Male Sexual Worries: Trends in the Post-Viagra Age

Male Sexual Worries: Trends in the Post-Viagra Age

This article is a repost which originally appeared on SciTechDaily

Edited for content

Trends in reasons for visiting a the San Raffaele sexual health clinic. Credit: This diagram appears with the permission of the authors and the International Journal of Impotence Research. The EAU thanks the authors, and the journal for their cooperation.

Scientists report a change in why men seek help for sexual problems, with fewer men complaining about impotence (erectile dysfunction) and premature ejaculation, and more men, especially younger men, complaining about low sexual desire and curvature of the penis (Peyronie’s disease).

Presenting the work at the European Association of Urology (virtual) Congress, after recent acceptance for publication, research leader Dr. Paolo Capogrosso (San Raffaele Hospital, Milan, Italy) said:

“Over a 10 year period we have seen a real change in what concerns men when they attend sexual health clinics. This is probably driven by greater openness, and men now accepting that many sexual problems can be treated, rather than being something they don’t want to talk about.”

The success of erectile dysfunction treatments such as Viagra and Cialis, and the availability of new treatments, means that men facing sexual problems have now have treatments for sexual problems which weren’t available a generation ago. Now researchers at San Raffaele Hospital in Milan have studied why men come to sexual health clinics, and how this has changed over a 10-year period.

In what is believed to be the first research of its kind, the scientists questioned 3244 male visitors to the San Raffaele Hospital Sexual Health Clinic in Milan over a 10 year period (2009 to 2019), and classified the main reason for the visit. They found that the number of patients visiting with erectile dysfunction problems increased from 2009 to 2013, then started to decrease.

There were comparatively few patients complaining of low sex drive or Peyronie’s disease in 2009, but complaints about both of these conditions grow from 2009 to the end of the study. In 2019 men were around 30% more likely to report Peyronie’s disease than in 2009, and around 32% more likely to report low sexual desire.

The amount of men complaining of premature ejaculation dropped by around 6% over the 10-year period. The average age of first attendance at the clinical also dropped, from a mean of 61 to 53 years.

“Erectile dysfunction is still the main reason for attending the clinic, but this number is dropping, whereas around 35% of men attending the clinic now complain of Peyronie’s disease, and that number has shown steady growth,” said Paolo Capogrosso. “Our patients are also getting younger, which may reflect a generational change in attitude to sexual problems.”

Dr. Capogrosso continued “We need to be clear about what these figures mean. They do not indicate any change in the prevalence of these conditions, what they show is why men came to the clinic. In other words, it shows what they are concerned about. The changes probably also reflect the availability of treatments; as treatments for sexual conditions have become available over the last few years, men are less likely to suffer in silence.”

These are results from a single centre, so they need to be confirmed by more inclusive studies. “Nevertheless there seems to be a growing awareness of conditions such as Peyronie’s disease, with articles appearing in the popular press*. In addition, we know that the awareness of this condition is increasing in the USA and elsewhere, so this may be a general trend,**” said Dr. Capogrosso.

Commenting, Dr Mikkel Fode (Associate Professor of Urology at University of Copenhagen), said:

“Although these data are somewhat preliminary as they stem from single institution they are interesting because they allow us to formulate several hypotheses. For example the drop in men presenting with erectile dysfunction may mean that family physicians are becoming more comfortable addressing this issue and that the patients are never referred to specialized centers. Likewise, the simultaneous drop in age at presentation and increase in Peyronie’s disease and low sex drive could indicate that both men and their partners are becoming more mindful to optimizing their sex lives. I will be very interesting to see if these trends are also present in other centers around the world.”

Dr. Fode was not involved in this work, this is an independent comment.

References:

* “Trends in reported male sexual dysfunction over the past decade: an evolving landscape” by Edoardo Pozzi, Paolo Capogrosso, Luca Boeri, Walter Cazzaniga, Rayan Matloob, Eugenio Ventimiglia, Davide Oreggia, Nicolò Schifano, Luigi Candela, Costantino Abbate, Francesco Montorsi and Andrea Salonia, 1 July 2020, International Journal of Impotence Research.

** “The Prevalence of Peyronie’s Disease in the United States: A Population-Based Study” by Mark Stuntz, Anna Perlaky, Franka des Vignes, Tassos Kyriakides and Dan Glass, 23 February 2016, PLOS ONE.
DOI: 10.1371/journal.pone.0150157
PMCID: PMC4764365

Penis Enlargement Injury or Issues | Prevent or Fix Hard Flaccid

Penis Enlargement Injury or Issues | Prevent or Fix Hard Flaccid

We’ve partnered with TotalMan and will be presenting regular video features from this comprehensive site!

In this video, TotalMan discusses penis enlargement injuries, issues and hard flaccid.

In this video I wish to cover how to prevent and even fix hard flaccid. This seems to be something that is kept even more under wraps that penis enlargement and male enhancement itself. So it goes without saying that the awareness of this needs to be raised.

