Posts Tagged ‘impotence’

Nourishment for Your Nature

April 28, 2017

Since the late 1990s there has been a great advancement in the treatment of erectile dysfunction.  We know pills, pumps, and surgeries work for erectile dysfunction, but what about food and nutrition? Are there things you can eat that can help with ED? This article will discuss several options that may be an alternative to medications, injections and surgery for ED.

Watermelon

This sweet, refreshing fruit has a compound that can have effects similar to ED meds on your blood vessels. It may even rev up your libido. Most of watermelon is water, however the rest is loaded with lycopene, an antioxidant that’s good for your heart, prostate, and skin and even your erections .

Oysters

These shellfish may boost your testosterone levels, and that can help with sex drive. They’re also chock-full of zinc, a nutrient your body needs. One caveat is to be sure they are they’re cooked properly.

Coffee

Your morning cup of joe is more than a satisfying pick-me-up. It may give your love life a boost, too. Men who drank two or three cups’ worth of caffeine a day were less likely to have erectile dysfunction. That’s because caffeine helps increase the blood flow to the penis.

Dark Chocolate

This treat may have perks in your private parts. An ounce of chocolate a few times a week can help your Johnson. Chocolate is rich in flavanols, plant nutrients that can increase blood flow and lower blood pressure.

Nuts

Walnuts have lots of arginine, an amino acid your body uses to make nitric oxide. They’re also good sources of vitamin E, folic acid and fiber.

Juice

Maybe you enjoy an adult beverage made from grapes, but here’s a reason to drink the stuff kids like. Nutrients in grape juice also increase the amount of nitric oxide in your body. If you’re not wild about drinking grape juice, try pomegranate juice.

Garlic

The strong-smelling bulb may raise the dead. If plaque forms on the walls of the arteries, blood flow could be decreased. Garlic in your diet may help keep your arteries healthy, open and clear as you age.

Fish

Salmon and other fatty fish are great sources of heart-healthy omega-3 fatty acids, which may boost nitric oxide in your body. These omega-3 fatty acids also lower your blood pressure and your risks for heart attack and blood clots.

Greens

Kale is also a nitric-oxide booster. They’re packed with vitamins, minerals and omega-3s.

Peppers

You might spice up your love life by adding some chili peppers to your diet. Chilies can also help lower blood pressure and cholesterol and prevent blood clots.

Olive Oil

Olive oil may help your body make more testosterone. It’s also full of u monounsaturated fat, which can help get rid of the bad cholesterol in your body, the LDLs.

Bottom Line:  Let the truth be told there is no magic bullet or food that can restore your nature.  But there are foods that can help you “keep ‘em up!”

Smoking Is Also Hazardous to Your Urologic Health.

November 26, 2016

It is given that smoking is deleterious to your lungs and heart causing lung cancer, chronic obstructive pulmonary disease and heart disease, just to name a few of the common medical conditions causes by smoking.  There are also urologic conditions that are affected by smoking.

Bladder cancer is 4th most common cancer in men with nearly 80,000 new cases each year in the united States.  Smoking causes harmful chemicals and drugs to collect in the urine.  These toxic chemical affect the lining of the bladder and increase your risk of bladder cancer.

Nearly 30 million American men have erectile dysfunction or impotence  This is usually due to a reduction of poor blood flow to the penis.  Smoking can harm blood vessels, when decrease the blood flow to the penis.  As a result, men will have difficulty obtaining and keeping an erection adequate for sexual intimacy.

Kidney cancer is in the top ten most common cancers in both men and women with nearly 60,000 new cases every year.  Smoking puts noxious chemicals from the lungs into the blood stream where it is filtered into the kidneys and can cause kidney cancer.

Kidney stones affect 1 million Americans and smoking is a known cause of having kidney stones and also for having recurrent kidney stones.

Painful bladder syndrome affects 12% of women.  The condition is irritated by smoking and produces more symptoms of pain and discomfort in the pelvis.

Overactive bladder (OAB) affects more than 30 million American men and women.  Smoking irritates the bladder and increase the frequency of urination.  Smoking also is associated with coughing that can increase urinary leakage.

