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Erectile dysfunction (ED), which is generally called impotence, is the repeated inability of a man to get or maintain an erection of penis sufficiently rigid for sexual intercourse, ejaculation, or both. Today, ED has become a serious sexual health problem in men as it affects a person psychologically. Due to the personal nature of the disease, it is difficult to estimate how many men are affected by it. A person suffering from Erectile dysfunction rarely come forward to talk it openly with health personnel, but nowadays, it is discussed openly and more men are coming forward to treat it.
The most common cause of Erectile dysfunction (ED) is damage to the tissues, nerves, arteries, muscles or fibrous tissue. Conditions such as diabetes, kidney disease, chronic alcoholism, multiple sclerosis and cardiovascular disease account for around 70% of cases of ED. Erectile dysfunction is also a side effect of some common medications, including blood pressure drugs, antihistamiines, antidepressants and tranquilizers. According to health experts, psychological factors such as stress, anxiety, guilt, depression, low self-esteem, and fear of sexual failure cause up to 20% of cases. Smoking has also been linked to ED.
Being older is primarily associated with impotence in most men. Nevertheless, impotence is not inevitable with age. Clinical studies suggest that men of any age can be affected by this problem at some point of their sexual life. ED is treatable at any age, and awareness of this fact has been growing. More men have been seeking help and returning to normal sexual activity because of improved, successful treatments for ED.
Various options for the treatment of ED are available today. Psychotherapy is prescribed by doctors for patients who are likely to benefit, but alternative treatment includes drugs, vacuum devices, and surgery. There has been a surge of interest among men on the wonder drug Sildenafil citrate or Viagra, which was approved by the U.S. Food and Drug Administration in 1998.
Viagra belongs to a class of drugs called phosphodiesterase inhibitors, and it works by increasing blood flow to the penis. Once you take it, Viagra can work in as quickly as 30 minutes. Viagra works for 4 hours. As with all erectile dysfunction medications, Viagra should only be used under a doctor's supervision.
The recommended dose for Viagra is 50 mg, and the physician may adjust this dose to 100 mg or 25 mg, depending on the patient. The most common side effects of Viagra are headache, facial flushing, and upset stomach. Less commonly, bluish vision, blurred vision, or sensitivity to light may briefly occur.
With the increasing use of the Internet as a vehicle for buying goods at the ease of one’s home, one can easily buy Viagra or any other anti-ED drugs online. Buying Viagra online ensures anonymity of the buyer and the drug is delivered at your doorsteps confidentially. Moreover, there are numerous pharmaceutical companies offering generous discounts on price for those who buy Viagra online.
So, if you are depressed due to ED and ashamed of discussing it to others, come out of the closet and get benefited by buying cheap Viagra online.
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There is a new restaurant in Beijing - a specialty penis restaurant. Their fare includes penises that once dangled proud and strong from yaks and oxen, seals and dogs, horses and donkeys. You name it, they have it!
I am mostly a vegetarian but I am planning a trip to Beijing soon and I am not taking my wife with me. She's an absolute vegan. When she was last here in China she was shocked when our companion stopped mid-track and slapped the trunk of a tree, picked out a dead insect that looked like a cricket and promptly dispatched it's edible portions into his mouth. He looked happy and said it was delicious but my wife! She was shocked. Later, he took us to a restaurant where stir-fried crickets were the specialty of the house. We couldn't say no as our companion was hosting two Germans, as well, who were willing to try anything. The restaurant floor was stacked inches deep with left overs of crickets, their shells and the like. If that was bad for my wife Beijing would be murder.
China Daily described the restaurant as being 'situated in an elegantly restored house beside Beijing's West Lake'. Penises or testicles are a part of every dish at restaurant. Of course, one has the option of choosing one's favourite - yes, penis!
Chinese cuisine, developed over thousands of years, considers not only taste and appearance but also the medicinal value of food. Traditional Chinese Medicine has long relied on animal body parts to heal and give health and vigour. Eating penises (penes) is believed to increase the yang essence or virility. It's believed to be good for both men and women. But, testicles! They're for men only, unless women are game for an extra dose of testosterone. However, testicles are believed to be good for the skin and women interested in adding that extra sheen can venture to try some.
For first-timers, the recommended dish is a huoguo or a hotpot, a dish filled with chicken stock and a sampling of six different penises. The restaurant boasts trained waitresses and also a nutritionist, ready to explain the medicinal value of different foods to ignorant or curious clients.
The restaurant 'showpieces', the imaginatively named "Head crowned with a Jade Bracelet" (from Xinjiang horses) and "Dragon in the Flame of Desire" (yak - steamed, fried and flambeed) priced at US$ 35 (RMB 280) and US$ 50 (RMB 400) respectively, don't come cheap in a country where some families survive on less than that for a month. But, gourmet penis dining is not for the ordinary folk.
But, if this sounds expensive, a portion of Canadian seal's penis (advance order booking necessary), at US$ 380 (RMB 3000) will leave you poor indeed!
Beijing, here I come!
(I hope my wife did not hear that!)
