Category: Erection Concerns

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The Dangers of Recreational Viagra

— The risks of taking Viagra without erectile dysfunction range from mild side effects to dangerous drug interactions

By Raevti Bole, MD

Advertisements for erectile dysfunction (ED) medication are everywhere. Viagra® and Cialis® are enormously popular. And as the ads suggest, they’re highly effective at improving sexual performance in people with ED.< But the use of these medications is also booming in people who don’t have sexual problems. But know this: This “recreational” use of Viagra can be risky.

Why do people without ED take Viagra?

To understand why people experiment with Viagra and Cialis recreationally, it’s helpful to understand how these drugs work.

Viagra and Cialis belong to a category of drugs called phosphodiesterase type 5 (PDE5) inhibitors. These medications open blood vessels and can be used to treat pulmonary hypertension and urinary problems.

But most famously, medications like Viagra and Cialis are used to address erectile dysfunction. The reason? Increased blood flow from PDE5 inhibitors results in firmer, longer-lasting erections.

Now, it’s important to note that erection firmness can be subjective. Most people will notice temporary differences in the quality of their erection depending on stress, energy levels, time of day, alcohol consumption and many other factors.

But if someone can reliably get and keep an erection that’s rigid enough for penetrative intercourse, they probably don’t have ED or a real need to pop a Viagra or Cialis, explains Dr. Bole.

That said, people without ED have recreationally used Viagra or Cialis to increase blood flow to their penis because they want to:

  • Counteract the effects of alcohol or other drugs on their sexual performance.
  • Improve the chances of an erection lasting long enough for sex multiple times.
  • Increase their confidence by reducing anxiety about performance or premature ejaculation.

Does Viagra improve athletic performance?

People also use Viagra and Cialis recreationally to improve their exercise performance. But does it really work? To keep the answer simple: No.

“PDE5 medications can increase oxygen levels and heart function in people who have cardiac risk factors or cardiac disease,” says Dr. Bole. “For people who are healthy, there’s no good evidence that the medications significantly improve athletic abilities in a standard, sea-level environment.”

Why mention the altitude? Well, there’s some evidence that Viagra may make a difference for those doing activities in thin air at higher altitudes.

Researchers found that cyclists taking sildenafil, the medicine marketed as Viagra, improved cardiac output and exercise performance at higher altitudes. Another study focused on Mount Everest trekkers showed that sildenafil increased exercise capacity at high altitudes.

As noted, though, any benefits experienced closer to the clouds do not transfer to lower altitudes where most of us spend our time.

Five risks of recreational Viagra use

The potential consequences of taking Viagra and Cialis recreationally depend on medical, psychological and social factors. The risks range from mild to serious and include:

1. Dangerous interactions with other drugs

PDE5 inhibitors lower blood pressure. Mixing them with other drugs that also lower blood pressure can be potentially life-threatening, says Dr. Bole.

Be sure to review with your healthcare provider all supplements and medications you’re taking to check for potential interactions. Here are some examples of medications known to interact with Viagra or Cialis:

  • Amyl nitrate, which can also be misused as a street drug known as “poppers.”
  • Nitroglycerine, a medication used to treat angina (chest pain) in people with coronary artery disease.
  • Certain types of blood pressure medications, prescription drugs that lower high blood pressure. (Isosorbide mononitrate is one example.)

2. Uncomfortable side effects

The side effects of Viagra and Cialis are usually mild. Headache is a common side effect that can vary from mild to pounding. You may also experience:

  • Acid reflux.
  • Facial flushing.
  • Muscle aches.
  • Stuffy nose.
  • Vision changes.

One of the most severe adverse events is called priapism, a painful erection that lasts for several hours. “Luckily2, it is quite rare when using oral ED medications,” notes Dr. Bole. “But if this happens to you, seek emergency medical care immediately.”

3. Psychological dependency

Frequent use of Viagra or Cialis just to boost confidence can create psychological dependency — especially if you’ve never discussed the issue with anyone. You may eventually feel that you need it to have sex, creating a long-term issue for you and your partner.

“If you are having severe performance anxiety that’s affecting your erections, I recommend talking to your healthcare provider or a sex therapist,” says Dr. Bole.

“A medical professional can discuss your worries about sex; help you set personalized and realistic expectations; and develop strategies to improve your confidence without relying on medication alone.”

You may still choose to try a medication, but understanding the psychology behind sexual performance is a healthier strategy.

4. Unknown dosage and contaminants

ED drugs and supplements are easy to find without a prescription. People get them from friends, family members and online. You can even find them sold as vitamin or herbal supplements at gas stations.

But without a prescription from a reputable provider, you don’t know the dosage of active ingredients in the pills you’re taking or even what may truly be in the medication.

For example, the U.S. Food and Drug Administration (FDA) has issued advisories for “Rhino” male enhancement products. These products are available at gas stations, corner stores and online. Marketed as “dietary supplements,” tests show they may contain hidden PDE5 inhibitors.

Taking these sorts of fraudulent products can be dangerous for unsuspecting consumers, warns the FDA.

5. Association with high-risk behaviors

Combining Viagra or Cialis with alcohol or drugs can lower inhibitions. As a result, you may be more likely to engage in risky sexual behavior that could expose you to sexually transmitted infections (STIs).

“Using ED medications to enhance your sexual performance when you’re under the influence of alcohol or drugs can lead you to make choices that harm your sexual and overall health,” stresses Dr. Bole.

When to talk to your provider about Viagra use

If you’re taking Viagra or Cialis recreationally to improve your sexual or exercise performance, Dr. Bole recommends letting your provider know.

Long-term use could mask a real decline in erectile function due to underlying health problems such as:

“Some patients may feel reluctant or embarrassed to talk about their sex life,” recognizes Dr. Bole. “But we have these conversations all the time with patients. You are not alone. Our role is to help you understand the risks versus benefits and provide guidance without judgment.”

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6 Questions to Ask Your Doctor About Sex after 50

— Vaginal dryness, erection challenges, safe sex and more

By Ellen Uzelac

With most physicians ill prepared to talk about sexual health and many patients too embarrassed or ashamed to broach the subject, sex has become this thing we don’t discuss in the examining room.

“So many doctors talk about the benefits of nutrition, sleep, exercise — but they don’t talk about this one really essential thing we all share: our sexuality,” says Evelin Dacker, a family physician in Salem, Oregon, who is dedicated to normalizing sexual health in routine care. “We need to start having this conversation.”

Starting the conversation about sexual health

Sexual wellness experts suggest first talking about a physical problem such as a dry vagina or erectile challenges and then segueing into concerns about desire, low libido and intimacy.

As Joshua Gonzalez, a urologist and sexual medicine physician in Los Angeles, observes: “Patients sometimes need to be their own advocates. If you feel something in your sex life is not happening the way you would like it to, or if you are not able to perform sexually as you would like, never assume that this is somehow normal or inevitable.”

Often, there are physiological issues at play or medications that can alter your sexual experience. “If you’re interested in having sex,” Gonzalez says, “there are often real solutions for whatever the problem may be.”

Here are six questions to help steer the conversation in the right direction.

1. What can I do about unreliable erections?

Erectile dysfunction is common in older men — 50 percent of men in their 50s will experience erectile challenges, Gonzalez says, and 60 percent of men in their 60s, 70 percent of men in their 70s, and on up the ladder.

The good news: There are fixes. “This doesn’t mean giving up on having pleasurable sex at a certain age,” Gonzalez says. The two primary things he evaluates are hormone balance and blood flow to the penis. A treatment plan is then designed based on those results.

Some older men also find it often takes time and effort to ejaculate. Gonzalez suggests decoupling the idea of ejaculation and orgasm. What many men don’t realize: You can have an orgasm with a soft penis and without releasing any fluid at all. “Your orgasm — the pleasure component — is not going to change.”

Also good to know: Sexual health is a marker of overall health. As an example, erectile dysfunction can be a predictor of undiagnosed health issues such as heart disease and diabetes years before any other symptoms arise, says Gonzalez.

2. Sex is different now. My body is no longer young but I still have sexual urges. How do I accommodate this new normal?

Dacker often asks her older patients: How is the quality of your intimacy? Is it what you want it to be? Have you noticed a shift as you’ve gotten older and what does that mean to you?

“Naturally, as we age our bodies start working differently,” she says. “I like to reframe what it means to be sexual by expanding our intimate life, doing things that maybe you haven’t thought of doing before.”

Dacker, who teaches courses on how to be a sex-positive health care provider, suggests exploring each other in new ways: dancing, eye gazing, washing one another while bathing, giving hands-free coconut oil massages using your stomach, arms and chest. She’s also a fan of self-pleasure.

“There’s so much pleasure that doesn’t involve penetration, orgasm and erections,” she adds. “It’s not about performance, it’s about pleasure.”

3. My vagina hurts when I have penetrative sex to the point that I’m now avoiding it. What can I do?

A lack of estrogen in older women can cause the vaginal wall to get really thin, resulting in dryness, irritation and bleeding when there is friction.

“It can be uncomfortable with or without sex,” says Katharine O’Connell White, associate professor of OB/GYN at Boston University and vice chair of academics and the associate director of the Complex Family Planning Fellowship at Boston Medical Center. “What people don’t realize is that what they’re feeling is so incredibly common. A majority of postmenopausal women will experience this.”

White offers a three-part solution for vaginal dryness: If you’re sexually active — and even if you’ve never used a lubricant before — add a water-based lube during sex play. Also, consider using an estrogen-free vaginal moisturizer, sold in stores and online, to help restore the vaginal lining. Finally, think about adding back the estrogen that the body is craving through medically prescribed tablets, rings or creams that are inserted into the vagina.

White also advises patients to engage in 20 to 30 minutes of foreplay before penis-in-vagina sex. “The whole body changes and the vagina gets wet, wider and longer, which can go a long way to alleviating any discomfort,” she says.

4. Urinary incontinence is interfering with my sex life. How can I control it?

Because the bladder is seated on top of the vagina, the thinning of the vaginal wall can also impact the bladder. When you urinate, it can burn or you will want to pee more often, symptoms typical of a urinary tract infection, according to White.

Some women feel like they need to urinate during sex, which, as White says, “can pull you out of the mood.” Her advice? “Pee before sex and pee after sex.” She also suggests using vaginal estrogen to plump up the walls of the vagina and, by extension, the bladder.

5. I’m interested in dating again. What screenings for sexual wellness should I get — and require of a new partner?

Fully understanding the importance of reducing your risk for sexually transmitted infections (STIs) should be front and center as you reenter the dating scene, according to nurse practitioner Jeffrey Kwong, a professor at the School of Nursing at Rutgers University and clinical ambassador for the Centers for Disease Control and Prevention’s “Let’s Stop HIV Together” campaign. 

“Individuals should be screened if they’re engaging in any sort of sexual activity — oral, vaginal, anal — because many times, some of these conditions can be asymptomatic,” he says. “You can transmit without symptoms and vice versa.”

