Monday, April 8, 2013

Sex and Aging: Erectile Dysfunction


Sex and Aging: Erectile Dysfunction
Erectile dysfunction is the leading sexual problem for older men. Some are unable to achieve and maintain an erection. Others take longer to achieve erection, or their erections tend to be softer and less full. When they ejaculate, it is with decreased force.

There are various body changes that conspire to cause erectile dysfunction, including:
  • Reduced testosterone levels
  • Decreased blood flow to the penis
  • Impaired nerve function
  • Erectile tissue that has become less elastic over time
However, the leading causes of erectile dysfunction are health problems, with heart disease, high blood pressure, and diabetes heading the list. Men who have gone through prostate cancer surgery also may have difficulty achieving an erection.
The best way to avoid erectile dysfunction as you grow older is to live a healthy lifestyle. Exercise regularly, eat a healthy diet, maintain a good weight, quit bad habits like smoking or drinking, and you'll greatly reduce your chances of erectile dysfunction.
Men who do experience erectile dysfunction have various options, including:
  • Medications. Drugs like Sildenafil (Viagra), vardenafil (Levitra), and tadalafil (Cialis) have revolutionized erectile dysfunction treatment. They work by widening the blood vessels inside the penis, making a strong erection easier to achieve.
  • Penile injection. Men who don't respond well to those drugs might consider medications that are injected directly into the penis to help achieve erection. A tiny needle is used. This technique works better for men with more serious health problems like diabetes.
  • Mechanical devices. Vacuum pumps and penile bands can help older men achieve or maintain a good erection.
  • Surgical implants. Men who aren’t helped by any of these techniques may want to consider surgery. Implants can be inserted that either keep the penis permanently erect or allow it to be inflated through the use of a pump located in the scrotum.
Sex and Aging: Low Libido
Many people simply lose their sexual urge as they get older or they may find it waning. Numerous problems related to aging can create low libido, including:
  • Chronic health problems, like heart disease or diabetes
  • Emotional problems such as depression or anxiety
  • A reduction in the sex hormone levels in the body
  • Medications you may be taking for a health problem
A person with low libido should speak to a medical professional. Your doctor may be able to switch you to a medication that doesn't affect sex drive or help diagnose a health problem causing your lack of sexual interest.
Sex is a wonderful experience that can be shared and enjoyed throughout your life. Don't assume that sexual activity must slow down just because you're getting older. Address the effects of age, and keep enjoying intimacy.

Friday, March 22, 2013

Want to boost your sex drive? Just laugh!


Turning madhatter's a must With the kind of daily strain we all suffer from, what could be better than a live session of laughter challenge between the sheets? Going giggly by living out fun fetishes and fuelling wild fantasies releases a happy hormone in the body called oxytocin that further makes you all cuddly and lovey-dovey, setting the ideal mood for effective foreplay. The quirkier and wackier, the better.
Carefree capers Amusement filled ardour also helps you and your partner loosen up, let go of bodily and mental inhibitions and act in a freer, friendlier manner. Witty wisecracks and dumb deeds of perversion often prove to be a much sexier turn-on than the done to death candle-lighting and seductive song-play rituals. Most importantly, moments of mindless merriment help dissolve performance pressure, which otherwise poses the biggest threat to great passion play.
The close up effect No, funning things up doesn't have to mean flashing your pearlies all the time; what we want to drill in is the fact that laughter is indeed the shortest distance between two people, especially when they're in love.
"It is important to lighten up things and indulge in funny nothings like tickling, teasing and playing hard to get in order to open up and feel greater intimacy," asserts sex and marriage therapist Dr Vinod Chebbi, because "both laughter and sex complement each other in giving the highest pleasures one can ever feel!" 

Wife exhibiting unusual sexual behaviour? She's cheating!


