Archive for the ‘sexual dysfunction’ Category

Time For A Tune Up-Men’s Health Routine Check Ups

January 8, 2013

Men need to treat their bodies like their cars and visit to the doctor to check what’s under
the hood Men do not usually talk about going to the doctor. Most of the time, it takes serious pain or a major concern to get them to schedule a visit. You may be surprised to know that the urinary tract is most commonly responsible for men’s complaints, as it can bring on problems with obstructive or irritative symptoms. “ ‘Obstructive’ means things like slow urinary stream, difficulty getting the stream to start, difficulty emptying the bladder completely and ‘irritative’ means things like urgency or feeling a strong desire to urinate that you may have trouble inhibiting, having leakage of urine with urge incontinence or nocturia or going to the bathroom at nighttime,” says Dr. Sean Collins, an urologist at East Jefferson General Hospital.

Kidneys can bring on troubles of their own. “Kidney stones can develop with back pain or cause blood in the urine, and the biggest risk factor is not drinking enough fluids when it gets hot outside,” says Dr. Benjamin Lee, a urologist at Tulane Medical Center. The majority of stones are made of calcium but can also be due to recurrent urinary tract infections. “We know that lemonade has a chemical called citrate, which helps dissolve calcium to help prevent stones from forming,” says Lee. It is important to be proactive because if you develop a kidney stone, there is a 50 percent chance you will have a second one in the next five years.

Prostate screenings are vital but keep some men far from the doctor’s office. “Men are intimidated by the rectal examination, but it is not a big deal and takes 30 seconds while the doctor puts a gloved finger in the rectum and feels the prostate,” says Collins. The doctor checks the size of the prostate and whether there is a mass, nodule or hard area that would be concerning and warrant a biopsy. The exam is not anything to be scared of. “Most men leave and say it was not that bad and was worth it if we could find something that could save their life,” says Collins.

Lifestyle choices affect the prostate. “The diet that is best for the health of the prostate is the diet we should be on for cardiovascular health: a low-fat diet, rich in fruits and vegetables,” says Collins. There is evidence that lycopene, a substance found in tomatoes, is good for the prostate. Cruciferous vegetables like broccoli and cauliflower are also helpful.

Sexual issues are not often talked about by men but are more common than you may think. “We find that erectile dysfunction is a barometer for a man’s overall health,” says Collins. The risk factors for erectile dysfunction are the same for cardiovascular disease. “The reason is the blood supply to the penis is a very tiny artery about two millimeters in diameter, whereas the blood supply to the heart is four to five millimeters in diameter, so it does not take much blockage of the blood supply to the penis to result in impotence,” says Dr. Neil Baum, a urologist at Touro Infirmary.
Thankfully, a lot of progress has been made in this area. “Viagra, Levitra and Cialis are the big advances that totally changed the way the field is approached and who you can help with it,” says Dr. Robert McLaren, a urologist at Ochsner Health System.

Infertility is a common issue with men being responsible half of the time. “If you have borderline problems with your semen, you can avoid hot baths and jockey underwear and should wear boxer shorts because of the excessive heat of bringing the testicles close to the body,” says Baum. A semen analysis can be done at a urologist or reproductive endocrinologist’s office.
Young men may think they are invincible when it comes to health issues but they aren’t. “In young men, the most common thing we see is prostititis, which is an infection or inflammation of the prostate, and some men who are active or do bicycle riding can have numbness of the bicycle area, which can resolve if they cut back on riding or use specialized seats,” says Collins.

Every man responds differently. “Prostate enlargement is a normal part of aging but not everybody develops problems from it,” says McLaren. Know what to expect. “The prostate is a gland that sits outside the bladder and is normally about the size of a walnut,” says Lee.
Robotic surgery has revolutionized the way prostate cancer is treated and gives men hope as recovery is quicker and less painful. “The da Vinci robot has made the greatest impact and there are medications that can shrink your prostate that were not around 20 years ago,” says McLaren.

