Search Results: Erection Problems

You are browsing the search results for erection problems

Sex Therapy—What Is It and Who Needs It? – Part 1

Share

I’m often asked about my work as a sex therapist. I’m surprised at how few people have any sense of what a sexologist does. While I can’t speak for all my fellow therapists, I can tell you a bit about my own practice.

Most of the work I do is Cognitive Behavioral Therapy (CBT): short-term, goal-directed and personally liberating (I don’t believe this kind of therapy should become a lifestyle). Basically, I suggest that people with sexual issues change the behaviors that contribute to their problems as a surefire way to solve them. I try to give my clients all the tools they need to successfully work things out on their own once the therapeutic intervention is over. This approach doesn’t fit everyone; however, 99.9 percent of the people I work with respond positively.

I encourage my clients to give themselves permission to investigate their sexuality. This in turn assists them in taking charge of making themselves feel better and/or perform better. And as soon as they do, they almost immediately have a greater sense of wellbeing. Like they say, nothing breeds success like success.

Once we identify an area of concern, my client and I create a plan of action for them to implement. I believe the more an individual is part of their own healing process, the more productive that process will be.

Sadly, I find that fewer and fewer people are willing to give their sexual issues the attention they deserve. Rather than investing the time and energy to get to the bottom of their issues, many opt instead for the quick fix—the “Give me a pill for that” mentality. They’re often unwilling to make the necessary lifestyle changes to actually solve their problems. For example, I encounter people who are eating themselves to death, or abusing alcohol or drugs. Of course they have the accompanying sexual response issues—erection problems for men and arousal concerns for women. They may desperately want to resolve these issues, but without committing to any change in behavior—i.e.: “I want my erection back, but I won’t stop drinking”—such interventions almost always ends in disappointment.

Sexual dysfunction of one sort or another is the issue I see most recurrently in my practice, although the reason why a client reaches out varies. Sometimes an individual’s tolerance level peaks, and they finally decide to do something about an issue that may have been smoldering for years. Sometimes it’s a partner who brings in their proverbially “broken” partner, telling me to “fix him/her.”

Couples often seek sex therapy together, as sexual problems tend to be more obvious within relationships. However, by the time the couple comes for therapy, the issues have most likely been plaguing them for some time. The relationship often comes close to ending before the couple agrees to address the problem. For example: Say a guy brings his wife in because she’s “frigid,” whatever that may entail. They’ve been married for X-number of years, and he’s finally had it. She, on the other hand, doesn’t want to be in therapy, because she doesn’t really think there’s anything wrong with her. She just doesn’t want to have sex anymore, and she doesn’t want to discuss it. Period.

This is a difficult way to start therapy. Resentments are high and frustrations rage. If the couple does continue, we usually discover that there’s also something desperately wrong with the husband. Inevitably, we ascertain that he’s an ineffectual lover—and his inability to pleasure his wife is the root of her “problem.” It’s often painfully clear that he knows little (if anything) about his wife’s sexual needs or desires. Meanwhile, the wife has never had permission to know her body, so she’s unable to help or direct him. As you can imagine in a case like this, there’s a load of remedial sex education that must come before anything else is resolved.

Couples also seek therapy when one spouse has cheated on the other. The “cheat-ee” declares, in no uncertain terms, that this therapy is the last-ditch effort before “the end of the road.” Often in such cases, it’s too late for a successful intervention, because each partner is so angry and shamed that the chance of turning the situation around is slim. Sometimes the best we can do is end the relationship with as little acrimony as possible.

In difficult couple counseling situations like this, my first effort is to get the couple to disarm. There will be no sex therapy—and God knows there is a need for sex therapy—until there is some semblance of peace between partners. If we don’t establish at least a small bank of goodwill, our efforts are doomed.

We’ll pick this up next week at this time.

Got a Sex Question?
You’ve come to the right place.
Contact me here: questions@drdicksexadvice.com

No time to write?
Give Dr Dick a call.
(866) 422-5680
Toll Free — Voicemail — HOTLINE

Would you like to talk about your sexual concerns, feelings, lifestyle or experiences?
Arrange for a consultation HERE!