Firstly, phone calls – any change in phone calls including frequency of calls, time of day, tone of voice or a change in text messaging habits could all signify that she is cheating. When she answers the phone, does she drop her volume or suddenly sound as flirtatious as she did when you were first dating?
If it seems like her phone habits are changing and you cannot understand the changes, you may be witnessing an affair, the Huffington Post reported.
Secondly, dates with girlfriends – is she spending more time with her girlfriends than in the past? Are there many evenings out with the girls, when there were almost none just a short while ago? When you ask her who she will be with, does her answer sound sincere?
If any of these scenarios ring a bell, your wife may be going out, but not with the girls. If she was not socializing with her friends with the same frequency that she is now, that is a sign. If she is doing different things than she did with the girls in the past, that is a good indication that all is not what it seems.
Thirdly, showering and the gym - does she come home freshly showered, when in the past she did not shower during the day? Does she seem to be going to the gym more often than she used to?
There are two parts to this one. The gym excuse could be legitimate; it just might be that she is going there more frequently. The problem is that she might be working out more to impress her new love interest. And if she is not in need of her usual shower at night, chances are she is showering after an afternoon of steamy sex, followed by a steamy shower.
Fourthly, cologne - does she ever smell of different cologne, one that is more masculine than hers? Do you ever comment on the new scent she is wearing, only to find that she does not apply the same scent at home?
It could be that the new scent is not hers, but his. Do you by any chance recognize the scent as one you might have tried in the past? Do you recognize it as a scent one of your friends wears?
Fifthly, eye contact – has she stopped making eye contact when answering questions about where she has been and what she has been doing? Does she avoid looking you straight in the eye, when that was not an issue before?
For most people, it is very challenging to look someone who knows you very well in the eye and tell an out-and-out lie. If your wife is lying to you, there is a very good likelihood that she will be looking anywhere but into your eyes when she does.
Next, alcohol and other substances – is she drinking outside the home at odd times or more than before? Have you suspected drug use, where there was none before? Does she ever smell of cigarettes, even though she doesn’t smoke?
If you are seeing any of these scenarios, there is probably a partner in crime. Sex, drugs and rock and roll all go together, as does alcohol, and could all be indulged in during a tryst. If she smells of cigarettes and she does not smoke, you can bet that he does. You know, almost certainly, that someone else is influencing her choices if these behaviours are taking place when they were not happening before.
Lastly, sexual deviations - does she want sex less often than usual? Does she seem to just be going through the motions? Is she asking for things you never did before or teaching you new tricks?
Any extreme variances in sexual behaviour are possible indications that there is a new influence in her life. While there are other possible circumstances, the most likely scenario is that she is getting fulfilled outside of the relationship or realizing that there are new and different things that she enjoys and is bringing them into your bed.

Tuesday, March 19, 2013

Low testosterone can affect men as well as women

You can't stop time, but you can condense aging into as few years as possible, said Dr. Scott Brandt, the medical director of ThriveMD in Edwards.

Since landing in Colorado in Colorado in 1977, Brandt has dedicated his practice to pain management, stem cell therapies and bioidentical hormone replacement. One of those hormones is testosterone.

Testosterone is often thought of as a male-specific hormone, but it isn't, Brandt said. Men and women have levels of both testosterone and estrogen.
Women's testosterone levels are lower than men's, but lower than normal levels of testosterone can still negatively affect women.

Brandt explained that low testosterone levels most often occur in post-menopausal women as their hormone levels naturally drop with age. It can occur in pre-menopausal women, creating symptoms similar to menopause, Brandt said.

For men, when it comes to hormones, testosterone is really the essence of what makes men who they are, Brandt said.

Low levels of testosterone can lead to changes like loss of lean muscle mass, headaches, sexual dysfunction and even hair loss, Brandt said.

Mentally and emotionally, Brandt said low testosterone can lead to mood changes and depression, reduced motivation, hair loss and many other symptoms (see sidebar).
‘That middle-age funk'
Your body is already manufacturing the testosterone that's needed, but it probably needs more than it's making, Brandt said.
“It's not just sex. That's important, but it provides such a global health benefit,” Brandt said. “It's health care instead of sick care.”

Lean body mass increases between 12 to 18 percent a year without doing anything else, Brandt said. Cancer rates decrease, all the good stuff increases.
There's no real downside, but if you want to you can always go back to the way you were feeling before, Brandt said.

“It's like the fog is lifted,” Brandt said. “It's great to see people bounce back from that middle-age funk.”

Low testosterone is now commonly discussed, and with women as much as men. About half of his clients are women, he said.

