Archive for the ‘Sexual intimacy’ Category

Boosting T Levels Without Medication

February 3, 2017

Testosterone is the male hormone produced in the testicles that is responsible for sex drive, energy, muscle and bone mass.  Testosterone decreases slowly in the late 20s and becomes symptomatic in men around middle age.  This blog will discuss natural ways of preserving and increasing your testosterone levels.

Get Moving: Drop 10, 15, or more pounds

Overweight men are likely to have less testosterone, which means less energy and increased susceptibility to depression.  If you shed pounds, you can cause your T levels to surge.

No Zinc In the Sink

Research has shown that supplementing your diet with zinc can improve testosterone levels. According to the National Institutes of Health, 45 per cent of us aren’t getting enough of the stuff.  Protein-rich foods like meat and fish are packed full of zinc, along with raw cheese, beans and natural yoghurt.

Sweet Nothings

In addition to causing you to pile on the pounds, sugar can also wreak havoc on testosterone production. Regular intake of the sweet stuff can cause insulin to spike, which is a factor leading to low levels of testosterone.

To counteract the effect, simply limit your sugar intake – the overall health benefits far outweigh a quick dopamine hit from a soft drink.

Take D and See

Vitamin D is a steroid hormone, which means it boosts your sperm count, , libido and  testosterone.  You can increase your vitamin D by being exposed to sunshine.  Since I don’t condone exposure to sun as it causes skin cancers, then vitamin D supplementation is in order, 1000 IU\day.  This is available in most nutrition and drug stores.

Stress Less

Kicking back is easier said than done, but a reduction in stress will work wonders for your testosterone production. Cortisol (the stuff your body makes when you get hot under the collar) actually blocks testosterone. Chronic stress has actually been shown to stop testosterone production, which translates to bad moods, fatigue and decreased libido.

Exercise and weight loss are beneficial in reducing stress levels so this is another reason to getting moving!

Fat and Fit

Eat ‘good’ fats of the monounsaturated variety. You can find a high dose of these fats in foods like olive oil, almonds, avocados and grass-fed meats.

Going From ZZZZZ to T

Men who got a full eight hours sleep had 60 per cent more testosterone than their sleep-deprived counterparts.  I recommend stop looking at screens, i.e., computer and TV screens at least an hour before bedtime as screen watching affects melatonin which if decreased can make it difficult to have a good nights sleep.

It’s Quicker Without Liquor

We all know that alcohol consumption is bad for us – but it’s bad for your Johnson. Not only does too much booze lower growth hormone levels and increase cortisol, it will reduce your testosterone levels for up to 24-hours.  I recommend 1-2 glasses of alcohol a day and definitely avoid binging.

Bottom Line:  Testosterone is a necessary ingredient for your sex drive, your energy level, and overall body metabolism.  The hormone also affects our moods and psychological well-being.  I have provided you some suggestions for boosting this very important hormone.

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December 25, 2015

ED SOLUTION AU NATRIEL

Erectile dysfunction affects over 30 million American men.  Most of the men are looking for a solution, perhaps a pill to solve their problem.  Viagra, Levitra, and Cialis do work.  However, they are very expensive and not available in the generic format at this time.  So let’s look at other options, even natural supplements that may be effective.

 Ginseng

While a study published in the Journal of Urology found that men taking Korean red ginseng saw significantly improved erections compared to their placebo-popping counterparts, the American Urological Association Clinical Guidelines Panel feels this trial group of 45 men is too small to validate its clinical efficacy. In addition, Korean red ginseng can cause added health issues for men who have heart disease, mood disorders, or immune system disorders.

L-arginine

Taking a supplement of this amino acid can help increase blood flow both to the penis and the heart, While there’s no medical guarantee it will work like Viagra, Levitra, or Cialis, L-arginine is known to increase levels of nitric oxide, a gas that relaxes muscles and increases blood flow, and is involved in maintaining an erection.

Zinc Supplements

Zinc supplements are not shown to help, but a healthy lifestyle with an excellent diet — anything good for the heart — will be good for the penis. Perhaps the best advice is to lose weight, to exercise, and to stop smoking.

