Archive for the ‘impotence’ Category

Want to Avoid ED Erectile Dysfunction? Get Off the Couch!

September 10, 2015

A number of studies have suggested that physically active men have lower rates of erectile dysfunction than couch potatoes,

A new study published by the Journal of Sexual Medicine (J Sex Med 2015;12:1862–1864) checked those results by measuring how much their subjects actually moved.

692 men between the ages of 50 and 85 were fitted out with motion trackers, like a FitBit, for up to a week and asked to report, among other data, their erectile function over that time period.

The study found a strong correlation between the time men spent moving and erectile function: for every additional 30 min each day the men spent in moderate-to-vigorous physical activity, their odds of developing erectile dysfunction dropped 43 percent.

Bottom Line on preventing ED: Two words-GET MOVING.

WHAT’S KEEPING YOU AND YOUR ERECTIONS DOWN?

August 7, 2015

Millions of American men suffer from ED or erectile dysfunction. For young men having difficulty achieving an erection, here are some common causes:
Stress : Among men in their teens, 20s and 30s, most cases of ED are linked to psychological issues. Anxiety and stress are a major factors especially if these are factors right before sex. Many young men who are inexperienced feel pressure to perform the best sexually and also have concerns about size. This stress can lead to performance anxiety. This buildup of stress can cause an influx of adrenaline or epinephrine which can inhibit an erection.
Too much bike riding : Now, just to be clear, if you’re an avid biker, it doesn’t mean you’re going to develop ED. But if you experience numbness as you ride within the first few miles or after biking marathons you may be causing long-term damage. Below the prostate (and what directly rests on the bicycle seat) are the nerves responsible for bringing blood the penis, which is what happens during an erection. Try getting fitted for a better seat if you’re experiencing this.
Medicines : Cold medications like Sudafed contain pseudoephedrine, which acts as epinephrine in the body and decreases the ability to achieve an erection. It increases your body’s natural fight or flight reaction and makes your body think you’re scared of something. The effects of the drug aren’t permanent.
Partying : Drinking and recreational drug use may also serve as a proponent of ED. Alcohol is a depressant and relaxes you but can cause the inability to perform. Cocaine for example, will lower your testosterone levels.
Cancer treatments : If young men have been diagnosed with testicular cancer or another cancer and are being treated with chemotherapy and radiation may lower testosterone levels which affect blood flow to the penis. Radiation can also directly damage the lining of the blood vessels or cause nerve damage.
Diabetes and high blood pressure are other causes of ED because diabetes impacts the body’s ability to produce nitric oxide. Another major factor is being obese or overweight. Anything that’s bad for your heart is bad for your penis. Blood vessels are tiny in the penis and if they’re clogged the blood won’t flow there. Eating right and exercising makes everything work better.

1. STOP SMOKING

Heart problems aren’t the only issue keeping men down. Erectile dysfunction is commonly caused by stress, medications, partying, cancer treatments, or even bike riding.

Smoking can cause blood vessels to narrow, which can have a detrimental effect on blood flow to sex organs. Similarly, smoking diminishes your stamina, limiting the amount of rigorous activity one can handle – which unfortunately can leave your partner wanting more.
2. WORK IT OUT
Notwithstanding my earlier comments about biking, moderate regular exercise has been shown to help improve blood flow to the sexual organs. Exercises focused on thighs, buttocks and pelvis are especially good for genital circulation. In addition, exercise boosts self-image and confidence. Anything that improves self-esteem will in turn improve libido.
3. LOSE WEIGHT
Study out of Duke, found that up to 30% of obese people seeking help controlling their weight indicate problems with sex drive, desire, performance, or all three. This is because being overweight can reduce blood flow and lower testosterone levels. High cholesterol as well as type 2 diabetes, both associated with being overweight, impact sexual performance. Both can cause penile arteries to shut down when arteries get clogged with fat deposits. Erectile dysfunction leads to decreased sexual desire and libido.
4. GINGKO BILOBA
Herbal remedies like tea or supplements derived from ginkgo biloba can have a positive effect on sexual desire and even orgasm. This age-old remedy is known to improve circulation, yet again enhancing sex.
5. TRY SOME LIBIDO-BOOSTING FOODS
Certain foods, like those high in zinc (think oysters!) can increase sperm production and testosterone- the hormone in men responsible for sex drive. Also, foods high in essential fatty acids like flaxseeds, sardines, and nuts help to increase testosterone production and increase libido.

