I’ve been reading a lot lately about FSD, or female sexual dysfunction. Is there such at thing? It strikes me as a fictitious “ailment” that is being promulgated to sell pharmaceuticals to unsuspecting women. What are your thoughts?
I share your skepticism. I think that, for the most part, female sexual dysfunction, or FSD, is a fictional disorder. I also think pharmaceutical companies are trying to hit on a female version of Viagra to treat this imaginary disorder so they can make a bundle, just like they did with as the male version.
So much of female sexuality is caught up with the cultural context of a women’s role in society — family obligations, body image and patriarchal views of marriage, etc. For the most part, men aren’t nearly so encumbered. So when one talks about female sexuality, particularly when the notion of a condition or a disorder arises; ya gotta ask yourself, what’s going on here?
I too have been noticing a lot of discussion in the popular culture lately about female sexual dysfunction. My first response is to ask myself, who’s raising the issue and why? Sure some women, like some men, experience difficulties in terms of desire, arousal and orgasm, but what of it? Is it a syndrome? Is it really a dysfunction? I personally don’t think so. The sexual difficulties most people experience can be explained and dealt with in a less dramatic way then with drugs?
And here’s an interesting phenomenon; the repeated appearance of the term female sexual dysfunction in the media lately actually gives the concept legitimacy. I’m certain the pharmaceutical industry is hoping that it will. If they can make the connection in the public mind between what women experience in terms of desire, arousal and orgasm concerns and what men describe as erectile dysfunction, then most of the work is done. In other words, I think the entire effort is a marketing ploy.
I think we can safely say that, in order to determine what female sexual dysfunction might be, one has to clearly understand what a “normal” sexual response is for a woman. This is where we traditionally run into problems. Sex science is notoriously lacking in this endeavor. One thing for certain, although both women and men have a discernable sexual response cycle, a woman’s sexual response is not the same as a man’s. Even though we can’t say with certainty what “normal” is, therapists are famous for turning difficulties into disorders. And once you have a disorder it becomes the basis for developing a drug therapy. So you can see how this becomes a self-fulfilling prophecy.
Currently there’s a real buzz among clinicians concerning the efficacy of Addyi, the so-called “female Viagra”. But most sexologists, myself included, are unimpressed. Basically, the drug in question is an antidepressant. When I heard that, red flags began to fly. Antidepressants are notorious for their adverse side effects, especially in terms of sexual arousal in both men and women. The second problem with the study was the whole notion of desire and distress. Lots of women experience diminished sexual arousal but are not distressed by it. But if there’s no distress, clinically speaking, then it can’t be considered a disorder. You see where I’m going with this, right? If there’s not a “disorder” there’s no need for a pharmaceutical intervention.
According to the research some of the women in the clinical studies leading up to the approval of the drug claimed they were less distressed by their “condition,” Hypoactive Sexual Desire Disorder, than they were at the beginning of the study. According to clinical trials of Addyi held in 2013, only 8% – 13% of the women experienced “much improved” sexual desire and only about 2 more satisfying sexual encounters per month were had. In other words, when behaviors were studied, the actual number of satisfying sexual episodes reported by these less distressed women hardly changed of all. This indicates to me that the antidepressant helped lift the spirits of the distressed women, but did nothing to increase their satisfaction with their sexual outlet.
Twice the FDA rejected Addyi for its severe side effects and marginal ability to produce the effect that it is being marketed for. And despite the fact that the drug is now available, those side effects still exist. Women who take the pill are likely to experience dizziness, nausea, drowsiness, fainting spells, and falling blood pressure. Coupled with alcohol and even hormonal contraceptives the odds of these potential side effects occurring increase. Persons with liver ailments, or taking certain other medicines, such as types of steroids are also at higher risk. On the other hand Viagra has very mild side effects that may include headaches, indigestion, blue-tinted vision and in some cases a stuffy nose.