Hard flaccid could be from a few things, in the video I cover two so you can at least be aware of them, so you have a better chance of avoiding this unfortunate issue. The reasons I cover in the video are mainly from Penis Enlargement methods and practices however it could occur in many different ways.

Sufferers have experience pain urinating, loss of erection quality, painful intercourse, impotence, even erectile dysfunction and more. Let’s just say it’s nothing you would want to have to experience on your journey or ever!

The 3 solutions I cover in the video are as follows:
1. Reverse Kegels
2. All Day Stretcher / ADS
3. Trigger Point Therapy

Enjoy!


 
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How Would You Answer ‘The Penis Question’?

How Would You Answer ‘The Penis Question’?

— Motivate patients by being an agitator, not an irritator

This article is a repost which originally appeared on MEDPAGE TODAY

Edited for content

“How do I make my penis bigger?”

As a urologist, I have fielded this question from men on countless occasions. Several years ago, when a middle-aged patient raised the question with me for perhaps the ten-thousandth time, I blurted out a simple answer for him, which could apply to nearly half of American men.

Mr. Boudreaux (not his real name) was obese, with a BMI of 30. He was taking seven medications a day, and suffered from diabetes and long-standing hypertension.

“Mr. Boudreaux,” I said, “if I could give you a pill that would give you more energy, improve your erections, increase your sex drive, decrease your blood pressure, improve your diabetes, decrease your risk of arthritis, decrease your risk of colon and prostate cancer, and make your penis one and a half inches longer, would you take the pill?”

Mr. Boudreaux’s face broke into a smile. He quickly responded, “Yes, please give me that prescription!”

“Mr. Boudreaux, it’s not a pill. It’s exercise!”

His smile faded. “But how would that make my penis bigger?”

I told Mr. Boudreaux that if he lost weight, all those things could happen, plus his panniculus would decrease and his penis would appear longer. He seemed game to try, so I arranged for him to see a nutritionist and start an exercise program.

His goal was to lose 2 pounds a week. Four months later at a follow-up appointment, Mr. Boudreaux reported that he had lost 30 pounds, his blood pressure had decreased enough to forego hypertension medication, and his HbA1c had significantly declined. And, yes, he reported gleefully that his penis had “grown” by nearly 2 inches!

As physicians, we routinely must propose very unpleasant options for patients’ health. Over the years I have always been disappointed that my advice on lifestyle changes has generally led to too few behavioral differences. This is especially true for obesity, which affects 42.4% of all Americans, according to the CDC.

A doctor’s usual advice to a hypertensive patient is to lose weight, exercise 20 minutes a day, take antihypertensive medication, and reduce dietary salt. The usual result in a 2-month follow-up appointment is no improvements in blood pressure, weight loss, or exercise habits.

Where, the doctor asks herself or himself, did I go wrong?

After years of pondering this question, it occurred to me that there is a distinction between irritation and agitation.

An irritator is a physician who prods patients to do something she wants them to do. The agitator, on the other hand, is an enlightened doctor who motivates patients to do something they want to do. An agitator, in essence, is as much of a coach as a director.

In my experience, irritation is not effective, at least not in the long run. But by gently agitating the patient through learning what he or she wants, the healthcare provider may unleash motivation more likely to result in improvement in compliance, health outcomes, and perhaps even a decrease in the cost of care.

How do we agitate patients to improve health habits? A Greek philosopher named Epictetus said nearly 2,000 years ago, “Nature hath given men one tongue but two ears, that we may hear from others twice as much as we speak.”

His advice applies forcefully to contemporary doctors. Most of us probably need to increase use of our ears. This is not easy for physicians to do, myself included.

I believe practiced and skilled listening lie at the core of success in shared decision-making, a growing trend in medicine over the last decade or two. Shared decision-making has been defined as “an approach where physicians and patients share the best available evidence when faced with the task of making decisions.”

In a popularly cited article on shared decision-making published in the Journal of General Internal Medicine, the authors proposed a three-step model. In step one, the provider presents the patient with a choice, commonly a stark one between changing behavior or paying a price in decline in health. Step two is a matter of discussing available options, and step three is helping the patient make a well-reasoned decision.

Take note of the third step. The ideal outcome, of course, is that a patient is more fully invested in a plan that fits his interests and motivations and thus feels it is as much his idea as the doctor’s. To achieve this goal, the physician must yield enough of the conversation to the patient to hear the patient’s motivators and align them to improved health. In the end, agitating can only happen effectively through active listening.

Bottom Line: There is seldom one way to manage a patient. It has been my experience that functioning more as an agitator than an irritator motivates patients to lead healthier lifestyles.

Neil Baum, MD, is a physician in New Orleans, corporate medical officer of Vanguard Communications, and co-editor of The Complete Business Guide for a Successful Medical Practice.

