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.

Keto diet found to boost sperm count and quality in obese men – Insider

The keto weight loss diet could help boost sperm count and quality, according to 2 case reports

Gabby Landsverk
Sep 10, 2020, 6:00 PM

This article is a repost which originally appeared on Insider

Edited for content

  • Two new case reports suggest a keto weight loss diet could benefit sperm count and quality in obese men.
  • Two patients who lost 20 to 60 pounds on the diet saw dramatic improvements in their sperm samples.
  • This is backed by evidence that keto can boost sexual health, but other healthy eating plans like a Mediterranean or DASH diet are also linked to improvements.

There’s new evidence that the high-fat, low carb keto diet might have benefits for reproductive health.

In new case reports, two men with obesity who lost weight on a very low calorie keto diet saw significant improvements in both sperm count and quality, according to research from the Universidade de São Paulo, Brazil, presented at the 2020 European and International Obesity Congress,

In the first case, the patient lost nearly 60 pounds in the three-month dieting period, dropping his body fat percentage from 42% to 34%. Subsequently, his sperm quality improved by nearly 100%, based on the percentage of motile sperm in a test sample. His testosterone levels also more than doubled.

The second case report was of a patient who lost less weight, 20 pounds in three months, dropping from 26% to 21% body fat. His sperm quality also improved, but he saw even more significant benefits to sperm count, with over 100 million more sperm tested in the final sample, an increase of nearly 30%. Interestingly, his testosterone levels decreased slightly.

These results were based on the dieting plan called Pronokal, a highly-studied commercial weight loss method launched in Spain in 2004, which differs from traditional keto in that it’s both low-carb (fewer than 50 grams a day) but also limited to 800 calories a day.

Two patients is hardly a large enough sample size to draw broader conclusions about keto and sperm count. But existing evidence supports the notion that low-carb diets could have benefits for sexual health, as increasing fat consumption appears to support healthy sperm levels.

Previous research has also linked higher levels of dietary fat intake to increased testosterone.

You may not need a strict diet to improve sexual health

One caveat to these findings is that extremely restrictive diets can have side effects, particularly in the long term, and very low calorie diets in particular should only be done with medical supervision.

It’s also not only the keto diet specifically that’s linked to better sperm count, quality, and other measures of fertility. There’s evidence healthy dietary changes of any sort can boost sexual health.

The Mediterranean diet, for instance, has been linked to improvements in erectile dysfunction. In a 2004 study, a healthy diet and exercise program helped improve erectile dysfunction in obese men.

A 2019 study found eating processed foods was linked to poor sperm count, while eating more fish and veggies was linked to better sperm count, which is also related to sex drive and overall sexual function.

The DASH diet, which limits red meat and full-fat dairy in favor of fruits, veggies and whole grains, is also linked to higher sperm count, according to research.

That suggests that the benefits may be less related to any one dietary pattern, such as keto, and more about improvements to overall health that affect every area of the body.


6 all-natural sex tips for men

6 all-natural sex tips for men

Posted September 15, 2020, 10:30 am
Matthew Solan
Executive Editor, Harvard Men’s Health Watch

This article is a repost which originally appeared on Harvard Health

Edited for content

If you believe those upbeat, seductive advertisements, men only need to pop a pill to awaken their dormant sex life. Whether the problem is erectile dysfunction (ED) — the inability to maintain an erection for sex — or low libido, ED medications appear to be the quickest and easiest solution.

While these drugs work for most men, they are not right for everyone. ED drugs are relatively safe, but can cause possible side effects such as headaches, indigestion, and back pain. Plus, some men may not want their sex life dependent on regular medication, or simply can’t take them because of high or low blood pressure, or other health conditions.

Fortunately, there are some proven natural ways for men to manage their ED and increase vitality. Bonus: these strategies also can enhance your overall health and quality of life, both in and out of the bedroom.