It is a good idea to get a blood test to check your testosterone level as well. “It indicates a decrease in production of testosterone by the testicles, which can be treated with hormone replacement therapy,” says Baum. You can do a self-exam of the testicles to screen for testicular cancer, which is common in men between 20 and 45. “They look for a little bump or lump on the scrotum on the testicle. I tell men that if they make a fist and feel the knuckle, that is what the testicle tumor feels like and they can get an ultrasound exam and blood test to help diagnose testicular cancer,” says Baum.

Making wise choices is helpful for all ages. “If you want to make yourself healthier, exercise, eat right and do not smoke,” says McLaren. To prevent heart disease, you should stay away from red meat, salt and other high cholesterol-containing foods. Your health may be partly determined by what you eat. “Men who have diets that are low in fiber and do not have regular bowel movements or have firm, hard bowel movements are at risk for colon disease such as diverticulitis and diverticulosis, which is inflammation around the colon that results in cramping, abdominal pain and difficulty with the stool,” says Baum. Foods with omega-3 fatty acids like cold water oily fish, salmon, herring, mackerel, anchovies and sardines are helpful.

Self-care is important for men of all ages. “It is interesting that in the top seven cancers in the United States, number one is prostate, number four is bladder and number seven is kidney,” says Lee. Thanks to screenings, lives are being saved. “The message we are trying to get out is that many of these issues are very treatable at an early stage,” says Lee. The health-care community has adapted guidelines with this in mind. “The American Urological Association and the American Cancer Society are really trying to get the word out,” says Lee.

This month is the time to take charge of your health. “The most common problems men run into are cardiovascular disease, prostate cancer and colon and rectal cancer, all of which can be prevented by visiting the doctor on a regular basis,” says Baum. A few tests can also be useful. “A stress test checks the heart and blood supply to the heart, a prostate-specific antigen and digital rectal exam rule out prostate cancer and a colonoscopy every five years checks for colon and rectal cancer,” says Baum.

Even if you feel fine, it is important to see your doctor. “Early hypertension has no symptoms whatsoever unless you go to the doctor and have your blood pressure taken,” says Baum. It can lead to a stroke, kidney disease or heart disease if it is not adequately treated. If you do experience any new or unusual symptoms, it is important to report them. “Heart disease can manifest itself as chest pain, indigestion, lightheadedness or headaches, which are signs of high blood pressure and decrease of blood supply to the coronary arteries and to the heart,” says Baum.

Self-awareness is an asset when it comes to protecting your health. Men are often consumed with taking care of their loved ones, however, and end up neglecting themselves. “The main point is that men need to take an active role in their medical care and need to treat their bodies as something very special that needs fine tuning just like their car,” says Baum.

Watch Out Viagra, There’s A New Kid, Stendra, on the Erectile Dysfunction Block

December 26, 2012

It was nearly 15 years ago that Viagra was introduced to medical community and men havne’t looked back as this medication turned the sex revolution over on its head. There have been millions of Viagra, Levitra, and Cialis written world wide making it one of the most popular drugs of all time.

Now new erectile dysfunction drug, Stendra, that reportedly works in less than 15 minutes has just received approval from the U.S. Food and Drug Administration.

More than 30 million men in the U.S. are affected by erectile dysfunction (ED). The new drug Stendra, the brand name for avanafil, is the first new erectile dysfunction drug in a decade for this class of drugs known as phosphodiesterase type 5 (PDE5) inhibitors.
Similar to its counterparts, the drug works by helping increase blood flow to the penis. This is potentially the fastest acting of the four of the drugs used to treat ED. Patients taking Stendra are recommended to take the drug 30 minutes before sexual activity but clinical trials have shown the drug works as fast as 15 minutes. Viagra may take an hour to start working.
In clinical trials, 77 percent of men with general ED were able to get erections after taking Stendra, compared with 54 percent of men taking a placebo pill. Stendra resulted in successful intercourse for 57 percent of men with general ED, compared with 27 percent of men on placebo.
According to the FDA, the most common side effects for men taking Stendra were headache, face redness, nasal congestion, cold-like symptoms, and back pain. In rare cases men may get an erection that does not go away after four hours – a condition known as priapism. If that happens, patients should seek immediate medical care.
As with other PDE5 inhibitors, Stendra should not be used by men who also take nitrates commonly used to treat chest pain, because the combination can cause a sudden drop in blood pressure.