Infertility caused by male factors affects 50% of all problems related to difficulty with achieving a pregnancy.  Smoking can harm the genetic make-up in eggs and sperm.  The infertility rate for smokers in nearly twice that for those men who do not smoke cigarettes.

Bottom Line:  Most people are looking for reasons to stop smoking.  There are so many medical conditions that are caused by or are made worse by smoking.  Talk to your doctor about some of the effective ways to achieve smoking cessation.

Good News About Red Wine and Prevention of Erectile Dysfunction (ED)

February 19, 2016

 

ED affects millions of American men.  Most of the men have ED from vascular causes such as heart disease, high blood pressure, diabetes, or side effects of medications.

Men who consume red wine and blueberries and take regular exercise can cut their risk of developing erectile dysfunction by over a fifth.  My cardiologist, Dr. Frank Wilkow, informed me that two glasses of red wine a day was good for my heart and my erections.  (He also told my wife that one glass of red wine was good for her heart as well!)

Scientists have identified that foods rich in certain flavonoids cut the risk of men experiencing the sexual problem which affects up to half of all middle-aged and older men.

The foods with the greatest benefits include blueberries, cherries, blackberries, radishes and blackcurrant, which contain anthocyanins; as well as citrus fruits, which are packed with flavanones and flavones.

The study from The American Journal of Clinical Nutrition showed that men who regularly consumed food high in flavonoids were 10% less likely to suffer from ED.

Bottom Line: Men who consume a diet rich in flavonoids plus participate in regular exercise and maintain their body weight are the best way to preserve sexual health as well as a reduction in cardiovascular risk factors.  And another benefit is that men who consume the healthy diet also have a reduction in risk of diabetes.

Latest News on Testosterone-NBC Nightly News on 2\17\16

February 17, 2016

Testosterone gel can help some men get back a little of their loving feelings, and helps them feel better in general, according to a new study published today by the National Institute of Health.

It’s the first study in years to show any benefit for testosterone therapy. This was the first time that a trial demonstrated that testosterone treatment of men over 65 who have low testosterone would benefit them in any way.  The trial showed that testosterone treatment of these men improved their sexual function, their mood, and reduced depressive symptoms—and perhaps also improved walking.

The FDA does not approve the use of testosterone to treat the effects of aging. But it’s already a $2 billion industry, with millions of men buying gel, pills or getting injections.

Experts stress that the results, published in the New England Journal of Medicine, only apply to men over 65 who have medically diagnosed low testosterone. The trial consisted of 800 men.

A few men had heart attacks or were diagnosed with prostate cancer during the study, but the rate were the same in men who got real hormone and in those who got placebo cream.

Men in the testosterone group were more likely than those in the placebo group to report that their sexual desire had improved since the beginning of the trial. Men who received testosterone reported better sexual function, including activity, desire, and erectile function, than those who received placebo. Although the effect sizes were low to moderate, men in the testosterone group were more likely than those in the placebo group to report that their sexual desire had improved.

Testosterone was also associated with small but significant benefits with respect to mood and depressive symptoms. Men in the testosterone group were also more likely than those in the placebo group to report that their energy was better.

As men age, their bodies make less testosterone. It’s not as sudden as when women lose estrogen, but the effects can be similar – loss of energy, sexual desire, depression and bone loss.

Bottom Line: Testosterone is the male hormone responsible for sex drive, erections, bone strength, muscle mass, and even mood.  The hormone decreases starting in men in their 20’s and usually become symptomatic in the late 40s and 50s.  The diagnosis is easily made with a simple blood test and treatment is easily accomplished with injections, topical gels, or pellets inserted underneath the skin.  For more information speak to your doctor.

Update on ED-When It Is Dead Down There

January 27, 2016

ED is the inability to achieve and maintain a normal erection adequate for penetration that impacts the intimate relationship between partners.  There are nearly 30 million American men suffering from ED.

ED may occur under various circumstances ranging from diabetes, hypertension, prostate gland surgery, spinal injuries, neurological and emotional problems.  There are times when there is no identifiable cause. However, it’s far more frequently seen in diabetics and to some extent in those with cardio vascular diseases, hypertension and peripheral vascular disease. The effect on the blood vessels leading to poor blood flow seems to be the primary reason.