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Premature ejaculation is a rather common, yet rarely discussed problem. It occurs when a man orgasms during intercourse sooner than he or his sexual partner would like resulting in embarassment a lot of times and leaving both individuals unfulfilled. It can occur from before penetration or just after penetration. Premature ejaculation is rarely caused by a physical or structural problem. Most commonly, it is a result of overstimulation or anxiety.
Abnormal physical findings are rare and more insight can usually be obtained by interviewing the couple involved. Many times, the root of the problem maybe uncovered and steps taken to improve the problem.
Methods to improve the conditon are many. Practice and relaxation can many times improve the problem. Men may try to learn to distract themselves by thinking of non-sexual subjects to avoid becoming excited too fast. Examples include thinking about the upcoming football game on the weekend or what new movie can we go to next. Sounds funny, but merely shifting thoughts away from the current task will many times help.
Medications can help delay ejaculation. Serotonin reuptake inhibitors like Prozac, Zoloft, or Paxil may be helpful because they all have a common side effect of prolonging the time it takes to achieve ejaculation. Clomipramine 25 mg prior to intercourse has also been shown to help significantly. Local anesthetic creams may be applied to the penis to decrease stimulation. Decreased feeling in the penis may prolong the time before ejaculation. Condom use may also have this effect on some men.
If all of these methods fail, an evaluation by a sex therapist, psychologist, or psychiatrist may be helpful for some couples. In most instances, a man is able to obtain ejaculatory control through education and practice of the simple techniques outlines above. Persistant premature ejaculation may be a sign of depression or a serious anxiety problem, both of which could be helped by psychiatric evaluation and intervention.
A persistant problem of ejaculatory control may lead to sexual dissatisfaction on the part of one or both partners and can lead to discord or sexual tension in a realtionship. In a younger couple wishing to start a family, this problem can obviously affect the chances of fertilization and pregnancy.
If the above measures do not help, call your physician to set up an appointment to discuss medical treatment. I also highly recommend the following as it has helped many with this problem. I have goten very positive feedback from my patients who have purchased this treatise on the subject and the cure.
Copyright (c) 2006 Ted Crawford
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If there was ever an invention to make sex as safe as possible, it has to be the condom. Not only do they prevent the spread of sexually transmitted diseases, but they’re very effective at preventing pregnancy too. No other form of contraception is so reliable and versatile. So what’s not to love?
Buying them
So you’re shy about asking for them? Supermarkets and gas stations carry condoms these days – you can buy them from a machine in the washroom. Sex clinics give them out by the handful for nothing. And if you still feel weird about getting your hands on condoms – just consider how it would feel buying medicine to treat an STD instead.
Carrying them
Is it presuming too much to take condoms on a date? Frankly, that attitude hasn’t been seen since the fifties. So the girl might realise you do have sex and you wanted it with her. Is that an insult? In any case, you don’t have to take them out your pocket and wave them around. If you get to the point where you need one, you’ll both be happy to see that little foil wrapper, never mind who was carrying it!
Using them
Remember the classes where you practised with a banana? Do yourself a favor, practise with the real thing. Use a whole pack if you need to – keep trying till you know how to get one on properly. You won’t be able to put on a condom if your penis isn’t fully erect – but remember that the penis releases fluid that can spread STIs or contain sperm even before it’s erect. Remember to pinch the ‘teat’ at the end before you unroll the condom down your penis – you might want to leave a bit more space at the top to prevent the condom from splitting. Keep this teat pinched between your fingers as you unroll the condom, and make sure it’s fully covering your penis before and during sex. Don’t feel shy about interrupting your lovemaking to put one on – that pause can only build the excitement!
Last words
Oil based lubes, sharp fingernails, jewellery and out of date condoms are all recipes for disaster. Use a special lubricant. Some people find they have an allergy to latex – condoms now come in allergy-friendly latex-free varieties. In fact, there are now a vast number of different shapes, colors, sizes and flavors of condom. Experiment to see which ones you and your lover prefer – perhaps a ribbed variety for more stimulation or a condom with extra lube for very sensual sex. You should use a condom or dental dam for oral sex too, and change condoms for every new orifice or sex act.
Finally, to get rid of a condom, wrap it and bin it. Never flush a condom down the toilet.
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Top Questions of our Time Series: Sex
Slam bam thank you Ma’am or Mr.? That’s some people’s method and it works for those who mutually agree they want a quick fix. But for most people this is not the method of choice. So, why is it that this is so prevalent? The reason for this could be that American culture is simply not accepting of sexuality in general and that is why sexuality leaks into what many consider to be ‘shadow’ areas, such as pornography, strip clubs, and prostitution. Carl Jung, one of the founding fathers of psychology, would definitely label sexuality as the shadow side of our culture. For most people who watch or visit these areas, it’s not something they discuss with their acquaintances or even their family and friends. In fact, the actual act of having sex with a person is not discussed too openly in our culture. Alfred Kinsey was one of the first and most famous people to openly discuss this cultural issue in public. Sure, sex is flashed in our faces on TV shows, movies, and advertisements, but few people actually openly discuss the act of having sex with another person.