Bottom Line: Erectile dysfunction is a common problem affecting millions of American men. Viagra, Cialis, and Levitra are effective but a new drug, Stendra, may have an advantage of faster onset of action.

Treating Erectile Dysfunction (ED)-Viagra And\Or Testosterone?

November 22, 2012

Some men use Viagra and have a weak response to this oral medication. If they have a testosterone test and it is found to be decreased, adding testosterone may not improve the erections.

A study, published in the Annals of Internal Medicine showed that there is no benefit to adding testosterone to Viagra.
The study consisted of 140 men with low testosterone. All of the men took Viagra. Some also received testosterone while others got a placebo.
During the study, the men reported how often they had sex and rated their sexual satisfaction, sexual desire and orgasms, and their ability to achieve and maintain an erection. On average, the men’s erectile function improved, with or without testosterone.
While low testosterone and [erectile dysfunction] ED can be related, they are separate issues, and need to be treated differently. Treating low testosterone will improve ED, but it will likely improve libido and interest in sex.
Bottom Line: erectile dysfunction and decreased libido or sex drive are two different aspects of man’s sexuality. Treating ED with oral medication may improve his erections but adding testosterone may not make his erections any better. For best results check with your doctor.

Libido Letting You Down? Solutions to That Problem

September 1, 2012

For men, Libido is your sex drive and it is different from ability to get an erection or be able to achieve a successful pregnancy. Women’s libido is also different from orgasm or her ability to have an egg unite with a man’s sperm. In women, gynecologic conditions may make engaging in sexual intimacy difficult or painful and ultimately impact her libido.

Libido is the name Freud gave to our sex drive. Libido is a multifactorial situation which is influenced by hormones, psychological and physical factors, romance, and the opportunity for fulfillment. It is normal for libido to decline with age going much faster for women after menopause than for men in middle age, which has about a 1% decline each year. But nearly all couples in their 60s and 80% of couples in their 70s continue to find enjoyment with engaging in sexual intimacy.

Hormonal deficiency is a common cause of deteriorating sex drive in both men and women. The solution is very simple and consists of replenishing the deficiency with testosterone in men and estrogens in women. However, hormones won’t solve the problem if there is some other underlying reason for the sex drive going into the tank.
So what is a man and a women with a loss of severe decrease in their sex drive to do? If you are suffering from fatigue, your sex drive deficiency may be a result of anemia, thyroid deficiency, or kidney disease. A few blood tests will make the diagnosis and help your doctor put your libido back on track.

Next talk to your doctor about all of your medications including, over the counter medicines, herbal medications and supplements. If the problem is related to medications, you can usually note the onset of libido problems that occurred shortly after staring a medication that can plummet your sex drive.

If you have heart disease or have suffered a heart attack and you or your partner is fearful that sex will worsen your cardiac problem or cause another heart attack, speak to your physician. A good rule of thumb is that if you can climb two flights of stairs without chest pain or severe shortness of breadth, then it is probably safe for you to engage in sexual intimacy with your regular partner.

If you are a woman and are going through the menopause, that doesn’t mean that you have bury your sex life forever. As a matter of fact, menopause for many women enhances their sex life as they are no longer worried about conception and fear of pregnancy. Some women do lose their sex drive after menopause and this may be a result of estrogen deficiency. Talk to your doctor about hormone replacement therapy.

I suggest that if you are a woman, try estrogen first. That works for most women as it reduces their hot flashes and pumps up their libido. However, testosterone may also be effective for women in small doses as it is for men who require larger amounts of testosterone in order to restore their libido. Testosterone is available for men and women in a topical gel or a small rice-sized pellet inserted under the skin and replaced every four to six months.

