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Mouthwash Helps Kill Gonorrhea Germs in Mouth, Throat: Study

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Listerine’s maker has long made the claim, and new Australian research seems to confirm it

by Robert Preidt

A commercial brand of mouthwash can help control gonorrhea bacteria in the mouth, and daily use may offer a cheap and easy way to reduce the spread of the sexually transmitted disease, a small study from Australia contends.

Gonorrhea rates among men are on the rise in many countries due to declining condom use, and most cases occur in gay/bisexual men, researchers said.

The maker of Listerine mouthwash has claimed as far back as 1879 that it could be used against gonorrhea, though no published research has ever proved it.

In laboratory tests, the authors of this new study found that Listerine Cool Mint and Total Care (which are both 21.6 percent alcohol) significantly reduced levels of gonorrhea bacteria. A salt water (saline) solution did not.

The researchers then conducted a clinical trial with 58 gay/bisexual men who previously tested positive for gonorrhea in their mouths/throats. The men were randomly assigned to rinse and gargle for one minute with either Listerine or a salt solution.

After doing so, the amount of viable gonorrhea in the throat was 52 percent in the Listerine group and 84 percent among those who used the salt solution. Five minutes later, men in the Listerine group were 80 percent less likely to test positive for gonorrhea in the throat than those in the salt solution group.

The study was published online Dec. 20 in the journal Sexually Transmitted Diseases.

The monitoring period after gargling was short, so it’s possible the effects of Listerine might be short-term, but the lab findings suggest otherwise, according to the researchers.

A larger study is underway to confirm these preliminary findings.

“If daily use of mouthwash was shown to reduce the duration of untreated infection and/or reduce the probability of acquisition of [gonorrhea], then this readily available, condom-less, and low-cost intervention may have very significant public health implications in the control of gonorrhea in [men who have sex with men],” Eric Chow and colleagues at the Melbourne Sexual Health Center wrote in the study. Chow is a research fellow at the center.

Gonorrhea, which is common in young adults, is spread by vaginal, oral or anal sex with an infected partner. It often has mild symptoms or none at all. If left untreated, it can cause problems with the prostate and testicles in men. In women, it can lead to pelvic inflammatory disease, which causes infertility and problems with pregnancy, according to the U.S. National Institutes of Health.

Complete Article HERE!

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Is His Semen Normal?

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All spunk is funky, but sometimes it is *too* funky.

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Very many things about the male human body are a mystery. Penises, hy? Those tiny nipples, what!? But dip beneath the hairy surface of a man’s skin, and even more mysteries await, hiding away in his male depths.

While usually contained, safe and sound inside of the body, semen is a fluid most people eventually come into contact with, but also do not know very much about. If it weren’t for Samantha Jones calling attention to the phenomenon of funky spunk in the “Easy Come, Easy Go” episode of Sex and the City in 2000, women the world over may have lived in quiet misery, forever perplexed by the unpleasantness of the male sex fluid.

To help educate the masses on the contents, and, yes, healthy range of funkiness in semen, Cosmopolitan.com spoke with a urology specialist and sexual health counselor about all things semen.

How semen should look

Aleece Fosnight, a urology physician’s assistant and sex counselor with AASECT, explained that healthy semen should be a milky white or slightly grayish color. “Right after ejaculation, it’s pretty thick,” Fosnight said. “And 25-30 minutes later, it becomes clear and runny.” The change in fluidity is to help aid in reproduction, and thin out the cervical mucous to aid in the implantation of a ~fertilized egg~.

How semen should (generally) smell and taste

Semen is a bodily fluid. Can you name any bodily fluids that smell like roses or taste like freshly baked cookies? No! There are none. So as a bodily fluid, you can expect semen to have a specific taste and odor that isn’t necessarily going to be lovely. Just to clear that right up.