This article was written by Dr. Samadi a board-certified urologic oncologist trained in open and traditional and laparoscopic surgery, and an expert in robotic prostate surgery in New York City.

ED May Be A Warning Sign For Heart Disease

August 7, 2015

The penis is a dangling stress test and may be a predictor of impending heart disease.

Most men would never make the connection between their penis and heart — but it exists. Men should think of their penis as a thermometer for the heart. When the arteries in one part of your body are clogged, you can expect arteries to be filling up with sticky cholesterol-like plaque in other parts of the body as well.

Heart doctors have long understood this concept, routinely ultra-sounding the arteries of the neck (carotids) to provide a barometer for the tiny arteries (coronaries) that supply the heart.

Now, a new study provides evidence that the penis is another crucial barometer of arterial disease. The study, published in the August 2015 issue of the Journal of Sexual Medicine, reveals that men with erectile dysfunction and depression are much more likely to go on to develop heart disease than those without ED.

A team of Italian researchers screened 1687 patients with erectile dysfunction and found that men with ED who were also depressed were much more likely to have a heart attack or angina. ED is clearly an alert to larger emotional and physical problems including heart disease.

Here’s the explanation of the penis-heart connection: The arteries that supply the penis are only able to provide a strong sustained erection when they are working perfectly. So ED is often an indication that something is wrong with your arteries, and since the arteries of the penis are smaller than the arteries of the heart (coronary arteries), they tend to get clogged earlier. ED usually occurs before heart disease occurs. The penis is a likely barometer, a canary in the coal mine, for impending problems in the coronary arteries.

Of course, ED can be caused by many different things, including low testosterone, medication side effects, and depression alone. Not all patients with ED have arterial problems or will go on to have problems with their hearts. But a significant number will. We recommend all men who begin having problems getting erections to see their doctor for a thorough total body examination. And the concept of formally screening men for heart disease on the basis of ED should be investigated further.

An ideal study would separate men into two groups; one with erectile dysfunction, and one without. Each group would be followed to see which men went on to develop heart problems and which didn’t. In the meantime, there is every reason to consider ED as a warning sign for heart disease and a window into problems in a man’s total health.
Impotence, aka erectile dysfunction, is not often the easiest topic to discuss but it affects more men than we likely realize. As many as 50 million men in the US and Europe suffer from impotence, or erectile dysfunction. Statistically, this number includes only about 5% of men less than 40 years old and up to 25% of men by the time they reach 65 years of age. By definition, impotence is the inability to get or keep an erection firm enough for sexual intercourse.
Erectile dysfunction is almost always referred to as an older man’s disease, but this just isn’t the case. About 26% of men under the age of 40 are affected by ED according to a study published in the Journal of Sexual Medicine.

Bottom Line: One could guess that impotence at a young age could be the first sign of a potential heart attack later in life. So if you have difficulty with obtaining or maintaining an erection, speak to your doctor and consider getting a comprehensive examination including a thorough heart examination.

ED, Viagra and Melanoma-The Jury Is Still Out

June 27, 2015

Viagra remains one of the most popular drugs for treating erectile dysfunction or ED. The drug is quite safe and has been used by millions of men world wide. Recently there was a report of a relationship between Viagra and the potentially lethal skin condition, melanoma.

A potential link between erectile dysfunction drugs and melanoma may exist, but inconsistencies in the data make a cause-and-effect relationship questionable.
Men who had a history of using phosphodiesterase type 5 (PDE5) inhibitors (Viagra, Levitra, or Cialis) had a 20% greater risk of melanoma as compared with men who never used the drugs. However, the strongest association involved men who filled a single prescription for a PDE5 inhibitor. Total number of prescriptions filled did not significantly affect melanoma risk.
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Moreover, the PDE5 inhibitor-melanoma association pertained only to early-stage disease (stage 0-I), did not differ by type of PDE5 inhibitor, and was not limited to melanoma, as an increased risk of basal cell carcinoma was seen among users of PDE5 inhibitors. This was reported online in The Journal of the American Medical Association.