Six ways to boost your sex life without medications

  1. Get moving. Research has shown that regular exercise is one of the best medicines for ED. One study of almost 32,000 men ages 53 to 90 found that frequent vigorous exercise equal to running at least three hours per week or playing tennis five hours per week was associated with a 30% lower risk of ED compared with little or no exercise. It doesn’t really matter how you move — even walking is great — as long as you keep moving.
  2. Eat right. Go bullish on fruit, vegetables, whole grains, and fish, while downplaying red and processed meat and refined grains. This type of diet lessened the likelihood of ED in the Massachusetts Male Aging Study. Another tip: chronic deficiencies in vitamin B12 — found in clams, salmon, trout, beef, fortified cereals, and yogurt — may harm the spinal cord, potentially short-circuiting nerves responsible for sensation, as well as for relaying messages to arteries in the penis. Multivitamins and fortified foods are the best bets for those who absorb B12 poorly, including many older adults and anyone with atrophic gastritis, a condition that may affect nearly one in three people ages 50 and older. Also, make sure you get enough vitamin D, which is found in fortified milk or yogurt, eggs, cheese, and canned tuna. A study in the journal Atherosclerosis found that men with vitamin D deficiency have a 30% greater risk for ED.
  3. Check your vascular health. Signs that put you on the road to poor vascular health include soaring blood pressure, blood sugar, LDL (bad) cholesterol, triglycerides; low HDL (good) cholesterol; and a widening waist. Check with your doctor to determine whether your vascular system — and thus your heart, brain, and penis — is in good shape, or needs a tune-up through lifestyle changes and, if necessary, medications.
  4. Measure up. A trim waistline is one good defense — a man with a 42-inch waist is 50% more likely to have ED than one with a 32-inch waist.
  5. Slim down. Tip the scales at a healthy weight. Obesity raises risks for vascular disease and diabetes, two major causes of ED. And excess fat tinkers with several hormones that may feed into the problem, too. Need more reasons? Slimming down helps with tips 3 and 4.
  6. See your dentist. A study in The Journal of Sexual Medicine found an association between gum disease and risk for ED. Gum disease causes chronic inflammation, which is believed to damage the endothelial cells that line blood vessels, including those in your penis.

A Sex Educator Explains What To Do If Your Partner’s Penis Doesn’t Fit

A Sex Educator Explains What To Do If Your Partner’s Penis Doesn’t Fit

Ah, the ancient problem of the mare and the horse.

By Emma McGowan
Aug. 17, 2020

This article is a repost which originally appeared on Bustle

Edited for content

In this week’s Sex IDK column, Emma McGowan, certified sex educator and writer, answers your questions about a mismatch between penis and vagina size.

Q: Is it normal if my partner’s penis doesn’t fit all the way inside of me?

Penis size is something that so many people — of all genders — have questions about. Is it too big? Is it too small? Is there such thing as the right size? But this question, Reader, is especially interesting because it’s not the standard penis-size question: It takes your body into account as well. So, let’s dive in.

First off: There’s no such thing as “normal” when we’re talking about sex, genitalia, sexual preferences, or really anything to do with human sexuality. There is such thing as average when it comes to size — and the average penis size is about five to seven inches when erect — but “normal” doesn’t exist. (Even average is a debatable concept because it’s very likely that no one human actually fits the true definition of average. But that’s a topic for another story.)

There’s also an average depth for the vaginal canal, which stretches when a person is turned on, just like a penis grows during arousal. According to sex researchers Master and Johnson, the average depth for an unaroused vagina of someone who has never given birth is 2.8 to 3.1 inches and 3.7 to 4.1 inches when aroused. And according to Planned Parenthood, unaroused vaginas can range from two to four inches and be aroused from four to eight inches.

I know there’s a range there, but those numbers can help us see that, yes, it’s very likely that there are many couples out there who are mismatched in size. For example, if one person has a vagina that is four inches when aroused and their partner has a penis that is seven inches when aroused, only about half of that penis will fit into that vagina. And that’s when both people are both within the “average” size ranges, right? So, if we pushed this thought experiment even further, then there are likely couples where the penis is ten inches, and the vagina is, say, two!