What Are the Five Warning Signs of Testicular Cancer?

What Are the Five Warning Signs of Testicular Cancer?

Medical Author: Rohini Radhakrishnan, ENT, Head and Neck Surgeon Medical Editor: Dr. Pallavi Suyog Uttekar, MD

This article is a repost which originally appeared on MedicineNet

Edited for content

What is testicular cancer?

Testicular cancer warning signs include a testicular lump, back pain, swelling, and infection.

Testicular cancer arises from the testes (a part of the male reproductive system). The testicles are responsible for the production of male sex hormones and sperm for reproduction. They are located within the scrotum, a loose bag of skin below the penis. Testicular cancer is the most common type of cancer occurring in males in the US between the ages of 15 and 35.

Testicular cancer can be aggressive and grow and spread rapidly. However, this cancer is highly treatable even after it spreads. Hence, the prognosis for men with testicular cancer is good. Studies have shown that the risk of dying from testicular cancer is about 1 in 5,000.

How is testicular cancer treated?

The treatment may involve one or a combination of multiple treatment modalities, which depends on the extent of the disease.

The treatment options include

  • Surgery
    • Orchiectomy: Removal of the testicle. A prosthetic can be placed in the sac.
    • Testes-sparing surgery: The tumor is carefully removed and the healthy part of the testis is left behind. This is ideal for patients with small tumors or benign/noncancerous tumors.
    • Retroperitoneal lymph node dissection: Surgical removal of the lymph nodes to which cancer commonly spreads.
  • Radiation therapy: This targets and kills cancer cells and shrinks tumors using radiation.
  • Chemotherapy: The tumor cells are killed with cancer medication.
  • Targeted therapy: This treatment uses medications that target tumor-specific proteins that the cancer cells display. This is the most specific therapy for cancer and known for minimal side effects.
  • Stem cell therapy may be a treatment option in some cases. However, stem cell therapy is still in the experimental stages in most countries.

What causes testicular cancer?

The exact cause of testicular cancer is unknown. Some factors increase the risk of testicular cancer, including

  • Undescended testes (cryptorchidism) are a risk factor for the development of testicular cancer. Surgical correction of undescended testes before puberty reduces the risk of testicular cancer.
  • Age: Testicular cancer usually occurs in males between the agesof 20 to 35.
  • Race: Testicular cancer is more common in Caucasian men than in those of other races.
  • Genetic conditions like Klinefelter syndrome cause abnormal development of the testes.
  • Family history of cancer.
  • Human immunodeficiency virus (HIV) infection.

What are the warning signs of testicular cancer?

The initial signs and symptoms of testicular cancer include

  • A painless lump in the testicle.
  • Dull aching in the scrotum or the groin.
  • Varicocele (swollen blood vessels) appearing as enlarged, dark blue veins.
  • Hydrocele (fluid around the testicle) causing swelling.
  • Twisting of the testicle (torsion) may be the presenting symptom. On further investigation, the mass may be discovered.
  • The affected testicle feels firmer and harder than the other.
  • Formation of blood clots in blood vessels which can reach the lungs causing chest pain and breathlessness.
  • Back pain.
  • Infection of the testicle can occur causing pain.

What are the types of testicular cancer?

Most testicular cancers are germ cell (cells that produce sperm) tumors. There are two main types of testicular cancer, seminomas and nonseminomas.

  • Seminomas grow and spread slowly. There are two subtypes
    • Classical seminoma: This is the most common type and it usually occurs in men between the ages of 25 to 45.
    • Spermatocytic seminoma: This commonly occurs in older men and it usually does not spread.
  • Nonseminomas grow and spread more quickly. They usually consist of multiple types of cancer cells, including
  • Embryonal carcinoma: This cancer contains cells that look like embryonic cells under a microscope.
  • Yolk sac carcinoma: This cancer contains cells that look like the sac that surrounds an embryo. This cancer usually occurs in children.
  • Choriocarcinoma: This cancer is usually rare and spreads to the rest of the body quickly.
  • Teratoma: This is a rare tumor that contains other tissues and organs, including teeth and hair.

How is testicular cancer diagnosed?

  • Self-examination can help in early diagnosis and treatment. The affected testis is enlarged, firm and usually painless.
  • The physician orders testicular sonography and Doppler ultrasound to reveal the tumor. The physician performs a complete physical assessment.
  • A testicular biopsy confirms the diagnosis. It is a minimally invasive procedure that involves obtaining a small sample of the testicle.
  • Testicular magnetic resonance imaging (MRI) may reveal the extent of the tumor.
  • Lymphangiography may be performed to assess the local spread of the tumor to the lymph nodes of the groin.

Penis Enlargement | What is safer to use? | Manual Methods or Devices?

Penis Enlargement | What is safer to use? | Manual Methods or Devices?

We’ve partnered with TotalMan and will be presenting regular video features from this comprehensive site!