Either way, you can be assured of my complete discretion.

Share

Running on Empty

Share

I know things are a bit mixed up this week.  Frequent visitors to Dr Dick’s Sex Advice will know that Wednesdays are traditionally Video Days on the site. But I have to veer off course this week.  I have some questions to respond to and I can’t do my Q&A on Friday this week, as I usually do, because I have a swell Product Review scheduled for Friday.

Do you see how nutty things can get when you have more things to do than days to do them on?  Anyhow, breaking with tradition every now and again is a good thing.

Name: lost angel
Gender: Male
Age: 21
Location: cali
Is the base of the penis behind the balls??? When I get hard my cock points kinda upward is this ok????

The base of your cock is not behind your balls.  That’s what’s called your dick root.  The base of your cock is where your cock meets your pubic bone on the dorsal (top) side of your johnson.

Having your boner point upward is as good as a place for it to point as any; and maybe better than some.

Name: Stephen
Gender: Male
Age: 41
Location: Va
As I have gotten older my sex drive has decreased tremendously. What can I do to turn it around?

Everyone’s libido decreases as he/she ages.  There’s no gettin around that.  However, a healthy lifestyle — good nutrition, maintaining your proper weight, getting an adequate amount of sleep, eliminating stress, modest alcohol and caffeine consumption and regular exercise will keep your sexual response cycle at its peek throughout your life.  Simply put, the healthier you are; the more libido you will enjoy.

That being said, I am increasingly more optimistic about the use of herbal supplements to help us gh.jpgropex.jpgolder folk stay in tip-top sexual condition.  To that end, I’d like to turn you on to three products I am currently testing on myself — Ropex, GH and Onkor Energy.   A full product review of Ropex and GH will appear on this site in time.  But the Onkor Energy review is already available on the Product Reviews page. Look for REVIEW #14.

What I’ve discovered through my product testing and review is that not all herbal supplements are created equal.  But you’ve probably figured this out on your own, huh?  I’ve tried several similar products that were completely ineffectual.  Others had unpleasant side effects.onkormen.jpg

Here’s something everyone should know.  A lot of these “Male Enhancement” and herbal products are produced in China under dubious conditions.  And everyone in the supplement industry will tell you, confidentially of course, that most of these products are adulterated with knock-off pharmaceuticals.  And that’s down right dangerous for us all.

I confidently offer these three products to you, because they work for me.  Just be assured that neither one of these products will not override a pathologically unhealthy lifestyle.  Look to your personal health and wellbeing first.  Supplement that if you must.

Hej from Sweden,
I am Mark and wanting advice regarding douching correctly.  I am 100% bottom but for personal reasons I decided to give up sex for at least 1 year.  NOW I have the horn again and I’m definitely in the mood!  I am wanting to be sure that all is ‘clean’ down there before having my ass played with  …..any advice on proper cleaning.
Great website BTW!
Hugs and blowjobs….
Mark x

Warm water is all you need.  Never use soap.b712.jpg

Some men add lemon juice or vinegar (1-2 Tbs. per quart) of the warm water.  Others dissolve (2 Tbs.) of baking soda in a quart of warm water.

Stay away from commercially produced douches; most contain harmful and irritating chemicals.  And trust me, you don’t want that.  Besides, all those over the counter douches are expensive.  And all that packaging is definitely not eco-friendly.  And we all want to be green perverts, don’t we?

Finally there is always the ever-versatile shower or bath bidet option. You can find one model, the Travel Shur Shot, in My Stockroom.

There are also stainless steel options that hook up to your shower head.

Name: Tommy
Gender: Male
Age: 36
Location: Ontario,CA
HI Dick : I had a problem keeping an erection when under the influence of crystal meth. It’s not that i wasn’t aroused. Is this common when taking speed?