Acupuncture, Hypnosis, and Yoga

Anything that helps reduce stress and improves awareness of your body or calms you down is worth trying.  For some people, acupuncture can help in situations where stress, anxiety, or injury is the cause of ED.

Horny Goat Weed

Pills, powders, and teas are made from an extract of this plant, also called Epimedium, which has long been used in traditional Chinese medicine. Some animal-based studies show that it may increase nitric oxide, which is involved in maintaining an erection, but there is no conclusive scientific evidence that it has benefits in humans.

Pomegranate juice

Antioxidants in berries help nitric oxide last longer in the bloodstream, which is where the pomegranate myth began. However, there is no scientific proof that drinking this antioxidant-rich juice can actually help with erections.

Bottom Line:  I wish I could report that these supplements are the Holy Grail and can help men restore their erections so that they will be able to successfully engage in in sexual intimacy with their partners.  However, the jury is out; and although these options are not likely to be harmful they probably won’t solve most men’s erectile dysfunction.

Sex As a Treatment For Kidney Stones-Who’d Thunk Kidney Stones Would Be So Much Fun!

August 3, 2015

Kidney stones is a common condition affection millions of American men and women. The pain associated with the passage of a stone is extraordinarily painful and is considered one of mankind’s most painful experiences. The treatment is usually hydration, tincture of time and lots of pain medication including narcotics. One of the drugs used to hasten the passage of kidney stones is tamsulosin which relaxes the muscles in the ureter, the tube between the kidney and the bladder.

Having sex 3-4 times a week was associated with a significantly greater stone passage rate than tamsulosin or standard medical therapy.
A Turkish study randomly assigned 90 male patients with stones in the ureter to 1 of 3 treatment arms: sexual intercourse 3–4 times a week (group 1); tamsulosin 0.4 mg/day (group 2); and standard medical therapy (controls, group 3).
After 2 weeks, 26 (83.9%) of 31 patients in the sexual intercourse group passed their stones compared with 10 (47.6%) of patients in the tamulosin group and 8 (34.8%) of patients in the control arm,

The investigators postulate that nitric oxide released during erection and sexual intercourse may affect the ureters, causing relaxation of ureteral muscle similar to tamsulosin.

Bottom Line: Sexual intercourse is not expensive, does not require a prescription, and just may be lots of fun when you are experiencing pain due to a kidney stone.

New Baby? Your Little Darling May Just Impact Your Sex Life

December 20, 2014

Many women experience sexual problems after giving birth. This blog will discuss the issues and concerns associated with childbirth and its impact on a woman’s sexual functioning.

Most obstetricians\gynecologists recommend that women avoid vaginal intercourse for at least six week after delivery. Sexual function may not return to prepregnancy levels for up to six months following delivery. The causes are the mother’s concerns about caring for a new baby, breastfeeding, fatigue, pain during attempted or actual intercourse, postpartum depression, pelvic floor problems, urinary incontinence and body image issues.

Sexuality in pregnancy is different in every woman. The frequency of sex may change and sexual enjoyment may decline during pregnancy. However, the good news is that relationship satisfaction remains unchanged. Many women experience a decline in sexual activity during the first trimester of pregnancy as a result of fatigue, fear of causing a miscarriage, breast tenderness, and nausea. The third trimester is also a time of diminished sexual activity due to overall physical discomfort.

Many women may avoid sex and orgasms because of the mistaken fear of causing bleeding, infection, injury to the fetus, premature labor, or breaking the bag of water (amniotic sac) too early. It is true that penetrative vaginal intercourse and orgasms should be avoided if there is imminent danger of a miscarriage in the second and third trimester. Women need to know that amniotic fluid and a thick cervical plug that makes it unlikely that the fetus will experience any pressure or impact from vaginal penetration protect the fetus.

Pregnancy and child delivery may be a difficult time for the partner. Changes in sexual activities and stress about new family obligations make take an emotional or physical toll on the partner. Couples should make every effort to communicate their feelings in a sensitive but honest fashion. The partner may also benefit with a discussion to a friend, doctor, or a counselor about feelings during this time.

