The Male Sex Drive — How it Changes With Age

Published on July 24, 2023 .
Kristopher Bunting, MD  Author

This article is a repost which originally appeared on healthnews

Edited for content. The opinions expressed in this article may not reflect the opinions of this site’s editors, staff or members.

For many men, having a strong sex drive—or libido—can be an important part of feeling healthy and having a good quality of life.

Key takeaways:

Male sex drive and testosterone levels decrease with age.

Less sex does not mean less sexual satisfaction.

Good health improves sexual function and sexual quality of life at any age.

Aerobic exercise can improve sexual function and sexual satisfaction.

However, as men age and their bodies change, so does their sex drive. Sex drive tends to decrease with age after it peaks in men in their 20s, but that does not mean that aging has to have a negative effect on sex.

Age, sex drive, and sexual satisfaction

Most men (and women) are more sexually active in their 20s than in any other decade of life. Men’s sex drives seem to peak in their 20s and begin to decrease in their 30s and onward slowly. Men in their 40s and older are also more likely to have problems with sexual function, including erectile dysfunction.

Men have less sex as they get older, but that is only half the story. Sexual satisfaction does not necessarily decrease with age.

A study in Norway found that although sexual activity decreases with age and sexual dysfunction increases with age, sexual satisfaction is more complex. According to the study, men in their 20s had the highest level of sexual satisfaction, followed by men in their 50s. Surprisingly, despite increased sexual dysfunction and decreased sex drive, men in their 50s reported higher sexual satisfaction than those in their 30s and 40s.

Another study from the US found that overall, sexual quality of life tended to decrease with age but was higher in older people who had a better quality of sex. The authors attributed this to “sexual wisdom”—better sex through past experience. No matter the cause, this is certainly good news for anyone worried about their odds of having a fulfilling sex life as they age.

Testosterone and sex drive

Testosterone levels play a major role in the male sex drive. Testosterone is the primary sex hormone responsible for male sexual development and is also associated with sex drive. Research has shown that men’s testosterone levels decline with age beginning after age 30, and reach their lowest levels after age 70—when sex drive is at its lowest.

Low testosterone in men is called male hypogonadism. Hypogonadism in men can cause or contribute to lower sex drive, erectile dysfunction, infertility, loss of bone mass, loss of muscle mass, and depression.

Testosterone replacement therapy can treat male hypogonadism, and research shows that in older men, it can improve sexual activity, sexual desire, and erectile dysfunction. In a study of men with poorly controlled type 2 diabetes, testosterone replacement therapy was shown to improve not only sexual function but also the quality of life and memory.

While considered a normal part of aging, low testosterone can be caused by various medical conditions, including head injuries and some medications. Certain prescription medications can decrease testosterone levels, including opioids (painkillers), hormone therapy for prostate cancer, and a few other drugs.

Remember, do not stop taking any medication without first talking with your healthcare provider. If you are concerned about your testosterone levels, discuss it with your doctor or another healthcare provider.

Better health means better sex

As men age, health plays an increasingly important role in their sex life. According to research, people in better health are more interested in sex, have sex more often, and have a better sexual quality of life. On the other hand, high blood pressure, heart disease, and other conditions that affect blood flow can affect sex drive and contribute to male sexual dysfunction.

Medications can also affect sex drive and sexual performance in men, including some prescription medications for high blood pressure, depression, prostate disease, and hair loss. Common medications that contribute to low sex drive and sexual dysfunction are beta-blockers, diuretics, and finasteride (Propecia, Proscar). Always discuss possible medication side effects with your healthcare provider—the benefits may outweigh the drawbacks.

Erectile dysfunction

Along with a decreased sex drive, aging, poor health, and certain medications can also lead to erectile dysfunction—a known contributor to depression. Fortunately, modern medicine has dedicated a great deal of research to improving men’s erections.

Nowadays, there are several ways to successfully improve erectile dysfunction, including penile implants and medications such as sildenafil (Viagra), tadalafil (Cialis), and vardenafil (Levitra, Staxn). While these medications are safe for many men, they can cause dangerous side effects in people taking nitrates (such as nitroglycerin, isosorbide, and others).

However, it is possible to improve erectile function with natural means such as CBD oils. The latter is one of the best ways to reduce anxiety and stress interfering with libido. CBD oils and gummies improve blood flow in vessels, thus benefiting erectile function. Full-spectrum CBD oils are believed to be a better choice for erectile dysfunction containing both CBD and THC in moderate amounts.

Exercise can improve sex

It is no secret that aerobic exercise is good for your health. It helps reduce cholesterol, blood pressure, and body fat in addition to decreasing the risk of death from coronary artery disease. Studies also show that aerobic exercise is also important for sexual health.

A study in Japan found that regular aerobic exercise improved sexual function in men aged 43-59. Another group of researchers in the U.S. showed that aerobic exercise—running, cycling, or swimming—improved sexual function in men aged 18-50. The potential for better sex life is excellent motivation to get more exercise,

When do men stop being sexually active?

If you think that people stop being sexually active when they get older, you would be wrong. Research shows that men have a sexual life expectancy well into their 70s. While it is true that sexual activity decreases with age, even the elderly are busy getting busy.

In fact, the 55 and older population has had a significant increase in sexually transmitted diseases (STDs) over the past few decades, including chlamydia, gonorrhea, syphilis, and HIV. While an increase in STDs may be alarming, it clearly indicates that both men and women keep having sex well into old age.