Screening may involve a urine or blood test or swabs of the vagina, throat or rectum. With STIs soaring in older adults, Kwong suggests testing for HIV, hepatitis C, hepatitis B, chlamydia, gonorrhea and syphilis. In early 2024, the CDC reported that syphilis cases had reached their highest level since the 1950s.

6. My doctor was dismissive when I brought up sex, basically saying, At your age, what do you expect? What should I do now?

Sex is a special part of life no matter how old you are. “If you’re with a doctor who brushes aside any of your concerns, it’s time to find a new doctor,” White says.

Finding a good doctor, she adds, is no different from looking for an accomplished hair stylist or a reliable mechanic: Ask your friends.

“I’m horrified when I hear about things like this,” she adds. “Any good doctor really wants you to bring up the things that concern you.“

Complete Article ↪HERE↩!

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A guy’s guide to sexual health

— What every man should know

Most people know the fundamental sportsmanship rule: hitting below the belt is illegal. The groin is highly sensitive, and a strike here can cause severe injury. While a man’s sexuality is off-limits for low blows, that doesn’t mean it’s off-limits for discussion with your doctor.

Too bad most men don’t see it that way.

Stats About Guys and Sexual Health

It’s not that men aren’t concerned about sexual health. In a 2023 survey, the Cleveland Clinic reported:

• 44% of men are worried about erectile dysfunction.
•39% of men are worried about loss of sex drive.
•36% of men are worried about low testosterone.

But of men surveyed, while 37% reported having experienced issues related to sexual health, only two in five sought professional help.

So, guys, let’s have a frank discussion about your most common sexual health concerns.

– Talking About ED

What is it?
Erectile dysfunction is the inability to get or maintain an erection firm enough to have sex. Many men think ED only occurs in older men, but ED is not exclusive to getting older. There are men in their 40s and 50s who experience ED and men in their 70s, 80s, and 90s with great sex lives.

What are the symptoms?
Failure to reach or sustain an erection more than half of the time, at any age, may indicate a condition that needs treatment. Other symptoms may include decreased sexual desire and less rigid erections.

Who is at risk?
ED has a wide range of causes, from vascular issues and nervous system issues to hormone or psychological issues. Chronic health conditions, which about 1 in 4 guys face in the U.S., also impact erectile function. These include diabetes, heart disease and hypertension, obesity, high cholesterol, and smoking. Many medications that treat these conditions have side effects that contribute to ED. Bottom line: ED is a complex, common medical condition and not one to treat lightly or feel self-conscious about.

What is the most common myth about ED?
That taking testosterone supplements will cure ED. Low testosterone may or may not be what is affecting your erections. Taking supplements with a normal testosterone level will not result in better erections and may cause side effects if not taken appropriately.

What treatments for ED are you most excited about?
Low-intensity shock wave lithotripsy and platelet-rich plasma (PRP) therapy injections. There are also new oral therapies in clinical trials. ED is very treatable. It all comes down to which treatment is right for your lifestyle.

– Talking About Low-T

What is it?
Testosterone deficiency syndrome or Low-T means that a man’s body is not making enough testosterone, the primary male sex hormone that regulates fertility, muscle mass, fat distribution, and red blood cell production.

What are the symptoms?
Reduced sex drive, reduced erectile function, loss of body hair (including facial hair), loss of lean muscle mass, feeling tired all the time, obesity, and symptoms of depression are the specific symptoms most directly linked to Low-T.

Who is at risk?
Data suggests that about 2.1% of men (2 in every 100) may have clinically Low-T, which is a low blood testosterone level of less than 300 nanograms per deciliter (ng/dL). It is more common in men over the age of 80, who have diabetes, or who are overweight. Don’t just assume you have Low-T and start popping pills. Talk to your doctor.

What is one of the most common misconceptions about Low-T?
That it’s a normal part of aging, and nothing can be done about it. If you have clinically Low-T, it is essential to treat it. Testosterone is not just for sexual health. It aids in bone, cardiac, mental, and psychological health. Anyone whose testosterone is in the low-normal range may also benefit from treatment, but a physician should manage it.

What treatment for Low-T are you most excited about?
Bio T Pellets because they quickly get testosterone into the normal and high normal range for men.

– Talking About Peyronie’s Disease

What is it?
Peyronie’s disease is a condition by which a small scar forms in the lining of the penis resulting in penile curvature, loss of penile strength, indentation, or pain.

What are the symptoms?
During the first 12 months of developing Peyronie’s disease, you may experience pain with erections, curvature of the penis, penile shortening, an abnormal shape to the penis, or a lump in the penis.

Many men are worried that Peyronie’s disease will cause issues with getting and maintaining erections. While there is some association between penile plaque and restriction of blood flow in the penis, this is not always the case.

Who is at risk?
Peyronie’s disease typically forms from microscopic trauma that occurs during intercourse. The trauma leads to inflammation and then a penile scar or lump. It is most common in men over the age of 40.

What is the most common misconception about Peyronie’s
That it is a rare condition. It can feel very isolating, since many men don’t talk about it or seek care because they find it embarrassing. In reality, it’s estimated that 6-10% of adult men have Peyronie’s disease.

What treatments for Peyronie’s disease are you most excited about?
Introducing injectable collagenase into penile plaques has dramatically broadened the options for safe and effective office-based treatment of Peyronie’s. Surgery remains highly effective at correcting the curvature for more severe or bidirectional (S-shaped) curvatures.

The Physical/Mental/Sexual Health Connection

Men, your physical, mental, and sexual health are closely related. Changes in sexual health may indicate underlying medical conditions. Sexual health affects your quality of life and mental health.

A urologist can provide many management options, including observation, medication, injections, surgery, and more. Sexual health is a crucial component of overall health, so if you’re experiencing any issues, it’s time to consider seeking help from a physician.

Complete Article ↪HERE↩!

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The Secrets of Sex Over 40

— 8 Questions Answered

New AARP survey reveals how often older adults have sex, and lots more

By Robin L. Flanigan

Most older adults believe sex is an essential part of a healthy relationship, and more than half say their sex lives are as satisfying – or even better—than a decade ago.

In a new AARP Research survey released Sept. 29, people over 40 got frank about what goes on in their lives – or doesn’t – when it comes to intimacy and sex.
The survey “Ageless Desire: Relationships and Sex in Middle Age and Beyond” polled 2,500 people 40 and older about how perceptions, behaviors, attitudes and preferences about sexual experiences have changed over time. Three-quarters of survey respondents were over 50.

Among the findings:

  • 72 percent of men and 63 percent of women have a current regular sexual partner.
  • Less than half of those surveyed —46 percent—said they were satisfied with their current sex life.
  • Four out of 5 people said their relationships were physically pleasurable and emotionally satisfying.
  • Having sex with a stranger is the most common sexual fantasy for both men and women.

The report also found that over the past 20 years, the frequency of sex in this age group declined, but other types of sexual activity – like masturbation and oral sex – increased.

“Sex doesn’t get any less important as we age,” says Patty David, AARP vice president of consumer insights. “It continues to be a vital part of a good relationship, which shows that intimacy and physical connection are important to all ages.”

1. How often do people in middle age and older have sex?

Older adults still have plenty of sex. Thirty percent told AARP researchers that they have sex weekly, 27 percent said monthly or less, and 40 percent reported having no sex in the last six months. One in 6 adults over 70 reported having sex weekly.
When it comes to oral sex, the frequency is a bit less: 18 percent said they have oral sex weekly, 25 percent said monthly, and 54 percent said none in the past six months.

But not everyone thinks they’re having enough sex: 46 percent said they were having the right amount, and 45 percent said they weren’t having enough. Men were more likely than women to say they’re not having enough sex, and women were more likely to say they were having just the right amount.

Certified sex therapist and psychologist Stephanie Buehler says there are lots of ways to be sexual as an older adult and recommends people expand ideas about what it means to show affection in the bedroom.

“It’s about acceptance and adaptation,” says Buehler, author of Enliven Your Sex Life! “Stop worrying about what you can no longer do and explore to find out how you can still experience sexual pleasure at any age.”

2. Do men and women differ in their levels of sexual desire?

Overall, 55 percent of those surveyed said they considered their sexual desire about average, 15 percent said higher than average and 29 percent said lower than average.

But men were more likely than women to rate their level of sexual desire as higher than average. Women were more likely to rate their level of sexual desire as lower than average.

3. How frequently do older adults masturbate?

The survey found that 55 percent of people reported pleasuring themselves in the past six months. Among those who did masturbate, 61 percent did so within the past week. About one in 4 pleasure themselves weekly, but that number decreases as age rises: Only 11 percent of people age 70 and older reported masturbating in the previous week, compared with 40 percent of those ages 40-49.

“Masturbation is natural and shouldn’t produce feelings of guilt or embarrassment,” says Buehler, adding that it also can be helpful if your partner doesn’t want as much sexual activity as you do.

One in 3 people reported using a vibrator for personal enjoyment, though women were more likely to say they were using one compared with men, at 42 percent versus 18 percent. People who identified as nonheterosexual were also more likely to report using a vibrator for self-stimulation (66 percent compared with 28 percent of those identifying as heterosexual).

4. How common is infidelity after midlife?

Fourteen percent of people reported being unfaithful, according to the survey. Seventeen percent of men said they’d had a sexual relationship with someone other than their partner, compared with 11 percent of women.

The reasons? For both men and women, the novelty of sex with someone other than their partner was tops. Men were more likely than women to say they were interested in sexual activities that their partner wasn’t interested in. For women, the answers trended toward feeling unappreciated by their partner and having a higher sex drive than their partner.

A quarter of those surveyed also reported reasons for sex with someone besides their primary partners as consensual monogamy or polyamory.

While many respondents reported that infidelity or suspected infidelity had a negative impact on their relationships, few people chose to end them because of it – only 4 percent did.

After an affair, most relationships are strained but survive, Buehler says.

“Repairing takes a lot of difficult conversations,” Buehler says, “as the person who had the affair spends time reflecting and the hurt partner takes time to understand the reasoning and heal.”

5. Is erectile dysfunction increasing?

The number of men who say they have difficulty with sexual function is growing. Just 4 in 10 men said they are always able to get and keep an erection for intercourse, down from half of men in 2009, according to AARP researchers.

In fact, 28 percent of those men surveyed said they’ve been diagnosed with erectile dysfunction or impotence, up from 23 percent in 2009 and 17 percent in 2004. But many men are looking for help: 6 out of 10 men who said they had general sexual functioning problems reported that they sought treatment.

Only 12 percent of women reported problems related to sexual functioning and more than half of those said they didn’t seek treatment because they didn’t feel comfortable discussing the issue.

Health concerns, like diabetes, stress and high blood pressure can impact sexual functioning: 79 percent of those surveyed said they’d been diagnosed with a medical condition.

6. Do older adults typically have a regular sex partner?

The AARP survey found that two-thirds of people reported they had a regular sex partner. Younger respondents had the highest likelihood of reporting a regular sex partner, but even over age 70, a little more than half of people said they had someone they regularly engaged in sexual activity with.