Women may lose interest in sex after menopause because of vaginal dryness (VD). This VD isn’t treated with antibiotics but with topical estrogen creams or vaginal rings impregnated with estrogen or vaginal pellets of estrogen. If a woman can’t take estrogens, then there is always lubricating creams and jellies such as the old standby, K-Y Jelly that alleviates VD and the discomfort associated with the loss of lubrication.

If you are a man and are suffering from erectile dysfunction (ED), this may also impact your sex drive as well. Certainly check your hormones because if low testosterone is the problem, then replacement therapy with gels, injections, or pellets will restore your sex drive 85% of the time.

For both men and women: get lots of exercise. Regular exercise promotes good health. It not only makes you feel good all over, but restores the blood supply to the pelvic area in both men and women.

How about aphrodisiacs?
You will probably receive unsolicited E mails and mail from companies offering an improvement in sex drive and creams and lotions to make a man’s penis bigger. Absolutely none of these studies have withstood scrutiny by medical professionals and probably are a waste of your time and hard earned money. I am an amateur magician and what they have to offer would be real magic if they worked the way the marketing materials described. A loss of sex drive has a problem since the beginning of recorded history and every society and culture have been looking for the magic elixir or potion that can restore the fountain of youth. The ancients have ground up dried beetles (Spanish fly) and rhinoceros horns but to no avail, except that Spanish fly can make you sick. Included in the myths of aphrodisiacs include oysters. They, too, will not restore a man’s libido or potency. According to the FDS, there is no scientific proof that any over the counter aphrodisiacs work to treat decreased libido problems. According to Dr. Ruth Westheimer, “The largest sex organ is not between our legs but between our ears.”

A few words about Viagra, Levitra, and Cialis. These are prescribed medications for the treatment of ED and will not resolve problems with libido or sex drive. The drugs are very effective for ED but will not cure loss of sex desire.

Bottom Line: Problems with a man or woman’s libido is common to many middle aged men or women. Many of the problems are related to hormone deficiency and can be effectively treated.

Erectile Dysfunction – Getting It Up With Natural Remedies

August 26, 2012

Mankind has looked for the magic elixir that will help a man obtain and maintain an erection adequate for sexual intimacy. Although there is little scientific evidence that these natural remedies work, there are some that may have a potential to help men with mild sexual problems. This article will review the natural remedies that may be beneficial.
An estimated 30 million American men have erectile dysfunction, and seven out of 10 cases are caused by a potentially deadly condition like atherosclerosis, kidney disease, vascular disease, neurological disease, or diabetes. ED can also be caused by certain medications, surgical procedures on the prostate gland and colon, and psychological problems. Here’s a look at the evidence for and against six of the most popular natural remedies or herbal remedies:

Acupuncture. Though acupuncture has been used to treat male sexual problems for centuries, the scientific evidence to support its use for erectile dysfunction is uncertain. In 2009 South Korean scientists conducted a systematic review of studies on acupuncture for ED. They found that “the evidence is insufficient to suggest that acupuncture is an effective intervention for treating ED.”

Arginine. The amino acid L-arginine, which occurs naturally in food, boosts the body’s production of nitric oxide, a compound that facilitates erections by dilating blood vessels in the penis. Studies examining L-arginine’s effectiveness against impotence have yielded mixed results. A 1999 trial published in the online journal BJU International found that high doses of L-arginine can help improve sexual function, but only in men with abnormal nitric oxide metabolism, such as that associated with cardiovascular disease. In another study, published in 2003 in the Journal of Sex & Marital Therapy, Bulgarian scientists reported that ED sufferers who took L-arginine along with the pine extract pycnogenol saw major improvements in sexual function with no side effects.
One caveat: men with known cardiovascular problems should take it only with a doctor’s supervision; L-arginine can interact with some medications that can affect the heart.

DHEA. Testosterone is essential for a healthy libido and normal sexual function, and erectile dysfunction sufferers known to have low testosterone improve when placed on prescription testosterone replacement therapy. Similarly, studies have shown that taking over-the-counter supplements containing DHEA, a hormone that the body converts to testosterone and estrogen, can help alleviate some cases of ED. But DHEA can cause problems, including suppression of pituitary function, and its long-term safety is unknown.

