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How to Prevent Male Sexual Health Problems??

These suggestions may help you avoid sexual problems:

  • Avoid problems with blood flow: Don’t smoke; control your blood pressure, cholesterol level, and medical conditions such as diabetes.
  • Avoid alcohol and recreational drugs that can lessen sexual desire or impair your performance.
  • Discuss side effects of medications with your doctor or pharmacist in case an alternative with fewer sexual effects is available. Never change your medications without your doctor’s approval and guidance.
  • Exercise regularly, eat a healthy diet, and get enough sleep.

Relaxed, clear teaching to promote understanding of one’s body and of sexual functioning, emphasizing the importance and normalcy of sexuality, is key to avoiding the guilt and fear that sometimes result in sexual dysfunction.

 

What Are The Symptoms of It??

The symptoms of male sexual problems include:

  • Lack of sexual desire, sexual fantasies, or interest in sexual contact
  • Inability to have or maintain any erection
  • Inability to have or maintain an erection sufficient for sexual functioning
  • Inability to reach an orgasm despite adequate sexual stimulation and signs of arousal
  • Ability to achieve orgasm only after an unusually lengthy period of stimulation
  • Ability to achieve orgasm only during masturbation or during oral sex
  • Ability to achieve orgasm only in situations that are considered bizarre or taboo, such as fetishes
  • Difficulty controlling the timing of orgasm and ejaculation, so that it occurs very early in sexual contact, leaving the other partner dissatisfied
  • Lack of ejaculation
  • Persistent erection, unassociated with sexual desire
  • Bloody ejaculation, which can be frightening but is usually not serious

Call Your Doctor immediately or Go to an Emergency Room If:

You have an extended or painful erection, unrelated to sexual desire, lasting more than a few hours.

Call Your Doctor About Sexual Problems If:

  • You or your partner are experiencing significant distress due to sexual dysfunction
  • Erections or intercourse are painful
  • You lack any desire for sexual contact
  • You are unable to have or maintain a usable erection
  • You are unable to have an orgasm
  • You are unable to control the timing of your orgasm, so that you ejaculate extremely early during sexual activity

Marriage Mistake Women Made

1. Being too accommodating.

Some wives are too willing to give up on what they want, says Susan Heitler, PhD, a Denver-based clinical psychologist and author of www.poweroftwo.org, a marriage skills-building course.

Heitler calls it “appendage-itis,” in which the wife is basically being an accessory to the husband, instead of being a full and equal partner in the marriage.

Some women tend to be “all about him” rather than all about themselves, as men tend to be, Heitler says.

“Usually, they’re afraid it could make a fight or some unpleasantness, or they just think somehow, on a subconscious level, in order to preserve the relationship, they have to diminish what they themselves want,” she says. The sense of helplessness leads to anger that eventually boils over, she says.

Her solution? Express your concerns rationally, whether about housework or parenting duties, or about not getting enough time with your husband or for yourself. He may like golfing on weekends while she may want him around for family time, for example. “If she spoke up, they might be able to work out a better arrangement,” Heitler says. “Maybe they’d switch to a softball league in the summer where it would be a family event.”

2. Not being clear about expectations.

Couples that function the best in marriage have made their expectations clear from the outset about division of labor, parenthood, and money, says family and marriage therapist Eli Karam, PhD, an assistant professor of couples therapy at the University of Louisville.

But many couples don’t have those discussions and are operating on auto-pilot. “Lots of couples operate on what they assume in their head because they grew up that way, that if it works for them, it works for their partners,” Karam says.

Resentment can easily build if expectations differ or are dashed on the rocks of hard reality. For example, he says some women “think having a baby will change their husband or bring him closer. What we know about marriage satisfaction is that it takes a massive dip when the first child is born. If they knew that before marriage … it would help them navigate normal roadblocks and not freak out when it happens.”

3. Underestimating the effect of tone of voice.

No matter who’s speaking, man or woman, tone of voice can be an issue if it’s even tinged only slightly with negativity.

If you have concerns, Heitler encourages “verbalizing them in a respectful way,” rather than speaking in a frustrated, irritated voice.

By all means, discuss what’s bothering you. But do it in a way that searches for solutions and alternatives, rather than venting in a way that puts a peaceful solution further out of reach.

4. Mismatched communication styles.

If you feel you aren’t being heard by your husband, you may want to revisit your communication style.

Some women repeat their complaint or a concern a few times in an effort to get their husband’s attention. Some men may call that nagging, but it may just be about having different communication styles.