As men age, they tend to have less sex but have high satisfaction with their sex life. Aging and health can have significant effects on sexual function and satisfaction, but medical treatment and exercise can improve both sexual function and sexual satisfaction at any age. If you are concerned about decreased sex drive or sexual dysfunction, talk with your healthcare provider.

Resources:

1. BJU International. Assessment of male sexual function by the Brief Sexual Function Inventory.
2. NIH. Sexual Quality of Life and Aging: A Prospective Study of a Nationally Representative Sample.
3. StatPearls. Physiology, Testosterone.
4. Endocrine Reviews. The Decline of Androgen Levels in Elderly Men and Its Clinical and Therapeutic Implications.
5. Mayo Clinic. Male hypogonadism.
6. The Journal of Clinical Endocrinology & Metabolism. Testosterone Treatment and Sexual Function in Older Men With Low Testosterone Levels.
7. ENDOCRINE SOCIETY. Testosterone improves quality of life, sexual function, and delayed verbal recall in men with uncontrolled type 2 diabetes.
8. ISSM. Can prescription medications affect testosterone levels?
9. thebmj. Sex, health, and years of sexually active life gained due to good health: evidence from two US population based cross sectional surveys of ageing.
10. NHS. Low sex drive (loss of libido).
11. Mayo Clinic. High blood pressure and sex: Overcome the challenges.
12. MedlinePlus. Finasteride.
13. NIH. Sexuality in Ageing Male: Review of Pathophysiology and Treatment Strategies for Various Male Sexual Dysfunctions.
14. NIH. Increased incidence of depressive symptoms in men with erectile dysfunction.
15. NIH. Health benefits of aerobic exercise.
16. NIH. Regular aerobic exercise improves sexual function assessed by the Aging Males’ Symptoms questionnaire in adult men.
17. NIH. Exercise Improves Self-Reported Sexual Function Among Physically Active Adults.
18. EmergencyMedicineNews. STI Rate Has Doubled Among Senior Citizens.

How to Raise Testosterone Levels Naturally (from The Ultimate Guide To Male Enhancement)

The following is a chapter taken from the book: The Ultimate Guide To Male Enhancement.

Edited for content

How to Raise Testosterone Levels Naturally
By Mr. Paul Becker of http://www.naturalsize.com/

Testosterone is a male hormone that is essential for building larger muscles. It is important for manufacturing new protein within the muscle cell, which allows it to increase in size.

One of the things that can make the difference between a “quick gainer” and a “hard gainer” is testosterone production. Testosterone production can vary substantially among trainees, and the ones that have the higher testosterone level will make better gains.

This report will help you to up your own natural testosterone production so that you can maximize your size and strength gains without having to resort to illegal and possibly dangerous steroid drugs.

Exercise

Both the lack of physical activity and excessive physical activity (over training) will result in decreased levels of testosterone. Exercise effects testosterone directly by stimulating the pituitary gland and the testes and it probably also raises levels by slowing down the normal breakdown of testosterone.

The duration, intensity, frequency and timing of exercise will determine the circulating levels of testosterone.  Testosterone levels increase most with short intense bursts, while it decreases with prolonged activity especially that of frequent endurance training. During endurance training, testosterone is needed to maintain muscle but frequent extended training doesn’t allow for repair and recovery of testosterone and tissue damage occurs.

Testosterone is released in higher concentrations by using heavy weights (5 to 10 rep range) using rest periods of 3 to 5 mins between sets. Basic, multi-joint exercises (like squats, deadlifts, barbell rows and dips) cause a much greater hormone release then isolation exercises (like flies, lateral raises, concentration curls).

Only when you use a large percentage of your muscle mass will you get maximum testosterone release. So, spend most of your training time, working the largest muscle groups (legs, back and chest) by using heavy weights in the squat, deadlift, barbell row and bench press or dips.

Normally testosterone is the 30% higher in the morning than the evening. So, if possible, train in the morning and reap the benefits of those naturally elevated levels.

Studies show that testosterone levels will elevate with exercise for about 45 to 60 minutes. After this time period, cortisol levels begin to increase and testosterone levels will decline. This decrease has been detected for up to 6 days.

Because you require testosterone for repair and growth, do not train for more than 45 to 60 minutes at a single session. If you feel like you want to exercise or train more, split sessions are recommended. Also do not lift weights and perform aerobic training at the same time. It is also a good idea to vary your workouts and cycle them throughout the year.

Diet

You are what you eat! If you want to keep “juiced with testosterone” it is extremely important to follow these dietary
rules:

● Eat moderate amounts of protein. Protein in Latin means “above all else.” Protein stimulates the hormone glucagon and the anabolic (muscle building) responses important for adequate testosterone release.

● Eat more vegetables and fruit and limit excessive carbohydrate intake especially of simple sugars and starches (grains, potatoes, pasta). Excess intake of carbohydrates especially those that raise blood sugar rapidly create chronically elevated levels of the hormone insulin and cortisol. These two hormones oppose the action of testosterone and diminish its production.

● Eat Fat! The reason, Jack Sprat was so lean was he ate no fat. Essential fats such as the omega 3 fatty acids found in fish and flaxseed as well as saturated fats are essential for normal testosterone production. All steroid hormones are produced from cholesterol and when fats are deficient in the diet, this process will be inhibited.

● Studies clearly indicate that low fat diets result in lower testosterone levels while those higher in protein, lower in carbohydrate and moderate in fat cause the greatest sustained levels of testosterone and growth hormone.