7. Are sexual fantasies among older adults common?

The answer is a resounding yes: 83 percent of those surveyed said they had sexual thoughts, fantasies or erotic dreams.

While having sex with a stranger was the most common fantasy for both genders, men’s fantasies included having sex with more than one person at a time, while women were more likely to say that they fantasized about having sex with someone of the same sex or having sex in different locations.

But people are keeping their fantasies to themselves: Roughly two-thirds said they hadn’t discussed them with others.

8. What are the best ways to keep romance alive?

The pandemic has had an impact on how people view their relationships. The survey found that 41 percent of older adults want an increased connection with their significant other, and 70 percent said they believe quality time and strong connections are more important now than before COVID-19.

However, the survey found that 31 percent of those divorced or never married are apt to say, “Romance? What’s that?”

Here’s how couples say they are keeping the romance going, according to the survey:

  • 63 percent make a point of saying ‘I love you”
  • 57 percent celebrate special days like birthdays and anniversaries
  • 35 percent take a vacation or romantic trip annually
  • 32 percent set aside time to enjoy each other’s company
  • 30 percent buy each other gifts or flower

David, of AARP, notes that in many cases the impact of COVID-19 has been to highlight the importance of relationships with friends, family, spouses or romantic partners. “It has made our connections even stronger,” she said. “Couple this with the importance of spending time with each other to keep the romance in the relationship and you have a powerful recipe for contentment and happiness.”

Complete Article ↪HERE↩!

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What Happens During an Orgasm?

— Here’s what science says about what your body goes through during the big moment.

By Izzie Price

Orgasms form a fundamental part of the human experience. They’re a natural biological process and are likely to take up a fair amount of time in our heads—whether we love them or fret about them.

How often have you worried that the sex was terrible because you or your partner didn’t orgasm? If you’re a woman, how many times have you worried that it “didn’t count” as an orgasm because you didn’t ejaculate?

More importantly, though, do you even know what’s going on in your body when you orgasm? Do you know about the many health benefits orgasms offer? Do you even know what an orgasm is?

What follows is a look into the science behind an orgasm, including the physicality of what’s happening. In addition, experts debunk some common orgasm myths.

What happens to your body during an orgasm?

“Orgasm, or sexual climax, is the peak of sexual excitement,” said Alyssa Dweck, M.D., a gynecologist in Westchester County, New York, and a sexual health and reproductive expert for Intimina, a brand of products focused on women’s intimate health. “Orgasm results in rhythmic muscular contractions in the pelvis—that is the uterus, vagina and anus. There are also elevated pulse and blood pressure, and rapid breathing.”

Dweck emphasized the psychological implications of orgasm related to the brain, including its release of the following:

  • Dopamine, which is the pleasure hormone
  • Oxytocin, which is the cuddling and bonding hormone
  • Serotonin, which is involved with mood, cognition, reward and memory
  • Endorphins, which influence pain perception, relaxation and mood enhancement

Sounds pretty good, right? What happens in your body that results in this physical and psychological burst of pleasure and excitement?

The process of orgasm can be broken down into four separate phases—arousal, plateau, orgasm and resolution—according to Masters and Johnson’s Human Sexual Response Cycle course.

“The excitement or arousal phase can last minutes or hours,” said Rachel Wright, M.A., L.M.F.T., a New York-based psychotherapist and host of “The Wright Conversations Podcast.” “Muscles get a little tense, your vagina may get wet, your skin may get flushed, your heart rate and breathing accelerating, your nipples may become hard and the breasts are becoming fuller.

“A penis will become erect and the vaginal walls will swell. The testes swell, the scrotum tightens and often the penis will secrete a lubricating liquid.”

It’s safe to say, then, that there’s a lot going on in the body when we get aroused. Things don’t slow down when we reach the plateau phase, either. Wright described it as “the excitement intensifying right up to orgasm in which the vagina swells from blood flow.”

The vaginal walls turn dark purple during this stage, Wright added. Then there’s the main event, which is the shortest phase of all.

“Some indicators of orgasm include involuntary muscle contractions, a rash or ‘sex flush,’ muscles in your feet may spasm, and you might feel a sudden or forceful release of sexual tension,” she said. “Your blood pressure and heart rate are at their highest rate at this point.”

For men, an orgasm triggers similar rhythmic contractions at the base of the penis. They result in the semen being released.

Are orgasms good for you?

The sheer amount of physiology associated with orgasms and the number of feel-good chemicals produced in the brain as a result seem to indicate orgasms are a biological necessity. Are they?

Dweck pointed to one study that indicated orgasms are perceived to improve sleep outcomes. Other health benefits include improved mood and increased life expectancy. This is all good but it has to be said: Orgasms are not essential.

“We don’t need orgasms, but they sure do feel good to have,” said Lyndsey Murray, a licensed professional counselor and certified sex therapist in Hurst, Texas. “I don’t like to put any pressure on having an orgasm because a lot of people feel like they are doing something wrong when orgasm isn’t achieved. When we take the pressure off having one, our bodies can respond naturally and lead to orgasms all on their own without us overthinking it.”

Orgasm myths and misconceptions

The orgasm gap—the high rate of male orgasms as compared to female orgasms—is real. But there are all kinds of myths and misconceptions about why those numbers aren’t closer together. Mostly, this is because of a lack of basic understanding of the female body and, subsequently, how it can reach and experience orgasm.

“The biggest misconception I note in clinical practice is the myth that vaginal penetration/intercourse always leads to orgasm when, in fact, clitoral stimulation is typically needed, and upwards of 70 percent of women won’t achieve orgasm through intercourse alone,” Dweck said.

The misconception that vaginal penetration always results in a female orgasm takes us to another common myth: “If an orgasm isn’t happening, there must be something wrong,” Murray said.

Not so. There could also be a technique issue at play, such as there being no clitoral stimulation.

“There may be sexual dysfunction that requires professional help. But it could also be performance anxiety getting in the way or maybe you just haven’t explored enough yet to figure out your own body,” she said. “I never like to use terms like ‘wrong’ or ‘failure,’ but instead, disappointment. If you’re disappointed with your sexual activity, focus on fun, pleasure and exploration.”

The biggest orgasm myth, according to Wright, focuses on physical evidence of sex taking place: “That there is only one kind [of sex] and there’s always ejaculation,” she said.

There can be 12 different ways for women to orgasm, she explained, which includes clitoral, vaginal, cervical and nipple orgasms. For men, she noted that orgasms can take the form of a wet dream, blended (whole body) or pelvic orgasms, as well as ejaculatory orgasms.

How can we improve societal attitudes toward orgasms?

Orgasms are great, sure, but they’re not the only thing that makes sex feel good. Sex is more holistic than that, and we need to enjoy orgasms without holding them up as the essential end result.

“The societal attitude I see most of is either orgasms mean great sex or no orgasm means the sex sucked,” Murray said. “I disagree with both sentiments. Usually what happens is someone feels like they failed themselves or their partner(s) if an orgasm didn’t happen. The next time they have sex, it becomes an over-focus on orgasm and no longer about fun, pleasure and intimacy.”

We should be talking more about the entire sexual experience and not the shortest part of the whole thing, Wright explained.

“In all the sexual response cycles, the orgasm is the shortest part, and yet we put so much focus on it. Sometimes, all the focus,” she said. “Try to focus on the experience and, instead of attaching everything to an orgasmic outcome, pay attention and focus on the experience. The experience is the pleasure.”

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The future of treating sexual dysfunction in 2024

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Sexual dysfunction, a concern affecting millions worldwide, has long been shrouded in silence and stigma. However, new developments in 2024 are transforming how we approach and treat this sensitive issue. This change isn’t just about enhancing sexual pleasure; it’s deeply tied to self-esteem, mental health, and the quality of relationships.

Open Communication: The first significant trend is the shift towards open communication about sexual dysfunction. This growing openness is largely fueled by mainstream acceptance and the increasing awareness among healthcare providers of the interconnection between sexual and overall health. Online counseling and specialized sexual wellness apps are playing a crucial role in this transformation, offering accessible resources for those hesitant to discuss these issues in person.

Advancements in Technology: Sound wave technology, particularly the development of Cliovana, is a breakthrough in treating sexual dysfunction, especially in women experiencing menopause-related symptoms. This pain-free, non-invasive technology stimulates natural healing processes, leading to enhanced blood flow, sensitivity, and sexual responsiveness. The simplicity and effectiveness of treatments like Cliovana’s soundwave therapy are key drivers in changing the landscape of sexual health solutions.

Menopause Education: The destigmatization of menopause and its associated sexual dysfunctions is gaining momentum. With the global menopause market projected to reach $22.7 billion by 2028, there’s an increasing focus on educating and providing solutions for women. This includes hormone and testosterone replacement therapies, which are tailored to individual symptoms, offering rejuvenation and improved sexual experiences.

Normalization of Sex Toys and Lubricants: Once considered taboo, sex toys and lubricants are now recognized as essential elements of sexual wellness. The market for these products is expanding rapidly, reflecting a societal shift towards accepting these products as tools for enhancing sexual experiences. Retail accessibility, both online and in physical stores, underscores this trend.

Lifestyle Choices and Sexual Health: Finally, there’s a growing understanding of how lifestyle choices impact sexual health. Research linking low-grade inflammation to erectile dysfunction (ED) has encouraged a broader distribution of information from doctors and researchers. Lifestyle modifications like reducing smoking, increasing physical activity, maintaining a healthy weight, and moderating alcohol consumption are recognized as effective strategies for minimizing the risk of ED.

One promising treatment is Cliovana, a unique, patented procedure specifically designed to enhance women’s orgasm intensity and frequency. This innovation is particularly noteworthy considering the widespread issue of sexual dissatisfaction among women. Studies indicate that 60% of women are not satisfied with their sex life, highlighting a significant disparity in sexual fulfillment between genders.

What sets Cliovana apart is its use of sound wave technology. This non-invasive approach, steering clear of lasers or scalpels, significantly reduces the risk of side effects, making it a safer alternative for sexual wellness. The technology is focused on increasing arousal levels, orgasm frequency, and intensity, aiming at a core aspect of sexual satisfaction: the clitoral responsiveness.

The efficacy of Cliovana is backed by clinical trials, which consistently show heightened sensation and stronger orgasms among women who undergo the treatment. The results are not just immediate but also long-lasting. Women report a sustained enhancement in their sexual experience, which can last for over a year, with the option of annual revitalization sessions to maintain these benefits.

2024 is setting a new tone in the realm of sexual health and wellness. With advancements in technology, increased openness, and a holistic approach to treatment and education, the future looks promising for individuals struggling with sexual dysfunction. This year symbolizes a breakthrough in not only treating the physical symptoms but also in supporting the emotional and relational aspects of sexual well-being.

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5 Ways to Have Healthy Sex When You Have Diabetes

— Here’s how to continue enjoying intimacy

By Mauricio González

Age and the passage of time usher in many changes. But in all my years practicing medicine, one thing remains a constant: My patients want to continue having a fulfilling and pleasurable sex life, even if they’re dealing with health problems or chronic illness. One disease that can take a heavy toll on a couple’s sex life is diabetes. Fortunately, there are ways to manage it and reignite your sex drive. Don’t despair! Here’s how you can do it.