Karam calls it the “demand-withdraw” dynamic: One person wants a conversation, but the other hasn’t figured out how to respond or appears to have shut down, so the speaker presses further. “That’s a vicious pattern,” Karam says.

If that happens in your relationship a lot, remember to pause to let your spouse absorb what you’re saying and have “a chance to validate what they’ve heard,” Karam says.

It might be useful to take a hard look at what is fixed — personality quirks, for example — and what can be changed. Citing the work of marriage/couples researcher John Gottman, Karam says nearly 70% of marital problems are “perpetual,” meaning that these are entrenched issues that drag on.

The challenge is to recognize what can’t be corrected. It helps to “move toward acceptance,” Karam says. “You’re not going to change a cautious person into a risk-taker or an introvert into an extrovert.”

5. Not making sex a priority.

Whether it’s fatigue or some other reason, many women don’t make enough time for sex. That’s a serious mistake, say Heitler and Karam.

“The reality is, what is best for everybody — for them, their spouse — is a healthy sex life,” says Heitler. “It keeps the family a happy family. And what their kids need more than anything is parents who have a strong, positive bond.”

Karam says women need to build in time — and by extension, desire — to make love with their husbands. “They can’t just drop everything and have sex with their husband. It’s a product of spending alone time together, building anticipation throughout the week,” he says.

Feeling sexy is a good way to start, and that means a woman must make herself a priority.

“Generally, if you’re a woman, you have to prioritize self-care. If you feel good about yourself, you’re probably going to feel sexual,” Karam says.

6. Forgetting to cherish their partner.

Some women get so focused on kids, work, and home that they forget to make the small gestures that go a  long way to solidifying their marriage.

“In healthy relationships, there are dollops of positivity, very frequently doled out,” Heitler says. “They can be smiles, eye contact, hugs or touching, verbal comments like ‘I agree with that’ or ‘good point’ or even the word ‘yes.’ Listening, agreement, appreciation, affection — those all send out positive energy that envelope both people in sunshine.”

Those gestures remind both partners that they like each other, and friendship is at the heart of successful marriages, Karam says. Married people often “operate on out-of-date knowledge of self,” he says, leading them away from true appreciation of their partners.

“It’s a myth that a good marriage sustains itself,” he says. “It’s learning yourself, learning your partner. What you are at 24 is not what you are at 34.”

Do You Worry About Being ‘Good’ in Bed?

Sexual Performance Anxiety

Sexual Performance Anxiety

Sex is supposed to be a pleasurable experience, but it’s hard to feel sexy or intimate with your partner when you have sexual performance anxiety. When you’re constantly wondering, “Am I doing this right?” “Is my partner enjoying this?” or “Do I look fat?” you become too preoccupied to enjoy sex.

Constant worry over your appearance or ability in bed can make sex stressful and nerve-wracking. It can even make you want to avoid having sex.

Sex is more than just a physical response. Arousal is tied into your emotions too. When your mind is too stressed out to focus on sex, your body can’t get excited either.

In this article, you’ll learn what causes sexual performance anxiety and discover treatments that will help bring the spark back into your relationship.

Causes of Sexual Performance Anxiety

Many different kinds of worries can lead to sexual performance anxiety, including:

  • Fear that you won’t perform well in bed and satisfy your partner sexually.
  • Poor body image, including concern over your weight.
  • Difficulties in your relationship.
  • A man’s worry that his penis won’t ‘measure up.
  • A man’s concern about ejaculating prematurely or taking too long to reach orgasm.
  • A woman’s anxiety about not being able to have an orgasm or enjoy the sexual experience.

These anxieties cause your body to launch a response called “fight or flight.” Stress hormones like epinephrine and norepinephrine are released in a series of reactions that were actually designed to prepare your body to run or confront a threat. Of course, your partner isn’t a threat, which is why this response is so counterproductive to intimacy.

Symptoms of Sexual Performance Anxiety

Your state of mind can have a big impact on your ability to get aroused. Even if you’re with someone who you find sexually appealing, worrying about whether you’ll be able to please your partner can make it impossible for you to do just that.

In men, one of the effects of the stress hormones is to constrict blood vessels. Less blood flowing into the penis makes it more difficult to have an erection. Even men who normally don’t have any trouble getting excited can become unable to get an erection when they’re overcome by sexual performance anxiety.

Sexual performance anxiety isn’t diagnosed as often in women as it is in men, but it can affect arousal in women too. Anxiety can prevent women from getting lubricated enough to have sex, and it can take away the physical desire to make love.