● A recent study demonstrated the influence of diet on pre and post exercise testosterone and cortisol. After exercise with bench press and squat to failure, testosterone and cortisol were measured. Those men who were on a diet with a higher protein/carbohydrate ratio and percent fat content had the largest increase in
testosterone and the smallest rise in cortisol.

You must train and eat smart to minimize the catabolic and maximize the anabolic effects of exercise. If your diet is very low in fat and high in complex carbohydrates and fiber, your testosterone levels may remain very low and you will never make the changes in muscle mass and strength that you desire.

Also, don’t take anything, which produces estrogen; these being such as Soya, Cannabis or Alcohol.

Sunbathing

Sunbathing greatly aids recovery from exercise and can naturally raise our testosterone levels by 200% after nude exposure (yes, 200% and drug free!). You will also look more defined, carry less body fat and have that healthy glow when you spend some time in the sun.

Emotional Stress

Emotional stress is a frequent cause of decreased testosterone levels. When the “fight of flight” alarm reaction system is active, stress hormones such as adrenaline, noradrenaline and cortisol are released. These hormones that are released to protect our lives have catabolic activity. This means they catabolize (breakdown) body stores of fat and protein to be used for acute resources of energy and immune response. They go even one step farther and inhibit all anabolic processes as well. Because in life or death situations the body does not need to build muscle, eat, have sexual thoughts etc. processes that require vital life energy, all anabolic (building) processes including testosterone are shut down.

This was a very effective system when it evolved. For hundreds of thousands of years the threats to the body were short-lived and very acute such as being eaten or attacked. Today stresses are not only prolonged but perceived in our mind. And this chronic stress causes an over activation of our adrenal system and the catabolic process. In fact, chronic catabolism is not only the greatest cause of premature aging and cardiovascular disease but it severely inhibits testosterone function making it almost impossible to build muscle and strength.

So, if you want to really grow it is essential that you follow the advice, “Don’t sweat the small stuff and it is all small stuff”, stay well rested and take your time eating frequent small meals. This will help normalize cortisol levels and allow your anabolic system to take over again.

Use the techniques exactly as the book says, for about 15 to 30 minutes every day and you will be surprised at how much of a difference it will make in your training and in your life.  NOTE: Learn How to Build Muscle Mass and Get Super Strong Naturally! At naturalsize.com

The Ultimate Guide to Male Enhancement

 

Does Sex Hurt for Men? – 10+ Causes

Why Sex Could Hurt for Men

By Jerry Kennard
Updated on July 12, 2023
Medically reviewed by Jamin Brahmbhatt, MD

This article is a repost which originally appeared on verywell health

Edited for content. The opinions expressed in this article may not reflect the opinions of this site’s editors, staff or members.

Key Points

‧ There may be one or more causes to pain during sex for men.

‧ Refrain from sexual activity if you suspect you have an injury which needs attention.

‧ STIs can interfere with sexual performance and pleasure.

Pain during sex happens to both males and females, regardless of gender identity. When sex hurts, it can cause anxiety and affect sexual pleasure.

Sex can hurt for men for a variety of reasons, including sexually transmitted infections, foreskin problems, and being allergic to chemicals in birth control methods (such as latex condoms).

This article explores some common reasons sex can hurt for men. It also offers guidance for when to seek medical care.

For the purpose of this article, “male” refers to people born with penises, irrespective of whether they identify with one or more genders or no gender at all.

Why Does Sex Hurt for Males?

Some of the reasons sexual intercourse can hurt for men include:

Sexually Transmitted Infections

Some sexually transmitted infections (STIs) can cause pain during sex. Infections such as herpes and gonorrhea can cause burning and itching if left untreated. They can also cause sores, bumps, or blisters on the penis or anus.

If you think you may have been exposed to an STI, visit your healthcare provider or a clinic to get tested.

The sooner you know if you’re infected, the sooner you can get treatment. Early treatment can limit or prevent some effects of these infections.

Foreskin Problems

Uncircumcised men can develop tight foreskin, or phimosis. When you pull back the foreskin, or when your penis is erect, it can tear, bleed, get inflamed, or be painful.

This problem can usually be treated with an ointment. In some cases, adult circumcision can resolve the problem. Talk to your healthcare provider about your options.

Why Does Sex Hurt For Females?

In general, women are more prone to experience painful sex than men. Here are some of the reasons sex can hurt for females:

‧ Losing their virginity

‧ STIs

‧ Vaginismus

‧ Vulvodynia

‧ Endometriosis

‧ Uterine fibroids

‧ Ovarian cysts

‧ Cervical cancer

Curved Penis

Normal penises vary in length, girth, and shape from one person to the next. Sometimes, a curved penis can cause painful erections or make sex difficult.

Some penises curve because of conditions like hypospadias. That’s where the urethra opens away from the tip of the penis.

In some cases, a curve can develop over time. One cause of this is Peyronie’s disease, which causes scar tissue to form in the penis. Scars from previous traumas or infections can make sex painful, too.

Lesions and Growths

Sometimes a growth on the penis is what’s causing the pain. Some cancers cause growths. Cysts and lesions can also form on the penis or in the ducts and tubes that carry sperm.

If your prostate is enlarged, you may have pain when you ejaculate. It’s also possible that an infected pocket called an abscess can form on the penis.

Any of these growths can cause pain when you’re having sex or ejaculating.