Bottom Line: Pregnancy and childbirth are a special time for the mother and her partner. Sexual intimacy can be an important part of life during pregnancy and after the baby is born. If you have concerns about engaging in sexual intimacy before and after delivery over your baby, speak to your doctor.

Questions I Am Frequently “Axed”

May 12, 2014

I often discuss common medical conditions with patients and questions come up on multiple occasions. I have recorded these questions and will answer them periodically on this blog site. If you have any questions you like me to answer, please let me hear from you, nbaum@neilbaum.com.

I am 31 years old and have just had a baby. When can I resume sexual intimacy with my husband?
Whether you give birth vaginally or by C-section, your body will need time to heal. Many health care providers recommend waiting four to six weeks before having sex. This allows time for the cervix to close, postpartum bleeding to stop, and any tears or repaired lacerations to heal.
The other important timeline is your own. Some women feel ready to resume sex within a few weeks of giving birth, while others need a few months — or even longer. Factors such as fatigue, stress and fear of pain all can take a toll on your sex drive. If you have any questions contact your obstetrician.

I have loss of urine when I cough or sneeze or do any kind of exercise. My doctor said I have stress incontinence and he recommended a vaginal sling using mesh material. Is this safe?

Surgery to decrease or prevent urine leakage can be done through the vagina or abdomen. The urethra or bladder neck is supported with either stitches alone or with tissue surgically removed from other parts of the body such as the abdominal wall or leg (fascial sling), with tissue from another person (donor tissue) or with material such as surgical mesh (mesh sling).

Surgical mesh in the form of a “sling” (sometimes called “tape”) is permanently implanted to support the urethra or bladder neck in order to correct SUI. This is commonly referred to as a “sling procedure.”

The use of surgical mesh slings to treat SUI provides a less invasive approach than non-mesh repairs, which require a larger incision in the abdominal wall. The multi-incision sling procedure can be performed using three incisions, in two ways: with one vaginal incision and two lower abdominal incisions, called retropubic; or with one vaginal incision and two groin/thigh incisions, called transobturator. There is also a “mini-sling” procedure that utilizes a shorter piece of surgical mesh, which may be done with only one incision.

Complications of this type of procedure are rare but may occur. The most common complications include bleeding and infection, erosion or infection of the graft material (possibly requiring further surgery), injury to nearby structures, pain, inability to urinate (retention of urine), recurrent or worsening incontinence, new or worse vaginal prolapse, urgency or urge type-incontinence.

I am 65 years old man and had my prostate gland removed for prostate cancer three years ago. My PSA test is rising after several years being at an undetectable level. Is there anything else I can do?

First, I would get the test repeated. Although mistakes are rare, you need to confirm the results with a second test. Next a test has to be done to see if there has been any spread or recurrence of the cancer at the location of the surgical removal of the prostate gland. There are several tests that can be useful for this purpose including a bone scan to see if there has been any spread to the bones.

For men with less than five years life expectancy or with other medical conditions that may affect their longevity, then no treatment is needed and watchful waiting is an option.

For men with spread to other organs or to lymph nodes, hormone therapy is a consideration. This usually consists of medication to decrease the testosterone level which almost always results in loss of libido and erectile dysfunction.

Finally, if there is localized disease in the pelvis, radiation therapy is an option after surgery has failed to cure the disease.

The bottom line is that a rising PSA after surgery is usually treatable.

To Your Good Health,
Dr. Neil Baum

Sexual Wellness Program on Angela WWL, April 9, 2014

April 11, 2014

Angela Hill

Email: angela@wwl.com
Twitter: @AHillWWL

Angela: Help with sexual wellness is available, you just have to speak up!

by Angela Hill posted Apr 9 2014 4:22PM
Dr. Neil Baum has been a friend of “An Open Mind” ever since we started last fall, helping us understand medical issues that can affect our sex lives.