In this video, TotalMan discusses what’s safer: manual exercises or devices?

Have you ever wondered what is more effective and safer to grow your penis?

You’ve either got a handful of quite effective manual methods and then you’ve also got a handful of devices on the market that actually do work if used properly and strategically.

All in all, if we were to group all methods of penis enlargement together and not limit the ones that possibly haven’t even been created yet, there seems to always be limitations, draw backs or cons.

In this video though, from my own personal opinion I wish to rule out what is the safest approach to penis enlargement while actually getting results in a suitable and realistic amount of time so you don’t break your D while pursuing this journey if this is something you’re looking to do or are already doing.

Enjoy!

 

 
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24 Ways You or Your Penis-Having Partner Can Increase Penile Sensitivity

24 Ways You or Your Penis-Having Partner Can Increase Penile Sensitivity

Medically reviewed by Jennifer Litner, LMFT, CST — Written by Adrienne Santos-Longhurst on October 14, 2020

This article is a repost which originally appeared on Healthline

Edited for content

For many folks, sexual satisfaction is all about the feels, so if you or your penis-having partner are experiencing decreased sensitivity down there, it could really mess with your ability to get off.

There are a few things that can cause a decrease in penile sensation, from the way a person masturbates to lifestyle habits and hormone imbalances. The good news: There are ways to get back that lovin’ feeling.

Quick distinction: Less sensation vs. numbness

To be clear, there’s a big difference between less sensation and numbness.

Having less sensation — which is what we’re focusing on in this article — means you don’t feel as much sensation in your peen as you did before.

A numb penis is a whole other ball of wax and refers to not being able to feel any normal sensation when your penis is touched.

If it’s related to your technique

Yep, how you pleasure yourself might be affecting your penile sensation.

What does this have to do with it?

The way you masturbate can lead to decreased sensitivity. Some people call this “death grip syndrome.”

The gist is that people who masturbate using a very specific technique or tight grip can become desensitized to other types of pleasure over time.

When this happens, coming or even getting any pleasure without the exact move or pressure becomes difficult.

If you’re feeling all the feels just fine when you masturbate but find that partner sex is where the sensation is lacking, there are a couple potential reasons.

A thinner or smaller-than-average penis, or even too much lube (natural wetness or synthetic), can mean less friction — and ultimately sensation — during intercourse.

What can you do to help address this?

Just switching up your technique should do the trick and help you recondition your sensitivity.

If death grip is the issue, depending on how you’re used to masturbating, this might mean loosening your grip, stroking at a slower pace, or both.

You could also mix things up with a sex toy made for penis play, like the Super Sucker UR3 Masturbator, which you can buy online, or TENGA Zero Flip Hole Masturbator, which is also available online. And don’t forget the lube!

If intercourse is the issue, some positions make for a tighter fit and therefore more friction.

Here’s a little secret: Tweaking any position so your partner can keep their legs tight together during sex should work.

Plus, if anal sex is what you’re both into, the anus is by nature a tighter squeeze. Just be sure to use a lot of lube if you take it to the backside.

And speaking of a lot of lube: If an abundance of wetness is making sex feel a bit like a Slip ’N Slide, a quick wipe with some tissue should fix it.

If it’s related to your lifestyle

Certain lifestyle habits can be to blame for your peen’s lessened sensitivity.

What does this have to do with it?

Do you bicycle a lot? Do you masturbate frequently? These things can cause the sensitivity in your peen to tank if you do them often.

When it comes to masturbation, how often you do it matters if you’re doing it a lot, according to research that has linked hyperstimulation to decreased penile sensitivity.

As for bicycling, bicycle seats put pressure on the perineum — the space between your balls and anus. It presses on blood vessels and nerves that provide feeling to the penis.

Sitting in a hard or uncomfortable chair for long periods can do the same.

What can you do to help address this?

Masturbation is healthy, but if the frequency of your handy treats is causing a problem, taking a break for a week or two can help get your penis feeling back to itself.

If you sit or bicycle for long periods, take regular breaks. Consider swapping out your bike seat or usual chair for something more comfortable.

If it’s related to your testosterone levels

Testosterone is the male sex hormone responsible for libido, not to mention a bunch of other functions.

If your testosterone (T) level drops, you might feel less responsive to sexual stimulation and have trouble getting aroused.

T levels decrease as you age. Damage to your danglers — aka testicles — can also affect T, as well as certain conditions, substances, and cancer treatment.

Your doctor can diagnose low T with a simple blood test and treat it using testosterone replacement therapy (TRT). Lifestyle changes, like regular exercise, maintaining a moderate weight, and getting more sleep can also help.

If it’s related to an underlying condition or medication

Certain medical conditions and medications can affect sensation in the penis.

What does this have to do with it?

Diabetes and multiple sclerosis (MS) are just a couple conditions that can damage nerves and affect sensation in different body parts, including the penis.