The mismatch between penis and vagina size is even referenced in the Kama Sutra, an ancient Sanskrit on love, sex, and marriage, which specifies animals for different genitalia sizes. For penises, it’s hare (small), bull (medium), and horse (large). And for vaginas, it’s deer (small), mare (medium), and elephant (large). According to the ancient Sanskrit text, a horse and a mare are an “unequal” union — aka not a great idea because that penis isn’t going to fit well in that vagina. Likewise, a hare and an elephant won’t be a great fit either, because the penis will be too small for the vagina.

But if you’re more of a deer and your partner is horse, that doesn’t mean you’re doomed! There are plenty of sex acts that don’t involve a penis going into a vagina. In fact, I’d even go so far as to say that a size mismatch could be a blessing in disguise because it encourages you and your partner to get creative. Why not spend hours going down on each other? Practice your hand job skills? Invest in a great cock ring for penetrative sex? Explore some kinks that don’t involve penis-in-vagina sex? There are a lot of options out there for a hot, interesting, and varied sex life if you’re willing to do some exploration.

You should also consider your menstrual cycle. The cervix (which is the end of your vaginal canal and the beginning of your uterus) changes in both texture and its position in your body, depending on where you are in your cycle. Your cervix will be lower and harder near your period, but near ovulation (which is halfway through your cycle), your cervix will be higher and softer. That means that you might be able to fit more of your partner’s penis inside your body when you’re closer to ovulation than when you’re closer to your period.

Of course, suppose you’re trying not to get pregnant. In that case, you also need to be extra careful about using a condom or another contraceptive method if you’re having sex near ovulation. But this change in depth due to your cycle isn’t relevant if you’re on hormonal birth control, like the Pill, because you’re very likely not ovulating.

When it comes to anal sex, the rectum doesn’t change in shape the way the vagina does. But the average size of the rectum ranges from around six to eight inches. That means it will more easily fit an average-sized penis than the average-sized vagina will. Does that mean it that every penis will fit in every butt? Nope! But it does mean that it’s more likely to fit.

If you’re experiencing a mismatch with your partner, Reader, and it’s bumming you out or interfering with your sex life, there are some things you can do to make penis-in-vagina sex feel better. First, make sure you’re really turned on before your partner enters you. That ensures that your cervix is as far up in your body as possible, making it harder for him to hit it. (Trust me: You don’t want him to hit it.) You can ease entry with a high-quality lube, which will help everything slide around nicely. And, finally, I recommend checking out Ohnut. It’s a customizable stack of rings that your partner can wear on their penis in order to control depth of penetration — a very 2020 solution to the ancient problem of the mare and the horse.

Men: Ageing and Sexual Health Myths

Men: Ageing and Sexual Health Myths

[email protected] (healthxchange.sg)
Health Xchange4 September 2020

This article is a repost which originally appeared on Yahoo SG

In conjunction with World Sexual Health Day (4 Sep 2020), the departments of Psychiatry and Urology from Singapore General Hospital (SGH), a member of the SingHealth group, help dispel common myths about male ageing and sexual health.

Top 5 myths on male ageing and sexual health

Myth 1: Is something wrong with me as my friends don’t seem to have complaints about their erections?

Fact: Every man’s erection becomes weaker with age. However, men with medical conditions like diabetes, hypertension and high cholesterol may experience erectile dysfunction earlier in their lives.

Myth 2: A short penis is not good for sex.

Fact: Many men have this misconception that good sex requires a long penis. Procedures to lengthen the penis are merely cosmetic and do not enhance erection. In fact, they may even impair erections in some cases!

Myth 3: Is not being able to have multiple erections a problem?

Fact: Most men do not have multiple erections. After ejaculation, the penis will have a refractory period whereby it cannot become erect.

Myth 4: Using erection drugs will improve my sex life.

Fact: Erection drugs do not increase sex drive. They increase blood flow in the penis, allowing erections to be stronger and more rigid.

Myth 5: It is possible to die from taking erection drugs.