Priapism

Most of the time, erections go away after sex. Sometimes a non-sexual erection lasts much longer than it normally would. This condition is called priapism, and it is often painful.

An Allergy

Some men have an allergic reaction to vaginal fluids or the chemicals in birth control methods. A medical professional can help you find out if you’re allergic to latex condoms or another substance.

Hypersensitivity

The penis can become very sensitive after orgasm and ejaculation. If you keep having sex after that point, it may be painful. This may mean you need to limit how many times you have sex with your partner on a given day or find other ways to experience pleasure together.

A rare condition called pudendal neuralgia affects a nerve in the pelvic region and may cause pain during sex as well.

Medications

Some antidepressants and muscle relaxers can cause pain when you ejaculate.4 It’s important to talk to your healthcare provider if you think a medication may be causing this kind of pain.

However, you should not stop taking your medication without discussing it with your healthcare provider first, because serious health problems can arise if you do.

Skin Disorders

Some skin conditions can lead to painful sex. These include:

‧ Zoon’s balanitis, an inflammation of the foreskin

‧ Erosive lichen planus, which causes an itchy rash or blisters

‧ Lichen sclerosus, which causes itchy white patches

‧ Genital psoriasis, an itchy inflammation of the skin

‧ Penile cancer

Other Causes of Painful Sex

Other possible reasons that a man or woman might find sex painful include:

Sex positions: Some sexual positions are more uncomfortable than others. This can be due to a variety of reasons, including someone’s overall health, weight, flexibility. Some health conditions, such as back pain, can also make some positions painful. Work with your partner on finding the positions that are most comfortable for you. There are also other ways to enjoy sex that don’t involve intercourse.

Lack of lubrication: Vaginal dryness can cause pain for a woman during sexual intercourse. This can also affect men and women during anal sex. Using a lubricant designed to be used during sex can help with this.

Losing your virginity: Having sexual intercourse for the first time can be painful for women. Women are born with a hymen, thin, fleshy tissue that stretches across part of the opening of your vagina. When this tissue is penetrated, it may cause pain or bleeding. Men typically do not experience pain when they have sex for the first time.

Postorgasmic illness syndrome: Postorgasmic illness syndrome (POIS) is a rare condition in which a person develops flu-like and allergy symptoms after orgasm. It is much more common in men than in women. Symptoms typically develop shortly after an orgasm, and can last for up to seven days before going away. It is not known what causes POIS.

When to See Your Healthcare Provider

It is important to see a healthcare provider if you are experiencing pain during sex so it can be treated as soon as possible.

If you don’t feel comfortable talking about it with your current provider, try to find a healthcare professional you can talk. The right diagnosis and treatment can improve your health and your sex life.

Summary

Pain during sex can be a sign that you have an STI, a skin disorder, an allergy, or another health condition. It could also be that the shape of your penis, a medication, a long-lasting erection, or post-orgasm sensitivity could be the reason.

Some conditions that cause this kind of pain can be serious. It’s vital that you seek medical care when sex hurts so that you can protect your own health and your partner’s.

Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.

1. Urology Care Foundation. What are sexually transmitted infections (STIs) or diseases (STDs)?

2. National Health Service. Tight foreskin (phimosis and paraphimosis). Updated July 26, 2018.

3. The American College of Obstetricians and Gynecologists. When sex is painful.

4. Waqar M, Omar K, Moubasher A, Brunckhorst O, Ahmed K. Painful ejaculation: An ignored symptom. Cureus. 2020;12(10):e11253. Published 2020 Oct 30. doi:10.7759/cureus.11253

5. Muneer A, Alnajjar HM, Ralph D. Recent advances in the management of priapism. F1000Res. 2018;7:37. doi:10.12688/f1000research.12828.1

6. Marfatia YS, Patel D, Menon DS, Naswa S. Genital contact allergy: A diagnosis missed. Indian J Sex Transm Dis AIDS. 2016;37(1):1-6.

7. Turley KR, Rowland DL. Evolving ideas about the male refractory period. BJU Int. 2013;112(4):442-52. doi:10.1111/bju.12011

8. Genetic and Rare Diseases Information Center. Pudendal Neuralgia.

9. American College of Obstetricians and Gynecologists. Vulvovaginal health.

10. NIH. Genetic and Rare Diseases Information Center. Postorgasmic illness syndrome.

 

To the Dads and Sons of the world – WATCH THIS – To my Dad, Thank you

Article courtesy of Mike from TotalManShop

Hey,
Mike here.

This is a very different type of email today but I felt like the world of Dads and Sons would benefit from it.

While it’s not directly about the bedroom, it touches on the core of man that will effect every area of life.

It sure benefited me to poor my heart into a message that just about burst out of me.

I hope this hits home and helps anyone struggling, maybe feeling resentment, maybe feeling regret.

My hope is that you feel gratitude.

Feeling is healing.

To my Dad,
Thank you.

VIDEO COMING SOON
 
Visit TOTALMAN SHOP for ALL of YOUR Male Enhancement needs!

Advanced Exercises (Length)- Repetitions, Reaching a Plateau, and Creating a Routine (from The Ultimate Guide To Male Enhancement)

The following is a chapter taken from the book: The Ultimate Guide To Male Enhancement.

