Male Sexual Worries: Trends in the Post-Viagra Age

Male Sexual Worries: Trends in the Post-Viagra Age

This article is a repost which originally appeared on SciTechDaily

Edited for content

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

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

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

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

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

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

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

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

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

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

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

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

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

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

References:

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

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

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.

References

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2932548/

https://www.hindawi.com/journals/ecam/2013/591796/

https://pubmed.ncbi.nlm.nih.gov/11964139/

https://www.hindawi.com/journals/ecam/2013/591796/

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4896824/

https://www.sciencedaily.com/releases/2019/07/190711141256.htm

https://www.sciencedirect.com/science/article/abs/pii/S0165183899000909

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4551211/

https://pubmed.ncbi.nlm.nih.gov/30157368/

Blood clots cause 4-hour erection in man with coronavirus | Miami Herald

Did coronavirus cause a man to have a 4-hour erection? Doctors studied it to find out

By Katie Camero
July 02, 2020 02:30 PM

Edited for content

This article is a repost which originally appeared on The Miami Herald

Doctors in France believe the novel coronavirus could be to blame for a man’s erection that lasted more than four hours, a new case study says.

Blood clots found within the 62-year-old’s penis caused a painful case of priapism — the medical term for a prolonged erection — and is thought to have been triggered by the disease, according to the report published in June in The American Journal of Emergency Medicine.

The case appears to be the first that links penile erections to COVID-19, the team of doctors said.

“The clinical and laboratory presentation in our patient strongly suggests priapism related to SARS-CoV-2 infection,” the doctors said in the study. “This medical emergency should be recognized by healthcare professionals and treated promptly to prevent immediate and chronic functional complications.”

A significant number of coronavirus patients admitted to intensive care units form dangerous clots in their blood, several reports have shown. They are causing patients to have heart attacks, strokes, rashes and swollen fingers and toes, and can be found in the lungs, liver, kidneys and bowels, according to WebMD.

Some scientists speculate clotting is the result of an exhausted immune system that ends up turning against itself, causing a condition called “disseminated intravascular coagulation, where patients both bleed uncontrollably and clot too much at the same time,” the outlet said.

Others theorize the virus could be causing the clotting directly, but more research is needed to understand the phenomenon, experts say.

But when the patient visited a doctor feeling feverish and weak with a dry cough and diarrhea, there were no signs of a problematic erection, the study said. Clinicians gave the man antibiotics for what they thought was a bacterial infection.

Two days later, he was having breathing troubles and went to the hospital where he was “promptly intubated and mechanically ventilated,” the researchers said.

The patient’s blood pressure spiraled out of control and chest scans showed abnormalities in his lungs, but still no sign of an erection. It wasn’t until the patient was admitted into the ICU with fluid in his lungs that a “physical examination revealed previously unidentified priapism,” the study said.

Doctors drew blood from the man’s penis and found “dark blood clots and high carbon dioxide and low oxygen contents,” which means the clots were blocking blood from flowing out of the penis, Bruce Lee, a professor of health policy and management at the City University of New York, wrote in Forbes.

“When blood stays in the same place and can’t return to the lungs, it gets depleted of oxygen and loaded more and more with carbon dioxide,” Lee wrote.

Doctors injected medicine into the man’s penis which helped his condition, the study said.

“Although the arguments supporting a causal link between COVID-19 and priapism … are very strong in our case, reports of further cases would strengthen the evidence,” the researchers said.

Priapism is diagnosed when an erection goes on for more than four hours or isn’t related to sexual stimulation, according to the Mayo Clinic. It’s uncommon yet usually painful, and occurs in men in their 30s or older with certain conditions such as sickle cell anemia.

“Prompt treatment for priapism is usually needed to prevent tissue damage that could result in the inability to get or maintain an erection (erectile dysfunction),” the Mayo Clinic said.

 

Sexual Dysfunction: What All Men Should Know

Sexual Dysfunction: What All Men Should Know

This article is a repost which originally appeared on Women Fitness Magazine

Sexual Dysfunction: What All Men Should Know : All around the world, millions of men secretly suffer from health problems that prevent them from experiencing a fulfilling sexual life with their partner. Whether it’s the inability to get erect, ejaculate, or a loss of sexual desire or stamina, these issues affect men of all ages and backgrounds but tend to manifest with age.