Ahhh HELLO!  Are you so new to the Tina scene that you’ve never heard the term — “Crystal Dick”?   Holy cow!  Time to wake up and smell the coffee, honey.

 

meth_kills9.jpg

All tweakers will inevitably experience erection problems; some will be so serious that the guy will never recover.  Tweakers will often try to compensate for this lack of wood by taking Viagra, or another erection enhancing drug.  This is extremely dangerous because this combination will raise one’s blood pressure to dangerously high levels.  Or one could experience a really long lasting hardon, that could actually permanently damage your rod.

You’ve probably heard the old adage:  Meth Kills, right?  Well, it true.  While it may not be the death of you, per se.  You can be assured that it will kill your sexual response cycle.

Name: jack
Gender: Male
Age: 26
Location: denmark
hey I’m a 26 year old male who has struggled with alcohol abuse for many years as a result my balls have shrunk I don’t know what to do but I’m nervous about having sex and have even thought of taking my life.  I feel humiliated.  Is there something I can do or can I learn to live with this?  Will guys mind?

First off, congratulations on kickin’ the booze habit.  My hat is off to you!  If you can conquer balls6.jpgalcoholism, you’re pretty much set up to handle anything life sends your way; including a case of shrunken nuts.

Don’t despair, my friend, no one’s gonna kick you out of the sack for havin’ marbles in the sack instead of eggs.  Lots of men have smaller than usual testicles and it has nothing to do with alcohol consumption.  It’s just a natural variation on size and shape.

No need to be self-conscious about something as trivial as ball size and lose sight of the fact that you’ve overcome one of the worst scourges known to human kind.  You are a hero!  Never forget that.  And if the only scars you have to show for your valiant battle against demon alcohol is smaller cajones, then you’re luckier than most.

Get out there and learn to enjoy yourself again.  You will soon find that most men will be attracted to you for your personal courage and tenacity.  They won’t give a damn about the size of your balls.

Name: sami
Gender: Male
Age: 25
Location: Pakistan
I have visit many website and read about the erectile dysfunction problems but I want to know some thing about my problem which I have with my penis and I have used too much medicine for this and this problem is with me more than 6 years. I m from Pakistan and here doctors not treat me well or they are not expert in erectile dysfunction.
I’m 25 year old now and single.  The problem is that when ever I think about the sex or see any porn movie or chat with girl on sex topic then the drops like water come outside but its not like water its some juicy type and after this no erection come in my penis. And it cum soon without erection. I have used many medicines but to no avail.  Please tell me about my disease what is this?
And when ever I try to do sex with girl then again this drops come very fast in early and after that no erection and I can cum after one minute using my hands. I have also problem of early ejaculation too. While when i sleep and get up in morning some time my penis is in full erection and full motion but whenever I think about sex these drops come and the erection finish of my penis. So please tell me in details about this disease. Diagnose it and tell me the medicine for this because I want treatment from online doctor not from the Pakistani doctors and also want to take medicine online imported one because in Pakistan also not available good quality and variety medicine. Thanks

Things sound like they are in a pretty sorry state there in Pakistan.  That’s regrettable.

First up, if I understand you correctly, and that is a big “IF”; I’m gonna guess that you don’t need a doctor or medication.  It appears to me that you are dealing with two distinct issues:  1) excessive precum and 2) premature ejaculation.  Ok, let’s handle each one of these in turn.

You’ll find all the postings and podcasts I’ve done on the topic of pre-ejaculate by going to the precum03.jpegCATEGORIES section in the sidebar and searching for the word “precum”. Basically, excessive precum is nothing more than a bothersome issue for most men who experience it.  But it’s not a medical condition.  And there aren’t any medications you can take to relieve the problem.  Think of it as the equivalent of excessive sweating. There’s not a whole lot you can do about that either.  Issues like these tend to clear up on their own as we age.

You’ll find all the postings and podcasts I’ve done on the topic of premature ejaculation by going to the CATEGORIES section in the sidebar and searching for the words “lasting longer”.  Basically, a guy can easily learn to control his ejaculation response with a little effort on his part.  These postings and podcasts contain detailed “how to” instructions on how to achieve this control.  Again, this is not a medical condition.  And there aren’t any medications you can take to relieve the problem.