While a man can pop Viagra an hour or so before he plans to have sex, women who are looking for increased sexual desire need to take Addyi daily for up to a month before they should expect to see any effects.
Male sexuality is intensely under attack, in the increasingly vitriolic social dialogue related to pornography. Though women watch and make pornography, most of the current debates focus on aspects of masculine sexual behaviors. These behaviors include masturbation, use of pornography, prostitutes or sexual entertainment like strip clubs. Promiscuity, sex without commitment, and use of sex to manage stress or tension are all things that are frequently a part of male sexuality, whether we like it or not. But, male sexuality is not a disease, not a public health crisis, it is not evil, and it does not overpower men’s lives or choices. Shaming men for these behaviors isolates men, and ignores powerful, important and healthy aspects of masculinity.
There is a common perception of male sexuality as intrinsically selfish, overly focused on “scoring” and sexual conquests, on anonymous, “soulless” sex, and on the outward manifestations of virility. But there are other, oft neglected sides of male eroticism. Straight men are far more focused upon women’s needs, and upon closeness with women, than we give them credit for. Nancy Friday wrote that “Men’s love of women is often greater than their love of self.” Men give up friends and male camaraderie and accept a life of economic support of women, even leading up to an earlier death, all in order to be with women. More than half of all men describe that their best sexual encounters came when they “gave a woman physical pleasure beyond her dreams.” Men redirect their selfishness away from their own satisfaction, and toward a sense of fulfillment and accomplishment, by giving sexual satisfaction. Male sexuality often involves an intense focus on the needs of their partners, and men gain great pleasure, even a strong sense of manliness, from giving their lover sexual pleasure.
In fact, men’s desire to sexually satisfy their partners comes at the price of their own satisfaction. When a man is unable to make his partner orgasm, many men report incredible frustration, disappointment, and self-doubt. Women even complain that men put so much pressure and intent upon helping the woman achieve orgasm that the act ceases to be pleasurable and starts to feel more like childbirth. In such cases, women fake orgasms, not for themselves, but to satisfy their partner’s needs. Until a woman has an orgasm, a man doesn’t think he’s done his job, and his masculinity hangs in the balance.
Men are taught from a young age that they must be sexually competent and sexually powerful with exaggerated and impossible ideals. Surveys of sex in America find that, compared to women, men are far more insecure and anxious about their sexual performance. Nearly 30 percent of men fear that they ejaculate too soon, most men sometimes experience erectile dysfunction connected to anxiety, and one man in every six reports significant worries about his sexual abilities to satisfy his partner. These are huge burdens that men carry, and are just one reason why many men pursue other forms of sex such as masturbation to pornography.
Compared to women, men actually experience greater pain and psychological disruption from the ups and downs of romantic relationships. Not only do the negative aspects of a romantic relationship hurt men more than women, but the positive aspects and benefits of that relationship have greater impact upon the man than the woman. Because women are better able to access outside support from friends and family, they often fare better than men. Men are often isolated and burdened with the expectation that they shouldn’t feel pain, or if they do, they must suffer alone.
For men, physical affection and sex is one of the main ways we feel loved, accepted, and regarded. For many men, it is only through physical love that we can voice tenderness and express our desire for togetherness and physical bonding. Only in sex can we let down boundaries and drop our armor enough to be emotionally vulnerable.
Sex plays a greater role in the lives of men as a form of acceptance and mutual regard than it does for women. Women touch each other all the time, with hugs, holding hands, closer body contact, and smaller “personal space.” Men shake hands. Really good friends might, at best, punch each other in a loving way, do a careful “man hug,” or even swat each other’s buttocks, if it’s during an approved masculine sporting event. (Many homosexual men experience this differently, when they come out and are part of the LGBTQ community) So the body-to-body contact that sex offers feeds an appetite, a craving, one that is often starved near to death in men.