Anxiety can take both men and women out of the mind-set needed to have sex. When you’re focused on whether you’ll perform well, you can’t concentrate on what you’re doing in bed. A distracted lover is an inattentive lover, which can make you feel like even more of a failure. Even if you are able to get aroused, you may be too distracted to reach orgasm.

Sexual performance anxiety leads to a perpetual cycle. You become so anxious about sex that you can’t perform, which leads to even more sexual performance anxiety.

Overcoming Sexual Performance Anxiety

If you’ve got sexual performance anxiety, see a doctor — someone with whom you feel comfortable discussing your sex life. The doctor can examine you and do some tests to make sure a health condition or medication isn’t causing your sexual performance issues. During the exam the doctor will ask about your sexual history to find out how long you’ve had sexual performance anxiety and what kinds of thoughts are interfering with your sex life.

Medications and other therapies can help treat erectile dysfunction and other sexual problems that are due to physical causes. If a medical issue isn’t to blame, your doctor might suggest trying one of these approaches:

Talk to a therapist. Make an appointment with a counselor or therapist who is experienced in treating sexual problems. Therapy can teach you to become more comfortable with your own sexuality, and it can help you understand — and then reduce or eliminate — the issues that are causing your sexual performance anxiety. Men who are worried about premature ejaculation, for example, can try some techniques that help them gain more control over ejaculation.

Be open with your partner. Talking with your partner about your anxiety can help ease some of your worries. Trying to reach a solution together might actually bring you closer as a couple and improve your sexual relationship.

Get intimate in other ways. There are many ways to be intimate without actually having sex. Give your partner a sensual massage or take a warm bath together. Take turns pleasing each other with masturbation so you don’t always have to feel pressured to perform sexually.

Exercise. Not only will working out make you feel better about your body, but it will also improve your stamina in bed.

Distract yourself. Try putting on some romantic music or a sexy movie while you make love. Think about something that turns you on. Taking your mind off of your sexual performance can remove the worries that are stopping you from getting excited.

Finally, take it easy on yourself. Don’t beat yourself up about your appearance or ability in bed.  Get help for sexual performance anxiety so you can get back to having a healthy and enjoyable sex life.

Myths and Facts About Erectile Dysfunction

Erectile Dysfunction and Age

Myth: ED is just a normal part of growing older and men just have to learn to live with it.

Fact: Although ED is more common among older men, that doesn’t make it “normal” — or something you just have to live with. It’s not unusual for older men to need more stimulation to help get them aroused than they did when they were younger. But there’s no reason you should have to accept a lack of sexual function as one of the inevitable consequences of getting older. Many men are able to get erections and enjoy sex well into their senior years, and there’s very likely no reason that you can’t be one of them.

Myth: Erectile dysfunction doesn’t hit younger men. It’s only a problem for older guys.

Fact: Although erectile dysfunction is more common in men over 75, men of any age can develop erectile problems.

Erectile Dysfunction and Overall Health

Myth: ED may be upsetting, but there’s nothing dangerous about it.

Fact: Although the ED itself isn’t necessarily dangerous, ED is often one of the earliest warning signs of other underlying health conditions that can be quite serious. One of the most common underlying health conditions is diabetes. Erection problems can also be a symptom of heart problems such as hypertension (high blood pressure) or atherosclerosis, as well as hormone imbalances and neurological disorders such as Parkinson’s disease.

That’s why it is essential to see your doctor if you have erectile dysfunction. Not only can a thorough medical examination help you identify the cause of the problem and find a treatment that can return you to a more active sex life, it may also alert you to a bigger health condition that needs immediate treatment.

So if you are experiencing erectile problems, it is important to see a qualified physician immediately for a complete physical examination and testing. You can find an urologist in your area by contacting the American Urological Association.

Myth: If you have trouble getting an erection, it’s because you’re not attracted to your partner.

Fact: There are many reasons why a man might experience erection problems. Although lack of sexual attraction to one’s partner might be one of them, it’s actually far more likely to be something else. ED can be caused by:

  • Heart problems, such as high blood pressure and atherosclerosis
  • Diabetes — between 35% and 50% of men with diabetes experience ED
  • A variety of prescription drugs, including medications for blood pressure, anxiety, and depression
  • Neurological disorders, like Parkinson’s disease and multiple sclerosis
  • Hormonal imbalances
  • Mood or emotional problems such as stress, anxiety, and depression
  • Lifestyle habits such as smoking and drinking alcohol
  • Certain types of prostate and bladder surgery

Treating Erectile Dysfunction

Myth: If I have erectile dysfunction, I’ll have to take pills for the rest of my life.

