Monday, February 22, 2010

I never heard about MUSE...did U????

Anyone can ask questions on this site about his sexual problems.I m giving a one Q and Ans found on this site.

http://www.malehealthquestions.eu/forum

My Question

Question

I was loosing my erection very quickly.Some times with ejaculation or some time even before entry or just on entry.
I was prescribed sildenafil citrate.I began with 25mg about 10yrs back. No w I am taking 100mg.But now I dont get proper erection nor it stays as long as it used to be earlier. My wife is fit and eager and demanding.About 2 yrs back I was diagonised with depression. At that time I lost erection totally.I understood my symptoms as I read lot on net.On my own I went to psychiatrist.After tratment I am mostly recovered.Erections returned then. But as told earlier of late erections are weak, do not last long and my wife sufferes. Pl. help.

Reply #1 - 20:05 20/02/10
- Healthcare_Professional

You need to see your family doctor for some blood tests (testosterone, lipids and glucose) as alterations in these can cause erection trouble. Your doctor might prescribe some different medicines, so you need to also ask about medicines for erections as well. If you are not getting a full erection with viagra, you could try cialis or levitra. Cialis takes about 2 hours to work, but can be taken with food/alcohol. Levitra takes about 15 minutes to work, and can also be taken with food and alcohol. They have the same side effects as Viagra. Alternatives to these medicines are urethral pellets (called MUSE), injections into the penis, a vacuum device, or surgery. See what your doctor advises, or ask for a referral to a specialist clinic.

This has answered my question

Reply #2 - 17:25 21/02/10
- tholiya

U r right. My testosterone level is low and has fallen further.Lipids r normal but I suffer from hypoglacimia.So I need to eat regularly, drink tea or have lime juice.

By the way to my bad luck and bad luck of millions Levitra and Cialis is not available in India.
I have never heard of Urethral pellets and may be most doctors in India may not have heard about them. Pl. give more info on same.Other options I dont want to try.

Reply #3 - 19:58 22/02/10
- Healthcare_Professional

The urethral pellets are called MUSE - Medicated Urethral System for Erections, and are made of Alprostadil, a type of prostaglandin E1. They come in four strengths, 125, 250, 500 and 1000 micrograms. You pass urine first to lubricate the urethra, then insert the pellet applicator. Once at the right depth, you deliver the pellet, then massage the penis for about 10 minutes or so. This coats the urethra (water/urine pipe) with the drug, enabling it to work better. The side effects include urethral burning and possibly lowering of blood pressure. It's unlikely that you've ever had a preparation with alprostadil in it, so best to have the first dose under medical supervision. These pellets can be quite successful, and have also been used in combination with Viagra (although neither preparation is licensed for use with other medicines). Ask your doctor to refer you to an Andrologist or a Urologist with an interest in sexual medicine. Your doctor might consider giving you testosterone supplements if your testosterone level is low.

Thanks and Regards,
Alok Tholiya (S.E.O.),
Real Estate, Insurance, Mutual Funds, Bonds,
Tholiya Marketing and Leasing Pvt. Ltd.,
"Marigold", the little Party Hall,
Tholiya Bhavan, 10th Rd., Santacruz East,
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Saturday, February 20, 2010

http://www.ejaculationspray.com/

TEMPE Spray helps men last longer
Men last 6 times longer with TEMPE spray used five minutes before sex

According to a study in the 2009 April issue of BJU International, men with premature ejaculation (PE) who used Tempe Spray five minutes before intercourse were able to delay their orgasm 6 times longer. The time from penetration to ejaculation increased from an average of 0.6 minutes to 3.8 minutes.

FDA USA Phase III clinical results confirm:

Tempe Spray has met all co-primary endpoints:

The intra-vaginal ejaculation latency time (IELT) was increased at least six-fold with Tempe Spray when compared to baseline.
There was a 5 point difference between Tempe Spray and placebo in the Index of Premature Ejaculation (IPE) domains for ejaculatory control and sexual satisfaction, where a 2 point difference is considered clinically significant.
IPE domain for Distress was a 2.5-point difference between Tempe Spray and placebo, where a 2 point difference is considered clinically significant.
And partner satisfaction, as a secondary endpoint, was also found considerably greater with Tempe Spray than placebo.

Tempe Spray was well tolerated and only a very low incidence of mild penile numbing (<3%) was observed.

Tempe Spray would be the first prescription treatment in the United States for premature ejaculation, upon FDA approval.