Fact: Deaths from erection drugs are very rare and they happen when the drugs are taken without medical supervision. Victims may also have underlying medical conditions like heart problems. When taken properly under medical supervision, erection drugs are actually very safe.​

Treatment for erectile dysfunction

The most common treatment for erectile dysfunction is taking drugs such as Viagra, Levitra or Cialis under medical supervision. The most drastic treatment is a surgical procedure which involves inserting a penile implant.

Reduced libido caused by a lack of testosterone can be confirmed with a blood test and treated with testosterone supplements. The treatment can be given in an oral form or via a series of injections, with regular follow-ups to ensure that the patient’s testosterone is replaced adequately and safely.

Prevention is better than treatment

That is why it is important to maintain a well-balanced lifestyle – physically, emotionally and financially – as it is the first step towards graceful ageing and a healthy sex life.

If you have any chronic medical problems such as diabetes, hypertension, hyperlipidaemia and depression, they need to be managed well so as to prevent long-term complications.

Experts warn against drug and alcohol abuse as these have a toxic effect on the nervous system, damaging nerves that are critical to sexual desire. Smoking causes early atherosclerosis (which leads to premature erectile dysfunction and is also associated with heart attacks, strokes and many cancers) and should be avoided.

Exercising regularly will also help improve your self image (which increases desire and boosts sexual hormones) and promote healthy blood vessels (which means delaying the onset of erectile dysfunction).

On the emotional front, focus on relationships with important people in your life and let go of past grievances. Also, be mentally and financially prepared for retirement. If one enters the golden years possessing financial stability, companionship and meaningful hobbies, one will be well equipped to lead a more fulfilling life in the later years.


Common Causes of Impotence

Common Causes of Impotence

By Sara Ryding, B.Sc.

Reviewed by Emily Henderson, B.Sc.

This article is a repost which originally appeared on NEWS MEDICAL

Edited for content

Impotence, which is also known as erectile dysfunction, is the inability to get and maintain an erection for intercourse. While the occasional issue with impotence is not considered rare or cause for concern, persistent issues can cause severe stress and be a sign of an underlying health issue. The causes of impotence can include physical and psychological sources.

Impotence and sexual arousal

The processes around sexual arousal are complex and can be difficult to distinguish. For males, the sexual arousal process involves the brain, hormones, emotions, nerves, muscles, and blood vessels to achieve an erection.

As such, impotence can stem from any of these areas or a combination of them. For example, impotence caused by blood vessel issues can be worsened by subsequent stress and mental health concerns.

Physical causes of impotence

Vascular causes of impotence are among the most common causes of impotence. In some cases, impotence can be a symptom of progression towards cardiovascular disease. For example, impotence is common in people with atherosclerosis and can later progress into heart disease. If the veins are unable to close during an erection, this can cause impotence as it hinders the erection from being maintained. This is called veno-occlusive dysfunction.

Veno-occlusive dysfunction can be caused by the development of venous channels that drain blood from the corpora cavernosa where blood would otherwise be trapped during health erections. Veno-occlusive dysfunction can also be caused by deleterious alterations to the tunica albuginea, which would otherwise be responsible for stopping blood from leaving the penis. These alterations can occur as a result of old age, diabetes, or Peyronie’s disease. Other causes include traumatic injury, alterations to muscles around the area, and shunts that are acquired during certain surgery.

Neurological issues are another physical cause of impotence. This can occur as a result of diseases, such as Parkinson’s or Alzheimer’s disease, or due to trauma and injury. These can cause impotence by both decreasing libidos and by inhibiting the onset of an erection. In the event of spinal cord injury, the effect on impotence can depend on the nature, location, and extent of the injury. Similarly, neurological issues can be the cause of impotence in old age as sensory stimuli abate with age.

There is some evidence that hormonal issues can cause impotence. A deficiency in androgen, a hormone needed for male sexual characteristics and sex drive, can lower nocturnal erections and decrease libido. However, there is also evidence that erections in response to sexual stimulation still occur in patients with decreased hormonal activity, meaning androgen is not essential.

Psychological causes of impotence

Psychological issues were previously believed to be the main cause of impotence, and it is still considered a common cause of impotence. If the onset of impotence is sudden, this might indicate that the cause is psychological rather than physical.