More often than not, sexual potency problems arise from underlying physical or psychological causes that must be treated to allow gentlemen to enjoy healthy and satisfying sex life. In that spirit, here’s a useful reference guide covering sexual dysfunction problems in men, along with what you can do if you ever suffer from one of these conditions.

What is Sexual Dysfunction?

Essentially, male sexual dysfunction encompasses all physical or psychological conditions that avert gentlemen from experiencing normal sexual activity. These typically involve bedroom issues such as having a difficult time maintaining an erection, ejaculating too early or too late, or simply not feeling the desire to engage in intercourse. They diverge in nature and gravity and have a different diagnosis, causes, and treatments. As such, understanding these problems will enable the patient to treat it effectively and durably.

Types of Male Sexual Disorders

When it comes to sexual potency issues in men, it’s important to analyze each condition individually to fully grasp its extent and select the most appropriate solution. Sexual dysfunction comprises three main types, including:

  1. Erectile Dysfunction

    Perhaps the most widespread sexual potency issue, erectile dysfunction (ED) is characterized by the inability to grow an erection or maintain one throughout intercourse. Needless to say that impotence can have a great negative impact on performance and self-esteem, but ultimately, it’s perfectly treatable. For your reference, it’s been estimated that nearly 1 in 2 American men over the age of 40 suffer from ED to varying extents.

  2. Abnormal Ejaculation

    Another common concern pertains to ejaculation or the act of ‘coming’. While there’s no standard duration that dictates how long a man should last in bed, ejaculating too early, too late, or not at all can pose problems in a couple’s sexual dynamic. On the one hand, premature ejaculation makes a man reach orgasm too early, typically in less than 5 or 10 minutes. Naturally, this can prevent the partner from having an orgasm themselves. On the other hand, delayed ejaculation (also referred to as male orgasmic disorder) involves experiencing late ejaculation, over 30 minutes in the intercourse, or non-ejaculation.

  3. Diminished Libido

    Reduced sexual appetite can also block men from having a fulfilling sex life. It’s characterized by a decreased interest or desire in partaking in intercourse, despite having the physical ability to (usually no erectile or ejaculation problem here). Diminished libido is typically a sign of a deeper psychological ailment, which brings concrete repercussions and prevents a man from enjoying a healthy and dynamic life. There’s a lot more to find out here on how to boost your sexual stamina and drive for your pleasure and that of your partner’s. Invariably, consulting specialized online guides can be an effective first step towards alleviating this debilitating condition.

Common Causes

In modern days, thanks to the advancements in the scientific and medical fields, we possess a much clearer understanding of what may cause gentlemen to experience sexual potency issues. These symptoms often come together and result in sexual dysfunction. On a physical level, low testosterone levels, high blood pressure, prescription drugs, smoking, alcoholism, or drug abuse can take an immense toll on a man’s sex life, along with existing conditions such as diabetes, nerve damage, or strokes. On a psychological level, stress, depression, performance anxiety, relationship problems, or past sexual trauma has been proven to cause performance issues.

Treatments

Fortunately, all these sex-related problems have proven and tested remedies. The Doctor or healthcare professional will typically start by asking questions relating to your sexual activity, frequency, and habits, which you should answer in all honesty and transparency to establish the right diagnosis. Next, they will proceed with a battery of tests (blood pressure, blood sugar levels, testicular examination, prostate check) to determine whether everything is in working order. They will then prescribe the appropriate solution, whether as medication or therapy, to be followed thoroughly.

All things considered, sexual dysfunction in men can take many forms and arise from a variety of physical or psychological predispositions. Regardless of what you’re dealing with, there’s no point in feeling shame or anguish; instead, focus on finding the cause of your ailment and seek the professional medical help you need to overcome it and start enjoying a fulfilling sex life once again. Remember that, the more proactive you are, the higher your chances of finding a permanent solution to your problem.

8 Penis-Friendly Foods to Boost T-Levels, Sperm Count, and More

The best way to boost penis health? Food.