The thing to note about semen is that it’s a vehicle for delivering sperm through a vagina. So everything in it is meant to aid in that process. Semen is mostly made up of sperm, proteins, fructose (to help energize the sperm for transport), and seminal fluid. Fosnight said the typical pH of semen is somewhere around 7-8, or slightly alkaline. The vagina, on the other hand, has a pH between 3-5, or slightly acidic, so the alkaline nature of semen helps keep the sperm alive in an acidic vaginal environment (are you having fun yet?).

Because of it’s slightly alkaline pH, Fosnight said healthy semen should have an “ammonia or bleach-like kind of a smell,” and will taste a bit sweet (because of the fructose) and salty — like the perfect trail mix, in drinkable liquid form, straight out of a penis!

Something Fosnight clarified was that semen left dormant for too long will start to develop a more concentrated taste or smell. Think of it like a stagnant body of water, collecting film and attracting flies. To keep semen from developing a stronger taste or odor — and also to promote prostate health — studies have found that ejaculating at least twice a week is beneficial to a man’s health.

That thing about food changing his taste is true

Remember when Samantha Jones makes the guy with the spunky funk choke down a series of wheatgrass shots in an attempt to improve his semen flavor profile? According to Fosnight, that wasn’t the smartest move.

Although there’s been very little research done on the subject, health care professionals often hear anecdotally from patients that certain foods can slightly affect the taste of semen. While Fosnight said it’s normal for fruits, which are high in sugar content, to change the taste of a person’s semen, vegetables generally don’t have much of an effect.

“Smoking can change the taste,” Fosnight added. “It will have more of a bitter taste to it with smoking and with alcohol.” So, no one’s saying you should avoid ingesting a mouthful of piping hot semen after your partner’s spent the night having too many drinks and then *whoops!* accidentally chain-smoking outside of the bar, but know that semen might taste especially bitter and, ahem, spunky after such an occasion.

When the spunkiness is trying to tell you something

Though there aren’t very many health issues that can be spotted based on a person’s semen, there are a few things to look out for. “A lot of times guys won’t notice it, so partners report if there’s something wrong,” Fosnight said. She also added that at her practice, they call this “when semen goes bad.”

The things to look out for are changes in color. “The biggest thing is if it has a yellow or green appearance to it,” Fosnight said. “Like a prominent yellow or opaque consistency.” An opaque yellow or green color is typically a sign of an STI — usually gonorrhea. A guy whose semen has changed colors like this should definitely see a doctor, and avoid sex until any sort of infection is either ruled out or treated.

It doesn’t happen all too often — Fosnight estimated maybe once in a lifetime for most men — but a busted blood vessel in the prostate (which is responsible for carrying semen out of the body) can cause the semen to have a red or brownish color. If that color normalizes within a few days, there’s nothing really to worry about. But as with any health concern, a persistent discoloration should result in a doctor’s appointment.

While not super common, blood in the semen is often indicative of a prostate injury, explained Fosnight. These can be caused by using anal toys or putting pressure on the prostate, and if the bleeding subsides and doesn’t come with any other symptoms like high blood pressure, things are fine.

As long as a man is doing his due diligence by having regular STI tests, regular prostate exams when he turns 40, and just FORCING himself to ejaculate a couple times a week, semen should be pretty healthy. It may never taste like frozen yogurt, but at least it will be healthy.

Complete Article HERE!

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Sexual pain after cancer treatment an unspoken affliction for many women, UC Davis oncologist says

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Sexual pain is a common, but unspoken, aftermath of women’s cancer treatment. Doctors can be reluctant and patients too embarrassed to discuss it.

But it’s an all-too-real aspect of cancer treatment for women, according to Dr. Vanessa Kennedy, a gynecological oncologist for the UC Davis Health System.

Dr. Vanessa Kennedy, assistant professor in gynecological oncology, UC Davis Health System, Sacramento.

Dr. Vanessa Kennedy, assistant professor in gynecological oncology, UC Davis Health System, Sacramento.