Medications used to treat Parkinson’s disease can also reduce penile sensation as a side effect.

Ensuring that any underlying condition is well managed might help bring the feels back.

If medication’s the culprit, your doctor may be able to adjust your dose or change your medication.

If it’s related to your mental health

Sexual pleasure isn’t just about your D. Your brain plays a big role, too.

What does this have to do with it?

If you’re dealing with anxiety, stress, depression, or any other mental health issue, getting in the mood can be near impossible. And even if you really want to get down to business, your penis may not be as receptive.

What can you do to help address this?

It really depends on what’s going on mentally.

Taking some time to unwind before sexy time can help if you’re feeling stressed or anxious.

A hot bath or shower can help your mind and muscles relax. The warm water also increases circulation, which can help increase sensitivity and make your skin more responsive to touch.

If you’re regularly struggling with feelings of anxiety or depression, or having trouble coping with stress, reach out for help.

Talk to a friend or loved one, see a healthcare provider, or find a local mental health provider through the Anxiety and Depression Association of America (ADAA).

Things to keep in mind if you’re struggling

Not to be punny, but try to not beat yourself silly over this.

We get how frustrating it must be to not be able to enjoy the sensation you want or expect during sexual activity.

Here are some things to keep in mind if you’re struggling.

It’s probably not permanent

Chances are your lessened penile sensation can be improved.

As we’ve already covered, changes in technique, getting in the right frame of mind, or some lifestyle tweaks may be all that’s needed to get your penis feeling right again.

A healthcare provider can help with any underlying medical or mental health issues and recommend the right treatments.

Go easy on yourself

We’re not just talking about choking your chicken either! Stressing about this and putting pressure on yourself will only make things worse in the pleasure department.

Give yourself time to relax and get in the mood before play, and permission to stop and try another time if you’re not feeling it.

Don’t be embarrassed to ask for help

Penis health and sexual health are just as important as other aspects of your health.

If there’s something going on with your penis or your ability to enjoy sexual activity, a professional can help.

Good penis health is in your hands

You can’t control everything, but there are things you can do to help keep your penis healthy:

  • Eat a healthy diet, including foods shown to boost penis health by lowering inflammation and improving T levels and circulation.
  • Get regular exercise to improve mood and T levels, manage your weight, and lower your risk for erectile dysfunction and other conditions.
  • Learn to relax and find healthy ways to cope with stress to improve your T levels, mood, sleep, and overall health.
Things to keep in mind if your partner is struggling

If it’s your partner who’s struggling with lessened sensitivity down there, don’t worry. Chances are there’s a good reason for it, and it’s probably not what you think.

Here are some things to keep in mind if it’s getting to you.

Don’t take it personally

Your first instinct may be to blame yourself if your partner isn’t enjoying sex. Try to not do this.

Sounds harsh, but: Not your penis, not your problem.

As a loving partner, of course you want them to feel good. But unless you’ve damaged their penis by taking a hammer to it, their lessened penile sensitivity isn’t your fault, so don’t make it about you.

I repeat, don’t make it about you

Seriously, it’s not your penis!

As frustrated as you might be, keep it to yourself

Not trying to dismiss your feelings or anything, but as frustrated as you may be that your partner isn’t feeling it even when you pull out your best moves, it’s probably a lot more frustrating for them.

That said, if your partner’s lack of sensation results in a marathon shag sesh that causes chafing to your nether regions, of course you have the right to take a break or stop. It’s your body, after all. Just be mindful of how you say it.

Ask what your partner needs from you

EVERYONE should be asking what their partner needs when it comes to sex and relationships. It’s the key to making both great.

Do they need a little time to relax before action moves to the peen? Do they need more foreplay that focuses on other pleasure spots to help them get in the mood? Do they want to just stop altogether? Don’t be afraid to ask.

The bottom line

If you’ve lost some of that lovin’ feeling down below, your lifestyle and pleasure routine — solo or partnered — may provide some clues. If not, your doctor or other healthcare provider can help.

In the meantime, be patient and kind with yourself, and consider some of your other pleasure zones for satisfaction.

 

PRP for Erectile Dysfunction: Research, Benefits, and Risks

Can PRP Treat Erectile Dysfunction? Research, Benefits, and Side Effects

Medically reviewed by Kevin O. Hwang, MD, MPH — Written by Daniel Yetman on March 6, 2020

This article is a repost which originally appeared on Healthline

Edited for content

What is PRP?

Platelet-rich plasma (PRP) is a component of blood that’s thought to promote healing and tissue generation. PRP therapy is used to treat tendon or muscle injuries, stimulate hair growth, and speed recovery from surgery.

It’s also used as an experimental or alternative treatment option for:

  • erectile dysfunction (ED)
  • Peyronie’s disease
  • penis enlargement
  • sexual performance

There’s currently little research on the effectiveness of PRP for ED. In this article, we’re going to break down what scientists have found so far. We’ll also look at alternative treatment options and potential side effects of PRP therapy.