Medically reviewed by Katherine Marengo, LDN, RD — Written by Tiffany LaForge — Updated on October 23, 2018

This article is a repost which originally appeared on HealthLine

Edited for content

We often eat with our hearts and stomachs in mind, but how often do we consider how foods affect extremely specific body parts?

First things first though: no matter what we eat, the benefits are holistic — it goes where our bodies need it.

But, let’s say, if you know, that apples and carrots are good for your prostate and penis health, wouldn’t you be inclined to eat these foods more often?

That’s the goal of our below-the-belt food list.

Instead of eating as if your penis needs special attention, fill your day with foods that optimize your whole body, and in turn, help your blood bring the nutrients, vitamins, and minerals your penis needs to function. (Erectile dysfunction in younger men is rising and about 1 in 9 men will develop prostate cancer in their lifetime.)

On the plus side, enhancing your diet just might help with other concerns, such as heart disease, hormonal imbalances, fat burn, and more.

From prostate cancer, low T-levels, ED, and possibly infertility, these foods are here to help.

1. Spinach to boost testosterone levels

Spinach worked for Popeye, and it’ll help you, too.

Spinach is a super source of folate, a known blood flow-booster. Folic acid plays a critical role in male sexual function and a deficiency in folic acid has been linked to erectile dysfunction.

Cooked spinach contains 66 percent of your daily folic acid requirement per cup, making it one of the most folate-rich foods around. Additionally, spinach contains a fair amount of magnesium, which also helps improve and stimulate blood flow and has been shown to boost testosterone levels.

Spinach for penile health

  • A good source of folic acid which may help prevent erectile dysfunction.
  • Contains magnesium which has been shown to boost testosterone.
  • Pro-tip: Try our favorite spinach recipes for your next date night.

2. A daily cup of coffee for better sex

Your morning cup of java can be a below-the-belt pick-me-up, too!

Studies have found that drinking two to three cups of coffee a day may prevent erectile dysfunction. This is thanks to coffee’s most beloved ingredient: caffeine.

Caffeine is shown to improve blood flow by relaxing penile arteries and muscles, leading to stronger erections. Cheers!

Caffeine for penile health

  • Caffeine has been shown to prevent erectile dysfunction.
  • Improves blood flow by relaxing penile arteries and muscles.
  • Pro-tip: Not a fan of coffee? You can get your daily caffeine fix from Yerba Mate or matcha instead.

3. Apple peels to prevent prostate cancer

Apples have some great all-around health benefits, but one of their lesser known advantages pertains to penis health.

Apple peels, in particular, contain the active compound ursolic acid. This compound has been shown in cell studies to stop the growth of prostate cancer cells by “starving” the cells. Still, you should always follow a medical professional’s treatment plan when faced with prostate cancer.

Eat more fruits and veggies Grapes, berries, and turmeric also have similar effects. Studies suggest that men who consume more fruits and vegetables in general have better odds at beating prostate cancer.

Apples for penile health

  • Contain an active compound that may starve prostate cancer cells.
  • Men who consume more fruits and vegetables have a better prostate cancer survival rate.
  • Pro-tip: The cancer-fighting compound is contained in the peel so be sure to eat your apples with the skin on. You can also make dried apple chips or apple peel tea.

4. Supercharge your libido with avocados

The Aztecs were on to something when they named the avocado tree the “testicle tree.”

An excellent source of healthy fats, potassium, and vitamins, avocados are great for getting you in the mood.

This toast-topper favorite has vitamin E and zinc, both of which have positive effects on male sex drive and fertility. Zinc has been suggested to increase levels of free testosterone in the body, while vitamin E may improve sperm quality.

Avocados for penile health

  • Contain zinc which increases testosterone levels.
  • Are a good source of vitamin E which improves sperm quality.
  • Pro-tip: Out of ideas beyond guacamole and toast? Find inspiration with our 23 delicious ways to eat an avocado.

5. Chili peppers to spice up the bedroom

Can you handle the heat? Studies have found that men who consume spicy foods have higher-than-average testosterone levels.

While this doesn’t mean spicy food gives you testosterone, the chemical capsaicin has been shown to have bedroom advantages.

Found in hot sauce and chili peppers, capsaicin triggers the release of endorphins — the “feel good” hormone — and can rev up the libido.