The role of glucose in your sex life

People with diabetes are more prone to sexual dysfunction than the rest of the population, according to the American Diabetes Association (ADA). Both men and women may experience little or no sex drive due to poor management of their diabetes. But only 47 percent of men and 19 percent of women with diabetes discuss this issue with their doctors, according to a study published by Diabetes Care. Controlling blood sugar levels with medication and regularly monitoring these levels is essential to maintaining a healthy sex life.

But even if blood sugar is kept under control, men and women with diabetes may feel sexual desire but have difficulty becoming physically aroused.

And a failure to control blood sugar will eventually lead to blood vessel and nerve damage, which can prevent arousal.

How does diabetes affect your sex life?

There are many reasons why people with diabetes lose their sex drive or their ability to orgasm. Obesity, high blood pressure, sleep apnea and depression are conditions that often accompany diabetes and can compromise your libido. Some of the medications used to treat these conditions can also adversely affect your sex life. Some treatments for high blood pressure, for instance, can cause erectile dysfunction.

According to a study published in the International Journal of Environmental Research and Public Health, the sexual disorders of patients with type 1 diabetes are directly linked to depression and are less severe in those who accept their diabetes. These disorders also affect men more than women, and they take a greater toll on patients with blood glucose levels above 6.5 percent.

Erectile dysfunction in men with diabetes

If a man’s blood vessels don’t function properly or he has a blocked artery, his penis will not receive enough blood flow to get an erection. Men over 50 with type 2 diabetes are 11 times more likely to experience erectile dysfunction than younger men, according to a study published in the Caspian Journal of Internal Medicine.

Men with diabetes-related erectile dysfunction are also at greater risk of developing Peyronie’s disease, where a type of scar tissue known as plaque forms under the skin of the penis. This causes a curvature that can make erections painful, difficult or impossible.

Sexual problems in women with diabetes

Nerve damage in women can cause vaginal dryness, a condition that is not unique to people with diabetes but, according to the ADA, is twice as common in this population. The neurovascular system plays a necessary role in arousal and orgasm. If the small nerves aren’t working properly due to damage from poorly controlled blood sugar, a woman can have sensation problems. The clitoris needs optimal blood flow and sensation to become engorged enough to achieve orgasm.

Women with diabetes are also at greater risk of urinary tract and vaginal infections, which can make sexual intercourse painful and unpleasurable. Middle-aged women with diabetes who take insulin are 80 percent more likely to have difficulty reaching orgasm than women without diabetes, according to a study published in Obstetrics & Gynecology.

How can you maintain a healthy sex life?

Here are some practical suggestions that anyone can follow:

1. Eat right

Eating healthy can make all the difference. Non-starchy vegetables, such as broccoli and carrots, and whole grains can help stabilize your blood sugar and give you the energy you need to have sex. These foods are also rich in fiber and nourish your gut microbiome — the bacteria and other organisms that keep your gut healthy. A snack before sex will help boost your stamina and keep your blood sugar under control.

2. Exercise

Sex, like any other form of exercise, requires energy. So how can you be prepared? Activities such as weightlifting and Zumba classes can help you build stamina and have more energy in bed. I recommend at least 150 minutes of exercise per week, which can include walking, swimming or even gardening. Exercise also makes the body more sensitive to insulin, which helps it control insulin levels more efficiently.

3. Take your medications

Strictly follow your doctor’s instructions and make sure you take your medications. If you have diabetes, controlling your blood sugar starts with taking your prescriptions. Talk with your doctor if you suspect that a medication prescribed to treat other conditions may be interfering with your sex life, so that you can work together to look for alternatives. I also recommend buying a weekly pill organizer, which has been shown to help increase compliance with medical treatment.

4. Manage stress

Learning that you have diabetes can be upsetting and can affect your mental health. Learn how to calm your mind and body in stressful moments, such as during a sexual encounter. Brush away negative thoughts. Be grateful for — and focus on — enjoyable moments. Meditation can be very helpful. Research shows that meditation may strengthen the parts of the brain that help you remain calmer in stressful situations. But my favorite tool for reducing stress and anxiety is cognitive behavioral therapy; check with your doctor to see if this is a good option for you.

5. Be consistent

Consistency is a bridge between dreams and reality. Follow these suggestions daily. Take it gradually at first. Don’t reach for gimmicky or drastic solutions; just stick to the basics and you’ll get results, especially over time. Remember that the key is consistency, not perfection.

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Alcohol Might Be Ruining Your Orgasm

— How much and how often you drink can affect your ability to climax during sexual activity.

By Catherine Pearson

Emma Schmidt, a clinical sexologist in Cincinnati, has lost track of the number of clients she’s seen for low libido and problems orgasming after they’ve first visited a doctor who advised them to “Just relax and have a glass of wine.”

That type of suggestion is not just dismissive, Dr. Schmidt said, but it highlights the gaps in our collective understanding about the interplay between alcohol and sex.

After years of contradictory findings, recent research has made it clear that even moderate drinking poses risks to your overall health. But the question of how alcohol affects sexual health — specifically, orgasms — can be a bit fuzzier.

“Society has long depicted alcohol as a crucial ingredient for romantic encounters,” said Catalina Lawsin, a clinical psychologist who specializes in sexuality. She added that people often mix sex and alcohol because it relaxes them and offers a sense of escapism — and because of a widely held belief that alcohol “elevates sexual prowess and pleasure.”

But the reality, she said, is much more complex.

What happens when you mix alcohol and sex?

“Essentially, there’s no research,” said Dr. Lauren Streicher, a clinical professor of obstetrics and gynecology at Northwestern University Feinberg School of Medicine whose work focuses on sexual dysfunction in women.

The data that does exist — much of it from rat studies or small, qualitative investigations — suggests a pattern: Small amounts of alcohol seem to enhance arousal and decrease sexual inhibitions, Dr. Streicher said, but large amounts can suppress arousal and delay or prevent orgasm.

To understand why, it helps to look at the specific processes happening in your brain when you drink.

Alcohol releases dopamine, said Dr. Regina Krel, an assistant professor of neurology with Hackensack Meridian School of Medicine, who described it as “the feel good neurotransmitter.” Researchers believe it helps control desire.

At the same time, alcohol enhances the effects of gamma-aminobutyric acid, or GABA, a chemical messenger that inhibits impulses between nerve cells, essentially slowing the brain down and making a person feel more relaxed.

“It does make you think, ‘Oh, I feel hornier!’” because it lowers inhibitions, said Laurie Mintz, an emeritus professor of psychology at the University of Florida who focuses on human sexuality. “But the irony is that, in fact, it’s a central nervous system depressant.”

That means that alcohol has a dampening effect throughout the brain, Dr. Krel said, including in the prefrontal cortex (which is responsible for things like weighing consequences), the cerebellum (which controls coordination) and the autonomic nervous system (which regulates functions like heart rate and breathing).

Alcohol can hinder the brain’s ability to process sexual stimuli and coordinate muscle contractions, which are central to the orgasmic response, Dr. Lawsin added. “While it may contribute to relaxation and inhibition reduction initially, excessive consumption can interfere with the intricate processes that lead to the intense pleasure and satisfaction of orgasm.”

How much you drink matters.

The experts said that moderate drinking before having sex is usually OK. However, they also stressed that knowing whether alcohol will help lead to orgasm by reducing stress and inhibitions, or get in the way of orgasm by suppressing basic functions, has a lot to do with how often you drink and how much you drink on any given occasion.

Moderate drinking is usually defined in the United States as no more than two drinks a day for men or one drink a day for women. But the way alcohol affects you is determined by a host of factors, including genes, body size and composition, and your history with drinking.

Chronic, heavy use of alcohol has been linked to erectile dysfunction and premature ejaculation in men, Dr. Mintz said. Research has also connected alcohol consumption to sexual dysfunction (persistent problems with sexual response, desire and orgasm) in women.

“There isn’t a magic number of drinks that applies to everyone,” Dr. Lawsin said, adding that excessive alcohol use can hamper the connection between partners, as well as impair decision making and the ability to consent to sex.

How to find help with orgasm issues.

If you are experiencing anorgasmia (which is delayed or infrequent orgasms, or no orgasms at all), your first step should be to reach out to a primary care physician or sex therapist who can help determine the root cause or causes and connect you to the right type of specialist or treatment, Dr. Schmidt said.

There could be one or a number of underlying issues affecting your ability to orgasm, including certain health conditions or medications, relationship problems and trauma, as well as your alcohol consumption.

Many primary care doctors, and even some gynecologists and urologists, do not have a specific background in sex medicine, so it can help to ask if they do, she said, and if they have any experience working with patients with anorgasmia.

If alcohol seems to be hampering your orgasms, ask yourself how and why you use alcohol around sex, Dr. Schmidt said, noting that mental health professionals and sex therapists can be a valuable resource.

Do you often or always drink beforehand?

“If someone is using alcohol as a way to be able to have sex,” she said, “or if they feel scared, ashamed or vulnerable having sex without alcohol, then we might want to explore more.”

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How to keep your sex life thriving after prostate cancer

— Poor sexual function is the most common consequence of prostate cancer treatment, but support through the NHS is patchy and many men suffer in silence.

By Laura Milne

When BBC presenter Gabby Logan and her husband Kenny, the former Scotland rugby union winger, experienced difficulties with their sex life after he had his prostate removed last year, rather than keep it under wraps, they decided to make a podcast about it.

The couple, who have been married for 22 years, discussed their issues in an interview about Kenny’s prostate cancer diagnosis and subsequent erectile dysfunction on Gabby’s podcast The Mid Point.

Kenny, 51, who won 70 international caps representing Scotland, said his wife, 50, had expected the passion in their relationship to be reignited “immediately” after his operation and when he was unable to perform, it knocked his confidence badly.

He said: “When we first tried to have sex after the operation, Gabby said, ‘Oh, it’s not working, that’s it, it’s not working’. You didn’t even give me a chance. What actually happened from that was my confidence went rock bottom.

Gabby and Kenny’s experience is far from unusual. In the UK, prostate cancer is the most commonly diagnosed cancer in men and more than 395,000 were living with it, or had been successfully treated for it, in 2018.

According to the Life After Prostate Cancer Diagnosis (LAPCD) study of 35,000 men in the UK, funded by men’s health charity Movember, poor sexual function is the most common consequence of prostate cancer treatment (79 percent with prostate cancer compared with 48per cent of men in the general population).

Unfortunately, the problem remains one that is either not addressed routinely or at all in prostate cancer care.

The LAPCD study found that 56 per cent of men were not offered any help with sexual dysfunction following their treatment.

Problems with sex can lead to stress, anxiety, anger and even shame.

Some men don’t like to talk about vulnerable feelings because they think they should be “strong and silent”. Others avoid talking because they’re overwhelmed or trying not to burden their partner.