Ginseng. Korean red ginseng has long been used to stimulate male sexual function, but few studies have tried systematically to confirm its benefits. In one 2002 study involving 45 men with significant ED, the herb helped alleviate symptoms of erectile dysfunction and brought “enhanced penile tip rigidity.” Experts aren’t sure how ginseng might work, though it’s thought to promote nitric oxide synthesis. Again, I suggest that men discuss with their doctor before taking it since ginseng can interact with drugs you may already be taking and cause allergic reactions.

Pomegranate juice. Drinking antioxidant-rich pomegranate juice has been shown to have numerous health benefits, including a reduced risk for heart disease and high blood pressure. Does pomegranate juice also protect against ED? No proof exists, but results of a study published in 2007 were promising. The authors of this small-scale pilot study called for additional research, saying that larger-scale studies might prove pomegranate juice’s effectiveness against erectile dysfunction. Pomegranate juice may help ED but it has other health benefits.

Yohimbe. Before Viagra and the other prescription erectile dysfunction drugs became available, doctors sometimes prescribed a derivative of the herb yohimbe (yohimbine hydrochloride) to their patients suffering from ED. But experts say the medication is not particularly effective, and it can cause jitteriness and other problems. Evidence shows that yohimbe is associated with high blood pressure, anxiety, headache, and other health problems. Experts discourage its use.

Horny Goat Weed. Horny goat weed and related herbs have purportedly been treatments for sexual dysfunction for years. Italian researchers found that the main compound in horny goat weed, called icariin, acted in a similar way as drugs like Viagra.

Ginkgo biloba. Known primarily as a treatment for cognitive decline, ginkgo has also been used to treat erectile dysfunction — especially cases caused by the use of certain antidepressant medications. But the evidence isn’t very convincing. One 1998 study published in the Journal of Sex and Marital Therapy found that it did work. But a more rigorous study, published in Human Pharmacology in 2002, failed to replicate this finding.

Bottom Line: No matter what erectile dysfunction treatment or treatments a man ultimately decides upon, it’s important to eat healthy, to avoid smoking and to limit your alcohol consumption. A loving, receptive, and responsive partner is also a necessary ingredient. After all, it takes two to tango!

Hair Today, Sex Gone Tomorrow-Sexual Side Effects Of Propecia

July 13, 2012

Would You Rather Be Bald Or Impotent?

For more than 15 years Propecia (finasteride) has been prescribed for men for treating male pattern baldness. Now new research documented that the drug is associated with sexual side effects including erectile dysfunction (ED), decrease in libido, and decrease in orgasms. This article will discuss the new research and what you need to know if you are taking or planning to take Propecia.

Male Pattern Baldness

Researchers from George Washington University interviewed 54 men under age 40 who reported side effects for three months or more after taking Propecia. None of the men reported having any sexual, medical or psychiatric problems before they took the drug. Some of the men took the drug for a few weeks, others took it for years, but all of them reported side effects such as erectile dysfunction, decreased sexual drive, problems with orgasms, shrinking and painful genitals, even some neurological problems, such as depression, anxiety and mental fogginess. The side effects lasted for up to a year after stopping the use of Propecia.

In normal men testosterone is converted to DHT and the DHT is responsible for male pattern hair loss. Propecia works by blocking the conversion of testosterone into DHT. Initially finasteride, the active ingredient in Propecia, was originally developed in 1992 by drug giant Merck as a treatment for men with enlarged prostate glands and sold as the drug Proscar. Propecia was approved by the U.S. Food and Drug Administration in 1997, and at that time Merck noted that a few men reported sexual side effects during clinical trials of the drug.

In 2011, the FDA mandated a label change for Propecia and Proscar, the drug used to treat benign enlargement of the prostate gland, warning that some patients reported erectile dysfunction that lasted after patients stopped taking it; in April, the agency updated the label to include reports of libido, ejaculation and orgasm disorders.
But researchers say many physicians who prescribe finasteride are likely not aware that the side effects of the drug may haunt patients for years.