Similar positive results confirmed in European Phase III study:

Both Patient and Partner Satisfaction Increased Significantly
86 percent of Patients Rated the Treatment as Positive
Well Tolerated and Devoid of Systemic Side Effects

The number of patients in the Tempe Spray group who rated the quality of their orgasm as good or very good increased from 20 percent at baseline to 62 percent after treatment. In comparison, the number of placebo-treated patients with this rating decreased from 21 percent to 19 percent.

The Principal Investigator in the study, Prof Wallace Dinsmore, Royal Victoria Hospital, Belfast commented:

"These results are as impressive as those observed with the phosphodiesterase inhibitors (PDEi) in erectile dysfunction at an equivalent stage of development. The positive impact of Tempe Spray on both patients and their partners could save many relationships".

Once the results from the US Phase III study become available in the first half of 2009, the data from the two studies will be combined for submission for regulatory approval in the USA and Europe.

Clinical data results confirm:

The product is applied locally when needed (often referred to as "on demand" therapy)
Rapid onset of action is within minutes (<5) and that the benefit will last for at least 2 hours
Is well-tolerated: minimal partner transfer eliminating the need to use a condom for protection from the product and the potential for the dose to be self-titrated or adjusted under physician direction
No unexpected adverse events; negligible systemic toxicity

Patients with premature ejaculation who used a TEMPE spray were able to delay ejaculation 6 times longer according to a study in the 2009 April issue of BJU International.

The spray is called TEMPE (Topical eutectic-like mixture for premature ejaculation) by manufacturer Plethora Solutions Ltd. London. Tempe spray is a metered-dose aerosol containing a combination of the well known local anaesthetics lidocaine and prilocaine and the anaesthetics in TEMPE spray doesn't penetrate intact or fully keratinised skin and can be easily wiped off with a damp cloth in order to minimise transference to the sexual partner. It is not yet available on the market.

Two hundred men diagnosed with premature ejaculation using Tempe Spray from 31 centres in the UK, Czech Republic, Hungary and Poland were able to last 6.3 times longer versus placebo group.

Results of a phase III clinical trials with 300 heterosexual men with premature ejaculation shows that 90% of the men in the treatment with TEMPE spray were able to delay ejaculation for more than one minute following vaginal penetration, 74% of men last more than two minutes before ejaculation and 62% of men with TEMPE spray said their orgasms were 'good' or 'very good' after three months. The men had an average age of 35.

Before the test and without any therapy they normally ejaculated an average of 0.6 minute after vaginal penetration.

"The men who were prescribed the TEMPE spray, which delivers a combination of lidocaine and prilocaine, managed to delay ejaculation by just under an extra four minutes after using the product" reports Professor Wallace Dinsmore from the Royal Victoria Hospital, Belfast.

"Meanwhile the control group, who were prescribed a placebo (dummy) spray, increased their penetration to ejaculation time by just over 40 seconds.

No adverse effects were found during patient safety checks, which included vital signs, physical findings, electrocardiograms, haematology, biochemistry and urine analysis.

"The encouraging data from this phase III study suggests that TEMPE has the potential to offer a convenient, novel treatment for men with premature ejaculation and might be useful as a first-line treatment for the condition."

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http://www.prematureejaculation.com

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Miracle pill "Priligy" prolongs staying power threefold

'Miracle pill' prolongs staying power threefold

Aprescription drug designed specifically to treat premature ejaculation (PE) can triple the amount of time men can last before ejaculating. Priligy is already available in Europe and may soon be brought before the FDA for approval in the US, according to Men's Health magazine. While the miracle drug may solve many men's bedroom issues, some researchers worry that a broad advertising campaign for the drug could incite fear in men who don't have a medical problem. "There are tons of men out there who think they should be doing better and who will buy into a PE campaign," Joel Lexchin, a professor of health policy at the York University in Toronto, said.

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Sunday, February 14, 2010

Relationship

A boy was born to a couple after 11 years of marriage. They were a loving couple and the boy was the gem of their eyes. When the boy was around two years old, one morning the husband saw a medicine bottle open. He was late for office so he asked his wife to cap the bottle and keep it in the cupboard. His wife, preoccupied in the kitchen totally forgot the matter.

The boy saw the bottle and playfully went to the bottle fascinated by its color and drank it all. It happened to be a poisonous medicine meant for adults in small dosages. When the child collapsed the mother hurried him to the hospital, where he died. The mother was stunned. She was terrified how to face her husband.