People suffering from ED should carry out assessment of blood sugar, cardio vascular evaluation, measurement of hormones like testosterone and prolactin. A psychological evaluation will often benefit those who suffer from performance anxiety. Depression is often seen as an accompanying factor of erectile dysfunction in many people especially when there is no other identifiable cause. A detailed evaluation of a man’s medication is also important. Smoking and excessive drinking are both known to have significant adverse impact on erectile dysfunction.

Alcohol is a depressant, and using it heavily can dampen mood, decrease sexual desire, and make it difficult for a man to achieve erections or reach orgasm while under the influence.

According to the U.S. Centers for Disease Control and Prevention, CDC, moderate drinking is no more than two drinks a day for men (and one drink a day for women). The liver can only break down the amount of alcohol in about one standard-size drink an hour, so regularly drinking more than that means that toxins from alcohol can build up in your body and affect the blood vessels supplying the penis.

Heavy drinking can lead to temporary erectile dysfunction. This is because pre-sex drinking decreases blood flow to the penis, reduces the intensity of your orgasm, and can dampen your level of excitement.  Also, Long-term erectile dysfunction has been linked to chronic heavy use of alcohol. In fact, studies show that men who are dependent on alcohol have a 60 to 70 percent chance of suffering from sexual problems. The most common of these are erectile dysfunction, premature ejaculation and loss of sexual desire.

Bottom Line:  ED is a common problem affecting millions of American men.  Help is available.  If you or one you love is suffering from ED, speak to your doctor.

Sex and the Senior or Senior Sex

January 4, 2016

It is not a myth that seniors engage in sexual intimacy or wish to enjoy intimacy perhaps just as much as younger men and women. However, intimacy like many other physical and social interactions that occur as men and women get older. This blog will discuss simple suggestions for seniors to have enjoyable and more fulfilling sex life.

Start your intimacy by engaging your mouth or your communication skills before engaging in sex. You should be able to communicate your thoughts, fears, and desires with your partner. Be frank with your partner and encourage them too to be open with you. Holding back or hiding certain things will only dampen your spirits and diminish your performance.

Be open to new ideas and experiment

Just because you are growing old, doesn’t mean you can’t expand your horizons. Be open to new ideas and discuss them freely with your partner. Don’t hesitate and put your creative mind to use. If erectile dysfunction is an issue for you, try sex with the woman on top, as hardness is less important. If you are used to having sex in the evening, try the morning and visa versa.

Eat right and exercise

High blood pressure and cholesterol can cause the vascular problems that lead to trouble with your erections. It is important to maintain a healthy lifestyle by exercising and keeping your weight and cholesterol in check.

Avoid large quantities of alcohol and smoking

It’s no news that both alcohol and smoking can hinder a man’s ability to achieve an erection. If you are having sexual difficulties, consider abstaining from smoking and alcohol.

Sex does not always mean intercourse

You need to broaden your definition of sex. Holding each other, gentle touching, cuddling, kissing, and sensual massage are also ways which will fulfill you. Try oral sex or masturbation as substitutes to intercourse.

Know when to visit a doctor

Your doctor can help you manage chronic conditions and medications that affect your sex life. If you have trouble maintaining an erection, ask your doctor about treatments. If you have vaginal dryness, see your doctor as help is available.

Be optimistic

You need to maintain a positive approach when it comes to these sensitive issues. Having said that, you need to be realistic too to accept the changes that your body is going through. But nevertheless, accept these natural changes with confidence.

Bottom Line: Sex is enjoyable at any age. Seniors enjoy sexual intimacy just as younger men and women do. You need to know that you can be successful as a senior both in and out of the bedroom.

2016 Update of Peyronie’s Disease (PD)

January 3, 2016

PD is a health issue in which a scar or plaque forms under the skin of the penis. Most of this plaque builds up leading to a curved erection, which can make intercourse difficult or painful for a man and his partner. PD is thought to impact about 6% of men between the ages of 40 and 70 years of age. This may be an underestimate as many men are too embarrassed to seek help or report the problem to their physician.