But learning how to face these challenges and work through them can strengthen your sexual wellbeing, explains Dr Karen Robb, Implementation Director for Cancer at Movember. “Sexual wellbeing – the balance between the physical, social and emotional aspects of sex – has not always been a common topic of conversation, but fortunately that is changing,” she says.

“Talking about sex after prostate cancer can be uncomfortable but open communication between you and your partner, if you have one, is a key part of sexual recovery following treatment. Acknowledge what has changed for you so that you can do something about it, with the right support.”

Almost every kind of prostate cancer treatment, including surgery, can cause sexual dysfunction, the most common of which is erectile dysfunction or ED, following a prostatectomy (surgical removal of the prostate).

This means that although you may feel aroused or in the mood for sex, chances are you’ll have difficulty getting an erection.

Why does ED happen after prostate cancer surgery?

“Surgery to remove the prostate affects the nerves and blood supply around the penis,” explains Karen. “The penis needs a healthy blood flow to get an erection. Without this, it won’t become as hard as it did before surgery.”

During surgery, the entire prostate is removed. The nerves that help create erections run down the left and right sides of the prostate gland. The surgeon can usually take out the prostate without causing permanent harm to the nerves on either side.

But if your cancer is too close to the nerves, they may need to be cut out.

How long does ED last after surgery?

It might take some time to improve, and the level of function you get back depends on a number of things including your age, lifestyle, any medications you take and whether you had nerve-sparing surgery.

As Karen explains: “Some things you can work on, such as exercise and keeping a healthy weight.

“Some are a bit more out of your control. However, all are things you can talk about with your doctor and see what recommendations they have that can help.”

What can you do about ED after prostate cancer?

Sex and intimacy after prostate cancer can look different for everyone, but there are options to keep your sex life thriving. Exploring new ways to have sexual pleasure and intimacy is essential after treatment and can even be a way of improving your erections.

There are different types of ­medication and sexual aids that you can try, all with pros and cons.

Everyone is unique so you may need to try out a few options a number of times and perhaps in combination to settle on the best solution for you. Discuss this with your healthcare provider.

To support men and their partners following prostate cancer treatment, Movember has launched an evidence-based online guide
called Sex and Intimacy After Prostate Cancer.

Informed by sexual health experts, it covers ED, dealing with physical changes after surgery, connecting with a partner, restoring intimacy, and coping with stress and anxiety. It also provides practical strategies, such as exercises, information about medication and devices, and how to have conversations with your doctor or care team.

“It’s vital to talk and not to just ignore it”

Chris Pedlar, 56, took early retirement from the Environment Agency in 2022 after 33 years, and lives with his partner in Devon. Nine years ago, Chris became the third generation in his family to bediagnosed with prostate cancer.

“My grandfather died from prostate cancer and my father was treated for it when he was 60. He went on to live for another 25 years, cancer free. He made sure that I started having PSA tests at 45 and I was picked up as having medium-risk cancer at 48.

“I opted for surgery rather than radiotherapy as I knew I would have the option of additional radiotherapy later on.

“Due to my father’s experience, I knew beforehand what to expect. Although I recovered quickly from the surgery itself, I had some of the usual side effects, including erectile dysfunction and some minor urinary problems, which I’ll have for life. I tried all the usual interventions such as injections, which made me feel terrible, and pumps which, while they serve a purpose, are a huge commitment. It didn’t put me off seeking advice though.

“Sex is an important part of a relationship and just because you’ve had a cancer diagnosis, it doesn’t mean that part of your life is over.

“Cancer can put a massive strain on a relationship – it affects both partners and you need to be able to talk about it honestly with each other. My partner and I have found that humour is the best way to deal with the problems we had, and I was determined from day one, this was not going to get me down.

“Because of the stage my cancer was at when it was discovered, I wasn’t able to have nerve-sparing surgery. That meant drugs like sildenafil (Viagra) shouldn’t have worked for me because of the nerve damage caused by the surgery. Everyone’s situation is different, but I never gave up hope, and after three years I asked my doctor if I could give sildenafil a try to see if it would help in any way, and I was pleasantly surprised to find it worked for me.

“From the beginning, I decided to be very open about my cancer. I recognise that not everyone deals with the experience in the same way. A lot of men bury their heads in the sand and won’t ask for help, even though it is having a negative impact on their lives.

“I was comfortable with talking to my doctor about ED because I wanted to find a solution – but a lot of men are reluctant to even mention it and so they just suffer in silence, which can have a negative effect on their mental health and their relationships.

“We need to work harder to break down those barriers that prevent men from talking about problems seeking help and seeing their GP when they need to.”

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Tips on How to Increase Penis Sensitivity

— Experiencing a decrease in penis sensitivity can be a frustrating experience and something that people don’t often talk about. However, there are effective solutions available that can increase penis sensitivity and restore the pleasure experienced during sexual activities. This article will explore these solutions and provide valuable insights to help you regain a fulfilling and pleasurable sexual experience.

By Rhiannon John, MSexol

  • Penis desensitization refers to reduced sensitivity in the penis, which can cause frustration and diminished sexual satisfaction.
  • People seek to enhance penis sensitivity for increased pleasure, intimacy, and sexual performance, leading to improved sexual satisfaction, confidence, and body image.
  • Penis desensitization may result from overstimulation, specific techniques, nerve damage, circulation problems, Peyronie’s disease, medications, age, psychological factors, hormone imbalances, drugs, alcohol, or medical conditions.
  • Treatments may involve lifestyle changes, medical management, and the use of products or exercises like Kegel exercises, cock rings, and topical solutions.

People seek to enhance penis sensitivity for various reasons, including heightened pleasure, improved intimacy, and enhanced sexual performance. Increased sensitivity in the penis plays a significant role in sexual experiences, allowing for a wide range of pleasurable sensations, deeper emotional connections with partners, and improved sexual response. It contributes to higher levels of sexual satisfaction, fosters better communication between partners, boosts sexual confidence, and positively impacts body image.

Understanding penis desensitization

Penis desensitization refers to experiencing reduced sensation in the penis compared to previous levels. While some sensitivity remains, it is noticeably less than what was previously experienced, leading to frustration and diminished sexual satisfaction. It is essential to distinguish this condition from a completely numb penis, where a person is unable to feel any sensation in certain areas or the entire penis.

What causes penis desensitization?

Penis desensitization can be caused by various factors, including:

  • Overstimulation or rough handling. Penis desensitization can be caused by overstimulation or rough handling during sexual activities, including gripping the penis too firmly during masturbation. Frequent or intense sexual activity without sufficient breaks in between can lead to temporary desensitization.
  • Specific masturbation techniques. Using a specific masturbation technique consistently may cause the penis to get used to that particular stimulation, making it challenging to experience pleasure through other means.
  • Nerve damage. Nerve damage in the penis can decrease sensitivity by disrupting the transmission of signals between the penis and the brain, leading to reduced sensation and responsiveness to sexual stimulation.
  • Circulation issues. Circulation issues can contribute to penile desensitization by affecting blood flow to the penis. Reduced blood flow can impact the delivery of oxygen and nutrients to the penile nerves and tissues, leading to decreased sensitivity.
  • Sitting for long periods. Prolonged sitting or bike riding can contribute to penile desensitization, as the pressure and reduced blood flow in the pelvic region can affect nerve sensitivity in the penis.
  • Peyronie’s disease. Peyronie’s disease involves the development of fibrous scar tissue, or plaques, within the penis, leading to penile curvature. This can also decrease sensitivity due to scarring.
  • Certain medications. Certain medications, such as selective serotonin reuptake inhibitors (SSRIs) used to treat depression and medications used to treat erectile dysfunction, have been associated with a decrease in penis sensitivity.
  • Age. Many people naturally experience decreased penis sensitivity as they age due to hormonal changes, reduced blood flow and nerve functioning, and medical conditions.
  • Psychological factors. Depression, stress, and anxiety are among the psychological factors that can contribute to penile desensitization.
  • Hormone imbalances. Hormone imbalances, such as hypogonadism, where the body doesn’t produce the correct amount of hormones, can cause a decrease in penis sensitivity.
  • Drugs and alcohol. Alcohol and drugs, including nicotine, can decrease sensitivity in the penis by affecting the nervous system and blood flow, leading to reduced nerve responsiveness and impaired circulation.
  • Certain medical conditions. Medical conditions and diseases such as diabetes, multiple sclerosis, heart disease, prostate disease or infections, and sexually transmitted infections can cause the penis to become desensitized.

How can you increase penis sensitivity?

Treatments for increasing penis sensitivity can vary depending on the underlying factors causing desensitization. Here are some potential approaches to enhance penis sensitivity:

  • Overstimulation or rough handling. To prevent overstimulation and rough handling, practice moderation during sexual activity and masturbation. Consider using lubrication to reduce friction and protect the delicate penile tissues. Experiment with different techniques and pressure levels to find what works best for maintaining sensitivity.
  • Nerve damage. If nerve damage is the cause of decreased sensitivity, consult a healthcare professional to identify the underlying condition and explore treatment options. Managing conditions like diabetes or multiple sclerosis can help preserve nerve function and potentially improve sensitivity.
  • Circulation issues. To enhance penile blood flow and sensitivity, maintain a healthy lifestyle that includes regular exercise, a balanced diet, and avoiding smoking. Consult a healthcare provider to manage circulatory issues that may contribute to decreased sensitivity.
  • Sitting for long periods. If your lifestyle involves extended periods of sitting, take frequent breaks to stand and move around. Invest in a cushioned seat or use ergonomic aids to reduce pressure on the pelvic area. If you are a regular bike rider, choose a seat that is wider and has cushioning.
  • Peyronie’s disease. If diagnosed with Peyronie’s disease, seek guidance from a urologist or specialist. They may recommend treatments like medications, traction devices, or surgery to address the condition and improve sensitivity.
  • Certain medications. If you suspect medications are affecting your penile sensitivity, consult your healthcare provider. They may adjust your medication or recommend alternative treatments to minimize side effects on sexual function.
  • Age. Adopt a healthy lifestyle to counteract the effects of aging on sensitivity. Regular exercise, a balanced diet, and stress management can positively impact sexual health and function.
  • Psychological factors. Engage in stress-reducing activities like meditation, yoga, or hobbies to promote relaxation and improve overall well-being. Seek guidance from a mental health practitioner to address underlying psychological factors that may contribute to desensitization.
  • Hormone imbalances. Consult a healthcare professional for hormone testing and appropriate treatments if you suspect hormonal imbalances. Hormone replacement therapy may be recommended to address decreased sensitivity due to low testosterone levels.
  • Drugs and alcohol. Limit alcohol and drug consumption, as they can affect sexual function and sensitivity. Moderation or abstaining from these substances can lead to improved sexual experiences.
  • Certain medical conditions. Properly manage medical conditions like diabetes or cardiovascular disease with the help of healthcare professionals. Effective management can improve overall health and potentially restore penile sensitivity.

Are there products or exercises that can help?

Along with addressing any underlying causes of decreased sensitivity, several products and exercises can be beneficial.