How does it work?

Your blood is made of four different components: red blood cells, white blood cells, plasma, and platelets.

Plasma is the liquid part of your blood and makes up about half of its volume. Platelets are critical for helping your blood clot after an injury. They also contain proteins called growth factors that help speed up healing.

The theoretical benefit of PRP for ED is to make the tissue and blood vessels in the penis healthier.

To prepare PRP, a medical professional takes a small sample of your blood and spins it in a machine called a centrifuge. The centrifuge separates the plasma and platelets from the other parts of your blood.

The resulting PRP mixture has a much higher concentration of platelets than regular blood. Once the PRP is developed, it’s injected into your penis. This is called the Priapus Shot, or P-Shot.

The P-Shot is a quick procedure, and you’ll likely be able to leave the clinic in about an hour. You also don’t have to do anything to prepare in advance for the procedure.

What does the research say?

Many clinics offering PRP for ED claim that it’s effective, but there’s limited scientific evidence to support their claims. Using PRP for ED is experimental, and its effectiveness is still under review.

A 2020 review looked at all the research available to date on PRP therapy for male sexual dysfunction. The review looked at three animal studies and two human studies for ED. The studies didn’t report any major adverse reactions to PRP therapy.

The researchers concluded that PRP has the potential to be a useful treatment option for ED. However, it’s important to keep in mind that the studies had small sample sizes, and there weren’t adequate comparison groups.

More research is needed to understand the benefits of PRP treatment. The current evidence is mostly anecdotal.

How does PRP compare to other ED treatments?

At this time, it isn’t clear if undergoing PRP therapy will help improve symptoms of ED. Traditional treatment options might be a better alternative until more research is available.

Many people with ED have success with traditional treatment options, which usually target the underlying cause of ED. Your doctor can evaluate you for potential causes of ED, such as heart disease, high cholesterol, or diabetes, and recommend the best treatment option for you.

Common ED treatments include:

  • Medications. ED medications allow the blood vessels in the penis to relax and increase blood flow.
  • Lifestyle changes. Becoming more physically active, eating a healthier diet, and quitting smoking all have the potential to improve ED.
  • Talk therapy. Talk therapies might help improve ED if it’s a result of psychological causes, such as anxiety, stress, or relationship problems.
  • Targeting underlying conditions. ED is often caused by an underlying condition, such as high blood pressure, obesity, and heart disease. Treating these conditions has the potential to improve erection quality.
How much does PRP cost?

Few insurance plans currently cover PRP because it’s still considered an experimental treatment. The cost of the P-Shot can range widely among clinics. According to the Hormone Zone, the P-Shot procedure costs about $1,900. However, some clinics may charge up to $2,200 for treatment.

According to the 2018 Plastic Surgery Statistics Report, the average doctor fee for a PRP procedure was $683, not including facility and instrument cost.

Finding a doctor

If you’re interested in having PRP treatment for ED, talk to your doctor. They can answer your questions about PRP and refer you to a specialist who performs the treatment. Globally, there are at least 683 registered clinics that can administer PRP for ED.

PRP is usually performed by a doctor or surgeon. However, laws on who can perform the treatment may vary between countries.

When looking for somebody to perform PRP, check their medical credentials to make sure they’re licensed by a medical board before you make an appointment.

If possible, you may also want to speak to one of their previous clients to see if they were happy with their results.

Risks and side effects

The 2020 review mentioned earlier found no major adverse effects in the study participants. However, researchers can’t say whether or not PRP is a safe treatment for ED until more research comes out.

As of now, there have been few clinical trials, and the sample sizes have been too small to make any conclusions.

PRP is unlikely to cause an allergic reaction since the substance being injected is coming from your body. However, as with any type of injection, there’s always a risk of complications, such as:

  • infection
  • nerve damage
  • pain, including pain at the injection site
  • tissue damage
  • bruising
Takeaway

PRP therapy is still an experimental treatment. At this time, it isn’t clear if PRP can help treat ED. The procedure is relatively expensive and isn’t covered by most insurance companies.

Early research looks promising, but until studies with large sample sizes and control groups come out, you may want to stick with traditional ED treatments.

If you’re having trouble getting an erection, it’s a good idea to talk to your doctor. They can test you for underlying medical conditions that may be causing ED and recommend an appropriate treatment.

What is Male Enhancement? | How to become a Total Man !

What is Male Enhancement? | How to become a Total Man !

We’ve partnered with TotalMan and will be presenting regular video features from this comprehensive site!

In this video, TotalMan discusses what male enhancement is.

Have you ever been asked “What is Male Enhancement?”

Let’s just say it can be quite the awkward conversation.

It’s a something unknown to so many yet very well known to only few.

So what I would like to do in this video is explain to you what Male Enhancement is from the perspective of Total Man.