Doctors do not know what causes PD or how to prevent the disease before it starts. We do know that PD runs in the family. We also know that forceful sexual activity causes minor injuries to the penis that may initiate the process of scar formation. The disease is not related to a sexually transmitted disease or is a source of cancer.

The symptoms of PD include a curvature of the penis. A man may also be able to feel one or more hard lumps on the penis. Men may also experience painful erections and the man’s partner may also complain of vaginal pain or discomfort.

The treatment options for PD include watchful waiting, non-surgical treatments, and surgery. Watchful waiting is appropriate for a man with a minimal curvature that does not cause pain or impede sexual intimacy. Injection therapy includes the use of interferon\verapamil\collagenase drugs directly into the plaque, which may dissolve the plaque. Surgical options include straightening surgery or plication. The plaque can also be removed the defect repaired with a graft of human tissue or synthetic disuse. Finally the plaque can be removed and a penile prosthesis inserted. (See my website, http://www.neilbaum.com, for more information on Peyronie’s Disease and the use of a penile prosthesis)

Bottom Line: Peyronie’s disease is a common urologic disorder. It is a source of potential pain and discomfort. Help is available and most men can achieve relief from the disabling curvature.

 

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.

What’s Causing Your Erectile Dysfunction? (ED)

December 2, 2015

Erectile dysfunction or impotence affects nearly 14 million American men.  The condition is often associated with diabetes, heart disease, high blood pressure and literally hundreds of medications that side effects of ED.  There are a number of conditions that can be treated that can significantly improve your erection that doesn’t require medication or surgery.

  1. Vitamin D deficiency: vitamin D is a necessary vitamin and when the vitamin D level is decreased, which can be identified by a simple blood test, a man’s erection can be affected. A study has shown that men with severe erectile dysfunction had lower Vitamin D. The solution is as simple as getting outside in the fresh air and getting some sunshine as the sun helps convert inactive vitamin do to the active vitamin that is vital to good health. Many factors affect the skin’s ability to produce vitamin D, including season, time of day, latitude or how far you live from the equator, air pollution, cloud cover, sunscreen, body parts exposed, color, and age. Dermatologists recommend using sunscreen and getting vitamin D from food and supplements rather than risk the harmful rays of the sun.
  2. Diabetes: Erectile dysfunction could be caused by undiagnosed or diagnosed diabetes. If your ED is sudden, consider getting screened and if you know you already have diabetes, expect this to be a risk factor. By getting the glucose level under control and lowering the HbgA1C to normal levels, you can improve your erections.
  3. Your drinking: Alcohol has a reputation of increasing the desire for sexual intimacy but decreasing the performance or make getting and holding an erection difficult. If you have issues getting it up and you have also started increasing the amount of drinks you have, including the frequency, then consider cutting back. Heavy drinking increases your risk of ED.  One to two drinks per day is acceptable will not impact your erections.  More alcohol will certainly impact your performance in the bedroom.
  4. Stress: If you are stressed at work, home or in your relationship, it will affect your sex life. You need to be a relaxed to get in the mood for sex. This problem can also be a catch-22, because if you cannot get it up, you start to stress about that too, making it even more unlikely you will have an erection. So, basically, just relax and take a deep breath and practice mindfulness.
  5. Coffee to the rescue: Studied have found that 42 percent of men who drink between two to three cups of coffee a day are less likely to have erectile dysfunction. Caffeine helps relax the arteries and the smooth muscle within the penis which, in turn, helps increase blood flow.
  6. Not enough sex: The more sex you have, the less likely you are to suffer from ED. What is considered regular? Experts say you can shoot for two – three sexual engagements including orgasms per week.
  7. Smoking: The more you smoke, the more you risk have a flat, flaccid penis. 23 percent of erectile dysfunction occur among men who smoked.
  8. Lack of exercise: Exercises, especially weight resistance ones, do a lot to increase a man’s testosterone which helps reduce the likely of ED. Your levels or testosterone normally drop about 1%a year after age 25.
  9. Bicycle riding: Studies have shown that the longer you ride your bicycle, the higher your chance of developing ED. You do not have to stop riding though, just make some modifications. You can ride shorter distances, get off of the seat every 10-15 minutes for 30 seconds, find comfortable seat and get a bike that is sized appropriately.
  10. Your medications: Some medications like antihypertensive drugs and antidepressants (SSRIs) can cause erectile dysfunction.