“Some patients are two to three years out of treatment and they’re dealing with sexual pain and no one’s talked about it. Patients hesitate to bring it up because it’s a sensitive issue,” said Kennedy, who recently discussed the problem in the journal Obstetrics & Gynecology. Her co-author, Dr. Deborah Coady of New York University Langone Medical Center in New York, is author of the book, “Healing Painful Sex: A Woman’s Guide to Confronting, Diagnosing and Treating Sexual Pain.”

Kennedy estimates that about 50 percent of female patients with cancer – of any type – experience some form of sexual pain, due to physical changes caused by surgery, chemotherapy and radiation. It can range from vaginal dryness caused by early menopause to anatomical changes that can make sex uncomfortable.

Some women feel guilty they’re even concerned about their sex lives, given what they’ve been through battling cancer. “There’s some guilt that they should just feel lucky to be alive and shouldn’t ask about these other things,” she said. But when sexual health is addressed, “They’re actually relieved to know they’re not alone.”

Twice a month on Fridays, Kennedy holds a regular clinic, seeing UC Davis patients who’ve been referred for post-cancer problems with sex. She works with patients on a number of interventions, including physical therapy, lubricants (even coconut or olive oil), vaginal dilators and couples counseling to re-establish intimacy.

Kennedy said doctors and medical students need to learn to be comfortable broaching the topic. “A lot of students and providers are still a little bit nervous asking about sex,” she said. “How do you get comfortable talking about these things? You just do it. It’s just like asking a patient about changes in appetite or changes in sleep. Sex is another thing (on the list). Get over it and ask about it.”

There’s a difference in how men and women cancer patients deal with sexual health, Kennedy contends. For men who’ve undergone prostate cancer treatment, there’s an emphasis on restoring their sexual function. For women, there’s often physical pain and a loss of intimacy, along with the added fear by some that their partners view them as less desirable. In some cases, where sex has become nonexistent, patients confide that their partners have threatened to leave or cheat on them.

Kennedy, who did fellowship training at the University of Chicago, which has a sexual health program for women cancer patients, says research on women’s sexual health issues is lagging, compared with that for men with prostate cancer. Next April, she’s hosting a national gathering of the Scientific Network on Female Sexual Health and Cancer, which promotes research and information for women patients and their providers.

“Sex is a quality-of-life issue and a core of our well-being,” Kennedy concludes. “We have to bring back the intimacy and make this a part of the body that’s associated with pleasure, rather than an uncomfortable, negative place.”

Complete Article HERE!

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Cancer patients and survivors can have trouble with intimacy

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People who survive cancer treatment — a growing group now topping 5 million — often have trouble with intimacy afterward, both from the actual treatment and physical recovery and from the psychological damage of feeling so vulnerable.

People who survive cancer treatment — a growing group now topping 5 million — often have trouble with intimacy afterward, both from the actual treatment and physical recovery and from the psychological damage of feeling so vulnerable.(Photo: Getty Images/Comstock Images)

In the mirror, Kelly Shanahan looks normal, even to herself.

kelly-shanahan

Kelly Shanahan of South Lake Tahoe, Calif., has been battling breast cancer for eight years. She’s a big believer in doctors and their patients discussing sexual health.

But she does not feel like herself.

The breasts she had reconstructed eight years ago look real, the nipples convincing. But her breasts have no sensation. The only time she feels them at all is during the frigid winters of her South Lake Tahoe, Calif., home, when they get so cold, she has to put on an extra layer of clothing.

“For a lot of women, breast sensation is a huge part of sexual pleasure and foreplay. That is totally gone,” says Shanahan, 55, who has lived with advanced breast cancer for three years. “It can be a big blow to self-image, even though you may look normal.”
Kelly Shanahan of South Lake Tahoe, Calif., has been battling breast cancer for eight years. She’s a big believer in doctors and their patients discussing sexual health. (Photo: Kelly Shanahan)

Shanahan is part of a growing group of patients, advocates and doctors raising concerns about sexual health during and after cancer treatment.