Edited for content

Chapter 24: Advanced Exercises (Length)

Once you’ve successfully completed the beginner’s phase, you’ll be ready for the advanced routines. As an advanced trainee, you’ll be more qualified to discern when you need to take rest days and when you need to change your routine.  As stated in the Basic Routine, you should usually take a 1 week rest every 46 weeks or so; but you may find your own individual recuperative abilities, schedule and health may dictate otherwise.
This is also a phase for focusing on refinement, specialization and shaping.

Repetitions

Repetitions, intensity and frequency should be your goal to make each workout just a little more intense than the last.  I generally recommend increasing the rep count (volume) by no more than 12% each subsequent workout. Don’t be afraid to stay at the same level of repetitions and focus on increasing intensity instead. You’ll likely get a better workout that way.

Reaching a Plateau

A plateau can be defined as reaching a point where you no longer make any gains. You may even see a decline in penile vigor if you attempt to train through a plateau.

To start gaining again, you should take a short rest and change your routine. Upon resuming training after a rest, it’s a good idea to start a little easier than where you left off (refer to Charting Your Progress for details).

Creating a Routine

In addition to the advanced routines listed here, you can create your own routines using any of the advanced exercises.

A good DIY advanced routine will consist of:

A thorough warm up

One good girth exercise

One good length exercise

Stamina work

A thorough warm/cool down

When creating your own routines, I recommend sticking to one quality exercise per area worked (e.g. “girth”) unless you’re using supersets or other advanced exhaustion techniques. Pick the exercises which you feel work best for you.
My reasoning behind this is simple the penis can be easily overtrained. The goal should be to work the penis as thoroughly as needed and no more. Doing an endless number of exercises indicates:
1. You’re not doing the right exercise if you need to do so many.
2. You’re not using enough intensity.

5 Supplements For Better Sex – Erectile Dysfunction Supplements

5 Supplements That Can Boost Your Erection and Sex Life

Skip the shady “Boner Blaster 5000” and consider these instead.

by Elizabeth Millard, Zachary Zane and Ashley Martens   Published: Jun 30, 2023

This article is a repost which originally appeared on Men’sHealth

Edited for content. The opinions expressed in this article may not reflect the opinions of this site’s editors, staff or members.

Key Points

‧ Erection supplements are a multi-billion dollar a year endeavor.

‧ The supplement list below can go a long way towards helping your male enhancement goals.

‧ Certain supplements- like L-Arginine can be an alternative to erector drugs like Cialis.

It doesn’t matter what you call it—getting a boner, a hard-on, or wood—internet searches for stronger erections won’t stop. That’s especially true for people who are living with erectile dysfunction. It’s no surprise that the market for erectile dysfunction treatments is expected to reach 4.7 billion dollars in revenue by 2026.

There’s a big market for erection-boosting medications including Cialis and Viagra, especially given how easily you can access them via a prescription from your doctor and via telehealth companies like Hims and Roman that have them delivered to your door. But what about other options, like those over-the-counter supplements for a better sex life you see advertised on television or through random Instagram ads? Are those safe supplements for better sex and stronger erections?

Of the many supplements out there that claim to boost your erection and give you a better hard-on, many are dubious. There are significant dangers when it comes to “herbal Viagra,” explains Jamin Brahmbhatt, MD, a urologist and sexual wellness expert at Orlando Health. This term is used to describe the natural supplements advertised to boost your erection.

If you go to a convenience store and see something behind the counter with a name like “Boner Blaster 5,000,” it’s a surefire way to know a supplement is not legit. “Even if you buy them at a big retailer, and they seem to be made of ‘natural’ ingredients, be cautious,” he says. “No one is regulating this stuff.” That’s concerning. It’s not clear what you could be putting in your body and there’s always the chance it could harm your overall health—including your sexual health.

Is it all bad, though? Are any of these over-the-counter erection supplements safe and effective for your sex life? Surprisingly, yes, there are a few. Here is what to know about a few expert-approved sex supplements that are good for your health and your erectile health.

Omega-3s

Omega-3 fatty acids are a maybe when it comes to protecting your heart and your erections. The research goes back and forth about whether fish oil supplements are really helpful for the heart. If the scales tip toward them being helpful to your heart, then your erections may benefit as well, explains Brahmbhatt. That’s because heart-healthy changes are geared toward improving blood flow and increasing the size of blood vessels, he says.

Your penis has the smallest blood vessels in your body, meaning they’re easier to get clogged up. And impeded blood flow is bad for erections, so anything that improves blood flow is good.

At first, it might not make sense that many blood pressure medications list erectile dysfunction as a side effect, he adds. That’s because they modulate the way that blood vessels open and close, which can reduce flow overall, especially down south.

By contrast, omega-3 fatty acids can have the opposite effect because they lower inflammation that might be affecting blood vessels, while also reducing blood clotting. That can help boost your blood flow. While you can get your omegas from supplements, getting them from foods such as fatty fish is your best bet.

L-Arginine

L-arginine is an essential amino acid that can be good for both heart health and erectile issues, Brahmbhatt says.

In fact, a study in the journal Andrology found that patients with severe or complete erectile dysfunction had L-arginine levels that were significantly lower than that of men with milder forms of ED. L-arginine might help trigger the production of nitric oxide, a compound important in getting and maintaining erections.

In addition, “L-Arginine is a peripheral vasodilator via a pathway similar to PDE5 inhibitors [those include Cialis and Viagra]. Vasodilation is associated with increased blood flow and thus possibly better erections,” says Peter Tsambarli, MD, assistant professor of urology at RUSH University Medical Center in Chicago.