 

Bottom Line:  ED is a common problem affecting millions of American men.  Often times the problem can be related to diet, lack of exercise, and poor lifestyle choices. Take a look at these 10 factors that can significantly affect a man’ erection.  Make some adjustments and you will soon be “back in the saddle”!

 

 

Your Bike May Cause Your Erections To Take a Hike

October 28, 2015

There are many cause of impotence or ED but one of the most common in younger men is bike riding. This blog will discuss the relationship of bike riding to ED and what can be done to prevent problems with bikers erections.

Bicycle seat neuropathy is one of the more common injuries reported by cyclists. The injuries and symptoms are due to the cyclist supporting his or her body weight on a narrow seat, and they are believed to be related to either vascular and\or neurologic injury to the pudendal nerve.

A wide frequency range has been reported for bicycle seat neuropathy, but it is believed to be underreported.

 A study of cyclists who ride for long period of time noted that 22% reported symptoms of either numbness or pain in the pudendal area. 21% reported penile numbness, with 6% cyclists reporting symptoms that lasted longer than 1 week. In addition, 13% reported symptoms of impotence, some men having experienced symptoms for longer than 1 week, and a smaller number reported impotence lasting longer than 1 month.

The cause of bicycle seat neuropathy has been attributed to several different events. One study hypothesized that compression of the pudendal nerve as it passes through the Alcock canal causes the condition. The Alcock canal is enclosed laterally by the ischial bone and medially by the fascial layer of the obturator internus muscle. The pudendal nerve exits the canal ventrally, below the symphysis pubis, and innervates the penis and perineal regions.

Long-distance cycling results in the indirect transmission of pressure onto the perineal nerve within the Alcock canal. Bicycle seat neuropathy is due to temporary and transient injury to the dorsal branch of the pudendal nerve secondary to compression of the nerve between the bicycle seat and the symphysis pubis.

Bicycle seat design (eg, shape) may be the major extrinsic factor for the development of bicycle seat neuropathy. Results of computer modeling showed that wider bicycle seats that support the ischial tuberosities or sit bones decrease pressure on the perineal area. Other studies have also demonstrated the effect bicycle seat design has on penile blood flow.

A recreational or elite cyclist who complains of numbness or impotence after cycling is the typical presentation of bicycle seat neuropathy. The amount of time the athlete spent cycling before the onset of symptoms is variable; however, studies have focused upon longer distance, multiday rides. Use of a stationary bicycle has also been reported as a cause of bicycle seat neuropathy.

Medical issues and complications include continued injury or insult to the area, resulting in continuation of the neuropathy and long-term sequelae such as impotence. Reevaluate the patient after making changes to the bicycle or riding style or after decreasing the training volume to ensure that improvement in symptoms is occurring. Continued symptoms despite changes in the bicycle seat position and training volume may indicate a different source of the symptoms and should warrant reevaluation by the physician.

The mainstay of treatment of bicycle seat neuropathy is the adjustment of the bike seat and bike position, such as tilting the nose of the seat down or lowering the seat height to relieve pressure off the perineum. Other recommendations include having the rider change the style of riding (eg, change positions more frequently or stop riding more frequently).

Newer bicycle seats with a split nose or a center cutout may also help to reduce the prevalence of neuropathy by limiting compression on the perineal area (see below). Some of the newer seats reduced perineal pressure by approximately 50%.

Bottom Line: Bike riding is a very popular form of exercise and recreation. However, long rides can affect a man’s potency and increase the risk of ED. I suggest that if you experience numbness after a long bike ride that you check your seat and speak to someone at the bike shop about a new seat that takes the pressure off of your sit bones so there is less compression of your nerves and blood supply to the penis.

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