Fact: There are many options for treating erectile dysfunction. The FDA-approved medications specifically for ED treatment are effective for many men. These include medications taken by mouth, injected directly into the penis, or inserted into the urethra.

Because erectile dysfunction can also be the result of an underlying health condition like atherosclerosis or high blood pressure, treating the condition may help alleviate your erection problems, too. If a prescription medication causes ED as a side effect, ask your doctor if you can be switched to another medication. Don’t stop taking any medication before talking to your doctor. If pills don’t work out for you, keep in mind that prescription medicines aren’t your only option.

You may also be able to make a few lifestyle changes. Quitting smoking, losing weight, or decreasing your alcohol intake can significantly improve your sexual potency and help your erection problems.

Psychotherapy has also been effective for many men who experience anxiety-related erectile dysfunction associated with sexual performance. You can find a trained counselor with experience in this area of treatment by contacting the American Association of Sex Educators, Counselors, and Therapists (AASECT)

Mechanical vacuum devices and surgical treatments may also be helpful for men with erection problems.

Myth: I can treat ED myself without seeing a doctor by using herbal remedies and supplements for erectile dysfunction.

Fact: You run several risks when trying to take supplements for ED. The exact contents of many of the supplements marketed for ED are not known, and it’s possible they could contain dangerous compounds or ingredients that might interact with other medications you may be taking.

In addition, many online sites will not advise you about the potential risks and side effects of taking the remedies they sell. And, of course, taking supplements without talking to your doctor means you aren’t being examined for conditions like diabetes and heart disease that may contribute to ED.

Your best option for successfully and treating ED is to consult with your doctor, who may refer you to a physician who specializes in the care of erectile dysfunction.

 

WebMD medical reference

10 Reasons Why Sex is Good for You

1. Sex Relieves Stress

A big health benefit of sex is lower blood pressure and overall stress reduction, according to researchers from Scotland who reported their findings in the journalBiological Psychology. They studied 24 women and 22 men who kept records of their sexual activity. Then the researchers subjected them to stressful situations — such as speaking in public and doing verbal arithmetic — and noted their blood pressure response to stress.

Those who had intercourse had better responses to stress than those who engaged in other sexual behaviors or abstained.

Another study published in the same journal found that frequent intercourse was associated with lower diastolic blood pressure in cohabiting participants. Yet other research found a link between partner hugs and lower blood pressure in women.

2. Sex Boosts Immunity

Good sexual health may mean better physical health. Having sex once or twice a week has been linked with higher levels of an antibody called immunoglobulin A or IgA, which can protect you from getting colds and other infections. Scientists at Wilkes University in Wilkes-Barre, Pa., took samples of saliva, which contain IgA, from 112 college students who reported the frequency of sex they had.

Those in the “frequent” group — once or twice a week — had higher levels of IgA than those in the other three groups — who reported being abstinent, having sex less than once a week, or having it very often, three or more times weekly.

3. Sex Burns Calories

Thirty minutes of sex burns 85 calories or more. It may not sound like much, but it adds up: 42 half-hour sessions will burn 3,570 calories, more than enough to lose a pound. Doubling up, you could drop that pound in 21 hour-long sessions.

“Sex is a great mode of exercise,” says Patti Britton, PhD, a Los Angeles sexologist and president of the American Association of Sexuality Educators and Therapists. It takes work, from both a physical and psychological perspective, to do it well, she says.

4. Sex Improves Heart Health

While some older folks may worry that the efforts expended during sex could cause a stroke, that’s not so, according to researchers from England. In a study published in the Journal of Epidemiology and Community Health, scientists found frequency of sex was not associated with stroke in the 914 men they followed for 20 years.

And the heart health benefits of sex don’t end there. The researchers also found that having sex twice or more a week reduced the risk of fatal heart attack by half for the men, compared with those who had sex less than once a month.

5. Sex Boosts Self-Esteem

Boosting self-esteem was one of 237 reasons people have sex, collected by University of Texas researchers and published in the Archives of Sexual Behavior.

That finding makes sense to Gina Ogden, PhD, a sex therapist and marriage and family therapist in Cambridge, Mass., although she finds that those who already have self-esteem say they sometimes have sex to feel even better. “One of the reasons people say they have sex is to feel good about themselves,” she tells WebMD. “Great sex begins with self-esteem, and it raises it. If the sex is loving, connected, and what you want, it raises it.”