Name: liza
Gender: Female
Age: 30
Location: tyne and wear
My boyfriend is a transvestite and just recently he has started taking fenugreek seed tablets and red clover blossom tablets do you have any ideas why? I am concerned that michael5.jpgmaybe he is wanting to become a woman full time could this be a possibility? Please help???

I think I’m a pretty wise and insightful guy, but I would never hazard a guess as to what might be going on in the mind of a drag queen…ever!  😉

I suppose the only way you will know for sure what he’s up to is to ask.

What I can say with some certainty is that most TV’s (transvestites) are not TS’s (transexuals), nor are they gender dysphoric.  They just like frilly knickers!

I looked up the herbal supplements you mentioned and I didn’t find anything that would suggest a sex change in the offing.  It’s more likely a case of dyspepsia.

Dear Dr. Dick,
I asked this question on the anonymous form but would prefer and
answer in my email.
I am concerned about my ED that I seem to have developed over the last
year or so. It could be the anti-depressants I am on but I have a
feeling it is Viagra. I have used Viagra for many years even when I
didn’t need it. It was just a guarantee that I could go all night. My
concern is that I have become dependent on it. When I don’t use it I
can get hard but it never last which is frustrating when with a very
hot bttm guy.
Hope to hear from you soon.

Yes, the use of antidepressants will surely impact, in a negative sort of way, one’s (both women and men) sexual response cycle, particularly the arousal stage.  In your case, your ability to get and/or cockbeans.jpgmaintain an boner.

I’ve written and spoken a lot about the use of Viagra and its fellow drugs.  You can find the postings and podcasts by going to the CATEGORY section in the sidebar of my site and search for Erection Enhancing Drugs.

Many men are becoming “hooked” on these drugs.  I would seriously recommend that you not use these meds recreationally.  I, for example, tend to rely on a cockring as opposed to a pharmaceutical.

You might also consider a high quality herbal supplement, like the ones I recommended to Steven up above.

Good luck ya’ll

Share

Writes Of Spring

Share

Can you believe it’s freakin’ spring already? Holy cow, it seems like it was only a few weeks ago that I was calling attention to the winter solstice and here we are at the vernal equinox. My, how time flies.

Despite the relentless passing of time, sexual concerns are perennial.

Name: pete
Gender: Male
Age: 33
Location: florida
I have been notice that some of the skin on my dick is starting to wear away from me masturbating…there is no blood or anything like that. Just the skin turning light in color around head of my dick. I think its my grip. Is there a way the color will come back or have i rubbed the skin cells to death. I masturbate about 3-4 times a week. Im not in a relationship and prefer that over random sex.

Your dick skin is wearing away??? Really? How are you handling your unit, darlin’,g003.jpg with sandpaper?

You say you think it’s your grip. Ya think? Hey Pete, are you using lube when you stroke? Or are you just yanking away down there with wild abandon? If you’re not using a good jack off cream like, Elbow Grease, Original 15 oz (G003) then ya better start! This stuff is not for use with condoms, but you don’t have to worry about that if all you’re doing is pullin’ your pud.

As to the rather sudden coloration change on your dick, I’d be willing to guess that it has nothing to do with jerkin’ off, even if you’re doin it like a maniac. More likely it’s a genetic condition known as vitiligo. And the coloration change is actually a loss of pigment. This is not a health concern, really! Nor is it contagious. So you don’t have to worry about it in that regard. If it is indeed vitiligo, there’s nothing you can do about it. It’s irreversible, but it can and does spread.

vitiligo_032904.jpg

Here’s a relatively easy way to self-diagnose this pesky, but benign condition. While naked as a jay-bird, squat over a mirror. If you have vitiligo, you will also see the same kind of color changes (loss of pigment) around your asshole. You may also notice it on your elbows and knees. If you are fair-skinned, the loss of pigment will be less noticeable then if you have a darker complexion.