L-arginine is found in most protein-rich foods such as red meat, poultry, beans, and dairy products, according to according to the Mayo Clinic, which has marked it as generally safe but cautions people who take blood pressure meds to talk to a doctor first.

This is good advice for any supplements if you’re on blood pressure medications, Brahmbhatt says. That’s because a product like L-arginine can reduce your blood pressure—which is great if it’s a bit too high, but not if you’re already bringing it down with meds. In that case, you may see a sudden and dramatic drop in pressure that could cause you to faint, or in extreme cases, have a stroke.

If you’re not on those meds and want to try the amino acid, Brahmbhatt suggests starting at a dose of about six grams a day to see how you tolerate it. In some people, the supplement can cause side effects including nausea, abdominal pain, diarrhea, and bloating.

L-Citrulline

In addition to L-Arginine, L-Citrulline may help with stronger erections. This is because L-Citrulline is converted in the body to L-Arginine, explains Tsambarli. L-Citrulline can also aid in the production of nitric oxide. “Nitric oxide is involved in vasodilation (widening and opening up of blood vessels) which can begin and maintain the erectile response,” says Michael Eisenberg, MD, professor of urology at Stanford Health.

A 2001 study published in Expert Opinion Pharmacotherapy states that “NO is the principal agent responsible for relaxation of penile smooth muscle.” (FYI, penile erection is a vascular phenomenon that directly results from smooth muscle relaxation along with arterial dilation and venous restriction.)

Vitamin D

Some studies suggest that men with vitamin D deficiencies are more likely to have erectile dysfunction, says Brahmbhatt. That may be because low levels of the vitamin are associated with diseases like hypertension, coronary artery disease, and peripheral vascular disease. Basically, blood flow issues that affect your system can also raise your risk of ED.

Although you can get some vitamin D from foods including salmon and eggs, along with sunshine, most people in the U.S. are lacking the vitamin, especially if you live in the northern part of the country, says Brianna Elliott, R.D., a coach at nutrition counseling service EvolutionEat.

She adds that the longer you maintain low levels, the more effects you might see, including potential ED. But how much you should take is a moving target. The National Institutes of Health recommends 600 IU, while the Endocrine Society suggests much higher levels of up to 2,000 IU daily.

“This would be a good topic for your next doctor visit,” Elliott says, noting that it’s easy to test for vitamin D levels, and from there, you can get a recommendation about dosage amounts based on that information.

Folic Acid (B9)

Another supplement that is good for overall health and wellness, including erectile health, is folic acid or B9. Some research has linked improvement in sexual performance with folic acid supplementation, which lowered levels of the amino acid homocysteine, explains Tsambarli. “Homocysteine levels were previously found to be higher in men with ED than their counterparts who were not suffering from ED.”

The bottom line on sexual supplements?

Despite the fact that there are some supplements that may help with erections to a certain extent, supplements are not held to the standards of pharmaceuticals. Always choose supplements with a third-party verification, like NSF or USP. “I always attempt to temper expectations when utilizing supplements for sexual performance,” says Tsambarli.

In general, here’s the best possible “supplement” you can take for your sex life: lifestyle changes. A healthy diet, regular exercise, good sleep habits, and lower stress levels all go a long way toward improving your health, as you’ve heard a million times.

“Overall health and sexual health are closely related,” explains Dr. Eisenberg. “Thus, anything that benefits heart health can also benefit sexual health. A good diet, exercise, and maintaining a good body weight can all help [as well].”

“Diet and exercise have consistently outperformed supplements and have a significant and reliable impact on sexual performance,” says Tsambarli.

“It’s definitely easier to stop at the gas station and get some shady supplement that makes promises about boosting your libido or increasing your girth,” Brahmbhatt says. “But play it safe, skip that junk, and do what’s proven to help your sex life: healthy lifestyle habits.”

 

 

 

‘It feels like a badge of dishonor’: How to overcome the stigma surrounding men’s mental health

JOANNA HAYES [email protected] Jun 30, 2023 Updated 13 hrs ago

This article is a repost which originally appeared on Post Register

Edited for content. The opinions expressed in this article may not reflect the opinions of this site’s editors, staff or members.

Key Points

‧ Men often find it difficult to discuss mental health issues.

‧ Men make up to 80% of suicides.

‧ Everyone struggles with something.  Talking about it can go a long way towards helping.

Five years ago, Charles Hale walked down Park Avenue, having finally mustered the courage to seek help out of homelessness.

Hale looked up and saw the Idaho Falls Rescue Mission sign. His heart beating uncontrollably. His shame hanging over his head. He couldn’t carry the burden of addiction any longer.

What were the people at the Rescue Mission going to tell him? What were they going to think of him? Hale never thought he would find real help in Idaho Falls, a town full of strangers.

He took a deep breath and opened the mission’s front door. He had nothing with him. Hale sat down at the front desk and explained that he needed a safe place to sleep. He didn’t want to spend another night on the street. He had been without shelter for five years, spending cold nights in Phoenix, Spokane, Seattle and, now, Idaho Falls.

“You know how they say the grass isn’t any greener?” Hale said. “Well the streets aren’t any blacker. It didn’t matter where I went.”

After meeting with a volunteer at the Rescue Mission for a few minutes, Hale started to wonder if the Idaho Falls streets might be less black. He might get off of them this time around.

The volunteer asked Hale if he could pass a urinalysis, as the Rescue Mission requires their guests to be sober upon admission and throughout their stay.