6. Sex Improves Intimacy

Having sex and orgasms increases levels of the hormone oxytocin, the so-called love hormone, which helps us bond and build trust. Researchers from the University of Pittsburgh and the University of North Carolina evaluated 59 premenopausal women before and after warm contact with their husbands and partners ending with hugs. They found that the more contact, the higher the oxytocin levels.

“Oxytocin allows us to feel the urge to nurture and to bond,” Britton says.

Higher oxytocin has also been linked with a feeling of generosity. So if you’re feeling suddenly more generous toward your partner than usual, credit the love hormone.

7. Sex Reduces Pain

As the hormone oxytocin surges, endorphins increase, and pain declines. So if your headache, arthritis pain, or PMS symptoms seem to improve after sex, you can thank those higher oxytocin levels.

In a study published in the Bulletin of Experimental Biology and Medicine, 48 volunteers who inhaled oxytocin vapor and then had their fingers pricked lowered their pain threshold by more than half.

8. Sex Reduces Prostate Cancer Risk

Frequent ejaculations, especially in 20-something men, may reduce the risk of prostate cancer later in life, Australian researchers reported in the British Journal of Urology International. When they followed men diagnosed with prostate cancer and those without, they found no association of prostate cancer with the number of sexual partners as the men reached their 30s, 40s, and 50s.

But they found men who had five or more ejaculations weekly while in their 20s reduced their risk of getting prostate cancer later by a third.

Another study, reported in the Journal of the American Medical Association, found that frequent ejaculations, 21 or more a month, were linked to lower prostate cancer risk in older men, as well, compared with less frequent ejaculations of four to seven monthly.

9. Sex Strengthens Pelvic Floor Muscles

For women, doing a few pelvic floor muscle exercises known as Kegels during sex offers a couple of benefits. You will enjoy more pleasure, and you’ll also strengthen the area and help to minimize the risk of incontinence later in life.

To do a basic Kegel exercise, tighten the muscles of your pelvic floor, as if you’re trying to stop the flow of urine. Count to three, then release.

10. Sex Helps You Sleep Better

The oxytocin released during orgasm also promotes sleep, according to research.

And getting enough sleep has been linked with a host of other good things, such as maintaining a healthy weight and blood pressure. Something to think about, especially if you’ve been wondering why your guy can be active one minute and snoring the next.

Obesity ‘may harm sexual health’

Obesity may have a negative effect on people’s sexual health, new research suggests.

A survey by scientists at the Institut National de la Sante et de la Recherche Medicale in Paris looked at the sexual behaviours of 12,364 men and women, aged 18 to 69.

Participants consisted of 3,651 women and 2,725 men who were normal-weight, 1,010 women and 1,488 men who were overweight, and 411 women and 350 men who were obese.

Researchers found that obese women were 30 per cent less likely to have had a sexual partner in the last 12 months, while obese men were 70 per cent less likely to have had more than one partner in the same period.

They also discovered that obese men were 2.5 times more likely to experience erectile dysfunction than those with a healthy weight.

Writing in the British Medical Journal, the study authors said that the scale of obesity and the magnitude of its effects ‘warrants focused attention’.

They added: ‘In terms of targeting advice and care, a considerable proportion of the population is obese, is easily identified as such, and is at increased risk in terms of poorer sexual health status.’

According to the latest figures from the NHS Information Centre, 24 per cent of men and 25 per cent of women in England were classified as obese in 2008.ADNFCR-554-ID-19840548-ADNFCR

Prevent and Cure Impotence

When your twenties, you are not the slightest thought about the difficulty getting an erection. Now, you have reached the age of 40 years and sexual desire and ability of your penis is no longer as good as before.

Not surprising when you become anxious, fearful and depressed, because now it opens the possibility that you will join with countless tens of millions of other men by a doctor who declared suffering from impotence. That is, they can not get or maintain an erection sufficient for intercourse up to 75 percent of all the opportunities that exist.

“Many men are better able to overcome the loss of one foot rather than treat impotence,” said Dr. Crenshaw.

But in reality, very few men in the thirties and forties experience impotence, and many things can you do to see to it that you do not experience it. Even if you are impotent, the chance for cure is still there.