The findings are consistent with those of a similar study reported a year ago. However, the previous study was based on data that showed only whether a man had ever used a PDE5 inhibitor. Extracted from the Health Professionals Follow-up Study, the data were limited to the original PDE5 inhibitor, sildenafil (Viagra), and lacked details about use of the drug, such as the number of prescriptions filled.

The study was not able to prove cause and effect relationship. A longer follow-up and more detailed assessment of the dose and frequency of Viagra use at multiple times in the would be necessary for future studies.

In theory, a causal association between PDE5 inhibitor use and melanoma has biologic plausibility. Several studies have provided evidence of interaction between PDE5 and melanoma.

A Swedish study of the 435 men who used PDE5 inhibitors and developed melanoma, 275 had filled one or more prescriptions for sildenafil and 224 had filled at least one prescription for Levitra or Cialis.

Overall, men who used PDE5 inhibitors had a slight increase for melanoma versus nonusers. The risk of melanoma did not differ significantly across the three types of ED drugs.

Bottom Line: What’s my advice. Whether you use Viagra, Levitra, or Cialis, or not, I suggest you make use of plenty of sun screen. Nothing less than a SPF of 35. Also, if you are at risk for melanoma, i.e., are light completed, have frequent exposure to sun, then see a dermatologist at least once a year for a total body examination.

Male Health Month

May 21, 2015

June is Male health. Here are 10 health concerns for men:

1. Prostate cancer. Approximately 30,000 men die of prostate cancer each ear. All meds should undergo a baseline prostate specific antigen blood test at age 40. Men with a family history of prostate cancer, African American men, and veterans exposed to agent orange are at high risk. These men should consider getting screening each year beginning at age 40.

2. Benign enlargement of the prostate is also a concern for men after the age of 50. 50% of them between the ages of 50 and 60 will develop enlargement of the prostate which is a benign disease but affects a man’s quality of life.

3. Erectile dysfunction. Failure to achieve and maintain an erection can be caused by heart disease, diabetes, certain medications, lifestyle, or other problems. Effective drugs are available for treating this common condition that affects over 30 million American men.

4. Cardiovascular disease. Heart disease and stroke are often associated with high cholesterol and high blood pressure. Both can usually be controlled with diet and exercise, sometimes combined with medication.

5. Testicular cancer. Testicular cancer is the most common form of cancer in men between the ages of 20-35 and in most cases can be cured.

6. Diabetes. Men with diabetes or more likely to suffer from heart disease, stroke, kidney disease, vision problems and erectile dysfunction.

7. Skin cancer. Anyone who spends a lot of time in the sun is at risk for skin cancer.

8. Low testosterone. As men age, their testosterone decreases. This can called Andropause, a condition similar to menopause in women.

9. Colorectal cancer. Cancer of the colon and rectum can usually be treated if caught early.

10. Depression. Men are less likely than women to seek help for depression and are 4 times more likely to commit suicide. Help can take the form of medication, counseling, or a combination of both.

I know in New Orleans we have the attitude that “if ain’t broke don’t fix it”. That may apply to your car but not to your body. Take good care of yourself and see your doctor once a year for fine-tuning your health and wellness.

Men Need To Let Doctors Look Under the Hood!

May 2, 2015

We have an attitude in our community if it ain’t broke, don’t fix it. This may apply to your car but not to our boides and our health. Mos men

Most men do more preventive maintenance on their cars than on their bodies. Many men don’t come in for checkups because they fell that they have a big S tattooed on their chests, i.e, Superman. Fortunately for men – and the women in their lives – this attitude is slowly changing. Women live 5-7 years on average longer than men. If men practiced preventive health as women do with Pap smears and regular breast exams the gap between women’s and men’s life expectancy may close.

Reasons for the change:

National public-awareness campaigns, such as Men’s Health Week (June 14-20). Increasing media coverage of men’s health issues and more public comfort with medical words such as prostate, penis, impotence (ED) and colon helps, as does the growth in men’s clinics that are dedicated to men’s health.

New treatments. Before the PSA – prostate-specific antigen – screening test for prostate cancer, which became widely available in the 1990s, there was no male equivalent for the Pap test and mammograms that drive women into the doctor’s office on a regular basis. In recent years, men have been lured by conservative therapy options available to treat early-stage illness and can actually cure men of some of these severe medical conditions.