So what should a young man with early hair loss do?
First, more research will likely be needed before doctors can know for sure that the symptoms are completely attributed to the drug. At the present time doctors have no way of knowing which patients will suffer the long-term side effects. It’s possible that an unknown genetic factor drives how individual men respond to the drug.

Erectile dysfunction is more than just testosterone. There are so many things that go into the male erectile response. You have to be very careful before you attribute it to one cause, like Propecia.

Although there are doctors who would not advise men to take this drug to treat a cosmetic problem like hair loss, many physicians continue to prescribe Propecia.

Bottom Line: I think each man needs to have a discussion with his physician about the sexual side effects of Propecia before taking the medication. After all the FDA said only 36 of 945 men who took Propecia in clinical trials reported any adverse sexual side effects. The number of men who will experience these long-lasting side effects is relatively small, likely around 3 percent of all men who take the drug. Between ED and baldness-I’d rather pass on both problems!

Seniors Don’t Have To Be Sexy To Have Sex

February 13, 2012

Studies have shown that 70 percent of men and 35 percent of women continue to be sexually active over the age of 70. Sexual interest continues throughout life and seniors today need to know that they can still be intimate during their golden years.

Here are the truths behind the myths regarding seniority and sex.

Misconception: Lack of interest in being intimate.

Reality: Sexual interest continues throughout life. Society tends to have an ageist concept of intimacy, feeling sex among seniors is inappropriate or unnatural. There are enough men for women who are interested and many social outlets for seniors to meet others with whom they can become intimate. These include various organizations or clubs, church groups, dance functions, etc.

Misconception: Inability to perform.

Reality: Complications from aging, such as having to take more medications with side effects and chronic illness, may interfere with sexual function, but they do not eliminate it.

Misconception: Sexual dysfunction cannot be treated.

Reality: Erectile dysfunction is not always an inevitable consequence of aging, but it can often be a result of medications or anxiety. A person’s overall health may also be a concern, so be sure to discuss any issues you are having with your doctor. Medication to alleviate this condition is an option but only with doctor approval.

Misconception: Common illness or disabilities warrants stopping any sexual activity.

Reality: Intimacy is possible for those who may have some medical issues. Those with bone and joint limitations; limited cardiac and pulmonary reserve; and cognitive disorders can have sex, it just may take some patience and creativity. Common concerns include:

Heart disease: risk is low for another heart attack to occur while being intimate; in fact, an active sex life may decrease the risk of a future heart attack.

Diabetes: one of the few diseases that can cause impotence. Once diabetes is diagnosed and controlled, however, potency in most cases may be restored.

Stroke: rarely damages physical aspects of sexual function, and it is unlikely that sexual exertion will cause another stroke. Using different positions or medical devices that assist body functions can help make up for any weakness or paralysis that may have occurred.

Arthritis: can produce pain that limits sexual activity. Surgery and drugs can relieve these problems, but in some cases the medicines used can decrease sexual desire. Exercise, rest, warm baths, and changes in position and timing of sexual activity (such as avoiding evening and early-morning hours of pain) can be helpful.

Prostatectomy: rarely affects potency. Except for a lack of seminal fluid, sexual capacity and enjoyment after a prostatectomy should return to the pre-surgery level.

Misconception: Seniors cannot contract STDs.

Reality: Anyone who is not practicing safe sex is exposed to the risk of contracting a STD. According to Today’s Research on Aging, adults age 50 and older accounted for 10 percent of new HIV infections in the United States in 2006. In 2007, 34 percent of adults age 50 and older were living with AIDS. Find the safest method that works best for you.

** Remember, sexual activity is normal, healthy behavior. Talk to your doctor if you have any questions regarding sexual activity. There are many ways to be intimate without engaging in sexual intercourse. Intimacy can also be achieved through touching, holding hands, long walks, dancing and other forms of shared experiences. Communication between partners is most important.