Keep the Body Condition

Impotence, formerly regarded as a psychological problem. Now the doctor believes that at least seven out of ten cases of impotence caused by physical causes, such as Diabetes, thyroid disorders, atherosclerosis, or injury to the penis.

In addition, certain drugs, excessive alcohol consumption, smoking and psychological factors like depression, stress, and anxiety can complicate matters in the work of erection of the penis.

“The core of the problem of impotence is nothing to stop the flow of blood to the penis, you will minimize your chances of getting an erection,” says John Mulcahy, MD, professor of urology at Indiana University Medical Center in Indianapolis.

“But if you treat yourself well, you can stay healthy, stay excited, and still able to have sex until old age,” said Joseph Khoury, MD, a urology specialist private practice in Bethesda, Maryland.

“In theory, there is no reason that your sexual performance will change as you age,” said Dr.. Khoury, who are familiar with a number of men in their eighties who still have sex three times a week. There is one thing in common to them: They take care of themselves was better than most other men.

Here are some ways to keep the vital tools you can continue to function properly.

Stop Smoking

Smoking accelerates the formation of deposits in heart arteries, it is not hard to believe that the same process can occur in blood vessels that supply blood to the penis. Indeed at this time, smoking has been seen as a major factor in erectile problems, and his first action begins when you step on the age of 40 years. So if you smoke, quit, advises Dr.. Crenshaw.

Run to the gym, do not walk. The more fit your body, the more often you are able to have sex, says a study published in the Archives of Sexual Behavior.

In the study, which was held at the University of California, San Diego, 78 healthy men but did not actively begin to exercise aerobically three to five days a week, each for one hour. During the study, each person writes a diary about their sexual activities. The results show that the perpetrators of aerobic sex life was greatly improved. Meanwhile, their sex life is just a leisurely stroll changed only slightly.

“No matter which type of aerobic exercise you choose, the important thing you do, at least three times a week and each time lasted for twenty minutes. Running, swimming, and cycling are good choices, “said Dr. Crenshaw.

Reduce Fat

In terms of food, the important thing is to limit your fat intake. Once again logic says that is good for the arteries supply blood to the heart will also be good for feeder artery blood to the penis.

Dr. Khoury believes that dieting to be a mighty man is a low-fat diet, with only 20 percent of calories come from fat. If you eat 2500 calories per day, mean limit your fat intake is about 50 grams. To start with the right direction, read the labels of food you buy, look for poor products of fat and no fat, avoid fried foods, moving to skim milk and eat enough fruits and vegetables every day, plus about 75 grams of fish , chicken, or lean red meat.

Streamline your waist. Excess weight can cause your penis length is reduced. Informal review of a number of men are overweight by Dr. Mulcahy suggests that to some extent, a man who is overweight will get back two and a half inches penis for every 17 pounds of weight removal. This incentive is not bad for someone who is really overweight. However, a clear, maintaining ideal body weight will reduce the risk of high blood pressure and diabetes, as both may impair the ability of your erection.

Pay attention to the drugs you are taking. Hundreds of medications can cause impotence as a side effect, including diuretics, lowering high blood pressure, some antidepressants, and antipsychotics. Ask your doctor or pharmacist if medications you take can make you problems.

Avoid Alcohol

Alcohol is a depressant that works to slow reflexes, including the sexual though. In addition to damaging sexual capability directly, alcohol, when consumed in excess in the long run, can directly affect the testicles, reduced production of male hormones testosterone and disrupt the balance of hormones and brain chemicals needed to produce an erection, while the balance was vulnerable once.

Limit yourself to just two cans of beer or a glass of wine a day, said Saul Rosenthal, MD, director of the Sexual Therapy Clinic of San Antonio in San Antonio, Texas, and author of Sex Love. If you are experiencing sexual problems, stop drinking for three months to find out if this is useless.

Impotence Symptoms

Impotence is a common problem among men characterized by the consistent inability to sustain an erection sufficient for sexual intercourse or the inability to achieve ejaculation, or both. Impotence can vary. It can involve a total inability to achieve an erection or ejaculation, an inconsistent ability to do so, or a tendency to sustain only very brief erections.

The risk of impotence increases with age. It is four-fold higher in men in their 60s compared with those in their 40s, according to a study published in the Journal of Urology. Men with less education are also more likely to experience impotence, perhaps because they tend to have less healthy lifestyles, eat a less healthy diet, drink more, and exercise less. Physical exercise tends to lessen the risk of impotence.