Chili peppers for penile health

  • Men who eat spicy foods have higher-than-average T-levels.
  • Capsaicin found in chili peppers triggers the release of endorphins.
  • Pro-tip: There’s more health benefits to spicy foods than a healthy libido. Read about our top five here.

6. Carrots keep your sperm healthy

Looking to improve your sperm count? Science says to eat more carrots.

This fertility superfood may improve both sperm count and motility (the movement and swimming of sperm).

Research suggests this is due to the chemical carotenoids found in carrots, which is also responsible for giving the vegetable its orange color.

Carrots for penile health

  • Research finds that carrots can improve male fertility.
  • Carotenoids found in carrots may improve sperm quality and motility.
  • Pro-tip: Another vegetable high in carotenoids is sweet potatoes, which makes our list of the 14 healthiest vegetables on earth alongside carrots.

7. Oats for a bigger O

Oatmeal might not come to mind when you think of the world’s sexiest foods — but maybe it should!

Oats can be beneficial for reaching orgasm and Avena Sativa (wild oats) is considered an aphrodisiac. The amino acid L-arginine found in oats has also been shown to treat erectile dysfunction.

Like Viagra, L-arginine helps penile blood vessels relax, which is essential to maintaining an erection and reaching orgasm.

Oats for penile health

  • Wild oats are a known aphrodisiac.
  • Amino acids found in oats relax blood vessels and can help with erectile dysfunction.
  • Pro-tip: New to oats? Try our quick and easy 10-minute overnight oats, made three ways.

8. Tomatoes are a penile health trifecta

Want all the benefits in one punch? Start with tomatoes.

Tomatoes include several of the benefits listed above and can be eaten in a variety of ways.

Research shows lycopene-rich foods, like tomatoes, may help prevent prostate cancer.

Tomatoes might also be beneficial to male fertility and sperm quality — as tomatoes seem to significantly improve sperm concentration, motility, and morphology.

Tomatoes for penile health

  • Help prevent prostate cancer.
  • Are beneficial to male fertility and improve sperm concentration, motility, and morphology.
  • Pro-tip: Too busy to make your own marinara? You don’t just have to cook with tomatoes. Try drinking tomato juice for a quick and healthy way to get your daily lycopene.

Looking for more ways to ensure below-the-belt health? Check out our best tips to prevent prostate cancer and non-penile advice on improving your sex life.

After all, your health is more than one body part.


The Dangers and Risks of Penis Enlargement | Non Surgical

The Dangers and Risks of Penis Enlargement | Non Surgical

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

In this video, TotalMan discusses the dangers and risks of non surgical penis enlargement.

If you are someone that would like a bigger penis however you also want all the dangers and risks laid out so you know what to look out for, then this video is for you.

Unlike every other company or business promoting their products I’m going to tell you all about what can go wrong with non surgical penis enlargement.

So you’re someone that would love having a bigger penis. Wouldn’t we all!

So, you go online you look up penis enlargement from products to programs and pills and potions.

There is an array of so called “solutions”.

Now it’s fair enough that most companies are trying to sell you their stuff so why would they say anything about what could go wrong.

If they did that, it could mean you might not buy their stuff.

They don’t want that. So technically, they’re not lying, they’re just not telling you the whole truth.

Me on the other hand, hahaha, to hell with that. I have a conscience and I would like to sleep better at night knowing I told you everything I could.

Enjoy.
Stay safe.
Gain abundantly.
And…#DBYD … Don’t Break Your D!


 
Visit TOTALMAN SHOP for ALL of YOUR Male Enhancement needs!

Penis Fillers: The Hard Truth About If Size Really Matters

Penis Fillers: The Hard Truth About If Size Really Matters

By Pie Mulumba

This article is a repost which originally appeared on Longevity

In a world that seems to be obsessed with size, there’s a strong emphasis on having certain body parts be as big as possible, from breast implants to butt injections. That said, the need for a bigger size has resulted in the huge growth of the penis enlargement industry.

The average penis size is 5.2 inches (13.2cm) long and 4.6 inches (11.6cm) round. Now, while the debate on whether size matters rages on, it appears that some men have already made up their minds. Believing that it does indeed matter, these men, who feel under-endowed, have taken matters into their own hands by looking at pills, creams, and even vacuum pumps. However, it doesn’t end there. Enter, penis fillers.