Maybe something to be able to share with others, or next time you get the question you’ll know what to say so that person will not only understand however look to you with respect.

So of the many that know about male enhancement may think of it as penis size, sexual stamina and erection quality.

As much as that is a part of it, from the perspective of Total Man, it’s a whole lot more.

Enjoy!

 


 
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The 10 tips to keep your penis healthy from more sex to exercising it

TIP TOP The 10 tips to keep your penis healthy from more sex to exercising it

Gemma Mullin, Digital Health Reporter
1 Mar 2020, 9:21

This article is a repost which originally appeared on THE SUN

Edited for content

WHEN it comes to talking about matters down below, it can be a pretty sensitive topic.

Most of us prefer to keep discussions about our privates, well, private.

But keeping your todger in good working order is important – especially as you get older.

Research shows that looking after your member can reduce your risk of erectile dysfunction and prostate cancer.

It’ll also help you enjoy a long and happy sex life well into the future.

Not sure where to start?

Here, male sexual health expert Kerri Middleton, from Bathmate, reveals her top tips to keep your penis healthy…

1. Workout

You’ll be pleased to know that the number one tip is to use the tool you’ve been gifted with.

A study by Harvard University found that blokes who ejaculate more frequently — upwards of 21 times per month — have a 33 per cent lower risk of developing prostate cancer.

Men who have sex at least once a week are less likely to suffer erectile dysfunction than those who roll in the hay less often.

A Finnish study has shown that the more you use it, the better your erections will be.

And don’t worry if you’re going through a dry patch – masturbation counts, too.

But it’s not just your penis that you need to work out to keep performing at your best – it’s your entire body.

Plenty of evidence links a sedentary lifestyle with erectile dysfunction, so if you want to improve staying power be sure to enjoy plenty of aerobic exercise.

Running and swimming are the best for penile health.

2. Let go of stress

Leave your stress at work and minimise stressful situations in your home life to keep your member strong.

Excess adrenaline is released into the bloodstream when you’re in a state of worry, causing your blood vessels — including the ones in your penis — to contract.

There are plenty of methods you can use to ease tension and unwind, from meditation to laughter or pumping iron, all of which can help with performance.

3. Cut down on booze

One way many people choose to relieve stress after a hard day’s work is hitting the bottle.

However, if you want to enjoy a healthy sex life long into the future, alcohol can seriously scupper your desire.

Binge and heavy drinking causes nerve and liver damage and can affect the careful balance of male sex hormones.

Even in the short term, alcohol curbs sensitivity and decreases reaction time, leaving you less able to perform.

4. Ditch cigarettes

It’s no secret that cigarettes harm your blood vessels and have a negative impact on your heart health.

Remember that your heart is the ultimate titan, pumping blood throughout your body — including your penis.

Nicotine also makes your blood vessels contract and can stifle blood flow down below.

5. Drink plenty of water

Water keeps everything flowing, especially the plasma and blood cells that make your member stand to attention.

If you’re dehydrated, the blood simply doesn’t flow as well as it should.

So, if you’re worried, up your daily intake of straight H2O to the recommended amount of eight glasses per day.

6. DON’T skip coffee

It’s a little-known fact that coffee consumption and healthy erections are linked.

Drinking coffee is said to speed up the metabolism and get the heart rate going in a healthy way, contributing to blood flow and a healthy member.

Caffeine also causes the arteries in your penis to relax, promoting blood flow to the nether regions.

A study found that drinking two to three cups a day has a particularly positive effect on blokes who are carrying a few extra pounds.

Keeping your penis in good health shouldn’t be a strain.

All of the components required to lead a healthy lifestyle contribute to blood flow, sperm count and testosterone levels and help fight disease.

Get into a mindset where looking after yourself is a priority, and the rest will follow.

7. Get a good night’s sleep

It’s all too easy in our busy society to allow sleep to fall by the wayside.

Between working, playing, relaxing and chatting, there’s barely enough hours in the day.

Still, rest is one of the most vital components of a healthy lifestyle.

Not getting enough sleep is connected to several health issues that contribute to downstairs disappointment such as high blood pressure, diabetes and obesity.

8. Eat well

We all know how important diet is to our overall health, but not many men realise how vital it is to eat the right diet for your penis.

The fuel you put in your body won’t only help erections – it also improves sperm count, sex drive and even affects your risk of prostate cancer.

The foods to avoid:

  • Anything deep-fried
  • Processed meats like bacon
  • Soy
  • Fizzy drinks
  • Sugar
  • Refined carbohydrates like white bread and breakfast cereals

The best foods to eat include tomatoes, salmon, olive oil and oysters.

Another type of food associated with male sexual health is anything spicy.

A French study has found that men who consume more spicy foods have higher testosterone levels than those who shy away from them.

Serrano peppers increase testosterone levels by reducing the amount the kidneys flush out while capsaicin releases chemicals that increase your heart rate, mimic arousal and kickstart your libido.