Kegel exercises, which strengthen pelvic floor muscles, may enhance blood flow to the genital area, which could lead to increased sensitivity. Cock rings restrict blood flow out of the penis, which enhances erections and may intensify sensations. Various creams, sprays, and lubricants are available that can be applied directly on the penis, which stimulates the skin and potentially increases sensitivity.

When to seek professional help

When the decrease in sensitivity significantly impacts your sexual pleasure and daily life, or if you experience numbness in your penis or suspect an underlying condition contributing to the reduced sensitivity, seeking professional help is essential. Start by consulting a sexologist or a general practitioner who can guide you to the relevant specialist based on the underlying cause, ensuring you receive appropriate and targeted treatment for your specific needs.

How to communicate with your partner

Having open and honest communication with your partner about penile sensitivity is essential for maintaining a strong and intimate relationship. Sharing your feelings and experiences through “I” statements can help your partner understand the physical and emotional impact the decreased sensitivity may have on you. Approach the conversation with empathy and compassion, emphasizing that it is a medical condition rather than something caused by their actions.

Encourage your partner to actively participate in the discussion, seeking solutions as a team. Show appreciation for their understanding and support while addressing the issue. Being open about your needs and concerns allows your partner to be more empathetic and supportive, fostering a deeper connection and a more fulfilling sexual experience for both of you. Remember that communication is the key to overcoming challenges and building a strong and intimate bond with your partner.

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9 Benefits of Sex Therapy

—The benefits of sex therapy are multiple and go beyond those related to sexual dysfunctions. Take note of all the information.

By Valeria Sabater

Currently, a significant part of the population is unaware of all the benefits of sex therapy. There’s still a certain stigma and the classic belief that only those who present some dysfunction, such as anorgasmia or premature ejaculation, go to these professionals. However, this methodology addresses multiple dynamics and needs.

It’s important to know that its most relevant purpose is to make you feel good. Such an objective implies achieving everything from having satisfactory intimate relationships to building happier bonds with your partner.

Addressing concerns and possible traumas or even giving you guidelines to guide your adolescent children on issues related to sex are also some of the benefits of sex therapy. In this article, we’ll explain everything this form of therapy does for you.

What are the benefits of sex therapy?

Sex therapy was developed in the 1960s, thanks to the marriage of William Masters and Virginia Johnson. Their book, Human Sexual Response (1966), was quite revolutionary because it broke down many prejudices and taboos. Since then, this approach has been strengthened, and it integrates the medical model with the psychological one.

The technique is feasible both for individuals and for couples and is based on conversation that creates a framework of trust from which to provide solutions and tools for having a more harmonious life on both emotional and sexual levels. In addition, it has great scientific endorsement and, every day, contributes to recovering the well-being of thousands of people. Below, we’ll describe the main benefits of sex therapy.

1. It contributes to having a more satisfying sex life

Sex life with your partner may no longer be as exciting or satisfying as it used to be. Sometimes, without any physiological problem, there’s something wrong and it’s difficult to restore that special harmony you used to share. A work published in the journal Archives of Sexual Behavior indicates that one of the most common causes for which therapy is sought is a discrepancy in sexual desire.

The fact that one partner in the relationship wants to have sex more often, while the other avoids it, is common. Therefore, something a sex therapist will guide and help you with is having a full intimate life. This implies resolving any difficulties, disagreements, or inconveniences in this area.

2. The treatment of sexual problems

Throughout our lives, people can go through different sexual problems. Sometimes it’s a difficulty in achieving an orgasm, while, in other cases, conditioning factors such as menopause, times of stress, or suffering from a disease play a part when it comes to enjoying intimate relationships.

Mayo Clinic Proceedings reports something important in a study. A significant portion of sexual dysfunctions in women go unrecognized and untreated. Men are also often reticent on this issue. For this reason, it’s important for society to become aware of the benefits of sexual therapy. Next, we’ll go into detail about the conditions that the methodology usually addresses:

  • Phobias
  • Paraphilias and sexual fixations
  • Vaginismus
  • Premature ejaculation
  • Male impotence
  • Hypoactive sexual disorder
  • Female Orgasmic Disorder
  • Male Orgasmic Disorder
  • Possible sexual addictions
  • Sexual problems in menopause
  • Dyspareunia (painful intercourse)
  • Sexual difficulties associated with aging
  • Sexual problems associated with other diseases
  • Improving the sex life of couples during and after pregnancy
  • Improving the sex life of people with physical or psychological disabilities

3. Discovery of the most powerful sexual organ

The most decisive sexual organ is your brain, and the best way to have a satisfying sex life is to stimulate your imagination. In this way, some aspects that you’ll work on in therapy are your fantasies and desires.

These dimensions are extraordinary channels for awakening eroticism and enlivening your relationship as a couple, deactivating prejudices, and dismissing shame.

4. Reducing fears and anxiety

Have you heard of sexual performance anxiety? There are many people who doubt their ability to offer pleasure to their partners. The fear of not being up to the task, failing, or appearing clumsy or inexperienced is a frequent reality in clinical practice.

For this reason, one of the benefits of sex therapy is to address fears related to sex. There are multiple strategies that make it easier to effectively resolve insecurities in order to have a rewarding sex life.

Likewise, therapists always create a space of empathy, security, and trust from which to clarify your doubts and receive effective advice in any area. Psychoeducation on sexual matters also falls within their tasks.

The pharmaceutical industry seeks to provide a solution to sexual dysfunctions that can be addressed through sex therapy. Many of the problems in this area have more to do with mental factors than with physiological conditions.

5. Overcoming sexual trauma

An article in the scientific journal Frontiers in Psychology highlights that patients with sexual trauma need a special type of care that provides adequate security and respect for their personal history. Sex therapy has always addressed such delicate realities as abuse, rape, or mistreatment in couple relationships.

6. Enhanced intimacy and emotional connection

Authentic pleasure in sex doesn’t occur in the body but originates in the brain, as we’ve already suggested. If you’re in crisis with your partner and there are unaddressed grudges or disagreements, it’ll be difficult to enjoy intimacy. Given this, a sex therapist guides you to promote coexistence and connection with your loved one through the following strategies:

  • Teaching resources to solve problems
  • Offering techniques that improve communication
  • Providing strategies to revive desire in the relationship
  • Facilitating spaces in which partners can get to know each other in a more intimate and profound way
  • Collaborating in better regulating emotions in order to connect in a meaningful way

7. Sex therapy allows you to get to know yourself much better

One of the most notable benefits of sex therapy is its impact on your mental health. Sex goes beyond the biological field: It’s also a psychological dimension and, above all, a cultural one. Sometimes, the way you’re educated or even the prejudices you have on this subject condition your ability to enjoy a full life in this regard.

The specialist in this area will allow you to explore and get to know yourself better as a person. You’ll be able to understand your sexuality, fantasies, and desires. No matter your age or the personal moment in which you find yourself, you always have time to look within yourself, drop your defenses, reformulate misconceptions about sex, and enjoy it.

8. It’s an inclusive therapy

Today’s sex therapy is also inclusive. What does this mean? You can find therapists trained in sexual diversity. McGill University in Montreal alludes to the advances that exist right now. This clinical field moves with our times and works to challenge stereotypes and promote a more inclusive and equitable vision of sexuality.

In this way, members of the LGBTIQ+ community benefit from more sensitive, trained, and effective attention to their particular needs and realities.

9. The prevention of future problems

Sex therapy not only addresses problems and educates us in the field of sexuality, but it also has a decisive role in prevention. Even if right now you feel good in your life as a couple and have good intimate health, it never hurts to learn new tools to avoid or address possible future problems.

Knowing, for example, how daily stress affects sexuality or how to respond to monotony in your emotional bond through new approaches are strategies that therapists educate you.

How to find a sex therapist who can help me?

Remember, you don’t have to wait for serious problems in order to start sex therapy. It’s best to go as soon as you have a concern or doubts or don’t feel satisfaction with your intimate life. If you want to look for a therapist in this area, look at the fields in which they specialize. There are some professionals who exclusively address organic or medical aspects.

However, most are prepared to treat both possible dysfunctions and relational problems and advise you on any aspect related to sexuality. Always contact specialists who follow techniques backed by science and don’t forget the most decisive thing: Being honest. Don’t be afraid to express your needs and concerns. Only then will you receive the best care possible.

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The Health Issues Men Don’t Talk About

— (But They Really Should)

It’s taken a long time. But there is finally a growing awareness of the importance of discussing health issues openly and honestly.

By Northern Life

A lot of men shy away from discussing their health concerns because of social stigmas and embarrassment. Sometimes it’s because they simply don’t know where to turn for help. Addressing these issues openly and providing the necessary information and support is crucial.

Testicular Cancer

Testicular cancer is another health issue that often goes unaddressed due to embarrassment or fear. However, early detection is crucial for successful treatment and improved outcomes. It happens when abnormal cells develop in the testicles.

Common symptoms include a painless lump or swelling in one or both testicles. You might notice a feeling of heaviness in the scrotum or that your testicles have changed shape or weight. These symptoms can also be caused by other conditions, it’s true, but you need to talk to a doctor if you notice any of them.

Regular self-examinations are recommended. By familiarizing themselves with the normal size, shape, and weight of their testicles, men can quickly identify any changes or abnormalities. If a lump or other concerning symptoms are noticed, it is crucial to consult a doctor promptly.

While the topic of testicular cancer may be uncomfortable to discuss, early detection and treatment can significantly improve the chances of a full recovery. Men should prioritize their health by raising awareness and openly discussing this issue.

Erectile Dysfunction

Erectile Dysfunction (ED) affects a significant number of men, but it remains shrouded in silence. ED refers to the inability to achieve or maintain an erection sufficient for sexual intercourse. It can stem from various factors, including physical, psychological, or lifestyle-related causes. It’s normal to have trouble getting or maintaining an erection sometimes. But persistent problems can have a significant impact.

One common physical cause of ED is the restricted blood flow to the penis. Diabetes, high blood pressure, or cardiovascular disease can be potential causes. You might also suffer from ED if you are dealing with stress, anxiety, or depression. It’s probably not too surprising to learn that smoking, drinking too much booze, and not having an active lifestyle can increase the risk of developing it.

The first step in addressing ED is to have an open conversation with a healthcare professional. Doctors can help identify the underlying causes and recommend appropriate treatment options.

It is essential to recognize that ED is a treatable condition. By breaking the silence and seeking medical assistance, men can regain control over their sexual health and improve their overall well-being. If you want to learn more about treatments for ED, then you can check out what’s available at The Independent Pharmacy. They are a regulated online pharmacy that can help you find the right prescription and over-the-counter treatment.

Mental Health

Societal expectations that encourage men to be stoic and tough can create barriers to seeking help. However, mental health issues can affect anyone. It doesn’t matter what your gender is.

Depression, anxiety, and stress are widespread right now. Men need to understand that seeking help for these kinds of issues is a sign of strength. Mental health professionals are trained to provide support and guidance in managing these conditions. There’s therapy, medication, or a combination of both. Lifestyle changes such as regular exercise, healthy eating, and practicing stress-reducing techniques like meditation or mindfulness can also help to

By breaking the silence surrounding mental health and seeking appropriate support, men can effectively manage their mental health conditions and lead fulfilling lives.