“None of us would be here if it weren’t for sex. I don’t understand why we have such a difficult time talking about it,” she says.

Though virtually all cancer diagnoses and treatments affect how patients feel and what they think about their bodies, sex remains an uncomfortable medical topic.

Shanahan, an obstetrician herself, says that until her current doctor, none of the specialists who treated her cancer discussed her sex life.

“My former oncologist would rather fall through the floor than talk about sex,” she says.

Major cancer centers now include centers addressing sexuality, but most community hospitals still do not. The topic rarely is discussed unless the patient is particularly bold or the doctor has made a special commitment.

There’s no question that cancer can dampen people’s sex lives.

Hormone deprivation, a common therapy for breast and prostate cancer, can destroy libido, interfere with erections, and make sex extremely painful. Weight gain or loss can affect how sexy people feel. Fatigue is unending during treatment. Body image can be transformed by surgeries and the idea that your own cells are trying to kill you. The constant specter of death is a sexual downer, as are the decidedly unsexy aspects of cancer care, like carrying around a colostomy bag. Then, there are the healthy partners, feeling guilty and terrified of causing pain.

And once people start to associate sex with pain, that can add apprehension and muscle tightness, which makes intercourse harder to achieve, says Andrea Milbourne, a gynecologist at the University of Texas MD Anderson Cancer Center in Houston.

There’s almost never a medical reason cancer patients or survivors shouldn’t be having sex, says Karen Syrjala, a clinical psychologist and co-director of the survivorship program at the Fred Hutchinson Cancer Research Center in Seattle. Even if there is reason to avoid intercourse, physical closeness and intimacy are possible, she says, noting that the sooner people address sexual issues the less serious those issues will be.

“Bodies need to be used and touched,” she says said. “Tissues need to be kept active.” Syrjala recommends hugging, romantic dinners, simple touching, “maybe just holding each other naked at night.”

There are ways to improve sexual problems, starting with doctors talking to their patients about sex. Milbourne and others say it’s their responsibility, not the patients’, to bring up the topic.

Hormone deprivation, a common therapy for breast and prostate cancer, can destroy libido, interfere with erections, and make sex extremely painful. Lubricants can help smooth the way.

Hormone deprivation, a common therapy for breast and prostate cancer, can destroy libido, interfere with erections, and make sex extremely painful. Lubricants can help smooth the way.

Communication between partners also is essential. “A lot of times, it’s unclear, at least in the mind of the other partner who doesn’t have a cancer, what has happened. ‘Why does this hurt? Why don’t you want to do anything?’ ” Milbourne says.

For women who have pain during sex, Milbourne says one study found benefit to using lidocaine gel to numb vaginal tissue.

Jeanne Carter, head of the female sexual medicine and women’s health program at Memorial Sloan Kettering Cancer Center in New York City, recommends women do three minutes of Kegel exercises daily to strengthen their pelvic floor muscles and improve vaginal tone, and to help reconnect to their bodies.

For women sent abruptly into menopause, moisturizing creams can help soften tissue that has become brittle and taut. Carter says she’s conducted research showing that women with breast or endometrial cancers who use moisturizers three to five times a week in the vagina and on the vulva have fewer symptoms and less pain than those who don’t. Lubricants can help smooth the way, too.

“We’ve got to make sure we get the tissue quality and pain under control or that will just undermine the whole process,” Carter says.

Sex toys also take on a different meaning after cancer treatment. Specialized stores often can offer useful advice and the ability to examine a product before buying. Rings and other equipment, in addition to medications such as Viagra, can help men regain erections.

Doctors and well-meaning friends also need to stop telling cancer patients that they should simply be glad to be alive, Shanahan says. Of course she is, but eight years after her initial diagnosis and three years after her disease advanced, Shanahan wants to make good use of the time she has left.

And that, she says, includes having a warm, intimate relationship with her husband of 21 years.

Complete Article HERE!