9. Check cholesterol levels

Not being able to get it up becomes more of an issue the older you get — but it doesn’t have to.

The reason age is tied into loss of erectile function is because as we age, we tend to put less effort into leading a healthy lifestyle.

High cholesterol narrows the blood vessels, which is the leading cause of erectile dysfunction.

Keeping fit, eating healthily and avoiding cigarettes and alcohol are the ideal ways to lower cholesterol.

10. Keep blood pressure in check

Like high cholesterol, high blood pressure is a sign of poor heart health.

It can cause thickening of the arteries, which restricts blood flow and can cause problems with your penis.

Losing weight and enjoying regular cardiovascular exercise, along with avoiding refined carbs and salty food, will naturally lower your blood pressure.

Speaking up about orgasms

Speaking up about orgasms

Men often don’t talk about delayed or absent orgasm. Still, these issues can have a profound impact on their sex life.

This article is a repost which originally appeared on Harvard Men’s Health Watch

Edited for content

Published: October, 2020

Erectile dysfunction continues to be the main sex-related issue among older men. Yet, two other problems also can arise with age: anorgasmia, the inability to achieve an orgasm during sex, and delayed orgasm, in which it takes longer than usual to reach orgasm and ejaculate despite proper stimulation. Men can experience either one or both.

While these conditions can cause stress for both men and their sexual partners, they don’t have to hinder a healthy, active sex life.

“Orgasms are pleasing and satisfying, but you often can achieve sexual satisfaction without one,” says urologist Dr. Michael O’Leary, director of Men’s Health at Harvard-affiliated Brigham and Women’s Hospital. “With the right approach, these conditions can have little, if any, impact on whether you can enjoy intimacy.”

Two similar conditions

With anorgasmia, you can get an erection and enjoy stimulation from intercourse even though you can’t reach orgasm. Research has defined delayed orgasm as taking longer than 30 minutes to achieve orgasm and ejaculate, although the time can vary per person. Some men with delayed orgasm can experience the sensation of orgasm but don’t ejaculate.

It’s not known how common these conditions are, as men are often reluctant to discuss them with their doctor or partner. Nor is it clear why they become more frequent with age.

However, a report in the November 2015 issue of Fertility and Sterility pointed to a combination of possible factors, like changes in penis sensitivity, lower testosterone levels, medication side effects, and lack of exercise.

The conditions also can occur when a man enters a new relationship. For instance, a man may feel under stress about pleasing his new partner. If he has not been sexually active for a while, he may struggle with performance anxiety. Men also may feel pressured to climax within a specific time frame, which can exacerbate the problem.

Treatment and options

Before rushing to your doctor for help with either of these conditions, Dr. O’Leary suggests that you first look at the larger picture of how it affects your overall sex life.

“It’s normal to want to maintain the sexual vigor of your youth, but men have to realize that their body changes with age. Sometimes, that means your sex life, too,” he says. “Even if you don’t always have an orgasm, you and your partner can still experience pleasure from the intimacy that accompanies any sexual encounter.”

Still, if an orgasm problem affects your sex life, certain strategies could help. The following are some options to discuss with your doctor.

Sexual therapy. Therapy with a sexual health expert can address the issues that may be causing orgasm trouble, especially if it’s related to a new relationship or some other psychological issue. “Many times, it’s not a physical problem, but the connection between the brain and body,” says Dr. O’Leary.

Testosterone. Since both anorgasmia and delayed orgasm can be related to low testosterone levels, a simple blood test can determine if you might benefit from supplementation.

Medication. There are no FDA-approved drugs to treat anorgasmia or delayed orgasm. Even so, one drug, called cabergoline (Dostinex), has received attention. Orgasm is associated with a surge in prolactin, a hormone made in the brain’s pituitary gland. If blood prolactin levels are always high, there is no surge. Cabergoline lowers levels to allow the surge normally experienced with orgasm.

A study in the March 2016 issue of Sexual Medicine found that men’s orgasm problems improved after they took 0.5 milligrams of cabergoline twice a week for about 10 months. About half of the group said their orgasms returned to normal. The drug tends to be well tolerated and it’s presumed safe, although its long-term effects are unknown. Consult with your doctor about whether this could be an option.

Some antidepressants, especially selective serotonin reuptake inhibitors like fluoxetine (Prozac) and sertraline (Zoloft), may cause anorgasmia or delayed orgasm. In fact, doctors will sometimes prescribe these drugs for men with the opposite problem, premature ejaculation. If you take an antidepressant, talk with your doctor about lowering your dosage or switching to a different one.

Change sexual positions. Modifying sexual positions or foreplay practices with your partner may increase arousal and help achieve orgasms, according to guidelines from the American Urological Association.

Penile vibratory stimulation. This clamplike device is placed around the penis and vibrates to stimulate the nerves in the base of the penis. It’s used before sex and can be incorporated into foreplay.