Wait, did you just say penis fillers?

Yes, penis fillers. A non-surgical procedure, that can cost around $5000, whereby a liquid – usually hyaluronic acid – is injected into the soft tissue under the skin of the penis shaft. The purpose of the procedure is meant to increase a man’s flaccid girth, usually by one or two centimeters in circumference and the effects are intended to last for around 18 months.

Additionally, some clinics use fat injections to increase girth. The fat is harvested from another part of the patient’s body, usually the lower abdomen. Unlike hyaluronic acid, fat injections are permanent.

Are there any risks?

Mr. Asif Muneer, from the British Association of Urological Surgeons, revealed to the BBC that he would discourage his patients from partaking in any form of penis enlargement surgeries,

All these augmentation procedures are mainly to increase your flaccid girth, and it will have no benefit on your erect length – so functionally it’s not going to improve matters” he explains, “If anything, it might lead to complications that will impair their sexual function later on.”

Additional side effects may also include painful bruising, swelling, infections, unevenness scarring. There may even be a heightened risk of erectile dysfunction due to blood vessel blockage. What’s more, there is also the risk of the filler ending up in the foreskin. This would then mean that the patient would require circumcision.

So, what exactly would possess a man to have hyaluronic acid or fat harvested from his body injected into his penis shaft?

The rise of penis enhancements

When it comes to the impact that social media has on body image, a lot of the attention is focused on the woman’s perspective. However, the rise of social media and the influencers culture can also affect how men view themselves.

For instance, research published in the journal New Media and Society found that men who reported looking at male fitness posts on social media revealed that they regularly compared their appearance to others more often, and there was also an increased desire to have muscles.

Men and their best friends

It may not be premature to admit that the rise of penis enhancements goes beyond sexual satisfaction. With the constant innuendos about large sizes being more desirable, as well as men equating a large size to masculinity and sexual competence, some men may begin to have low self-esteem if they feel that their sizes aren’t up to standard. In fact, a study published in the journal Psychology of Men & Masculinity found that even men with average-size penises wish they were bigger.

Additionally, a recent study published in the Journal of Sex & Marital Therapy that asked for the male participants to self-report their penis length found that many of the men embellished their responses. In fact, only 26.9% of the sexually experienced men self-reported penis lengths of less than 6 inches. On the other hand, 30.8% self-reported lengths of 7 inches or more. What’s more, the study also suggested that men with a high level of social desirability were more likely than others to self-report having a large penis.

So with all of that said, there’s only one question left to ask;

Okay, but what do women want?

Kindness.

According to a study from Clue, that surveyed at 64 000 women, kindness is the most important thing women look for in a partner – not the size of a shaft. Speaking of which, the survey also revealed that the majority of straight women would prefer a male partner to have an average-sized penis, rather than a massive penis. That’s right – women care less about penis size than men. 

In fact, women are more worried about it being too big as opposed to too small. This is because a bigger than average penis may cause some pain and discomfort during sexual intercourse. This then reduces the chances of more sex in the future. What’s more, there is also the consensus that men with big penises will solely rely on their size. As such, they will not be as engaging or conscious of their partner’s needs. This, of course, can result in a woman being very dissatisfied with her sex life.

To men, a big penis may sound like a lovely idea in theory, but there’s really nothing to it. Rather, put your physical and mental health before anything else. After all, it’s not the size of the boat that matters, but rather the motion of the ocean.

References

Fatt, S. J., Fardouly, J., & Rapee, R. M. (2019). #malefitspo: Links between viewing fitspiration posts, muscular-ideal internalisation, appearance comparisons, body satisfaction, and exercise motivation in men. New Media & Society, 21(6), 1311–1325. https://doi.org/10.1177/1461444818821064

King, B., Duncan, L., Clinkenbeard, K., Rutland, M., et al.(2019) Social Desirability and Young Men’s Self-Reports of Penis Size, Journal of Sex & Marital Therapy, 45:5, 452-455, DOI: 10.1080/0092623X.2018.1533905

Johnston, L., McLellan, T., & McKinlay, A. (2014). (Perceived) size really does matter: Male dissatisfaction with penis size. Psychology of Men & Masculinity, 15(2), 225–228. doi: 10.1037/a0033264

6 Ways To Keep Your Penis In Peak Condition And Have The Best Sex of Your Life

6 Ways To Keep Your Penis In Peak Condition And Have The Best Sex of Your Life

A top urologist breaks down his biggest rules for male sexual wellness.

