lifetime to learn enough about ourselves to be able to manage rewarding intimate relationships with other people. Many women and men have found that the investment is worthwhile.

We have a strong desire to be liked and held in good esteem by others. This is a powerful and motivating force that has been with us since childhood and adolescence. Social approval is very important to us in adulthood as well. Having our worth reaffirmed by others really matters to us. We depend on others to help satisfy our needs. Their approval helps us feel confident that these needs will be met. It builds our self-esteem.

Not everyone has his or her sense of worth affirmed. The unaffirmed will find it difficult to feel good about themselves or think that others feel good about them. They are likely to have low self-esteem. People with low self-esteem do not expect others to like them, and they have a hard time accepting affection when it is offered. They are also likely to make poor judgments about forming reciprocal relationships.

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SOCIAL PRESSURES AND RESPONSIBILITIES DURING ADOLESCENCE – II

Tuesday, March 17th, 2009

As adolescents, we also learn a lot of gender stereotypes—what supposedly is right or wrong for girls and boys to do. We feel a lot of pressure about our gender. We try to conform to our society’s gender stereotypes. On the next page is a list of positively valued stereotypes that are supposed to be true of women and men.

Of course, these are all characteristics that women and men both possess, but there is a lot of pressure on us as teenagers to fulfill one or the other of these stereotyped roles. We are expected to look feminine or masculine, and we are expected to act that way as well.

As adolescents, we tend to form instant judgments about people’s femininity or masculinity on obvious or subtle characteristics, like the way they dress, their hairstyle, or their body language. We develop a lot of our expectations about female and male behavior at home as we observe who does what chores, who takes care of the children, who makes decisions, who brings home the paycheck, and who decides what’s done with it.

Dating is one of the crucial gender pressures we experience as teens. We live in a predominantly heterosexual world, and when we reach our teen years, we are expected to be attracted to, pursue, and date the other gender.

Sexual decision making may become a part of dating for older teens. Not only are we pressured to date, we are also pressured to have sex. Sometimes saying no to sex can be really difficult. We worry what it means about us. Does it mean that we do not love our partners? Does it mean we are not feminine or masculine enough? Does it mean we are not sexually desirable? There are probably few experiences in our lives, whether we are adults or teenagers, that can be as exciting and anxiety-ridden as making decisions about when to have our first sexual intercourse.

These are very real questions for us as teenagers. Many of us also believe sexual myths like the ones listed below.

• Having sex makes one become adult.

• Having sex proves love is real.

• “No” really means “yes.”

• People can’t enjoy sex if they use condoms.

• HIV can’t happen to me.

Adults also have myths about teenagers and sex. Many believe that if teenagers are given information about their sexuality, they are more likely to have sex earlier than other teens. Actually, the opposite is true. Teenagers who receive information about their sexuality are more likely to delay their first intercourse.

On the next page are some worthwhile questions to ask about ourselves, our partners, our families, and our friends before we decide to have sex with someone else.

Being a sexual person during our adolescent and teen years carries with it a certain amount of responsibility. We are not only accountable for ourselves but are also accountable for anyone with whom we may be sexually intimate. We must be knowledgeable about contraception and sexually transmitted infections. We must come to understand what it means to make emotional commitments to another person. Being able to communicate and make decisions together can make these experiences more rewarding and much healthier for both partners.

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SEX DIFFERENCES

Wednesday, March 11th, 2009

What are big boys made of?’ – independence, aggression, competitiveness, leadership, task-orientation, outward orientation, assertiveness, innovation, self-discipline, stoicism, activity, objectivity, analytic-mindedness, courage, unsentimentality, rationality, confidence, and emotional control.

‘What are big girls made of? What are big girls made of?’ – Dependence, passivity, fragility, low pain tolerance, non-aggression, non-competitiveness, inner orientation, interpersonal orientation, empathy, sensitivity, nurturance, subjectivity, intuitiveness, yieldingness, receptivity, inability to risk, emotional liability, supportiveness.

These quotations are from two feminists, Jane Bardwick and Elizabeth Douvan, who investigated the way Americans expected men and women to behave.

How true are these stereotypes? Can the two sexes be fitted into sex-typing so easily and, if they can, are the characteristics of each sex due to inherited psychological sex differences or are they due to learned behaviour?

We all know that little boys and little girls are different. They look different, they behave differently, they belong to ‘opposite’ sexes. But how exact is our knowledge, how much is it based on myths and on perceptions of what each sex should look like and how it should behave?

If small children were dressed similarly and had similar hairstyles (as they do increasingly), it would be almost impossible to tell if the child was a boy or a girl, without looking at its genitals. The body shape and other physical attributes of all children are very similar until they reach puberty. Up to the time of puberty the average heights, for each year of age, of boys and girls are quite close, as are their weights and the shape of their bodies.

Although boys and girls may have a similar physical appearance (apart from their genitals) most people believe that children of the two sexes have a different inherited psychological make-up, which makes them behave differently. How true is this? ‘What makes a man a man?’

A very considerable amount of research has gone into attempts to define sex differences. These have been summarized by Eleanor Maccoby and Carol Jacklin in their excellent book The Psychology of Sex Differences.

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