Drugs for treating impotence. Not surprisingly, one of the biggest draws in recent years has been Viagra, Levitra, and Cialis – the impotence drugs that has brought men to the physician where other conditions such as prostate cancer can be investigated.

Sensitivity. Doctors are learning they have to look at the male patient as a whole and not just as an organ system. Doctors are making an effort to communicating more effectively with men.

At-work health screenings. Many businesses are now giving “health fairs” that offer simple on-site baseline tests, like blood pressure, diabetes, and prostate or cholesterol screening. There’s no better place than the workplace to reach men.

Bottom Line: Men need to be proactive about their health and take as good care of their body as they do of their cars and their lawns.

ED (Erectile Dysfunction) – What About Natural Solutions? They May Be Dangerous To Your Health

March 11, 2015

ED (Erectile Dysfunction) – What About Natural Solutions?

ED is a common problem affecting over 30 million American men. For the past 10 years oral medication, Viagra, Cialis, and Levitra have been available for helping me achieve intimacy with their partners. A recent analysis by the FDA has revealed that some of the many over the counter (OTC) supplements contain the same active ingredient in Viagra but often at a higher more dangerous dose than what is prescribed by the doctor.

As reported by BuzzFeed, in the past week as many as 25 “natural supplements” meant to treat erectile dysfunction were found to contain sildenafil citrate, the same active ingredient found in prescription drugs such as Viagra.

Despite an obvious attempt at falsely advertising a prescription drug as an herbal remedy, the unregulated tainted supplements could cause serious harm and even death to those who unknowingly buy them.

Natural erectile dysfunction supplements are both one of the biggest sellers on the market for herbal treatments and one of the most likely to be tainted with unregulated ingredients. It’s suspected the FDA has only hit the tip of the iceberg regarding the current investigation into herbal erectile dysfunction.

The World Health Organization describes counterfeit drugs as a widespread problem, but it occurs most often in developing countries. For example, one study from 2012 found that around one-third of all available malaria medications sold in Asia and sub-Saharan Africa were counterfeit. A press release from the University of Michigan stated that counterfeit drugs kill around 700,000 people every year.

There is hope, though. Last year Pfizer made $1.7 billion off of Viagra sales. This large monetary stake that companies such as Pfizer have in prescription erectile dysfunction medication could be enough to push the regulation of fake drugs to priority level.

Bottom Line: There are effective drugs for treating ED. For the safety of your health and your erections, speak to your doctor or use only the medication prescribed by your physician.

50 Shades of Sex In the Golden Years

February 24, 2015

So many seniors think that after sixty sexual intimacy goes into the tank. This is hardly the case as an interest in intimacy and sexual activity continues throughout life even in the golden years. Our society tends to have ageist concept of intimacy, portraying sex among seniors as inappropriate or unnatural. The truth is that many seniors, both men and women, continue to be sexually active and are interested in meeting others with whom they can become intimate. There is documentation that 70% of men and 35% of women continue to be sexually active over the age of 70. This blog will discuss sex and the senior and what you can do if you are having problems with sexual intimacy in your senior years.

While most long-married individuals reported steady declines in sexual activity, those who passed the 50-year marriage mark began to report a slight increase in their sex lives.

And notably, frequency in the sex lives of long-married couples continued to improve. The study, published last month in The Archives of Sexual Behavior, researchers noted that an individual married for 50 years will have somewhat less sex than an individual married for 65 years.

The analysis of this study showed that the warm glow after the 50-year marriage mark, although flickering, was steadier than that of those in marriages of shorter duration. The researchers are sociologists at Louisiana State University, Florida State University and Baylor University.

Sexual frequency doesn’t return to two to three times a month, but it moves in that direction, which was reported by the investigator from LSU.

But the finding that some long-married couples continue to have sex decade after decade was not news to Jennie B., an 82-year-old widow who lives in a village in upstate New York. She married her first and only husband, Peter, in 1956, when they were in their mid-twenties. The couple, married 47 years, remained sexually active until he had quintuple heart bypass surgery two years before his death in 2003.

In this snapshot study of older adults, some were not having sex at all. And a few were even having sex daily. But in the main, the study looked at trends. The average older adult who had been married for a year had a 65 percent chance of having sex two to three times a month or more. At 25 years of marriage, the likelihood of that frequency dropped to 40 percent. If the marriage lasted 50 years, the likelihood was 35 percent. But if the marriage — and the lifespan — of the older adults continued, at 65 years of being together, the chance of having sex with that frequency was 42 percent.