“If men are going to see anyone, they're more likely to see a guy. Once they get here, they're just fine,” Brandt said, “If they can get over the hurdle of understanding it can be treated.”
He does a blood workup on you and together you figure out the treatment. Some clients see improvement in a few days, some a couple weeks, but the reaction is consistent.

You can do creams, pellets, pills. He'll give you a shot if you really want one.
Some of it's covered by insurance, some of it's not. It depends on your company. Even if it's not under your insurance, the treatments are relatively inexpensive, Brandt said.

“Everything good comes from testosterone, and it's enhanced by oxytocin,” he said.

It's called bioidentical because that's what it is, he said.

“The body makes this stuff,” Brandt said.
Over two-and-a-half decades the dropoff is so gradual you might not notice.

“The decline is so slow, people don't recognize what they've been missing,” Brandt said.

For example, a guy in his 40s had lost interest in his very beautiful wife, so he went to see Brandt.

“A couple weeks later his wife called to thank me,” Brandt said.

Learn more

For information about bioidentical hormone replacement therapy, go to thrivemdvail.com, or call 970-766-VAIL.
Staff Writer Randy Wyrick can be reached at 970-748-2935 or rwyrick@vaildaily.com.





Saturday, March 16, 2013

Diagnosing Erectile Dysfunction


Diagnosing Erectile Dysfunction

Credits: http://www.webmd.com/erectile-dysfunction/guide/diagnosing-erectile-dysfunction?ecd=wnl_sxr_031613&ctr=wnl-sxr-031613_promo_2&mb=37dz9PaVSpmjqdfYp%40TOnuHnVev1imbCkGiMegP%2f4k0%3d

Because there are a variety of causes of erectile dysfunction, there are several different tests your doctor may use to diagnose the condition and determine its cause. Only after the cause of ED is determined can it be effectively treated.
Before ordering any tests, your doctor will review your medical history and perform a thorough physical exam. The doctor will also "interview" you about your personal and sexual history. Some of these questions will be very personal and may feel intrusive. However, it is important that you answer these questions honestly. The questions asked may include:
  • What medications or drugs are you currently using? This includes prescription drugs, over-the-counter drugs, herbal supplements, dietary supplements, and illegal drugs or alcohol.
  • Have you had any psychological problems such as stress, anxiety, and depression?
  • When did you first notice symptoms of ED?
  • What are the frequency, quality, and duration of any erections you have had?
  • What are the specifics of the circumstances under which ED first occurred?
  • Do/did you experience erections at night or during the morning?
  • What sexual techniques do you use?
  • Are there problems in your current relationship?
  • Do you have more than one sexual partner?
  • If you have more than one partner, do you experience ED with one or both?
The doctor may also wish to interview your sexual partner since your partner may be able to offer in sight about the underlying causes.
After your exam and interview, your doctor may then order any one of the following tests:
  • Complete blood count (CBC): This is a set of blood tests that, among other things, can detect the presence of anemia. Anemia is caused by a low red blood cell count and can cause fatigue, which in turn can cause ED.
  • Liver and kidney function tests: These blood tests may indicate whether ED may be due to your kidneys or liver functioning improperly.
  • Lipid profile: This blood test measures the level of lipids (fats), like cholesterol. High levels may indicate atherosclerosis (hardening of the arteries), which can affect blood circulation in the penis.
  • Thyroid function test: One of the thyroid hormones' functions is to regulate the production of sex hormones, and a deficiency in these hormones may contribute to or cause ED.
  • Blood hormone studies: Testosterone and/or prolactin levels in the blood may be measured to see if abnormalities in either of these sex hormones are present.
  • Urinalysis: Analysis of urine can provide a wealth of information, including information on protein, sugar, and testosterone levels. Abnormal measurements of these substances can indicate diabetes, kidney disease, or a testosterone deficiency, all of which can cause ED.
  • Duplex ultrasound:  An ultrasound uses high-frequency sound waves to take "pictures" of the body's tissues. For people with ED, an ultrasound may be used to evaluate blood flow and check for signs of a venous leak, artherosclerosis, or tissue scarring. This test is performed both while the penis is erect (usually induced by an injection of a drug that stimulates erection) and also while it is soft.
  • Nocturnal penile tumescence (NPT): This test measures a man's erectile function while he is sleeping. Normally, a man will have five or six erections while asleep. A lack of these erections may indicate there is a problem with nerve function or circulation to the penis. The test can be performed using several different methods, including the snap gauge method and the strain gauge method. The snap gauge method is performed by wrapping three plastic bands of varying strength around the penis. Erectile function is then measured based on which of the three bands breaks. The strain gauge method works by placing elastic bands around the tip and base of the penis. If the penis becomes erect during the night, the bands stretch, measuring the changes in penile circumference. Another method uses a RigiScan electronic device, where loops are placed around the tip and base of the penis, providing continuous monitoring of erectile events.  
  • Penile biothesiometry: This test involves the use of electromagnetic vibration to determine sensitivity and nerve function. A decreased sensitivity to these vibrations may indicate nerve damage.
  • Vasoactive injection: During this test, an erection is produced by injecting special solutions that cause the blood vessels to dilate (enlarge), allowing blood to enter the penis.
  • Dynamic infusion cavernosometry: This test is used for men with ED who have a venous leak. During this test, fluid is pumped into the penis at a predetermined rate. By measuring the rate at which fluid must be pumped to attain a rigid erection, doctors can determine the severity of the venous leak.
  • Cavernosography: Used in conjunction with the dynamic infusion cavernosometry, this test involves injecting a dye into the penis. The penis is then X-rayed so that the venous leak can be seen.
  • Arteriography: This test is given to people who are candidates for vascular reconstructive surgery. A dye is injected into the artery believed to be damaged and X-rays are taken.
  • Bulbocavernosus reflex: This test evaluates nerve sensation in the penis. During the test, your doctor will squeeze the head of your penis, which should immediately cause your rectum to contract. If nerve function is abnormal, there will be a delay in response time or absence of rectal contraction.
  • PSA: This test may be abnormal due to prostate enlargement or infection, which may complicate ED.
Before you are given any of these tests, your doctor will explain what is involved. If you have any questions, do not hesitate to ask your doctor.