Dr. Judson Brandeis

Presented by Vitality Connect

This article is a repost which originally appeared on MAXIM

As men get older, there are certain changes that seem inevitable, especially having to do with our bodies. One of the amazing things about the advances in modern medicine is that our life expectancy is at the highest it has been in human history. And as our lives become longer, so does our appetite to enjoy ourselves with our partners. With intimacy being such an important part of every relationship, one of the most common questions I get asked is how to keep a man’s penis working well. 

Here are the six most important things I tell my patients to do if they want to have the best sex of their lives:

Check Your Testosterone Levels

Testosterone peaks for men in their twenties, and then slowly declines over time. In fact, it’s not uncommon for a man’s testosterone to drop by 75% over the remainder of his life. When testosterone is low, men often feel grumpy. Other signs include loss of muscle, fat gain, trouble sleeping, loss of libido and/or erectile dysfunction. 

By correcting testosterone deficiencies, a man can expect to enjoy many benefits normally associated with youth like an improvement in body composition, sleep quality and most notably, libido. Testosterone therapy also aids erectile function, meaning not only an increase in appetite but in performance, as well.

Boost Your Nitric Oxide Levels

There are two different, but complementary systems to move blood around the body. One, the Nitric Oxide system, releases compounds that trigger the blood vessels to open, while the Phosphodiesterase (PDE) system helps to close them. Unfortunately, as a man ages his nitric oxide levels decline. You can boost nitric oxide levels easily over time by adding more watermelon, beets and greens to your diet, or if rapid improvement is desired, taking a supplement like AFFIRM.

Explore PDE-5 Inhibitors

Replenishing your body’s nitric oxide is not the only part of a successful strategy. The other system at work during an erection is the Phosphodiesterase (PDE) system. Through research, science has been able to determine which enzymes reduce penile blood flow. It turns out the compound in question is called PDE-5 and many medications for treating ED block its function. PDE-5 inhibitors like Viagra and Cialis inhibit these enzymes, channeling blood preferentially into the penis. The medication starts working after thirty minutes and reaches full potency in about an hour. Men can take these medications daily if they want to always feel “locked and loaded.”

Find a GAINSWave Provider

While taking a nitric oxide booster or a PDE-5 inhibitor can certainly produce some results, research has shown the best outcome is when they are taken together. However, there is a critical third element that is often overlooked: the pipes. Unlike medications, GAINSWave® targets the underlying causes of erectile dysfunction, permanently growing new blood vessels to both increase the flow of blood to the penis while also improving erectile firmness. 

GAINSWave awakens dormant stem cells and triggers the release of growth factors which improve, repair and expand the blood vessels. And since GAINSWave is nonsurgical, painless and without side effects, intimacy is no longer tied to a schedule, returning spontaneity and vigor to any relationship. Therapy typically requires between six to twelve sessions, each around twenty minutes, spread out over the course of a few weeks. 

Although a little awkward at first, most patients quickly get used to any discomfort within the first few moments of the procedure. Improvement can begin immediately, but most men can expect peak performance to begin around four to six weeks post-treatment and last for a year or more depending on the health of the person.

Get Pumped

Did you know young men typically experience three to six erections every night? These erections last between five to ten minutes and account for thirty to sixty minutes of oxygenated stretching for the penis. As men age, these erections decrease in frequency and intensity, causing many men’s penis to shrink over time. 

Some even lose erectile ability completely. Using a vacuum device or pump once or twice a day to stretch the penis can help combat this. The pump artificially inflates the penis with oxygenated blood to help restore full function and size. Like the other items on this list, vacuum devices can be effective on their own, but are much more effective when used in concert with GAINSWave therapy. Vacuum devices are a great way to improve penile health as men age.