If it’s not vitiligo, you might consider a visit with your physician. But I pretty much can guarantee you that unless you are absolutely ruthless in your masturbation technique, manhandling yourself as you do, is not the cause of the color change on your joystick.

Name: heater
Gender: Female
Age: 36
Location: USA
I have been Married for 10 years I have told my Husband 6 years ago i not physical attracted to him anymore I stopped wanting Sex from him he just turned me off no matter what he did he cleaned cooked run me a bath eat me and so on but nothing works I start to get wet and as soon as he gets started i try up like a prune what should i do i have not had good sex in a long time

Well, if you’re not attracted to him anymore, you’re not attracted to him anymore…plain and simple. But what I don’t get is, how come after six years you’re old man still hangs in there? Is he some kind of glutton for punishment?

If I was your long-suffering hubby and I was doin all this stuff, including cooking, cleaning and eatin’ out your pussy, I’d sure as hell demand an explanation for yourdominatrix_2.jpg attitude change. Of course, maybe he likes being the doormat. Some men really get off on being dominated and treated like shit. Is that why you are no longer into him?

Or is there something else he’s done that has put you off? Did he gain weight? Does he not attend to his personal hygiene? Did he become a Republican? Ya know, things like that. If it is something he’s done or failed to do and he can change his behavior to better suit you, maybe you oughta clue him in on this.

If however, it’s not something he’s done or failed to do, but it’s you. Then he needs to know that too. You did say that you dry up like a prune. Perhaps it’s your libido that’s gone south, not his relative attractiveness? Sometimes women get these two things confused.

Do you have sexual fantasies? Do you masturbate? Are horny for anyone else — either real or imagined? How’s your health? Are you on birth control? Are you depressed? Sleep deprived? Are you putting on the pounds? Could you be experiencing early-onset menopause? As you can see, there are innumerable reasons for a decrease in libido.

At any rate, Heater, you really need to get to the bottom of this, and soon, six years is a mighty long time to live like this. I’d look for a sex-positive therapist to connect with, if I were you. Clearly, you’ve been unable, in six years, to discern the cause of your attitude change on your own. It’s irresponsible to continue to drift with the status quo.

Name: Scott
Gender: Male
Age: 20
Location: Kansas
I am a 20 year old virgin who has never even had phone- or cybersex. The reason for this is that when I am complimented in a sexual or sensual manner — for example “your voice is sexy” or “your intelligence is a major turn on” or even something as simple as “you’re cute (or adorable or whatever)” — I am aroused but I also have a very negative reaction. I have a cold, sinking feeling in my stomach, become slightly dizzy and even occasionally nauseous. I’ve been having these reactions since 7th grade which was the first time I was propositioned. When I find the woman of my dreams I want to be able to satisfy her every want and need, but I won’t be able to if I continue to have these reactions. Can you help me get rid of this or at least give me an idea of where it comes from or what is causing it?

Sounds to me, pup, like you got yourself a bad case of sexphobia; an irrational fear of sex. This is classic: “I am aroused but I also have a very negative reaction. I have a cold, sinking feeling in my stomach, become slightly dizzy and even occasionally nauseous.” You should also know that this isn’t a particularly uncommon problem.

There’s probably a good reason why you’re experiencing this phobia. If you and I werebetter_with_partner.jpg working together I’d want to take a look at the incident that you report happened to you in the 7th grade. You said you were propositioned. What does that mean? You were 12 and someone came on to you? A peer? Someone older? Was it someone inappropriate; a family member, a clergy person, a teacher? Why such a negative response?