Psychological issues can range from serious mental disorders, such as schizophrenia, to issues in the relationship with whom impotence occurs. The brain is a starting point for sexual arousal, and issues at this stage can be detrimental to the onset of an erection.

Mental health issues such as depression have a particularly strong link to impotence. This can be due to a lack of libido, performance anxiety, or persistent loss of interest and enjoyment. In schizophrenic people, lowered libido is the main cause of impotence. Some drugs to treat schizophrenia can increase libido, but there can still be persistent issues with erections and orgasms.

Risk factors of impotence

While the causes of impotence can be physical and psychological, there are certain lifestyle and medical factors that can increase the risk of these causes. For example, using tobacco can restrict blood flow the veins and arteries and can thus, over time, lead to vasculature issues which lead to impotence.

Age is one of the biggest risk factors in impotence. Impotence occurs in around 20-40% of older men. Studies have found that the risk of impotence rises by 10% every year in men aged 40-70 years old. The reasons for this are numerous: the penis becomes less sensitive to stimulation, hormone levels decrease, cardiovascular issues become more common, and libido naturally decreases with age.

Other risk factors include obesity, injuries that damage nerves or arteries that are involved in erections, persistent drinking, or alcoholism. Impotence can be avoided by sometimes making changes to lifestyle, such as reducing drinking and smoking but may sometimes need focused treatment. Other times, medical treatments such as radiation treatment or prostate surgery can be risk factors for impotence and may be needed to save the patient’s life.


  • Mayo Clinic. 2020. Erectile Dysfunction – Symptoms and Causes. [online] Available at: <https://www.mayoclinic.org/diseases-conditions/erectile-dysfunction/symptoms-causes/syc-20355776> [Accessed 26 August 2020].
  • Lue, T., 2000. Erectile Dysfunction. New England Journal of Medicine, 342(24), pp. 1802-1813.
  • Wyllie, M., 2005. The underlying pathophysiology and causes of erectile dysfunction. Clinical Cornerstone, 7(1), pp. 19-26.

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.


* “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

Acupuncture And Penis Enlargement

Acupuncture And Penis Enlargement

By Swagger Contributors

This article is a repost which originally appeared on SWAGGER

Edited for content

It seems men are never satisfied with their penis size and the quality of their erections.

So what’s a man to do?

The last thing any guy may want to hear in response to that question is acupuncture.

No, you can relax, an acupuncturist isn’t going to stick needles into the penis. However, the thought process behind acupuncture for penile health is to increase blood flow to your package.

This could possibly improve the quality of an erection via a few different processes.

Let’s take a look at how acupuncture affects penile health.

Acupuncture And Penis Enlargement

Almost everyone is familiar with what acupuncture looks like or has a general idea of what it is, but it’s not just some lady haphazardly shoving needles into your body.

An acupuncturist uses needles don’t go very deep into your skin.

Unfortunately, there’s no hard data linking acupuncture’s effectiveness with penis size.

However, that doesn’t mean it’s something you should give up on so quickly. There are some ways acupuncture has an indirect influence over penile health.

Before you understand how needles in the skin affect the quality of erections, you need to know how erections work in the first place.

You have different chambers inside of your penis…

These chambers, when given adequate blood flow, are what make the penis erect. The goal is to have healthy blood flow going into the penis, so there’s more going in than there is coming out.

This works in combination with signals that your brain sends to the penis to have it open the floodgates for your arteries to pump in blood.

Erectile dysfunction occurs when there are issues with the blood flow into the penis, blood vessel inflammation, or a problem with the nerve pathways telling your penis to get erect.

That’s why it’s essential to understand sticking needles into specific points on your body isn’t going to make your penis hard, but it can take care of the issues keeping it from getting or staying erect.

Let’s look at ways acupuncture can help blood flow…

Acupuncture Increase Blood Flow

An erection is a complicated beast that takes many different processes to work at once.