And so, as adults age, their social circles shrink, they know time is limited, they look around and what do they see? Each other. Seniors will often place intimacy as a high priority.

I might add that seniors often engage in intimacy without having intercourse but that intimacy can occur with touching, holding hands and kissing is often just as satisfying and gratifying as sexual intercourse which occurs at an earlier age.

Bottom Line: Sex after sixty is an activity that is normal and should be encouraged. It may take a little creativity and it may take a little more planning and effort but it can happen and both partners feel a sense of enjoyment and pleasure.

Recommended Reading 30 Lessons for Loving, by Karl Pillemer, PhD.

Perhaps even 50 Shades of Grey!

Read This To See About Low T (Testosterone)

February 19, 2015

Low testosterone affects millions of American men. Men who suffer from low testosterone have decreased libido, decrease in erections, and lethargy or loss of energy. In this blog I will discuss the importance of testosterone and the treatment options for the diagnosis of low T.

What Is Testosterone and Why Does It Decline?
Testosterone is a hormone produced in the testicles. It’s what puts hair on a man’s chest and responsible for his beard. It’s the force behind his sex drive.
During puberty, testosterone helps build a man’s muscles, deepens his voice, and boosts the size of his penis and testes. In adulthood, it keeps a man’s muscles and bones strong and maintains his interest in sex. In short, it’s what makes a man a man (at least physically).
After age 30, most men begin to experience a gradual decline in testosterone about 1% a year. A decrease in sex drive sometimes accompanies the drop in testosterone, leading many men to mistakenly believe that their loss of interest in sex is simply due to getting older.
The diagnosis of low T is made by a history of the symptoms of low T and a simple blood test that checks the testosterone level. The test is best done in the morning before 10:00 A.M. when the hormone level is the highest.

The bottom of a man’s normal total testosterone range is about 300 nanograms per deciliter (ng/dL). The upper limits are 1,000 to 1,200 ng/dL. A lower-than-normal score on a blood test can be caused by a number of conditions, including:

Injury to the testicles
Testicular cancer or treatment for testicular cancer
Hormonal disorders
Infection
HIV/AIDS
Chronic liver or kidney disease
Type 2 diabetes
Obesity
Some medicines and genetic conditions can also lower a man’s testosterone score. One of the most common drugs associated with low T are the SSRIs which are used to treat depression. Aging does contribute to low scores. In some cases, the cause is unknown.

Risks and Benefits of Testosterone Treatment?

There are also risks. Testosterone treatment can raise a man’s red blood cell count as well as enlarge his breasts. It can also accelerate prostate growth. Men with breast cancer should not receive testosterone treatment. These are uncommon side effects of testosterone treatment.

Men with prostate cancer who have symptoms of low T and have a low and stable PSA can receive testosterone treatment, however, they need to have a PSA and digital rectal exam every 1-2 months while receiving testosterone replacement.

The treatment with testosterone is safe as long as men receive careful monitoring.

Treatment options for low T include injections of testosterone given every two to three weeks, the daily application of gels under the arm or on the abdomen or lower thighs, and pellets inserted under the skin in the doctor’s office which last for 4-6 months.

Bottom Line: Low T is common. Help is available. See your doctor and get a blood testosterone level and if it is low consider hormone replacement therapy.

Erectile Dysfunction High Cholesterol? Statins An Option For ED

February 16, 2015

ED affects millions of American men and many of these men have high cholesterol levels which causes narrowing of the blood vessels all over the body including the blood supply to the penis. Now there is evidence that statins, drugs used to lower the cholesterol level, may offer help for men with ED. statin – not only to improve their quality of life but also to reduce their future cardiovascular risk.

The study from treated men with high cholesterol levels and a history of ED with statins 6 months and the men had improvement in their sexual health-related quality of life and reduced their risk of heart disease.

A greater benefit was seen in men with severe ED treated with statins who had improvements of 12% versus 5% in men who did not receive a statin.
Improvement in erectile function (on the International Index of Erectile

Bottom Line: If you have either ED or an elevated cholesterol level, speak to your doctor about using a statin, which not only improves your quality of sexual life but also reduces your future cardiovascular risk.