He spent a whole hour talking to WWL listeners today and pointed out that oftentimes, when it comes to sexual problems, women are suffering in silence, even though sexual dysfunction is more common in women than it is in men.

So what are the problems women are facing, and why can’t we speak out about it? It seems like every time you turn on the television or radio you hear an ad for a product that helps men with erectile dysfunction. Where is the help for women? Products to help women are just now starting to crack through, but haven’t gone mainstream yet.

So many men are having an open and honest dialogue with each other and their doctors, it is easy for them to speak out on these topics, but the lack of dialogue concercing female sexual dysfunction is holding women back. But it doesn’t have to be that way!

“Women who have problems with enjoyment, who have problems with dryness, who have problems with decreased libido are afraid to bring it up with their physicians. There are things that can be done for these women, and they should be encouraged to talk to their doctors,” Dr. Baum said. “Women have to understand that help is available for them, and they don’t have to suffer in silence.”

Is there Viagra for women?

“Right now, there is not. But there are things that can be done for decrease in drive for women, those whose interest is waning. It is primarily hormone-driven.”

Could hormone replacement therapy help your sex life? It’s not for everyone, but no matter what stage of life you are in, it’s imperative that you talk to your doctor, because there are options that can help you restore your love life.

One woman calls in to talk about her experience at “The Vagina Clinic,” where she found good medical advice from professionals tailored to her needs. Another man calls in with a question about testicular pain, and another with a question about fertility treatments

Everyone should take a moment to listen to the full interview – hear from men and women who have problems that may mirror those in your own life, or in the lives of your loved ones.

Bottom line? Talk to your Doctor!

FULL AUDIO: Angela talks to Dr. Neil Baum about sexual dysfunction and wellness

Good News For the Bedroom-Sex Is Heart Healthy

February 28, 2014

Certainly there are some men who worry that having sexual intercourse may cause a heart attack. Or men who have had a heart attack are at risk for another attack if they have sexual intercourse. Well, there’s good news for men. A recent study from England shows men who indulge in regular lovemaking are up to 45 per cent less likely to develop life-threatening heart conditions than men who have sex once a month or less.

The study, of over 1,000 men, shows sex appears to have a protective effect on the male heart but did not examine whether women benefit too.

Now the American researchers who carried out the investigation are calling for doctors to screen men for sexual activity when assessing their risk of heart disease.

Every year, around 270,000 people in Britain suffer a heart attack, and coronary disease remains Britain’s biggest killer.

Although sex has long been regarded as good for physical and mental health, there has been little scientific evidence to show the full benefits that frequent intercourse can have on major illnesses such as heart disease.

In the latest study, scientists at the New England Research Institute in Massachusetts, tracked the sexual activity of men aged between 40 and 70 who were taking part in a long-term project called the Massachusetts Male Ageing Study, which began back in 1987.
At regular points over a 16-year period, each man was questioned on how often they had sex and then checked for signs of heart disease.
Researchers took into account other risk factors, such as their age, weight, blood pressure and cholesterol levels.

The results, published in the American Journal of Cardiology, showed men who made love at least twice a week were much less likely to have heart disease than those whose sexual encounters were limited to once a month or less.

In a report on their findings, researchers said the benefits of sex could be due to both the physical and emotional effects on the body.
Men with the desire for frequent sexual activity and who are able to engage in it are likely to be healthier.

But sex in some forms has a physical activity component that might directly serve to protect cardiovascular health.

Also, men who have frequent sex might be more likely to be in a supportive intimate relationship and this might improve health through stress reduction and social support.

And there’s a benefit for the women in your life as well: Regular sex can even boost a woman’s sense of smell by triggering the release of a hormone called prolactin, according to scientists at Calgary University in Canada. This may be a mechanism to help mums bond with their new babies.

Bottom Line: No one disagrees that sex is good and sex might just be good for your health as well. So men, if you are looking for a reason to have regular sex, tell your partner to do it for your health and her health as well. It’s a twofer!

http://www.telegraph.co.uk/health/healthnews/6950548/Having-sex-twice-a-week-reduces-chance-of-heart-attack-by-half.html

What Culprits Send Cupid Out of the Bedroom?