However, there’s no denying that inadequate blood flow plays a massive part in the erection as the blood is the only thing that fills the spongy tissue inside the penis.

Fortunately, acupuncture increases blood flow by stimulating a vasodilator, nitric oxide, in your body.

This helps the blood vessels to widen, which allows more blood flow. Those who have blood circulation issues take nitric oxide supplements to help get blood flow to vessels and tissues lacking nutrient-rich blood.

When tissues that haven’t been getting adequate blood flow start getting nutrient-rich blood back, then they can start repairing themselves.

This process of stimulating blood flow works hand in hand with acupuncture’s antihistamine-effect, which also opens up the blood vessels to give tissues that were previously deprived of oxygenated blood more nutrient-rich blood.

Acupuncture Reduces Inflammation

Inflammation affects your quality of life that also, unfortunately, includes your penile health.

Inflammation doesn’t just affect the penis itself, but it can completely get in the way of your routines in your daily life. It can cause pain, depression, and other issues that lead to erectile dysfunction.

One cause of inflammation is pro-inflammatory cytokines that come about as part of your body’s immune system response.

Unfortunately, your body can go a little overboard with its cytokine response to diseases.

Fortunately, acupuncture has been shown to reduce the pro-inflammatory cytokines that worsen inflammation.

Not only does acupuncture reduce pro-inflammatory cytokines, but it also helps increase the much healthier anti-inflammatory cytokines.

While the regulation of cytokines makes acupuncture a safe, yet effective, alternative to treating inflammation, it can also help release endorphins into the body.

These endorphins are natural pain relievers, and if you’re suffering from pain that affects your mental or emotional well-being, it can help increase your mood and sex drive.

If inflammation or blood flow aren’t the culprits behind your erectile dysfunction, then it’s time to take a look at the central nervous system.

Acupuncture Stimulates the Central Nervous System

Sometimes erectile dysfunction is caused by a dysfunction in the central nervous system. The brain reacting to visual or audio stimuli can make men erect.

However, when there’s a disconnect somewhere along the nerves, then it can make it hard to get an erection or maintain one.

One of the interruptions between the penis and the brain is stress.

Stress affects how your brain sends signals to the rest of your body during arousal from penile reaction to increased heart rate.

In fact, the hormones released during the body’s stress response affect your penile function.

Fortunately, acupuncture doesn’t just promote the tissue’s ability to heal itself with increased blood flow, but it can also help the nervous system’s ability to regenerate.

The strategic placement of the needles releases chemicals into your nerves, brain, and spinal cord that help activate the parasympathetic nervous system.

With acupuncture having the ability to take care of all these different causes of erectile dysfunction, it only makes sense that acupuncture improves the erection quality.

Acupuncture Improves Erection Quality

It’s no secret that exercise affects the size of the penis but not in the way you expect.

Unfortunately, exercises, the activity meant to boost your health in many ways, temporarily causes shrinkage.

It’s nothing to worry about because your body doesn’t need blood flowing to the penis during exercise, as it needs it for other parts of your body like your  muscles.

Fortunately, acupuncture can help get the blood flowing back in the right direction.

Acupuncture stimulates both the flow of energy and blood to areas of your body it needs.

Regenerating the nerves and tissues in the area to achieve balance. This doesn’t just improve the quality of your erection, but it also helps you maintain the erection during sexual intercourse.

Acupuncture helps increase the quality of the erection, but it can boost testosterone and sperm count in the penis.

Men who suffer from low testosterone will experience everything from low-libido to reduced penile function.

Boosting testosterone and balancing blood flow is a good recipe for better erection quality.

Acupuncture And Penis Enlargement – Conclusion

Erectile dysfunction is caused by a myriad of psychological or physical conditions, from stress to hormonal imbalances.

While acupuncture won’t necessarily make your penis bigger than it is, it definitely has an effect on your penile health.

With acupuncture, you’ll handle the physiological issues that get in the way of healthy sex drive and strong erections

And in my opinion, it’s may be worth dealing with a few needles to make that happen.