Prostate Health

Prostate health is a critical aspect of men’s overall well-being. But it can be so tough for people to talk about it openly. Prostate cancer is the most common cancer among men, and it is essential to address it openly. Early detection is crucial for successful treatment and improved outcomes. However, the fear, stigma, or lack of awareness surrounding prostate cancer can discourage men from discussing it or seeking regular screenings.

Regular prostate screenings are recommended for men over the age of 50. You should get one earlier if you have a family history of prostate cancer. These screenings can help detect any abnormalities in the prostate gland and identify potential cancerous cells.

By breaking the silence and openly discussing prostate health, men can become proactive in monitoring their prostate health, addressing any concerns, and seeking timely medical intervention when necessary. Open conversations and awareness about prostate health can help save lives and ensure a better quality of life for men as they age.

Sexual Health And STDs

Sexual health is integral to overall well-being, and men should prioritize discussions about it. Safe sexual practices and regular check-ups can help prevent and detect sexually transmitted diseases. They also mean that you can enjoy an active sexual life.

Engaging in unprotected sexual activity or having multiple sexual partners can increase your risk of catching something. Open and honest communication with sexual partners about sexual health is essential. Discussing sexual history, STD testing, and using barrier methods such as condoms can help reduce the risk of contracting or spreading STDs. Regular STD testing is recommended, especially after engaging in unprotected sexual activity or changing sexual partners.

If diagnosed with an STD, it is crucial to seek prompt medical treatment and inform any sexual partners to prevent further transmission. A lot of STDs can be treated with antibiotics or antiviral medications. Additionally, healthcare providers can offer guidance on preventive measures, safe sexual practices, and regular screenings.

Men can reduce the stigma surrounding STDs, increase awareness, and take necessary precautions to protect themselves and their partners by promoting open conversations about sexual health,

Substance Abuse And Addiction

Substance abuse and addiction are significant health concerns that affect men disproportionately. Societal expectations and pressures can sometimes lead men to turn to substances such as alcohol, tobacco, or drugs as coping mechanisms, as we saw a lot during the pandemic. There can be serious mental and physical consequences when any of those substances are abused.

Breaking the silence surrounding substance abuse and addiction is essential. Men should be encouraged to seek support. There are treatment options out there, from counseling to detox and rehab programmes.

Men can smash the stigma associated with seeking help and create a supportive environment for those struggling with these issues when they talk about them. Addiction is a treatable condition, and men can embark on a journey towards recovery and regain control over their lives with the right support,

Wrapping It Up

Addressing the health issues men often avoid discussing is crucial for their well-being. By breaking the silence and encouraging discussions about these topics, men can take control of their health, seek appropriate medical assistance, and lead healthier, fulfilling lives. Remember, it’s time to break the barriers and prioritize men’s health through open dialogue and support. There is no such thing as an embarrassing health concern. And you might just be amazed by how much better you feel once you start talking.

It’s taken a long time. But there is finally a growing awareness of the importance of discussing health issues openly and honestly. The idea of “embarrassing” health problems is being challenged more and more frequently. But some topics still get swept under the carpet, especially when it comes to men’s health.

A lot of men shy away from discussing their health concerns because of social stigmas and embarrassment. Sometimes it’s because they simply don’t know where to turn for help. Addressing these issues openly and providing the necessary information and support is crucial.

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Cock Ring

— What Does It Do and How to Use It

Cock rings serve many purposes, including enhancing pleasure, making erections firmer and longer lasting, and enhancing sexual stamina. They can also assist in managing sexual dysfunctions like erectile dysfunction. With many options available, let’s explore how to use them and the different types to discover their possibilities.

By Rhiannon John, MSexol

  • A cock ring is a specialized ring worn around the base of the penis to enhance erections, duration, and pleasure during partnered or solo sex.
  • Common types of cock rings include stretchy rings, lasso rings with adjustable sizing, vibrating rings for clitoral stimulation of a partner, solid rings for more constriction, and combination rings with butt plugs or prostate massagers.
  • Safety precautions include limiting use to 20 minutes, consulting a doctor for erectile dysfunction, and seeking medical advice for bleeding disorders or the use of blood-thinning medication.

What is a cock ring?

A cock ring, also referred to as a penis ring, is a specialized ring worn around the base of the penis, and sometimes the scrotum, to amplify the wearer’s erection and heighten pleasure during partnered or solo sex.

There are many types of cock rings, but the most basic type is made of stretchable, body-safe materials such as silicone, plastic, or rubber. The ring is circular in shape, forming a complete loop that can be easily stretched to fit around the base of the penis, similar in shape to an elastic band. This shape ensures the pressure is evenly distributed along the outside of the shaft of the penis. The size and width of the ring can vary to fit different size penises and provide different amounts of pressure.

What does a cock ring do?

When a cock ring is placed on the penis, it applies a gentle constriction around the base of the penis, resulting in a restriction of blood flow from the erectile tissues. This effectively slows down the outflow of blood from an erect penis, leading to potential benefits such as firmer and longer-lasting erections. This can benefit people who experience difficulties achieving or maintaining an erection, like those with erectile dysfunction.

In addition to providing firmer and longer-lasting erections, restricting the blood flow in the penis can also enhance sensitivity and pleasure, as the penis often becomes more sensitive to the touch. There are also different types of cock rings that are made to enhance pleasure for the wearer and their partner, such as vibrating cock rings.

Different types of cock rings

A wide array of cock rings exist, offering various types and variations to heighten erections and pleasure. While the following types are among the most common, it is important to note that this list is not exhaustive. There are countless options to explore and discover.

Basic stretchy cock rings

The most popular type of cock ring, as mentioned earlier, is the stretchy ring crafted from materials like silicone or rubber. These rings are affordable and widely available at both physical and online sex stores. Often sold in packs of three, each with different sizes, they offer the opportunity to experiment and discover the perfect fit for your needs. These versatile and beginner-friendly cock rings are an excellent choice for individuals just starting to explore their potential.

Lasso cock rings

As the name implies, these type of cock rings feature a lasso design which offers the wearer adjustable sizing and pressure. Unlike traditional cock rings that form a complete loop, a lasso is designed with a flexible cord or strap that can be tightened or loosened to fit the wearer’s preference. The lasso typically has an adjustable mechanism, such as sliding beads or a cinching mechanism, allowing the wearer to modify the tightness easily.

Vibrating cock rings

Vibrating cock rings share a similar shape to basic cock rings but come with a small attached vibrator. While the vibrator can provide pleasurable sensations for the wearer, it is primarily designed to offer clitoral stimulation to a partner during partnered sex. A wide variety of vibrating cock rings are available, providing many options to choose from based on individual preferences.

Solid cock rings

Solid cock rings are often made from stainless steel. As they are often thicker and heavier, they offer more constriction of the penis compared to other types of cock rings. These cock rings are slightly more dangerous as they can become stuck and shouldn’t be used by beginners.

Cock rings combined with butt plugs

For individuals seeking the simultaneous pleasure of the penis and anus, there is a wide selection of cock rings attached to butt plugs, prostate massagers, or other toys designed to pleasure the anus. By combining the benefits of both a cock ring and anal play, these specialized toys provide a unique and enhanced experience, catering to specific desires and preferences for those seeking double the pleasure.

Cock ring precautions

Before using a cock ring, it’s important to familiarize yourself with the safety measures.

  • Limit duration of use. Because cock rings restrict blood flow, it’s important not to wear one for longer than 20 minutes. If you’re new to using one, you should start by using them for five minutes at a time to get used to the feeling. If it’s causing pain or discomfort, stop using the ring.
  • Speak to your doctor if you have erectile dysfunction. It is important to note that various conditions, including heart disease and diabetes, can cause erectile dysfunction. Therefore, it is crucial to consult with your doctor before exploring alternative treatments, such as using a cock ring, for managing erectile dysfunction. Your doctor’s guidance will help determine the underlying causes and recommend appropriate solutions tailored to your needs.
  • Speak to your doctor if you have a bleeding disorder. If you live with a bleeding disorder or are taking blood thinning medication, you should consult your doctor before using a cock ring.

If you’re looking to explore cock rings and expand your pleasure practices, here is a helpful guide to follow.

  • Read the toy’s directions. Always read the directions before trying out a new ring, particularly if the toy contains a vibrator or any other device attached. This will help to ensure you use it correctly and safely.
  • Use a lubricant. Before putting on a cock ring, apply a small amount of lubricant to your penis. This helps reduce friction and facilitates easier removal of the ring in case it is too small for your penis.
  • Find one that fits. For beginners using a cock ring, it is recommended to start with the basic option, ideally one available in a three-pack. This allows you to find a proper fit for your penis. The ring should snugly fit around your erect penis, applying gentle pressure without constricting circulation or causing any discomfort.
  • Place around the penis. Once you have found a ring that fits your penis, place it over the top of your penis, slowly pushing it down towards the base of your penis until you find a comfortable position.
  • Explore the benefits. Once the ring is on, you can explore the different sensations either by yourself or with a partner.
  • Remember to take it off when done. Once you’re finished, don’t forget to take the cock ring off, as having it on for an extended period can cause injury.
  • Give it a wash. After use, it is important to wash the ring thoroughly with warm water and antibacterial soap to prevent the spread of infection.

Following these steps ensures a pleasurable and enjoyable experience when using your cock ring.

Cock rings are versatile tools that offer a range of benefits for enhancing pleasure, improving erectile function, and exploring new sexual experiences. They come in various shapes and sizes, each providing unique sensations and possibilities for individuals and couples to explore. By incorporating a cock ring into your pleasure practice, you can elevate pleasure and engage in exciting sexual exploration.

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Do Penis Pumps Work?

— Tips on How to Safely Use a Penis Pump

Sexual health and wellness are vital parts of most adults’ lives. Unfortunately, your sex life can be impacted by reproductive health disorders or other factors. For example, one way that cis-men and people with penises try to enhance their erectile functioning and sexual satisfaction is through the use of penis pumps. However, do penis pumps actually work, and — how do you use them?

By Natasha Weiss

  • Penis pumps are non-invasive medical devices used to help create erections.
  • <Penis pumps work by increasing blood flow to the penis to help people who have trouble achieving or maintaining erections.
  • Penis pumps can be used for erectile dysfunction stemming from several causes as well as to address issues like Peyronie’s disease.
  • There is limited data to support the efficacy of penis pumps; however, they are relatively low risk when used correctly.

What is a penis pump?

Penis pumps, also known as vacuum erection devices, are non-invasive medical devices that use vacuum pressure to create an erection. They are mostly used by cis-men or people with penises who have difficulty achieving or maintaining erections.

How does a penis pump work? The basic design of a penis pump typically consists of a plastic cylinder placed over the penis, creating a vacuum seal around the base of the penis. A manual or battery-powered pump is then used to remove the air from the cylinder, which creates negative pressure and draws blood into the penis, resulting in an erection.