Male sexuality is portrayed as something that men must guard against, and describe it as though it is a demonic force, lurking within our souls, which must be constrained, feared and even rejected. Men are portrayed as powerless to control themselves, in the face of sexual arousal that is too strong. Men are painted as weak, harmed and warped by sexual experiences such as pornography. As a result, men are told to be ashamed of the sexual desires that society has called unhealthy, and told to forego those condemned sexual interests. But an essential part of man is lost when we encourage men to split themselves from their sexuality.
Unfortunately, as we teach men to be men, to understand, accept, and express their masculinity, we rarely attend adequately to the loving, nurturing, and amorous side of men. The most positive way that society and media currently portray male sexuality is when it is depicted as bumbling and stupid-making, a force that turns men into fools, easily led by our penises. But more often, male sexuality is depicted as a force that hovers just on the edge of rape, rage and destruction.
What is necessary for a healthy man, for complete masculinity, is the integration, consolidation, and incorporation of ALL the varied aspects of our sexuality. When we try to externalize our desires for love and sex, excising them from ourselves as something external and dangerous, we run the real risk of creating men without compassion, without tenderness, and without the ability to nurture. It is easy to suggest that what we are trying to excise are the base, primitive parts of men’s eroticism, those desires to rape, dominate, and satisfy oneself selfishly. But in truth, those desires, as frightening as they can be, are integrally linked to male emotional desires for safety, acceptance, protection of others, and belonging.
Those things that make men admired and respected—their strength, courage, independence, and assertiveness—are the same things which contribute to the differences in male and female sexuality. By condemning these characteristics, we run the real and frightening risk of abolishing qualities that are essential to healthy masculinity.
A healthy sexual male is one who accepts and understands his erotic and sexual desires, along with his drive for success, dominance (and often submission as well) and excellence. Healthy sexual choices come from internal acceptance and awareness, not rejection and shame. Research has shown that all men have the ability to exercise control over their levels of sexual arousal and sexual behavior, but no men can fully suppress their sexual desire. Healthy men can be men who go to strip clubs, visit prostitutes and watch pornography. They are men who make conscious sexual choices, accepting the consequences of their actions.
Our culture needs a sexual ethic focused on personal relationships and social justice rather than particular sexual acts. All persons have the right and responsibility to lead sexual lives that express love, justice, mutuality, commitment, consent and pleasure. Grounded in respect for the body and for the vulnerability that intimacy brings, this ethic fosters physical, emotional and spiritual health. It accepts no double standards and applies to all persons, without regard to sex, gender, color, age, bodily condition, marital status or sexual orientation. The Religious Institute
We need to begin encouraging personal integrity, responsibility, self-awareness and respect, both for oneself and one’s sexual partner(s). This is, I think, the goal for all men – to make their sexual choices an integrated part of who they are, and the kind of man they desire to be. Unfortunately, as long as we continue to shame and condemn men in general, and specific sexual acts, we are merely isolating men. Further, we are exacerbating the problem, because removing porn or shaming men for their desires or fantasies, does not teach men how to be a sexually healthy man.
Complete Article HERE!
By Ed Noon
The British are a nation of stoics, often too proud to admit we have a problem, and too polite to bother anyone else about it. Men are particularly bad at piping up about health issues, especially when it comes to our penises. Often, a source of embarrassment can be a simple lack of knowledge. Fortunately, the male anatomy is quite easy to understand, and learning what to say when seeing your GP can help avoid red faces. Read our guide from a working NHS doctor for how to keep your penis healthy…
Don’t use slang
The number of highly imaginative slang words that have been used to describe penises can leave patients embarrassed and doctors wondering. Keep it real and you’ll be taken seriously. Here’s a quick anatomically correct dictionary of our own for you to memorise and check off next time you’re in the mirror:
Penis and foreskin – no explanation needed.
Shaft – the main length of your penis but not including the glans (tip).
Glans/tip – the highly sensitive area at the end of the penis, usually covered by a foreskin, unless removed in an operation called a circumcision, with an opening for urine and semen to escape.