That being said, getting over a phobia, of whatever kind — fear of flying, snakes, spiders, public speaking, or sex — can be accomplished without dredging up the past. Try this:

  • Identify the specifics of your fear as they play themselves out in your life now. What precisely frightens you about sex and/or intimacy?
  • Create a plan to take the edge off your fear in small steps. For example, start out with holding hands, move to embracing, then kissing. What behaviors push the panic button for you?
  • Address each and every thing that hampers your progress. For example, why does kissing push your buttons and holding hands and/or cuddling doesn’t?
  • Be firm in your resolve to push past your discomfort and stretch your limits. Sinking to the lowest common denominator will not do.
  • Address the emotional response you have to each aspect of your phobia before moving on to the next one. Build on your successes.

This is kinda hard to do on one’s one, but it’s not impossible. There are loads of books and programs on the market that help an individual move through a phobia. You might want to look online, look for something like: overcoming a phobia.

Some people have success with visualization techniques, for others hypnotherapy works. Basically, it’s simply a matter of desensitization — defusing the feared thing, and doing it incrementally.

Name: afeisha
Gender: Female
Age: 21
Location: pennsylvania
i usually have orgasms when i masturbate, but why when im having sex its so hard to arrive at an orgasm? even when the sex is great.

Women suffer from performance anxiety too, ya know.

While performance anxiety is mostly talked about in terms of men and their erection problems, the guys don’t have a monopoly on the annoying issue.

I’d be willing to guess, my dear, that you’ve got some performance anxiety goin onbeatuy_booty.jpg yourself, possibly even big time. Sad to say, this difficulty often plagues younger women the most. Young women tend to have less self-esteem. And if they are new to sex, they may not know what they are doing, which can be disturbing and distracting. On the other hand, if a young woman is not a sexual novice and she appears too knowledgeable about sex, she runs the risk of being labeled a slut. So basically, young women can’t win for losing. Regrettable, but there ya have it.

So let’s see if we can get to the bottom of this, as it were. Let me ask you a few questions. First and foremost, where is your mind when you are having sex with a partner? Is it on the pleasure you are giving and receiving? Or is it, like so many people, on something other than that?

  • If your mind is busy with how you look, or how you smell, or if you are wondering if that birthmark is too obvious. Or if you’re worried about how accomplished you are at performing a particular sex act, or if you’re concerned about your partner feelings for you. Then you may have performance anxiety.
  • If you anxious about what your partner is thinking of you, of if he/she is turned on by you, or loves you, or is just bangin’ away at you like a slab of beef. Then you may have performance anxiety.
  • If you’re afraid to let go and have a screamin’ meme of an orgasm, because it might not look lady-like, or you’re not sure you can trust the person who’s bumpin’ you enough to just relax and enjoy the ride. Then you may have performance anxiety.

However, performance anxiety is only one explanation for the problem you experience in partnered sex. Many women report that their partnered sex is not as satisfying as their solo sex, because they’re not able to stimulate themselves in the same fashion in partnered sex as you do when they’re jillin’ off on their own. If you are self-conscious about showing your partner the particulars of gettin yourself off, or too intimidated to incorporate a vibrator in your love making, you might not be getting what you need when you need it. Thus you might be aroused, but not to the point of lettin’ one loose…if ya catch my drift.

Finally, one of the easiest solutions to this problem is to simply have a frank discussion with your partner(s) about what gets you off before the fuck-fest begins. That will clear the air of unnecessary anticipation and you both will be able to relax more into the event itself, rather than being distracted by the externals.

Good luck ya’ll

Share

Consensual sex is key to happiness and good health, science says

Share

 

By

It’s not just that sex is fun – it’s also good for your physical and mental health.

Some of my research is focused on how men and women differ in the links between sexuality, mental and physical health, and relationship quality. In this article, I write from my findings and that of others on how sex is important to our love, mental health, relations and survival. At the end, I suggest a solution for individuals who are avoiding sex for a common reason – chronic disease.

Good sex makes us happy

Good sex is an inseparable part of our well-being and happiness. Those of us who engage in more sex report better quality of life. Sexual intercourse is linked to high satisfaction across life domains. In one of my studies on 551 married patients with heart disease, individuals who had a higher frequency of sexual intercourse reported higher marital quality, marital consensus, marital coherence, marital affection expression and overall marital satisfaction. These results are replicated in multiple studies.