For whatever reason that is, this is an article that is going to discuss one of the top questions of our time: What is a great way to have sex, even for those who are inhibited. I am going to explain a term, I am certain I am not the first to use it, or explain concepts like it, however, I have not seen the term before. That term is Mindful Sex. Mindful sex involves slightly slowing down in every aspect of the act of sex, from creating the setting, to the foreplay, to the actual act of sex, whatever you consider that to be. The following is the gist of it:
Setting:
This part is not necessary if the act of sex is spontaneous in any given moment. If it is not spontaneous, sometimes it is a good idea to set the setting. When creating the setting, whether you are lighting candles, putting on music, or preparing special lingerie, moving slightly slower than you usually would. As you move slower begin to pay attention to your senses. If you are lighting candles, notice what you are lighting it with, is it a match, a lighter? Notice what the flame looks like, how it moves, does the candle have a smell, if so, take a moment to inhale it. If you are setting up special lingerie, take a moment to feel the lingerie. Is it made of silk? How does the silk feel? Are you spraying perfume/cologne on it? Take an extra moment to inhale that. You get the idea, with anything you are doing, move slightly slower and take a moment to pay attention to what you are seeing, hearing, smelling, feeling, and tasting. You do not need to think about any of this, just notice your sensations. If you notice you are thinking about something, notice that and then simply bring your attention back to what you are sensing. By moving slightly slower you have the opportunity to do this and in return make the process more meaningful and enjoyable.
Foreplay and Sex:
Some people consider foreplay to be sex, some consider intercourse to be sex. So I am putting them together because these ideas apply to both of them. There are many aspects to foreplay and sex and different people will have different variations on what they like. The tragedy of it all is that most people, having not felt free to discuss sex in public and they have only relied on what the media has influenced them to think about how sex should be. While they’ve had sex, they have never freely explored it on their own. Some people like to start out with oils and massage, some people like to start out with kissing all over the body, while others are into more fetish areas such as acting out a fantasy of being ruled over by a dominant figure of some kind (e.g., dominatrix). As far as fetish goes, this goes as far as our imagination can take us.
As you practice Mindful Sex you will give yourself the chance to discover what it is that you really like and you will begin to feel more comfortable communicating that to whomever you are having sex with, even if that person is yourself (i.e., masturbation). Here is the gist:
As you begin to practice mindful sex, it is important to remember one thing: Whatever it is that you are doing, do it slightly slower than usual. This does not mean go in slow motion, it means just go slightly slower than you would think to go. As you move slightly slower, you give yourself the opportunity to really be there in that moment and notice things that you may not have noticed. If you are giving a massage, you get to feel how the person’s skin actually feels, is there a scent to the oil? If so, inhale it. If the oil is edible, take an extra moment to lick it and truly taste it in your mouth. Look over your partner and take a moment to take in all the little nuances of the person’s body. By slightly slowing down, you also allow yourself to relax a bit, and this not only helps in making this a richer experience, but also helps reduce anxiety if that is an issue (e.g., being overly sensitive or premature ejaculation).
You can apply this in every moment of sex that you find yourself in. For example, when you are giving oral sex, go slightly slower and notice the smell and taste involved, feel the texture of the other person, is it soft/rough? What does the person’s vagina or penis look like? As you go slightly slower you’ll find that it is not so difficult to notice these things and it will draw you deeper into the experience and give you the gift that you have not been privy to experience in the past.
Ofcourse, you can apply this to intercourse as well. No matter your gender or sexual orientation, there is often some sort of sexual intercourse involved. It is important to let your partner know that you want to go slightly slower this time in whatever way you feel comfortable communicating that. As the intercourse begins, notice the sensations you are feeling. All parts of you are experiencing sensations from your head to your penis or vagina to your feet. If you find yourself thinking about something, notice that you are thinking about something and gently bring yourself back to your sensations. If you find yourself judging your self or the other person, just notice that you are judging and gently bring yourself back to your sensations.
Gifts:
Paying attention to your sensations may also broaden your horizons on things you want to do. Maybe you notice that while having intercourse that you are not tasting anything so you decide to taste your partner by kissing or licking him/her. Maybe you want to smell your partner more to bring in that sensation. Maybe you open your ears and begin to hear what the sex you are having sounds like. Maybe you’re now noticing for the first time what other areas of your body are being touched during intercourse besides your penis, vagina, or nipples. You might just discover an erotic area of your body that you had not noticed before (e.g., back of the knees, toes).
Having mindful sex is simply a teaching and a suggestion. If a spontaneous act of aggressive sex comes out and it is not a slightly slowed down process, than that is Ok too. This is simply an opportunity to broaden your awareness about yourself during the act of sex and deepening the richness of your experience. Of all things we have to experiment with on this planet, this is surely one of the top. So, responsibly, go off and try this out, have fun, and broaden your horizons! You may just find that sex is a far more sensual and sacred experience than you had previously imagined.