When the distraught father came to the hospital and saw the dead child, he looked at his wife and uttered just 4 words.

QUESTIONS :

1. What were the 4 words ?
2. What is the implication of this story?

ANSWER : The husband just said "I am with you"

The husband's totally unexpected reaction is a proactive behavior. The child is dead. He can never be brought back to life. There is no point in finding fault with the mother. Besides, if only he had taken time to keep the bottle away, this would not have happened.

No one is to be blamed. She had also lost her only child. What she needed at that moment was consolation and sympathy from the husband. That is what he gave her.

If everyone can look at life with this kind of perspective, there would be much fewer problems in the world. "A journey of a thousand miles begins with a single step." Take off all your envies, jealousies, unforgiveness, selfishness, and fears. And you will find things are actually not as difficult as you think.

MORAL OF THE STORY

Sometimes we spend time in asking who is responsible or whom to blame, whether in a relationship, in a job or with the people we know. By this way we miss out some warmth in human relationship. *

Lets start emulating this moral in our day to day life.

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Saturday, February 13, 2010

Sex and heart disease

Dr Peeyush Jain

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Sexual activity is a normal human instinct, which protects men and women against feelings of isolation. It offers them an opportunity to be free of mental stress and tension by gestures such as touching, hugging, caressing and fantasy. Intercourse is the ultimate expression of sexuality.

Heart patients and their spouses frequently perceive sexual intimacy as stressful or even life threatening. Their fears and doubts are often not clarified by physicians and other health care providers, who may also feel inhibited while discussing sexual matters with their patients. Majority of the patients, therefore receive little or no instructions about resuming sex after a heart attack or heart surgery. Those who are instructed frequently don't receive adequate information. Often the spouse is excluded from counselling. Without proper guidance, both patient and spouse rely on their own knowledge, myths and misconception to cope up with their unfounded fears of sexual inadequacy, impotence and death during intercourse.

Sexual problems in heart disease

Male heart patients frequently report a reduction in frequency and satisfaction of intercourse after heart attack or heart surgery. Sexual desire may decrease, leading to inhibition of feelings and failure of erection. Some men also experience premature ejaculation. Yet, such problems do occur in as many as 40% of happily married normal couples too. A strong emotional relationship between spouses lessens the occurrence of sexual dissatisfaction after a heart attack. Relatively few studies have been carried out regarding sexual activities of female patients with heart disease.

Psychological basis of sexual problems

Two primary psychological reactions interfere with resumption of normal sex after a heart attack:

Anxiety: Anxiety results from fear of angina or recurrence of heart attack during sexual intercourse. These fears are frequently based on ignorance about physical demands of sexual activity, when to resume sex and ways to prevent to treat the symptoms. Another contributory factor is patient's perceived change in body image, leading to a feeling of being less of a man or a woman.
Depression: After a heart attack, many people experience a moderate to severe depression. It prevents the patient from resuming normal; emotional ties with the spouse and may also lead to a decrease in libido. Occasionally, it may cause impotence.

Spouses' responses Forced dependency in hospital setting during a heart attack or surgery may lead to erosion of feeling of self worth and sexual attractiveness for a while. During this time, the spouse can provide much needed support. In reality, many spouses themselves undergo considerable psychological trauma during this period. They wish to reassure their spouse of their love and affection, yet feat the worst. This naturally comes in way of resuming normal sex. Lack of communication or covert communication only helps to reinforce the anxiety of both the partners. The matters may be complicated when the spouse also begins to grudge his/her continued responsibility.

Physical effort of sexual intercourse with spouse is comparable to climbing a flight of stairs or walking briskly. Therefore, most of the people should be able to return to their previous level of sexual activity after recovering from a heart attack or CABG. Here are some practical tips to regain a normal sex life.