Thursday, February 28, 2013

My reply to divorce seeker ...




http://www.lawyersclubindia.com/forum/details.asp?mod_id=75863&offset=0#.UTALwKKw2So




Hi,
in Brief; my family and me are victim of 498a &
 DV act, i applied for divorce the wife did not appear in
 family court and the divorce was rejected. 
I appealed in  High court and she appeared 
after i paid legal charges as per direction from court. 
The court dismissed my petition ordering " the respondent
 shall with draw all the criminal cases against the
 husband and join him the parent and brothers of the 
respondant shall not interfior in the marital life' Now they 
have with drawn DV act and trying to withdraw 498a and 
join me back,

I dont want to take her back and need a divorce without
appealing to Supreme court.
Please advise me.:(

Sarvana Shekar



She has done rethinking and reviewing. Forget past for a moment and review.
  1. Is she really that bad or it is ur hatred?
  2. Is it possible to get a 2nd wife who will 
  3. be better then her?Think as 3 rd person if she was
  4.  wrong in filing the said cases? Be honest by keeping a 
  5. hand on head of  ur dearest family person. If I have
  6.  really abused my wife, taunted her for not getting 
  7. enough , or similar incidences by my family then my 
  8. heart will say she has legal right to go against me in
  9.  court and that is the only thing a law abiding citizens 
  10. can do. Why break law so any one goes against 
  11. us to court??All married couples have fight and sooner
  12.  or later they bury the hatchets. And at later age 
  13. they realise that togatherness is a bliss and singlehood, 
  14. second partner may not be as as good as was thought. 
  15. There r several ways to improve her and to make her 
  16. compitiable. We have to put in efforts to improve our 
  17. staff, children etc like wise we have to seriously work 
  18. on improving our partner and so also ourselves. 
I pray to god ( which I do not as a daily ritual )
 from my
heart for you and wish that you rebuild your falling
 home by
 putting in efforts . Any family member from your side thrying
to bulldoz your home needs correction.
Yours is the first mail which I saw this morning
and there
 is no better way to worship god then helping save a
 married life of some one and my sincere appeal to
give a pause, review , things are not that bad . repair
 and rnew relat






Modify

ions. 