Hale couldn’t. He had been struggling with addiction his entire bout with homelessness. The Rescue Mission sent him to the Behavioral Health Crisis Center while he got sober.

But Hale knew he didn’t want to stay at the crisis center. There was something different about the Rescue Mission. They smiled when he entered. He felt his heart beat slower. His shame lifted. The Rescue Mission would help him carry the burden.

“I had become jaded from seeing the world (on the streets),” Hale said. “My breakthrough moment was when I walked through those doors and saw someone with a smile. It broke me.”

Hale never thought he would end up homeless. No one does. His family was close. They went to church every Sunday. He got a bachelor’s degree in information technology and a master’s degree in business.

Hale climbed the corporate ladder in Phoenix for 15 years. He married a lovely woman and had three beautiful boys. And then his mental health took a turn for the worse. He lost his father and fell into a deep reliance on alcohol and drugs.

“It was three strikes,” Hale said. “I lost my father, then my career and then my wife and three kids.”

For five years, Hale struggled under the weight of grief and addiction.

“It feels like you’re wearing a placard around your neck saying ‘addict’ or ‘homeless.’ You don’t need people to tell you that you are less than. You already feel that,” Hale said.

Hale said many men find it difficult to open up about their struggles, especially when it comes to mental health.

“It feels like a badge of dishonor,” Hale said.

According to the Center for Disease Control and Prevention, men are four times more likely to die by suicide than women. Men make up 50% of the United States population but 80% of the suicides.

Kade Anderson, a psychiatrist with Ascend Mental Health Center in Idaho Falls, said the reason for that is layered. Anderson said men tend to use a more “final method,” such as firearms, when attempting suicide.

However, Anderson believes that the stigma surrounding men’s mental health also contributes to that statistic.

“Men can be afraid to admit weakness,” Anderson said. “They don’t want to talk about it. They want to do it all on their own.”

He said many people aren’t ashamed of other health struggles they have, but when it comes to mental health, they feel less than if they admit vulnerabilities. One way Anderson tries to combat stigma surrounding men’s mental health is through his own vulnerabilities.

“I tell my patients that I struggle with mental health, too.” Anderson said. “I have had to ask for help. I have zero shame. I think that helps them open up.”

Anderson said the best thing people can do is to be honest. Talk about wins. Talk about losses. Talk about the highs, and talk about the lows. He said the more open people are about their struggles, the more one realizes that everyone struggles with something.

Following Anderson’s advice is what brought Hale out of his cycle of addiction and struggles with depression. Hale knew he had to be honest about his situation in order to overcome it.

The Rescue Mission was different from any other safe house Hale had been to, and he had been to a lot. Safe houses focused on mental, physical and emotional health. But the Rescue Mission added spiritual health into the equation.

Hale found both “law and grace” while staying at the Rescue Mission. The workers were caring and loving, but they didn’t enable anyone, Hale said.

Hale joined the Rescue Mission’s recovery program. The seven-month course helped him find a job and permanent housing. He also found a mentor from a local church.

Today, Hale is the mission’s director of operations. He uses his story to help the men there overcome their battle with mental health.

He mentioned that over the past few months, he has seen men walk into the shelter who seemed to be struggling with their mental health, but they weren’t talking about it.

“(Men) can be concerned with stigma and they can’t make that connection. It’s heart-breaking,” Hale said. “Someone has told them they are suffering and it’s too hard to accept. They think ‘If I’m labeled this, how am I going to be successful?’”

Everyone struggles with something, he said, it’s just whether they talk about it.

“We have all experienced a mental health crisis in our lives. Whether it’s you or someone you know,” Hale said.

June was Men’s Mental Health Month. If you or someone you know is struggling with their mental health, call or text 988 to reach the suicide hotline. You can also reach out to Ascend Mental Health Center at 208-419-3002 or the Behavioral Health Crisis Center at 208-522-0727.

8 Ways to Boost Male Fertility and Improve Sperm Health

Posted June 23, 2023

(BPT) – Written by: Dr. Sina Abhari, Medical Director and board-certified reproductive endocrinology and infertility specialist at CCRM Fertility of Newport Beach

This article is a repost which originally appeared on LI HERALD.COM.

Edited for content. The opinions expressed in this article may not reflect the opinions of this site’s editors, staff or members.

Key Points

‧ Recent surveys show up to 40% of men are concerned about fertility.

‧ There are many individual things someone can do to improve their fertility health.

‧ Checking with a fertility specialist is recommended if problems are suspected.

With studies reporting a significant decline in sperm counts across the globe, fertility health has been a top-of-mind concern for many men in recent years. In fact, a recent survey of 1,000 men, ages 25-54, found that nearly 40% of men are currently concerned with their fertility health.

While some causes of male fertility are genetic or structural and require help from a fertility doctor, there are lifestyle considerations and changes you can factor into your everyday routine to improve your wellness and optimize reproductive health.

Here are some tips to help improve male fertility:

1. Maintain a healthy weight

Having a higher body mass index (BMI) may have a negative impact on sperm production. Research suggests that if your BMI is on the higher side, you might be at a greater risk of experiencing fertility issues and sometimes pregnancy outcomes are negatively impacted. So, it’s worth keeping an eye on your BMI and taking steps to maintain a healthy weight if you’re planning to start a family. Focus on eating well-balanced meals, exercise three to four days a week, and aim for a BMI between 21 to 26.