Communication with your spouse This is the first and most important step in resuming a normal relationship. Heart attack or major heart surgery is a stressful experience for both the partners. Recuperation after home coming is the right time to pick up the threads of life once again. An open discussion about apprehensions and anticipations may be more important than the act of sexual intercourse itself at this stage.
Getting started Cuddling for a while without worrying about performance is desirable. Hugging, touching and caressing without penetrative sex and orgasm require very little energy. These may be resumed soon after reaching home. An affectionate gesture this time is good way to express your love before moving on to sexual intercourse.
Time to resume sexual intercourse Sexual intercourse is like any other physical activity. A general rule of the thumb is that sex may be resumed when it is possible to climb 1 0r 2 flights to stairs with angina or breathlessness. This generally means 4-6 weeks following an uncomplicated heart attack, and a little later after heart surgery.
The environment Sexual intercourse should be resumed in familiar surroundings, in a relaxed and restful environment. Room temperature should be comfortable. Extreme temperatures place more stress on the heart.
Don't skip the foreplay While it is never a good idea to cut short the foreplay, it is especially important during convalescence. Besides enhancing enjoyment, foreplay also allows a gradual rise in heart rate, preparing for sex in the same way as warm up stretching exercises prepare for aerobic training.
Desirable positions Whatever the position adopted during sexual intercourse, it should be comfortable and permit free breathing. It was previously thought that when the patient was in bottom or lies side to side rather than the top, the rise in blood pressure during intercourse is less. Little isometric effort is involved in these positions. What should be avoided is supporting the body on hands, when on top.
Things to avoid Digestion of food increases heart rate for a while. Therefore, sexual intercourse should be avoided for 2 hours after a heavy meal to minimise strain on heart. Sex should be avoided when either of the partners is extremely tired, tense, angry or under time pressure.

When sexual intercourse is not advisable If sexual intercourse precipitates severe angina or breathlessness on more than 1 occasion, or when even modest physical exertion precipitates irregular or missed heart beats or ECG changes, it is desirable to resume sexual intercourse after optimization of medical therapy.

Causes of sexual problems in heart disease

Anxiety
Depression
Preexisting sexual problem
Concomitant stroke during acute heart ailment or heart surgery
Atherosclerosis of aorta or its branches supplying blood to penis
Physical deconditioning
Alcohol and tobacco abuse
Some therapeutic drugs

Sometimes sexual problems encountered in heart disease are caused or aggravated by certain medicines. Some medicines known to cause sexual difficulties are spironolactone, beta blockers, thiazide diuretics, statins, anti-depressants and sedatives and anti-anxiety drugs. Personal physician is the best guide to assess whether particular medicine is responsible for sexual problems. If identifies with reasonable certainty, the offending medicine may be withdrawn. When a medicine is absolutely essential, sex may be scheduled when blood levels of the problem medication are low, that is, about 6-8 hours after dose of the medicine.

Conclusion

Sexual intercourse after a heart attack is not a risky Endeavour. To the contrary, it is normal, also to be desirable and healthy provided it is undertaken with a familiar partner. If someone can walk on a treadmill, climb 2 flights of stairs at a good pace without breathlessness, palpitations or chest pain, his physical condition is good enough to resume normal sex.

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Friday, February 12, 2010

Alok adds: But if u are cheating or goint to a brothel then the fear and guilt can kill all the benefits cited above. Besides illcit relations can give u many diseases.

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Why having 'sex' is a healthy habit

10 February 2010, 12:00am IST

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If you thought the only benefit of sex was, well, pleasure, here's some news for you.

Making love is good for adults. And making love regularly is even better! Not only does it help you sleep well, relieve stress and burn calories, there are several other reasons why you need to have sex more often.

Improves cardiovascular health
A recent study says that men who have sex more than twice a week, had a lesser risk of getting a heart attack than men who had sex less than once a month.

Relieves pain
If you're using your headache as an excuse not to make love, stop doing it. Just when you're about to orgasm, the level of oxytocin, a hormone increases by five times. The release of endorphins reduces aches and pains.

Increases immunity
Regular love making increases the body's level of the immune-boosting antibody immunoglobulin A (IgA), which will make your body stronger against illnesses like the common cold and fever.

Reduces stress
Stressed out with work or family problems? Don't let it affect your performance in the bedroom. Not only will having sex improve your mood, but a study has proved that folks who indulge in regular bedroom activities can handle stress better and are happier people generally.

Promotes longevity
When one has an orgasm, a hormone called Dehydroepiandrosterone is released, which improves your immunity and repairs tissue and keeps the skin healthy. Men who have at least two orgasms a week have live longer than men who have sex just once every few weeks.

Increases blood circulation
Because your heart rate increases when you're having sex, fresh blood is supplied to your organs and cells. While used blood is removed, you also discard things from your body that cause you to feel tired.

You sleep better
Notice that just after you make love, the sleep you get thereafter is much more relaxed. Getting a good night's sleep will make you feel alert and healthy overall.