Your Guide to Masturbation

Masturbation is the self-stimulation of the genitals to achieve sexual arousal and pleasure, usually to the point of orgasm (sexual climax). It is commonly done by touching, stroking, or massaging the penis or clitoris until an orgasm is achieved. Some women also use stimulation of the vagina to masturbate or use “sex toys,” such as a vibrator.

Who Masturbates?

Just about everybody. Masturbation is a very common behavior, even among people who have sexual relations with a partner. In one national study, 95% of males and 89% of females reported that they have masturbated. Masturbation is the first sexual act experienced by most males and females. In young children, masturbation is a normal part of the growing child’s exploration of his or her body. Most people continue to masturbate in adulthood, and many do so throughout their lives.

Why Do People Masturbate?

In addition to feeling good, masturbation is a good way of relieving the sexual tension that can build up over time, especially for people without partners or whose partners are not willing or available for sex. Masturbation also is a safe sexual alternative for people who wish to avoid pregnancy and the dangers of sexually transmitted diseases. It also is necessary when a man must give a semen sample for infertility testing or for sperm donation. When sexual dysfunction is present in an adult, masturbation may be prescribed by a sex therapist to allow a person to experience an orgasm (often in women) or to delay its arrival (often in men).

Is Masturbation Normal?

While it once was regarded as a perversion and a sign of a mental problem, masturbation now is regarded as a normal, healthy sexual activity that is pleasant, fulfilling, acceptable, and safe. It is a good way to experience sexual pleasure and can be done throughout life.

Masturbation is only considered a problem when it inhibits sexual activity with a partner, is done in public, or causes significant distress to the person. It may cause distress if it is done compulsively and/or interferes with daily life and activities.

Is Masturbation Harmful?

In general, the medical community considers masturbation to be a natural and harmless expression of sexuality for both men and women. It does not cause any physical injury or harm to the body, and can be performed in moderation throughout a person’s lifetime as a part of normal sexual behavior. Some cultures and religions oppose the use of masturbation or even label it as sinful. This can lead to guilt or shame about the behavior.

Some experts suggest that masturbation can actually improve sexual health andrelationships. By exploring your own body through masturbation, you can determine what is erotically pleasing to you and can share this with your partner. Some partners use mutual masturbation to discover techniques for a more satisfying sexual relationship and to add to their mutual intimacy.

WebMD Medical Reference

Female Sexual Problems

A sexual problem, or sexual dysfunction, refers to a problem during any phase of the sexual response cycle that prevents the individual or couple from experiencing satisfaction from the sexual activity. The sexual response cycle has four phases: excitement, plateau, orgasm, and resolution.

While research suggests that sexual dysfunction is common (43% of women and 31% of men report some degree of difficulty), it is a topic that many people are hesitant to discuss. Fortunately, most cases of sexual dysfunction are treatable, so it is important to share your concerns with your partner and doctor.

What Causes Female Sexual Problems?

  • Physical causes. Many physical and/or medical conditions can cause sexual problems. These conditions include diabetes, heart disease, neurological diseases, hormonal imbalances, menopause, chronic diseases such as kidney disease or liver failure, and alcoholism and drug abuse. In addition, the side effects of certain medications, including some antidepressant drugs, can affect sexual desire and function.
  • Psychological causes. These include work-related stress and anxiety, concern about sexual performance, marital or relationship problems, depression, feelings of guilt, and the effects of a past sexual trauma.

Who Is Affected by Sexual Problems?

Both men and women are affected by sexual problems. Sexual problems occur in adults of all ages. Among those commonly affected are those in seniors, which may be related to a decline in health associated with aging.

How Do Sexual Problems Affect Women?

The most common problems related to sexual dysfunction in women include:

  • Inhibited sexual desire. This involves a lack of sexual desire or interest in sex. Many factors can contribute to a lack of desire, including hormonal changes, medical conditions and treatments (for example cancer and chemotherapy), depression, pregnancy, stress, and fatigue. Boredom with regular sexual routines also may contribute to a lack of enthusiasm for sex, as can lifestyle factors, such as careers and the care of children.
  • Inability to become aroused. For women, the inability to become physically aroused during sexual activity often involves insufficient vaginal lubrication. The inability to become aroused also may be related to anxiety or inadequate stimulation. In addition, researchers are investigating how blood flow problems affecting the vagina and clitoris may contribute to arousal problems.
  • Lack of orgasm (anorgasmia). This is the absence of sexual climax (orgasm). It can be caused by sexual inhibition, inexperience, lack of knowledge, and psychological factors such as guilt, anxiety, or a past sexual trauma or abuse. Other factors contributing to anorgasmia include insufficient stimulation, certain drugs, and chronic diseases.
  • Painful intercourse. Pain during intercourse can be caused by a number of problems, including endometriosis, a pelvic mass, ovarian cysts, vaginitis, poor lubrication, the presence of scar tissue from surgery, or a sexually transmitted disease. A condition called vaginismus is a painful, involuntary spasm of the muscles that surround the vaginal entrance. It may occur in women who fear that penetration will be painful and also may stem from a sexual phobia or from a previous traumatic or painful experience.