Safe Sex For Seniors

February 3, 2012

The days of the dirty old man are over. Let the truth be told; older men and women want to remain sexually active. Seniors have more open attitudes toward sexuality, better health among seniors, the option for Internet dating, and the availability of medications like Viagra, Levitra, and Cialis, many older adults are remaining sexually active. It is important to emphasize that seniors are also vulnerable to sexually transmitted diseases (STDs) just as younger adults. Therefore it is important that seniors make certain that they are practicing safe sex. This article will provide suggestions for safe sex for seniors.

Do your homework. Seniors need to know your partner’s sexual background before having sex. This includes oral sex, anal sex, as well as vaginal sex. All types of sexual intimacy can spread STDs. It is important for seniors to talk about their sexual histories, and tell one another whether they have recently been tested for STDs and share with each other the results of those tests. It is also important to ask if there has ever been a history of injecting illegal drugs. HIV/AIDS can also be spread via a shared hypodermic needles though the most common risk factor for older women is sex with an infected man.

Make sure you can pass this test! The best way to protect yourself and your partner is for both partners to get tested for HIV and other STDs before starting to have sex. If one of the partners has not been tested, then it is imperative that the tested partner encourage the other partner to obtain testing. Remember that STDs don’t always cause obvious symptoms such as a rash, discharge, fever, or urinary symptoms. Also, some symptoms of STDs or HIV, such as fatigue, can be mistaken for age-related health problems such as low testosterone levels in men.

Condoms count. I suggest that seniors use a condom as well as a lubricant every time you have sex until you are in a monogamous relationship and your know your partner’s sexual history and HIV status. Lubricants such as KY Jelly are important because they can lower the odds of getting a sore or a tiny cut on the penis or inside the vagina. These sores or cuts can significantly increase the risk of getting STDs.

Bring your doctor into the equation. Your doctor can offer additional advice about protecting yourself from STDs. He or she can also recommend treatments for common sexual problems such as vaginal dryness and erectile dysfunction (ED).

It is quote common for senior women to have vaginal dryness as a result of estrogen deficiency. Vaginal dryness results in discomfort when a woman engages in sexual intercourse and can make for an uncomfortable experience. Solutions range from over the counter moisturizers and lubricants or the use of supplemental estrogen prescribed by your doctor. Estrogen can be given by pills, topical vaginal creams and estrogen impregnated rings that are inserted into the vagina.

Though ED is more common with age, it isn’t an inevitable part of the aging process. ED is often due to an underlying medical condition such as heart disease, diabetes, or the side effects of medication. As a result there is a likelihood of nervousness with the onset of a new relationship. Since ED may be the first sign of an underlying medical condition, it’s particularly important to speak with your doctor if you are having difficulty obtaining or holding an erection adequate for sexual intimacy.

It is not uncommon for seniors to have lost a partner and to go without sexual intimacy for months or years after losing a spouse. Consequently, there is anxiety associated with embarking on a new sexual relationship. Occasionally, counseling is in order to help the seniors jump start their sex lives.

There are numerous medications for ED, which are not recommended for men who use any form of nitroglycerin. Other treatments for ED include testosterone replacement therapy for men who have symptoms of decreased libido, lethargy, and falling asleep after meals. Finally, there are operations which includes penile implants for men where oral medications are not effective.

Bottom Line: It is acceptable and even normal of seniors to engage in sexual intimacy. If a man and women are healthy, are free of STDs, and wish to be sexually intimate, they can plan to successfully engage in sexual intimacy. In 2012, no one needs to suffer the tragedy of the bedroom.

High Blood Pressure Can Lower Your Sex Life

September 29, 2011

Robert is a 53 year old man with high blood pressure. He has a job associated with stress. He is 25 pounds overweight. He rarely exercises and admits to being a little heavy handed with the saltshaker. He takes a diuretic, hydrochlorthiazide, and an anti-hypertensive medication and since beginning these two medications, he has noted that his sexual performance has gone into very low gear.

High blood pressure can get worse over time and cause problems with getting an erection. A major study showed that 26% of men with high blood pressure said they had erectile dysfunction (ED). That was twice the rate of ED in men with normal blood pressure. Some medicines for high blood pressure, such as diuretics, can also cause ED. But if you’re able to keep your blood pressure under control — even with medicines — you can help prevent your ED from getting worse. 