Improves overall fitness
If you find going to the gym mundane or working out at home a task, here's another way to help you lose the flab and keep in shape. Regular sex will do wonders for your waistline. Half an hour of love making burns more than 80 calories.

Increases your levels of estrogen and testosterone
In men, testosterone is what makes you more passionate in the sack. Not only will it make you feel way better in bed, but it is also known to improve your muscles and bones, keeps your heart healthy and a check on your cholesterol. Estrogen in women protects them against heart disease and also determines a woman's body scent.

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Tuesday, February 9, 2010

Top 10 libido killers....and Alok gives solutions for same.....read and fwd.

Top 10 libido killers

A recent article in associatedcontent.com broke down the top ten boner killers when it comes to sex drive.

Stress: Sex is not best performed under pressure. Any kind of stress from work to family issues can take a bite out of your libido.

Relationship problems: Honeymoon sex (the sex a couple has at the beginning of a relationship) often ranks among the most fulfilling sexual experiences over the duration of a relationship. During this period, the couple has yet to get hung up on each other's emotional or relationship baggage. Also, sexual passion for women is largely influenced by emotional connectedness with a partner. When this connection is damaged, sex suffers.

Alcohol and drugs: Smoking can lead to impotence and alcohol can cause whiskey dick; in short, any chemical you put in your body has an impact on your natural processes, including sex.

Lack of sleep: Sex is difficult to perform while asleep. It's also a pretty big mood killer if your partner's moans slowly turn into snoring.

Medication: Just like drugs and alcohol, medications can mess with your sexual chemistry. Some common libido inhibitors are antidepressants, antihistamines, blood pressure drugs and oral contraceptives.

Body image: If you think you're disgusting and no one in his/her right mind would want to have sex with you, then you may only get turned off by someone who is actually willing to bed you. This can stem from any number of things, from weight issues to fears of inadequate penis or breast size. This is often related to low self-esteem, depression and obesity, which also hamper one's libido.

Obesity: Being overweight is directly related to a low sex drive and bad sexual performance. This is often connected to low self-esteem, unsatisfactory relationships and problems performing sex.

Erectile dysfunction: If it's not bad enough that some men have trouble getting an erection, this disease also causes sufferers to worry excessively when presented with a sexual opportunity, further reducing their chances of being up for the encounter.

Low testosterone: Testosterone levels directly correlate with the intensity of your sex drive.

Depression: Not only does depression flatten your sex drive, but so do the drugs that treat it.

Solution to above :

1.BIGGEST STRESS COMES FROM over demanding spouse and children.

2.Spiritualism can keep relationship good.

3.Family love, discipline, attachment can keep one away from alcohaol / smoking etc. Never start the first time is the Mantra.

4. Choose time when both are fresh and eager.Listen to good music, hypnotherepy cassett for good sleep.

5.If ur medication comes in way then inform ur consultant and ask for changing the medicine.

6. Banish inhibitions.

7. Work out daily.

8.For problems of ED consult Sexologists, Andrologist, Urologist. Others may not have enogh knowledge. Note : Most type of Erectile disfunctions are cureable.

9. Have daily sun bath to increse testosterone. Have healhy food full of vitamins, minerals. Take junk food out of ur life.Do not eat late night.

10. Besides medication start yoga, listen to good spiritual talk ( Osho) or others, have good friends, exercise, walk on beach which will bring u out of depression. In the mean while not all depression medicines affect libido. So ask for change in prescription.

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Issues of Public interests : http://aloktholiya.blogspot.com/

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Monday, February 22, 2010

I never heard about MUSE...did U????

My Question

Question

Saturday, February 20, 2010

http://www.ejaculationspray.com/

http://www.prematureejaculation.com

Miracle pill "Priligy" prolongs staying power threefold

Sunday, February 14, 2010

Relationship

Saturday, February 13, 2010

Sex and heart disease

Sex and heart disease

Friday, February 12, 2010

Alok adds: But if u are cheating or goint to a brothel then the fear and guilt can kill all the benefits cited above. Besides illcit relations can give u many diseases.

Why having 'sex' is a healthy habit

Tuesday, February 9, 2010

Top 10 libido killers....and Alok gives solutions for same.....read and fwd.

Top 10 libido killers

1.BIGGEST STRESS COMES FROM over demanding spouse and children.

2.Spiritualism can keep relationship good.

3.Family love, discipline, attachment can keep one away from alcohaol / smoking etc. Never start the first time is the Mantra.

Relationship

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