How Is a Female Sexual Problem Diagnosed?

To diagnose a woman’s sexual problem, the doctor likely will begin with a physical exam and a thorough evaluation of symptoms. The doctor may perform a pelvic exam to evaluate the health of the reproductive organs and a Pap smear to detect changes in the cells of the cervix (to check for cancer or a pre-cancerous condition). He or she may order other tests to rule out any medical problems that may be contributing to the problem.

An evaluation of your attitude regarding sex, as well as other possible contributing factors (fear, anxiety, past sexual trauma/abuse, relationship problems, alcohol or drug abuse, for example) will help the doctor understand the underlying cause of the problem and make appropriate recommendations for treatment.

How Are Female Sexual Problems Treated?

The ideal approach to treating sexual problems in women involves a team effort between the woman, doctors, and trained therapists. Most types of sexual problems can be corrected by treating the underlying physical or psychological problems. Other treatment strategies focus on the following:

  • Providing education. Education about human anatomy, sexual function, and the normal changes associated with aging, as well as sexual behaviors and responses, may help a woman overcome her anxieties about sexual function and performance.
  • Enhancing stimulation. This may include the use of erotic materials (videos or books), masturbation, and changes to sexual routines.
  • Providing distraction techniques. Erotic or non-erotic fantasies, exercises with intercourse, music, videos, or television can be used to increase relaxation and eliminate anxiety.
  • Encouraging non-coital behaviors. Non-coital behaviors (physically stimulating activity that does not include intercourse), such as sensual massage, can be used to promote comfort and increase communication between partners.
  • Minimizing pain. Using sexual positions that allow the woman to control the depth of penetration may help relieve some pain. The use of vaginal lubricants can help reduce pain caused by friction, and a warm bath before intercourse can help increase relaxation.

Can Sexual Problems Be Cured?

The success of treatment for sexual dysfunction depends on the underlying cause of the problem. The outlook is good for sexual problems that is related to a treatable or reversible physical condition. Mild dysfunction that is related to stress, fear, or anxiety often can be successfully treated with counseling, education, and improved communication between partners.

How Do Hormones Affect Sexual Function?

Hormones play an important role in regulating sexual function in women. With the decrease in the female hormone estrogen that is related to aging and menopause, many women experience some changes in sexual function as they age, including poor vaginal lubrication and decreased genital sensation. Further, research suggests that low levels of the male hormone testosterone also contribute to a decline in sexual arousal, genital sensation, and orgasm. Researchers still are investigating the benefits of hormones and other drugs, including drugs like Viagra, to treat sexual problems in women.

What Effect Does a Hysterectomy Have on Sexual Function?

Many women experience changes in sexual function after a hysterectomy (surgical removal of the uterus). These changes may include a loss of desire, and decreased vaginal lubrication and genital sensation. These problems may be associated with the hormonal changes that occur with the loss of the uterus. Furthermore, nerves and blood vessels critical to sexual function can be damaged during the hysterectomy procedure.

How Does Menopause Affect a Woman’s Sexual Function?

The loss of estrogen following menopause can lead to changes in a woman’s sexual functioning. Emotional changes that often accompany menopause can add to a woman’s loss of interest in sex and/or ability to become aroused. Hormone replacement therapy — HRT — or vaginal lubricants may improve certain conditions, such as loss of vaginal lubrication and genital sensation, which can create problems with sexual function.

It should be noted that some postmenopausal women report an increase in sexual satisfaction. This may be due to decreased anxiety over getting pregnant. In addition, postmenopausal woman often have fewer child-rearing responsibilities, allowing them to relax and enjoy intimacy with their partners.

When Should I Call my Doctor About Sexual Problems?

Many women experience a problem with sexual function from time to time. However, when the problems are persistent, they can cause distress for the women and her partner, and can have a negative impact on their relationship. If you consistently experience these problems, see your doctor for evaluation and treatment.