2. Eat a nutritious diet

Consume a diet rich in fruits, vegetables, whole grains, lean proteins, and healthy fat and include foods high in antioxidants, such as berries, leafy greens, nuts and seeds, which can help protect sperm from damage. Certain vitamins and supplements can also affect sperm health. Taking a multivitamin can provide additional antioxidants such as zinc, selenium and vitamin C — all of which are used by the testes to support sperm production.

3. Avoid tobacco

Smoking tobacco can take a serious toll on your overall health and wellness, and this includes negatively impacting your fertility. A meta-analysis of 20 studies with 5,865 participants found that smoking tobacco reduces sperm count and motility (how the sperm move/swim). If you smoke and are trying to conceive, it is time to kick the habit. Here are some tips from the CDC on how to quit smoking.

4. Consume alcohol in moderation

Excessive alcohol consumption can lower sperm counts, lower testosterone, and can disrupt reproductive hormone balance. So, what amount of alcohol is considered okay? The results from studies are inconsistent and there is no one study that gives direction on how much alcohol you should drink before your fertility is negatively impacted. But generally, fertility specialists recommend consuming less than four to six glasses of wine (or the equivalent) a week.

5. Exercise regularly

Some studies show that getting regular physical activity can increase testosterone levels and better sperm quality. However, excessive exercise may have a negative impact, so strike a balance.

6. Limit heat exposure

Avoid prolonged exposure to high temperatures, such as hot tubs, saunas, or tight-fitting underwear, as they can raise scrotal temperature and affect sperm production.

7. Minimize exposure to toxins

Reduce exposure to environmental toxins and chemicals that can harm sperm, such as pesticides, heavy metals, and certain workplace chemicals. Use protective clothing and follow safety guidelines if you work in a potentially hazardous environment.

8. Get enough sleep

Sleep deprivation has been correlated with a number of health concerns, including male fertility problems. Sufficient rest (aim for seven to eight hours each night) promotes hormonal balance and overall well-being.

If you’re concerned about your fertility, it is best to consult a fertility specialist. They can provide a thorough evaluation and recommend appropriate treatments or interventions based on your specific situation.

Factor beyond hormone: What impacts male sexual health and why it is related to mental wellbeing

Sexual problems in men can occur on and off and at any age and most of them can be easily dealt with

Dr Lalitha Palle June 19, 2023 16:57:15 IST

This article is a repost which originally appeared on Firstpost.

Edited for content. The opinions expressed in this article may not reflect the opinions of this site’s editors, staff or members.

Key Points

‧ Testosterone and sperm level decline, hormonal imbalances, and male pattern baldness are becoming a more common occurrence in younger men.

‧ It’s believed various contributing factors are the cause.

‧ Negative relationship dynamics and emotional concerns can contribute to worsening sexual health.

The topic of male sexual health has gained importance recently as an alarming number of reports reveal reduced male hormones i.e Testosterone levels, in younger men, reduced sperm counts, and increasing incidence of erectile dysfunction, premature ejaculation, male Infertility or impotence and early onset of male pattern baldness among younger men, becomes a common occurrence.

There are also reports that state that with the alarming rate of male hormone imbalance, India is set to become the Impotency capital of the world! It is thus high time that we take note of this silent yet fast-spreading condition and start by understanding its causes and impact and how we can at least start by destigmatizing conversations around male sexual health.

Male sexual health is influenced by a variety of factors, including physical, psychological, and emotional well-being. While physical factors such as hormonal balance, cardiovascular health, and neurological function play important roles, mental well-being can significantly impact male sexual health for several reasons:

Psychological Factors: Sexual desire, arousal, and performance can be influenced by psychological factors such as stress, anxiety, depression, and self-esteem. Negative emotions and mental health conditions can affect libido, sexual confidence, and overall sexual satisfaction.

Relationship Dynamics: The quality of relationships and emotional connection with a partner can have a significant impact on male sexual health. Relationship issues, unresolved conflicts, or lack of intimacy can contribute to sexual difficulties and dissatisfaction.

Performance Anxiety: Many men experience performance anxiety, which is the fear of not being able to perform sexually to their or their partner’s satisfaction. This anxiety can stem from various sources, such as societal expectations, personal insecurities, or previous negative sexual experiences. Performance anxiety which is very common, especially in younger men, can interfere with sexual arousal, leading to erectile dysfunction or premature ejaculation.

Body Image and Self-esteem: Body image concerns and self-esteem can affect sexual health. Men who have negative perceptions of their bodies may feel self-conscious and anxious during sexual encounters, impacting their ability to fully engage in the experience.

Stress and Lifestyle Factors: High levels of stress, unhealthy lifestyle habits, and poor self-care can contribute to sexual health problems. Stress can disrupt hormone production, reduce libido, and impair sexual performance. Lifestyle factors such as smoking, excessive alcohol consumption, and lack of exercise can also negatively impact sexual function.

It is essential to address both the physical and mental aspects of male sexual health. Seeking support from healthcare professionals, therapists, or counsellors can help individuals navigate and address the underlying psychological factors that may be affecting their sexual well-being. Open communication with partners, healthy lifestyles, and stress management can also contribute to overall sexual health and satisfaction. Sexual problems in men can occur on and off and at any age and most of them can be easily dealt with. Not speaking or discussing them will only lead to a vicious cycle of negative mental health and poor performance. Men should break free from the so-called ‘taboos’ and ‘stigmas’ to improve their lives’ quality.