An estimated 15 million to 30 million men in the U.S. have ED. Some changes in sexual function are normal as a man ages. Erections may be less firm, or it may take you longer to get erect. ED is sometimes temporary, too. Stress, relationship issues, illness, and drug side effects may cause it. But if your erection difficulty is ongoing and it keeps you from having the sex life you want, it may be time to seek treatment.


Many men have problems getting or maintaining an erection at some point in their lives. If it happens occasionally, it is probably not a medical problem. But if you repeatedly have trouble — if it happens about a quarter of the time or more — you may want to talk to your doctor about treatment. .


Some drugs for high blood pressure may cause ED. These include diuretics (water pills) and beta-blockers. ACE inhibitors and calcium channel blockers are less likely to cause ED. If you started having erection problems after you began taking medicine, talk to your doctor. You may be able to switch to a drug that can lower your blood pressure without increasing your risk for ED.


Even with high blood pressure and ED, you can still have a good sex life. If your blood pressure is under control you may be able to take an ED pill. Cialis, Levitra, and Viagra are safe to take with most blood-pressure medicines. If ED pills aren’t for you, other proven treatments include implants, pumps, and injectable drugs.
 You also need to check your testosterone level if your sexual performance is not what you would like it to be or if your sex drive has gone into the tank.

Heart disease — a common complication of high blood pressure — and ED are commonly seen together. A blockage in a heart artery is a good indication that the same thing may be happening in arteries that supply blood to the penis, making it difficult to get an erection. Many men with heart disease can’t take ED pills due to an interaction with heart disease drugs called nitrates. But new research suggests some men with stable heart disease may be able to slowly stop taking nitrates if their doctor thinks they would benefit from an ED pill. Stopping nitrates can be dangerous, so talk to your doctor first. If ED pills aren’t for you, there are other ED treatments that are safe for men with heart disease.

Robert spoke to his doctor and got the message about the connection of ED and high blood pressure. He began an exercise program, lost the 25 pounds over a six-month period, and cut out salt in his diet. His blood pressure normalized and he was able to stop using the medication and he had a noticeable improvement in his sexual performance.

Bottom Line: High blood pressure can lower your sexual performance. Treating the high blood pressure and healthy life style changes can also significantly improve ED.

This article was excerpted from an article by Brunilda Nazario, MD appearing in WebMD

A New Pill That Will Put Power Into Your Potency

August 27, 2011

I am often asked if there is anything new for treating erectile dysfunction (ED) or impotence. Now there is a new pill that may be helpful for those suffering from ED. Staxyn is a new oral tablet that contains the same ingredients as Levitra but is used as a tablet that dissolves on the tongue.

Staxyn helps increase blood flow to the penis, so it may help men with ED get and keep an erection that lasts long enough for sexual activity. Once a man has stopped sexual activity, blood flow to his penis decreases, and his erection goes away.
It is suggested that you take Staxyn about an hour before sexual activity. The tablet is place on the tongue where it will dissolve rapidly. The tablet should be taken whole and not crushed or split. The tablet should not be taken with liquid. The tablet may be taken with or without food. It is not recommend to take more than one Staxyn a day.
Forget the Rumors
Staxyn will not give you an instant erection; you’ll need to be sexually stimulated for it to work.
The medication not leave you erect for hours. If an erection lasts more than 4 hours, get medical help right away to prevent lasting damage that may make future erections difficult or impossible.
No the drug will not make you have a stiff tongue. It’s mechanism of action is on the blood supply to the penis and not the tongue!
No, no, with nitrates
Do not take Staxyn if you take any medications called ”nitrates” (often used to control chest pain, also known as angina). Nitrates may cause abnormally low blood pressure and Staxyn may increase that risk.

Bottom Line: Erectile dysfunction is a common problem affecting millions of American men. Help is available. You don’t have to suffer the “tragedy of the bedroom”.