Saturday, February 2, 2013

Erectile Dysfunction May Signal Heart Disease

Erectile Dysfunction May Signal Heart Disease

TUESDAY, Jan. 29 (HealthDay News) -- Doctors should look more closely at the overall health of impotent men, a large new study suggests.
Men with even mild erectile dysfunction -- but no known heart problems -- face a major extra risk of developing cardiovascular conditions in the future. And as erectile dysfunction becomes more pronounced, signs of hidden heart disease and earlier death risk grow.
Not surprisingly, men already known to have a heart condition along with severe erectile dysfunction fare worst of all, the Australian researchers found.
Among men aged 45 and up without diagnosed heart disease, those with moderate or severe erectile dysfunction were up to 50 percent more likely to be hospitalized for heart problems, according to an adjusted analysis. Erectile dysfunction boosted the risk for hospitalization even more when men had a history of cardiovascular disease.
Erectile problems, which become more likely as men grow older, aren't a guarantee of heart problems. Still, men with erectile dysfunction should "take action by seeing a health professional and asking for a heart check," said study lead author Dr. Emily Banks. "Men with erectile dysfunction need to be assessed for their future risk of cardiovascular disease, and any identified risk must be managed appropriately."
Banks is a professor of epidemiology at the Australian National University's National Center for Epidemiology and Population Health.
Banks said an estimated 60 percent of men aged 70 and up suffer from moderate to severe erectile dysfunction. The condition can place major limits on sexual activity and require the use of drugs like Viagra that can come with side effects and awkward challenges when it comes to the timing of doses.
A variety of causes can contribute to impotence, but "it is widely acknowledged that erectile dysfunction is predominantly the result of underlying cardiovascular disease," Banks said.
Doctors already believe that erectile dysfunction is an early warning sign of heart problems, but it's not clear why. It's possible, Banks said, that the arteries of the penis are smaller than those of other parts of the body and may be more likely to reveal problems when their lining deteriorates.
The new study aims to gain more insight into how the severity of erectile dysfunction translates into a higher risk of cardiovascular disease. The researchers tracked more than 95,000 men aged 45 and up, and compared data collected between 2006 and 2009 to data collected in 2010.
The researchers adjusted their statistics so they wouldn't be thrown off by factors like high or low numbers of men who smoked or drank alcohol, or were wealthy or poor. They found that the men with severe erectile dysfunction, compared to those with no problem, were eight times more likely to have heart failure, 60 percent more likely to have heart disease and almost twice as likely to die of any cause.
What does this mean in the big picture?
"Heart problems are very common, so even a relatively moderate increase in risk translates into quite a number of affected individuals," Banks said. "Among men with no past history of cardiovascular disease, an estimated six per 1,000 men per year who did not have erectile dysfunction went on to be admitted to the hospital for coronary heart disease. This compares with eight per 1,000 men per year with moderate erectile dysfunction and nine per 1,000 men per year among those with severe erectile dysfunction."
Also, she said, "among men with a past history of cardiovascular disease, an estimated 20 per 1,000 men per year of those without erectile dysfunction went on to be admitted to the hospital for coronary artery disease. This compares with 28 per 1,000 men per year with moderate erectile dysfunction and 34 per 1,000 men per year with severe erectile dysfunction."
Could drugs for erectile dysfunction, such as Viagra, actually help men with undiagnosed heart problems? Maybe.
"Medications to treat erectile dysfunction have proven benefits in treating [lung] hypertension and are being evaluated as a treatment for heart failure," said Dr. Gregg Fonarow, a professor of cardiology at the University of California, Los Angeles. "However, there are no proven benefits for reducing the risk of heart attack or stroke."
Fonarow agreed with the study's conclusion that men with erectile dysfunction should get their hearts checked, especially since cardiovascular disease can have no symptoms.
The study authors said, however, that more research is needed before the presence of erectile dysfunction can be considered a clinical predictor of heart disease risk.
The study appears in the January issue of the journal PLoS Medicine.
More information
For more about erectile dysfunction, try the U.S. National Library of Medicine.