In a study by another team, partners who both experienced orgasm during sex were considerably happier. These findings are shown inside and outside of the United States.

Sex keeps us alive

Although early initiation of sex such as during adolescence is a risk factor for mortality, having a sound sexual life in adulthood is linked to low mortality. In a seven-year follow-up study of men 17 years old or older, erectile dysfunction and having no sexual activity at baseline predicted increased mortality over time. Similar findings were shown in younger men. This is probably because more physically healthy individuals are sexually active.

No sex and forced sex makes us depressed

There is a two-way road between bad sex and depression. Depression is also a reason for bad sex, particularly for women. And, men who are depressed are more likely to sexually abuse their partners.

And it’s important to note, in the wake of continuing news of sexual assault and abuse, that forced sex in intimate relations make people depressed, paranoid, jealous, and ruins relationships. Couples who experience unwanted sex have a higher risk for experiencing other types of abuse, as bad habits tend to cluster.

Sex different for men and women?

Men and women differ in the degree to which their sexual act is attached to their physical, emotional, and relational well-being. Various reasons play a role among both genders, but for women, sexual function is heavily influenced by mental health and relationship quality.

By contrast, for men sexual health reflects physical health. This is also intuitive as the most common sexual disorders are due to problems with desire and erection for women and men, respectively.

Reasons for avoiding sex

As I explained in another article in The Conversation, sexual avoidance for those who have a partner or are in a relationship happens for a long list of reasons, including pain, medications, depression and chronic disease. Common diseases such as heart disease interfere with sex by causing fear and anxiety of sexual intercourse.

Aging should not be considered as a sexless age. Studies have shown that older adults acquire skills and strategies that can buffer age-related declines in their sexual life, particularly when they are in a positive relationship. This is called seniors’ sexual wisdom.

Back on track

Because people avoid sex for a variety of reasons, there is no single answer for those who want to become sexually active again. For many men, physical health problems are barriers. If they suffer from erectile dysfunction, they can seek medical help for that.

If fear of sex in the presence of chronic disease is a problem, there can be medical help for that as well. For many women, common barriers are relational dissatisfaction and mental health. For both men and women, the first step is to talk about their sexual life with their physician, counselor or therapist.

At least half of all medical visits do not cover any discussion about sexual life of patients. Embarrassment and lack of time are among the most common barrier. So make sure you make time to talk to your doctor or health care provider.

Neither the doctor nor the patient should wait for the other person to start a dialogue about their sexual concerns. The “don’t tell, don’t ask” does not take us anywhere. The solution is “do tell, do ask.”

Complete Article HERE!

Share

Recharge your sexual energy

Share

If lack of energy has drained your sex life, there are ways to reignite the passion.

close-up of a mature couple relaxing in bed at home

Your sexual drive can stay high late in life, but often your energy for sex can diminish. Low energy not only affects your sex life, but can carry over to other parts of your life, too. You can become apathetic, no longer find pleasure in favorite activities, and become more sedentary.

However, many of these issues related to lost sexual energy can be addressed. “Never think lack of energy means an end to your sex life, and there is nothing you can do about it,” says Dr. Sharon Bober, director of the Harvard-affiliated Dana-Farber Sexual Health Program. “There are many strategies you can adopt to get back in the game.”

Find your energy drainers

Your lost sexual vim and vigor is often related to some kind of physical, emotional, or relationship issue. Here’s a look at the most common causes.

Low hormones. Lack of sexual energy could be due to male hypogonadism, which occurs when the testicles do not produce enough testosterone, the male sex hormone. In fact, fatigue is one of the most common side effects.

Testosterone levels drop about 1% each year beginning in a man’s late 30s, and could fall by as much as 50% by age 70. (A blood test from your doctor can determine if you have low testosterone.) Testosterone replacement therapy, which is given via absorbable pellet implants, topical gels, patches, and injections, can often help spark sexual energy in men with low levels.