February 14, 2014

Today is Valentine’s Day, the day that couples think about love and intimacy. However, there are relationships where love and affection have left the bedroom. There are many culprits that can affect intimacy between a man and a woman.

Medications

There are literally hundreds of medications that can impact a man or a woman’s sex life. Medications that are prescribed for stroke and heart issues can have devastating effects on sexual functioning. In addition, researchers have found that a family of antidepressants known as selective serotonin-reuptake inhibitors (SSRI) can take the wind right out of your sexual sails. These drugs include Prozac, Zoloft and Paxil.

Doctors can often reduce the dosage of these offending drugs or can change to another drug that can accomplish the same result without the sexual side effects.

Chronic Pain

People of both sexes can develop pain disorders as they get older, and that can have a big effect on sexuality. Arthritis and chronic back pain are just two examples. Those who suffer from chronic pain are advised to find the time of day when pain is at a minimum to engage in sexual intimacy. Also, those who suffer from chronic pain may need to take a pain pill before attempting to have sex. There are positions such as side by side that actually put the least amount of stress on your joints and your back and may make it possible to have successful intimacy.

Sex does not always equal intercourse. There are many successful relationships that do not have penis-vaginal intercourse. However, these people are able to engage in intimacy by sensual touching, massage and mutual masturbation.

Make Time for Rest and Play

The National Sleep Foundation recommends getting seven to eight hours of shut-eye a night. But with the stress of work, kids, bills and, oh yeah, your marriage, who can think about fitting in time to have sex, much less sleep? Still, you have to do your best to get a healthy amount of sleep.

Cupid likes to be included on regular dates. Plan some sex dates around times that you know you feel more energetic. You plan other things in your life and you don’t complain about it. You can do the same with sex.

Menopause and Testosterone Deficiency

Menopause and the accompanying decrease in sex drive and the appearance of vaginal dryness can wreak havoc on your sex life. Menopause results from a decrease in estrogens. The solution is as simple as applying a vaginal cream or a lubricant such as K-Y jelly or estrogens, which can be administered by a pill, a patch, topical gels, or a vaginal ring.

If you aren’t in the mood, you may be suffering from testosterone deficiency. This applies to women as well as men. Women also make low doses of testosterone and if the hormone is deficient, women may not be in the mood for sexual intimacy. The application of a topical gel or the insertion of a small pellet under the skin may quickly solve the problem of a lack of sex drive.

Bottom Line: Valentine’s Day is just one day a year. However, Cupid can be your best friend the other 364 days of the year. Try a few of these ideas to bring Cupid back into your bedroom. It’s the best threesome in the world!

This article appeared in the February 2014 issue of Health & Fitness Magazine

Didn’t Burn 2000 Calories Today-Try Sexercise

December 17, 2013

For the most part we live a sedentary life style. This lack of exercise plus poor nutrition is contributing to the obesity epidemic that is plaguing our nation. Finding places to exercise is often a challenge. One of the easiest forms of good cardiovascular exercise is to shun (?) the up elevator and use the stairs instead. However, sex can be a much more exciting exercise which is equivalent to pounding the pavement. And, when it comes to sex, we hardly need the extra motivation of exercise.

How safe is sex from the cardiovascular standpoint? (This is not to be confused with safe sex!) In fact, some studies suggest sex can reduce your risk of having a heart attack in the first place, while people with a healthy sex life are less likely to get sick in general. Studies have explored whether the rise in heart rate is more likely to make you pass out while you’re on top or in the missionary position. It turns out the risk is considered remarkably slim and depends on how vigorously you go at it, how long you last. Also the top or bottom position is at higher risk if you are having an affair or cheating. The anxiety associated with having an affair is thought to increase likelihood of a heart attack.