Bone Up On The Facts

Have you ever wondered why your tissue is able to repair itself seamlessly whenever you cut yourself? This is due to more than a hundred tiny, versatile growth factors stored within the platelets in your blood. Whenever there is a trauma, your body releases chemicals that attract existing platelets to the site of the injury. The result is focused growth of new blood vessels and tissue in that area. 

In medicine, platelet-rich plasma is often used with other treatments to speed healing. For a man, undergoing GAINSWave therapy can yield far better results when used in conjunction with PRP. GAINSWave plants the seed by stimulating the stem cells in the affected area. PRP is then added like fertilizer, accelerating the growth of new blood vessels within the penis. Although it has been in use in orthopedics, hair growth and dermatology, PRP therapy is only now being studied for its efficacy at repairing and restoring erectile function.

There are many options for optimizing male sexual health. Most, when used together, can not only restore your ability to enjoy life, for a lot of men it means enhancing life beyond their wildest dreams. Penile health may not be the most comfortable subject to bring up with your doctor, but the only way to ensure a great tomorrow is by doing something about it today.

I recently hosted a two-hour long webinar with wellness expert Susan Bratton that took an in-depth dive into the all the treatments that are helping men optimize their bedroom performance. Luckily, we recorded it! It’s among the most educational breakdowns on all things “penis”- related available. Watch the video above to find out why.

Zapping the penis with sound waves could tackle erectile dysfunction ‘by stimulating the growth of nerve fibres and blood vessels’

Zapping the penis with sound waves could tackle erectile dysfunction ‘by stimulating the growth of nerve fibres and blood vessels’

  • Scientists tested low-intensity extracorporeal shockwave therapy 
  • It delivers up to 2,400 pulses of sound to the shaft of the penis over 20 minutes
  • It worked significantly better than a standard erectile dysfunction pill alone 
  • Italian researchers said the pulses boost growth hormones to heal damage 

By Vanessa Chalmers Health Reporter For Mailonline

This article is a repost which originally appeared on DailyMail

Zapping the penis with sound waves could tackle erectile dysfunction, a study suggests.

Scientists tested the relatively new treatment alongside a standard pill on a group of men struggling with impotence.

They found six sessions of up to 2,400 pulses of acoustic energy to the penis gave significantly better results than the pill alone.

It is believed to work by stimulating the growth of new nerve fibres and blood vessels, restoring penis function.

The intense vibrations to the shaft during the 20-minute sessions are not painful, according to the researchers.
Shockwaves fired through the penis could be used to treat erectile dysfunction

Shockwaves fired through the penis could be used to treat erectile dysfunction

Paolo Verze, of University of Naples Federico II, Italy, said low-intensity extracorporeal shockwave therapy (LiESWT) is a ‘promising’ therapy for erectile dysfunction (ED).

The 156 study participants all had type 2 diabetes, as ED is a common problem often with more severity among those with diabetes.

It can stem from damage to nerves and blood vessels caused by poor long-term blood sugar control.

In the study, patients took a daily pill of tadalafil, branded Cialis, a standard treatment for ED, for 12 weeks.

However, half of them also had LiESWT twice a week for three weeks at the beginning of the study.

The severity of participants’ erectile dysfunction was measured using the 5-Item International Index of Erectile Function test.

WHAT IS ERECTILE DYSFUNCTION?

Erectile dysfunction, also known as impotence, is when a man is unable to get or maintain an erection.

It is more common in the over-40s but affects men of all ages.

Erectile dysfunction affects half of men aged between 40 and 70 years old, according to the British Association of Urological Surgeons.

A psychological component, often called ‘performance anxiety’ is common in men with impotence. However, a purely psychological problem is seen in only 10 per cent.

It can be a sign of an underlying medical condition such as high blood pressure or cholesterol, side effects of medication, or hormonal issues.

Of the 90 per cent of men who have an underlying physical cause, the main abnormalities found are cardiovascular disease (40 per cent), diabetes (33 per cent) and hormone problems and drugs (11 per cent).

Failure to stay erect is usually due to tiredness, stress, anxiety or alcohol, and is not a cause for concern.

Treatment usually involves lifestyle modification first, as obesity, smoking, cycling too much, drinking too much, and stress can trigger ED.