Findings from a study published online Aug. 1, 2016, by The Journal of Clinical Endocrinology & Metabolism showed that a year of testosterone therapy improved libido in 275 men (average age 72) with confirmed low testosterone. Compared with men in a placebo group, frequency of sexual arousal increased by about 50%, and they were able to have almost twice as many erections.

Speak with your doctor about whether testosterone therapy is an option for you. Long- term risks are not well known, but there is concern for an increased risk of heart disease and prostate problems.

Erectile dysfunction. Men with erectile dysfunction can experience low energy because the condition can be a blow to their self-esteem. “Men may feel embarrassed about it or worry they will be judged in some way if they cannot perform as well as they once did, so motivation and energy for sex gets depleted,” says Dr. Bober.

In this case, speak with your doctor about taking an ED drug or exploring other options for getting or keeping an erection, like using a penile pump.

Even though talking about ED may be difficult, it’s important to open up lines of communication with your partner. “For many men, it can help relieve stress to know they are not alone and someone is there for support.”

Poor sleep. Lack of sleep can be one of the main energy zappers. Poor sleep can increase stress levels and interfere with how your body and brain store and use energy, which is why you feel so sluggish after not sleeping well. And if you are tired, you have less energy for sex. Talk with your doctor if you have trouble sleeping. Steps like changing medication or dose, cognitive behavioral therapy, and adjusting your diet and sleeping environment can often improve sleep quality.

Lack of movement. When you have no sexual energy, you need to get moving. Regular exercise is one of the best natural energy boosters. Numerous studies have linked exercise with improving fatigue, especially among sedentary people. You don’t need much to get a jolt — 2.5 hours per week of moderate-intensity exercise can do the trick. Focus on a combination of cardio and weight-bearing exercises like brisk walking and strength training.

Get checked out

Many medical conditions can affect sexual drive, such as obesity, diabetes, heart disease, high blood pressure, and high cholesterol. So be diligent about regular medical check-ups. Also, many drugs, including blood pressure drugs, antidepressants, and tranquilizers can produce erectile difficulties. Consult with your doctor if you take any of these.

Back in sync

Lack of energy also could be relationship-oriented, if you and your partner are not in sexual sync. For instance, you may have energy for sex, but your partner doesn’t, or at least not at the same level.

“Sex may not always be comfortable for women because of menopausal symptoms like vaginal dryness. If sexual activity is physically uncomfortable, not surprisingly, a woman’s sex drive also diminishes,” says Dr. Bober. “This can affect both partners, and if a man is worried that he might hurt his partner, that will certainly affect his interest in sex, too.”

In this situation, you need to communicate with your partner about how important sex is to you. It’s not about making demands, but about finding ways to explore mutual goals, such as pleasure and closeness.

“Perhaps it means negotiating a compromise just like you do in other aspects of a relationship,” says Dr. Bober. “Partners find ways to share everything from household chores to bill planning, and sex shouldn’t be any different.”

There’s a lot of room to find common ground, she adds. “There are many ways to be sexually active with your partner besides traditional intercourse. For example, you can ask your partner to be with you when you pleasure yourself, which feels intimate and can allow both partners to feel connected.”

Talk about it

Sometimes the sexual barrier is not about sex at all. An open dialogue also can reveal issues beneath the surface that may interfere with your partner’s sexual energy.

“Your partner may desire sex as much as you, but there may be underlying problems in the relationship that could affect sexual desire and need to be addressed,” says Dr. Bober.

Finally, another way to ignite lost sexual energy is to do new things together. “Couples can get into routines that can make for boring sex lives,” says Dr. Bober. “It can be fun to speak with your partner about ways to keep the relationship interesting and erotic.”

Many times, this can be done outside the bedroom, like having more date nights, going for long weekend romantic getaways, or even doing simple activities together like joining a club or taking a class.

“Investing in change can energize both you and your partner, and most important, pave the way for a renewed sense of closeness and novelty that is great for all couples,” says Dr. Bober.

Complete Article HERE!

Share