Penis pumps are available in various sizes and styles and may include additional features such as a pressure gauge or a release valve to prevent over-pumping. Some models also come with constriction rings or bands that can be placed at the base of the penis to help maintain the erection.

There are several types of penis pumps:

  • Vacuum pump
  • Hydro pump
  • Air vacuum pump
  • Battery powered pump

How to use a penis pump

Looking for guidance on how to use a penis pump? Before using one, it’s important to consult with a healthcare provider to ensure it is safe and appropriate for your situation. They can also provide guidance on how to use the device properly and offer tips on maximizing its effectiveness.

Directions for penis pumps vary by manufacturer, but common guidelines include:

  • Use a small amount of water-soluble lubricant on the penis and around the opening of your device.
  • Place the tube over the penis.
  • Create a vacuum by using the pump to pull air out of the tube. Blood will start to flow to the penis, causing an erection.
  • To maintain erection, slide the band off the tube and onto the base of the penis before removing the tube.
  • You can use more lubricant to help remove the band.

Avoid using too much pressure, as this can lead to injury. Don’t leave the band on for more than 30 minutes, and wait 60 minutes between uses of your device.

Penis pump benefits

One of the key benefits of penis pumps is that they can be used by people dealing with erectile dysfunction (ED) as a non-invasive alternative to medications or surgery. This is because the suction mechanism of a penis pump increases blood flow to the genitals, filling the blood vessels in the penis so that they swell and lead to an erection.

Penis pumps may also benefit people affected by Peyronie’s disease, a condition that causes the penis to curve during an erection. One study found that after 12 weeks, participants had a statistically significant improvement in penile length, angle, and a decrease in pain after using a vacuum pump.

Do penis pumps work for penis enlargement?

Some manufacturers even claim that penis pumps can be used for penis enlargement. However, do penis enlargement pumps work? Another study found that after six months of use, the mean penile length had increased from 7.6 to 7.9 cm, which is not a significant difference. In addition, while the treatment was only about 10% effective, the patient satisfaction rate was 30%, indicating more psychological gratification than actual changes.

Can penis pumps help with ED?

Erectile dysfunction (ED) is a condition where someone has difficulty achieving or sustaining an erection. About 1 in 10 males deal with erectile dysfunction that interferes with their sex lives long-term. Erectile dysfunction becomes more common with age and can be caused by vascular disorders that affect blood flow to the penis, neurological conditions like multiple sclerosis, mental health issues, and injuries.

One of the main reasons people use penis pumps is to help treat erectile dysfunction. So, do penis pumps work for ED? Some research suggests they do. For example, one study found that 26 out of 28 men (93%) were satisfied after using a vacuum erection device for erectile dysfunction.

Do penis pumps actually work?

Some things may seem too good to be true, so the question is, “Do penis pumps work?” Well, that depends on several factors. The effectiveness of penis pumps varies depending on the severity of erectile dysfunction, someone’s overall health, the quality of the device, and whether they’re using it correctly.

There is research that backs up the effectiveness of penis pumps for erectile dysfunction and Peyronie’s disease — but there are limited studies with small sample sizes. That being said, they’re relatively easy to use, with few risks, especially when compared to the potential risks of other treatments like medication.

While penis pumps may benefit people in the short term, they don’t address the underlying cause of erectile dysfunction or what may be interfering with your sex life. So it’s also important to be aware of their potential risks.

Are there any risks associated with penis pumps?

Is a penis pump safe? While penis pumps are generally considered safe, there are some risks associated with their use.

When using one, the penis can become slightly cool to the touch and blue-purple. You can apply a warm compress to help warm the penis before sex. Some people don’t ejaculate when climaxing after using a penis pump, as wearing a band can stop semen from passing. However, it’s important to note that this is not an effective method of birth control.

Additionally, over-pumping can cause bruising, small red spots on the skin (petechiae), swelling, and pain, and may even damage the blood vessels and tissues in the penis. Prolonged use of a penis pump can also lead to decreased sensitivity or numbness in the penis.

Furthermore, it is important to use the device as directed and talk to a healthcare provider before using a penis pump, especially if you have a history of blood clotting disorders, Peyronie’s disease, other medical conditions, or if you’re taking blood-thinning medications.

What else can help improve sexual function?

Penis pumps aren’t the only option for treating erectile dysfunction and enhancing sexual wellness. Here are some other ways you can improve sexual function:

  • Oral medications. Sildenafil (Viagra) or tadalafil (Cialis) can help increase blood flow to the penis.
  • Penile injections. Medications are injected directly into the penis to help improve blood flow.
  • Lifestyle changes. That includes maintaining a healthy weight, quitting smoking, and getting regular exercise.
  • Mental health support. It’s essential to address psychological factors that may be affecting sexual function.
  • Penile implants. It involves implanting an inflatable device to help create an erection.
  • Surgery. Applies for treating Peyronie’s disease.

While penis implants may help some people, there is limited data to support their use. In addition, what works best for each individual may vary depending on the underlying cause of their sexual dysfunction. A healthcare provider can help determine the most appropriate treatment plan based on a patient’s individual needs and medical history.

Can penis pumps enlarge my penis?

Penis pumps may increase penis size temporarily, but not by a significant amount. This is thanks to an increase in blood flow in the penis, which can help create more length and girth, and promote sexual function. Results vary from person to person, but typically last around 30 minutes.

Is it risky to use penis pumps?

Penis pumps can cause side effects like bruising and swelling, but they are relatively low risk when used correctly. Using them too frequently or for long periods of time can potentially cause tissue damage to the penis, impairing erections and sexual function.

Are penis pumps medically approved?

Yes, penis pumps are medically approved devices that originally required a prescription to obtain – some insurance companies will even cover the cost of a penis pump. Now, there are more on the market that don’t require prescriptions, but a medically approved device that’s approved by your doctor is the safest choice.

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Erectile Dysfunction

— A Penis Problem That Is Rarely a Penis Issue

Changes in sexual function may be a sign that something else is wrong with your health.

By Chaunie Brusie, RN, BSN

If you have noticed problems with your sexual function or performance that weren’t evident previously, such as not being able to get or maintain an erection, you could have a form of erectile dysfunction (ED). The possible causes of ED are many, but very rarely is an actual physical issue with the penis to blame.

ED may feel like a physical penis problem, but it’s usually caused by another, more systemic medical issue.

“We like to say that the penis is like the canary in the coal mine,” said Miguel A. Pineda, M.D., the director of male sexual dysfunction of urology at Staten Island University Hospital in New York. “When the penis starts having dysfunction, it might be an early sign that other parts of the body, like the heart, could also start having dysfunction in the near future.”

It is important that people understand ED is often just the tip of the iceberg. It could be a sign to look deeper for other health problems.

Why ED can mean bigger problems

ED is often one of the first signs a male might have a systemic health issue. Why? Because in order for an erection to occur, there’s actually a great deal of “behind the scenes” work that has to happen, explained Kevin Chu, M.D., a urologist and men’s health specialist at Advanced Urology in Los Angeles and a co-host of the podcast “Man Up: A Doctor’s Guide to Men’s Health.”

“There are many systems within your body that work in concordance and are required for the penis to get an erection,” he said. “This includes adequate blood circulation, nerves and hormone levels. Additionally, emotional status and psychological well-being are very important. These systems act on a systematic level, so it just happens that many times the first sign there could be an issue is in the penis with erectile dysfunction.”

In other words, a successful erection requires a lot of different systems to be working properly in the body. And if there is a breakdown in any of those systems, it could manifest as ED.

Beyond the penis

Erections rely on penile tissue filling up with blood, so any circulatory system issue can impact a person’s ability to achieve an erection. Even a seemingly minor issue without other obvious symptoms could cause blood vessel damage over time that could lead to ED.

“Most of the time, [ED] is related to decreased blood flow to the penis,” Pineda explained. “When this problem with blood flow happens, it’s rarely ever just to the penis.”

Blood flow to the penis can decrease naturally as people get older, but some medical conditions accelerate the problem. These include diabetes, high blood pressure and high cholesterol.

“Usually, the blood flow is decreased throughout the body, including a decreased blood flow to the heart, which is obviously most important,” Pineda noted.

Lifestyle factors such as smoking, excessive alcohol consumption, drug use and lack of exercise are contributors, Chu added. Obesity, too, could eventually result in lower testosterone levels, which can also contribute to erectile dysfunction.

ED isn’t just about a physical medical problem; mental health conditions can also have a direct impact on a person’s sexual function. Chu said anxiety, depression and stress are psychological ailments that can contribute to ED.

Even if a psychological issue is not a contributing factor, research suggests some sort of psychological consequence will occur once ED has manifested. ED can often lead to feelings of shame, isolation and anxiety, so it’s important to treat both the physical and emotional aspects of the condition.

In some instances, ED can be directly attributed to a physical malfunction of the penis. For instance, prostate surgery or trauma to the penis or pelvic area can have an impact on localized blood circulation or nerves that could negatively affect erectile function. Scar formation from such injuries can contribute, too.

What doctors will want to know

If you are having erectile difficulties and haven’t spoken to a doctor about your symptoms, it might be time for a checkup. A physician will most likely start with some basic bloodwork, including checking your testosterone levels, Chu said.

“It really is specialized to the assessment of the patient from the first visit,” he said. “In certain instances, I may utilize duplex ultrasounds, which evaluate penile blood flow.”

Let your doctor know what medications you are taking, what conditions you might have, what surgeries you have had and what kind of stressors you are experiencing. They all factor into an erectile dysfunction diagnosis.

Your doctor will also want to know about any significant family history, including if there’s a history of ED. The systemic issues behind the condition are often hereditary, so you may be screened for those medical conditions.

A history of coronary artery disease (CAD) is significant because it is strongly associated with ED, according to Pineda, since both are due to decreased blood flow through the arteries.

Inform your doctor if you or any first-degree relatives have other diseases that can affect the flow of blood through arteries. These include diabetes, high blood pressure and high cholesterol, which will predispose you to ED.

The assessment will also include a physical examination and a detailed medical, sexual and psychosocial history. It might sound strange, but looking beyond physical symptoms is important in both assessing and treating ED.

For instance, Chu stressed what he calls the “biopsychosocial” approach.

“All three aspects—biological, psychological and social-environmental factors—are interconnected and required for an adequate erection to be achieved,” he explained. “A lot of times, the focus is on the biological aspect, and that is what most patients only want to be forthcoming about. The psychological and social-environmental factors are just as important and should be mentioned to the doctor.”

Pineda encourages anyone who is having symptoms of ED to be honest with their doctor because treatment for ED is often available.

In addition, mentioning to your doctor that you have ED will open up the evaluation for other diseases that are related.

One of the newest ED treatments on the market is Eddie®, an FDA-registered Class II medical device designed to treat erectile dysfunction and improve male sexual performance. In 2021 clinical trials, Eddie proved effective in treating men with physically, psychologically and pharmacologically induced ED. Its penis-specific shape optimizes blood flow as it puts pressure on the veins of the penis but not the arteries. Blood can get in and is kept there.

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