Meatus – pronounced “me-ay-tuss”, this is the medical name for that opening.
Testes – otherwise known as testicles or balls. All are acceptable.
Scrotum – this is the stretchy skin that forms a sack for your testes. A thin muscle allows the scrotum to contract, which it does so in cold conditions to maintain your sperm at a constant temperature.
Epididymis – behind and above the testes lies the area that stores the sperm made in the testes. Above the testes is a firm tube that carries your sperm from the epididymis (via the prostate which lies near your bladder, so it goes a long way) eventually out through your urethra to come out in the hole in the tip of your penis (yep, the meatus – well remembered).
Knowing just a small detail of anatomy can really take the embarrassment out of a problem when explaining things. So next time you notice that something’s not right, be confident and just tell your doctor “straight up”.
DIY penis maintenance
Many male problems don’t require the attention of a medical professional. Allow GQ to fill you in.
How to clean your penis
We often gaze in awe and talk excitedly about the nose-tingling, fungus-coated, ash-rolled, squishy goodness that is a well-stocked cheese counter. That’s not what you want people to experience when getting up close and personal with your penis. The “knob cheese” that is technically known as smegma, has a particularly vile smell and builds up when the area underneath a foreskin hasn’t been cleaned. This area should be cleaned daily (just pull back) along with the rest of your genitals, your bottom and the area in between, called the perineum. Use a mild soap as these areas can be sensitive.
How to examine your scrotum
Testicular cancer is the most common cancer in young men. For this reason, every week you should examine each testis (the plural is testes) in turn between your finger and thumb by rolling the skin over them. The most common symptom is a lump of any size but you should book an appointment with your GP if you have any new feelings in the scrotal area.
On a lighter note, most lumps in the scrotum aren’t cancer, and if it does turn out to be cancer, it’s one of the most treatable forms of the disease. You should get to know your balls like the back of your hand.
Maintaining an erection
Erectile dysfunction, or impotence, is unfortunately common from middle age onwards and it’s caused by a narrowing of the blood vessels that pump blood to create and maintain an erection. This narrowing may occur for a number of reasons but high blood pressure, diabetes and smoking are high on the list. Giving up smoking seems like a no-brainer, and maintaining a healthy body weight and undertaking regular exercise reduce your risk of developing high blood pressure and diabetes.
Protect your penis from STIs
STIs are invisible and often give no symptoms for many years so you won’t know if you’ve just passed one on, so you should always wear a condom. Available free at GPs and sexual health clinics, they significantly reduce the risk of the transmission of STIs but they’re nowhere near as effective if they remain unopened in your wallet. There are so many easy ways to get tested for STIs – a simple fingerpick test can detect HIV, and many GP surgeries have urine pots to test for chlamydia and gonorrhoea that you can pick up and drop off discretely without even making an appointment. No excuses.
Be careful with trimming
Many of us take pleasure in keeping neat and tidy. There are no hard and fast rules about what to do here, but a sensible one is to exercise caution. Be especially careful in the craggy terrain of your scrotum if shaving, where it can be technically more challenging to not make a tiny cut in the skin – this could potentially introduce harmful bacteria which could cause cellulitis, abscesses or worse, Fournier’s gangrene (Googling not recommended).
Penis size really doesn’t matter to women
A 2015 survey of women presented with photographs of all types and sizes of penises published in the Journal of Sexual Medicine revealed that penis length was one of the least valued attributes. “Overall cosmetic appearance” came out on top. So no need to worry about whether your penis size is above or below average. Just keep it looking good.
Use your penis to keep it healthy
Make ejaculation part of your daily routine. Here’s why: a large Harvard study of nearly 30,000 men found the risk of prostate cancer was 33 per cent lower in men who’d ejaculated at least 21 times per month, compared to those who ejaculated only 4-7 times per month. This included ejaculations during sex, masturbation and, um, “nocturnal emissions”. Time to play catch up.
Complete Article HERE!