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Expert Shares Tips for Talking Sexual Health With Cancer Survivors

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by KATIE KOSKO

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Sexual health can be an uncomfortable or embarrassing topic to discuss for many people, and for patients with cancer and survivors it can feel even more awkward. Nevertheless, sex ranks among the top 5 unmet needs of survivors, and the good news is, proactive oncology practitioners can help fill that void.

Sixty percent of cancer survivors—9.3 million individuals in the United States alone—end up with long-term sexual problems, but fewer than 20% get professional help, according to Leslie R. Schover, PhD, founder of the digital health startup, Will2Love. Among the barriers she cited are overburdened oncology clinics, poor insurance coverage for services related to sexual health, and an overall lack of expertise on the part of providers, many of whom don’t know how to talk to patients about these issues.

And, oncologists and oncology nurses are well-positioned to open up that line of communication.

“At least take one sentence to bring up the topic of sexuality with a new patient to find out if it is a concern for that person,” Schover explained in a recent interview with Oncology Nursing News. “Then have someone ready to do the follow-up that is needed,” and have other patient resources, such as handouts and useful websites, on hand.

Sexual issues can affect every stage of the cancer journey. Schover, who hosted a recent webinar for practitioners on the topic, has been a pioneer in developing treatment for cancer-related problems with sexuality or fertility. After decades of research and clinical practice, she has witnessed firsthand how little training is available in the area of sexual health for healthcare professionals.

“Sex remains a low priority, with very little time devoted to managing sexual problems even in specialty residencies,” said Schover. “I submitted a grant four times before I retired, to provide an online interprofessional training program to encourage oncology teams to do a far better job of assessing and managing sexual problems. I could not get it funded.”

In her webinar, she offered tips for healthcare practitioners who want to learn more about how to address sexual health concerns with their patients, like using simple words that patients will understand and asking open-ended questions in order to engage patients and give them room to expand on their sex life.

Schover suggests posing a question such as: “This treatment will affect your sex life. Tell me a little about your sex life now.”

Sexual side effects after cancer treatment vary from person to person, and also from treatment to treatment. Common side effects for men and women include difficulty reaching climax, pain during sexual intercourse, lower sexual desire and feelings of being less attractive. Men specifically can experience erectile dysfunction and dry orgasm, while women may have vaginal dryness and/or tightness, as well as loss of erotic sensation such as on their breasts following breast cancer treatment.

Sexual dysfunction after cancer can often lead to depression and poor quality of life for both patients and their partners.

According to Schover, oncologists and oncology nurses should provide realistic expectations to patients when they are in the treatment decision-making process.

“Men with prostate cancer are told they are likely to have an 80% chance of having erections good enough for sex after cancer treatment,” Schover says. “But the truth is it’s more like 20 to 25% of men who will have erections like they had at baseline.”

To get more comfortable talking about sex with patients, Schover advises role-playing exercises with colleagues, friends, and family—acting as the healthcare professional and then the patient. When the process is finished, ask for feedback.

Brochures, books, websites and handouts are also good to have on hand for immediate guidance when patient questions do arise. But Schover is hoping for a bigger change rooted in multidisciplinary care and better patient–provider communication to find personalized treatments tailored to each individual’s concerns and needs.

Cancer treatment can impact hormonal cycles, nerves directing blood flow to the genitals, and the pelvic circulatory system itself, she explained. In addition, side effects like prolonged nausea, fatigue, and chronic pain also can disrupt a patient’s sex life.

“Simply to give medical solutions rarely resolves the problems because a person or couple needs to make changes in the sexual relationship to accommodate changes in physical function,” Schover stressed. “That kind of treatment is usually best coming from a trained mental health professional, especially if the couple has issues with communication or conflict.”

Schover wants to make sure that those resources are easily accessible to patients and survivors. Thus, she has created the startup, Will2Love, which offers information on the latest research and treatment, hosts webinars, and provides access to personalized services.

“Sexual health is a right,” concluded Schover, and both oncology professionals and patients need to be assertive in getting the conversation started.

Complete Article HERE!

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