Trick Daddy Pleads With Dr. Miami To Give Him Penis Enlargement Surgery

By Alex Zidel

Trick Daddy asks Dr. Miami to come through with a fat transfer surgery, doubled as a penis enlargement procedure.

This article is a repost which originally appeared on HotNewHipHop

Edited for content

Dr. Miami is a well-known cosmetic surgeon, famous for his work on celebrity clients. Real name Michael Salzhauer, Dr. Miami has just been called out by Trick Daddy who is asking for a pretty unexpected procedure.

While it seems as though the Florida rapper is joking in this video, several sources are reporting that he could actually be serious.

“Dr. Miami help me man. I need your help, dawg,” said Trick Daddy on Instagram. “You won’t give me a tummy tuck, give me a fat transfer. Transfer all this fat into this dick.”

In the video, he rubs his belly and specifies that he’s looking for a fat grafting procedure.

Of course, the video is pretty funny. However, according to a couple of gossip websites, he may actually be serious. We’ll need to wait and see if the 45-year-old reality star ever touches on this again.

As of this publication, Dr. Miami has not commented on the post or addressed Trick Daddy’s surgery request.

This year, Trick has been in the news because of certain statements he has made about Trina’s manager, also battling her on Instagram Live. He was roasted earlier in the year after his recent mugshot was leaked following his arrest for drugs and DUI.

A Man Who Lost His Penis Now Has a New One Growing On His Arm

A Man Who Lost His Penis Now Has a New One Growing On His Arm

The father of two was “completely gutted” when his penis fell off due to an infection, but is excited to see his new one grafted to his groin and “ultimately used for what it was built for”.

by Jamie Clifton

This article is a repost which originally appeared on VICE

Edited for content

When he lost his penis to a blood infection, Malcolm MacDonald underwent a groundbreaking procedure to have a new one grown on his arm, before it could be grafted to his groin. However, medical delays have left the 45-year-old with the penis attached to his forearm for the last four years.

MacDonald told The Sun he was “completely gutted” when his penis fell off in 2014, after an infection in his perineum – otherwise known as the “gooch” or “grundle” – turned into sepsis.

“Because I’d been through the devastation of knowing I was going to lose it, I just picked it up and put it in the bin,” MacDonald explained to the paper. “I went to the hospital and they said the best they could do for me was to roll the remaining stump up like a little sausage roll. It was heartbreaking.”

The father of two turned to alcohol, feeling like “a shadow of a man” for the two years after losing his penis, until his GP referred him to Professor David Ralph, a phallus construction expert at University College Hospital London (UCHL).

Dr Ralph – who, in 2018, created a “bionic penis” for a British man who was born without one – told MacDonald he would be able to build him a penis out of skin from his left arm. In a £50,000 NHS-funded procedure, doctors were able to roll this skin – containing nerves and blood vessels – into the shape of a penis, before adding a urethra and two tubes that will allow MacDonald to pump the appendage into an erection.

The plan was to attach the penis to Mr MacDonald’s groin in 2018, two years after it had been grafted to his arm. However, he had to miss the scheduled operation due to illness, and the surgery kept being pushed back for other reasons.

A UCHL spokesperson told The Sun that MacDonald had missed or cancelled a number of appointments to complete the procedure pre-lockdown. “We will try to rearrange his surgery as soon we are able, now that services are gradually returning closer to normal following lockdown,” they added.

“The delays have been hard to deal with,” MacDonald told The Sun, adding that he’s unable to run because the penis “waggles about”, and that he cannot go swimming or wear a short-sleeved shirt.

However, he did say, “When I saw it on my arm for the first time, I was so, so proud,” telling the paper, “I took to it so much I nicknamed it ‘Jimmy’. That was what me and my mates called each other growing up, and this penis was definitely my new mate.”

“Not having a penis felt awful. It’s most men’s worst fear,” he said. “For me, I was never worried about sex, because I already had two children. It was always more about my self-confidence and simple things like using the loo.”

“I can’t lie, having a penis on your arm for four years is a really strange thing to live with,” he added. “But I am determined this penis will be ultimately used for what it was built for.”