Few studies, however, have examined how effective sex as exercise really is.
The average time in the sack lasts between three and seven minutes and the seven-minute workout, as we now know, can be as effective as endurance-based exercise, if we’re working at a high cardiovascular intensity such as jumping rope.
Unfortunately, it seems, most people’s seven-minute sex sessions aren’t reaching those heights – at least in terms of improving cardiovascular fitness. One 2008 study found heart rate and blood pressure “increase just slightly” even at their peak during orgasm. Another study found that the average bout of sexercise burns a measly 21 calories.
The latest study, published in the October issue of the journal Plos One, has slightly more promising results for those hoping to kill two birds with one stone.
The lead author, an exercise scientist from the University of Quebec, recruited 21 young heterosexual couples and hooked them up to heart and blood pressure sensors. First, they were made to jog at a “moderate intensity” for 30 minutes on the treadmill while researchers measured their energy expenditure.
Then, the couples were instructed to go home and over the course of a month, have sex at least once a week and fill in questionnaires assessing perceived energy expenditure, perception of effort, fatigue and pleasure.
The sex sessions lasted approximately 10 minutes and the researchers concluded that sex constitutes “moderate exercise” – the equivalent of walking up a hill with a moderate incline.
The men were found to burn more calories (four per minute versus three per minute for the women) and at times expended more energy than when they were jogging.
It was not a surprise that the study demonstrated that 98 per cent of the participants reported finding sex much more pleasurable than jogging.

Read more: http://www.smh.com.au/lifestyle/diet-and-fitness/sex-as-exercise-20131209-2z189.html#ixzz2n8emocQO

Sex After a Heart Attack: What You Need To Know

May 29, 2013
Your Average Middle Age Couple Who Are In Love And Wish To Be Sexually Active

Your Average Middle Age Couple Who Are In Love And Wish To Be Sexually Active

Every man or woman who has had a heart attack has concerns when they can begin having sexual intimacy after recovering from a heart attack. Certainly the movie, Something’s Gotta Give with Jack Nicholson and Diane Keaton, offers the protagonist advice about engaging in sexual intimacy after a heart attack until the man can climb two flights of stairs without shortness of breadth or chest pain. Every woman is concerned whether resuming sexual activity may trigger another heart attack in her partner. We know depression is extremely common after a heart attack, especially for women. This blog will attempt to answer some of those questions that men and women have after a heart attack.

First, most cardiologist believe it is helpful for men to be in a supervised exercise program. These cardiac rehab programs teach men and women that it’s OK for them to exercise after a heart attack.

However, if you begin to feel symptoms such as chest pain, abnormal shortness of breath, fatigue, dizziness, or palpitations, it definitely makes sense to slow down what you’re doing, whether you’re a man or a woman. If you’re pretty certain it’s angina, which is temporary pain or pressure in the chest when the heart doesn’t get enough oxygen, it might help to take your nitroglycerin tablet under your tongue.

Now the warning: Just like the movie, Something’s Gotta Give, men who use medication for erectile dysfunction, such as Viagra, Levitra, or Cialis, — they should not take nitroglycerin. Your blood pressure can fall to dangerously low levels, and there’s an increased risk of heart attack and even death. If you’re on an erectile dysfunction drug and have heart-related symptoms during sex, call your doctor.

Yes, and sexual intimacy is often related to the emotions that follow a diagnosis of heart disease. It influences people’s lives in many different ways, and sexual activity is one of them. A new diagnosis of heart disease — or even a surgical scar — can make people feel less attractive. Some drugs have side effects that diminish sexual interest and performance. When patients feel angry and frustrated, it affects not only their sex lives but also their “couple” relationships.

Sexual intimacy is like a stress test. Engaging in sex shows that you’re capable of doing physical activity in which your heart rate and blood pressure go up. In a sense, you’re doing a stress test on your heart. If you tolerate that well and you feel good doing it, it suggests good things about your overall level of fitness and therefore your risk of heart disease.
Sex can also be a sign of healthy relationships and social supports. It shows you have the opportunities, frankly, and that you’re interested and engaged. Sex is a barometer for overall health.

Bottom Line: Sex is a good thing and sex is okay after a heart attack if your doctor gives you permission to exercise and engage in sexual intimacy. This is a discussion every man and woman needs to have with their doctor after having a heart attack and before leaving the hospital.