Medication with a phosphodiesterase inhibitor such as sildenafil (Viagra), tadalafil (Cialis), vardenafil (Levitra) or avanafil (Spedra) is the second choices.

Scores of 25–22 indicate no erectile dysfunction while five to seven indicate severe erectile dysfunction.

At the beginning, the men aged 57 on average, had an erectile dysfunction score of 15.5. Their score was measured four weeks, 12 weeks and 24 weeks after the study.

The scores improved significantly in both groups at four weeks, by 2.9 in the tadalafil only group, and 3.9 in the LiESWT group.

At 12 weeks, scores had improved by 3.3 in the tadalafil only group, and 4.3 in the LiESWT group.

By 24 weeks, the differences were more evident. Those who had the LiESWT had seen their erectile dysfunction improved by 3.8 compared to the 1.8 who did not have it.

A second study investigated what number of shockwaves were most effective – 1,500, 1,800 or 2,400 pulses per session.

Those who had the most intense shockwave therapy of 2,400 saw their erectile dysfunction improve the most, by 4.7 points.

Overall, the combined approach of tadalafil and LiESWT at 2,400 pulses gave ‘significant advantage’ compared to those who only had tadalafil, the researchers said.

Writing in the Asian Journal of Andrology, the authors shockwave therapy is believed to stimulate pathways that encourage growth factors.

A growth factor is a natural substance in the body which helps with healing and cell growth.

This, Dr Verze and colleagues said, may regenerate nerve fibres and blood vessels in the penis, improving blood flow.

‘Consequently, LiESWT has the potential to restore natural erections and cure the disease,’ they claim.

The study was welcomed by sexual health expert Dr Diana Gall, from online ­service Doctor 4 U.

She told The Sun: ‘Drugs such as tadalafil have long been used to treat erectile problems.

‘But shockwave therapy is an emerging weapon in the sexual health armoury and this new study offers some encouraging results.

‘When combined with erection medication, it could now offer real hope for those who suffer erectile dysfunction, particularly among the one in ten men over 40 in the UK who also have diabetes.’

Erectile dysfunction affects half of men aged between 40 and 70 years old, according to the British Association of Urological Surgeons.

Of the 90 per cent of men who have an underlying physical cause, rather than a mental struggle, a third have diabetes.

Six Sex Secrets – What you need to know to master your sexuality (part 2)

Six Sex Secrets – What you need to know to master your sexuality (part 2)

4. Mastering Lovemaking

Being sexually confident, knowing how to control your ejaculation, and having a beautiful penis is not enough if you are a lousy lover!

Learning how to satisfy a woman sexually is key to a happy relationship, and many people have been writing on this subject before me.

But I’ll give you tip about this that rarely the other “sex gurus” ever give.

The tip would be to ask your sexual partner what she likes, try it with her and get some feedback on how it was for her, then ask her and how you can make it even more pleasurable for her the next time.

It may sound simple, but rarely men ever have a conversation about their sexual performance with their lover when it’s already good. Usually, this topic only comes up when one of the partners is not happy sexually.

So just ask her today what she would like you to try in bed next time.

5. Mindful Masturbation

A lot of sexual problems are caused by consuming porn and masturbating the wrong way.

If you stop consuming porn (or at least consume softer porn and less often), and if you’ll learn how to masturbate the right way, issues like premature ejaculation and erection challenges will solve themselves in most cases.

So if you are consuming porn and you masturbate to it “the wrong way,” I would recommend considering stopping with this habit, and instead, replace it with mindful masturbation which is the right kind of self-love.

Over the years, I’ve developed five different mindful masturbation exercises, which I’ll tell you about the next time.

6. Sexuality – The Next Level

Almost no one talks about this, but there is a secret about sexuality that most men don’t know, and even those who heard about it never give it the attention it deserves.

The topic is male sexual energy, and if you learn to master it, not only you’ll gain better control over your ejaculation and erection and become a better lover automatically, but you’ll also boost your health, clarity, creativity, and success.

Sounds crazy or too good to be true?

Well, I was thinking the same way when I first heard about it.

But there is an entire chapter in the book Think and Grow Rich about sexual energy TRANSMUTATION, and this topic was well known and studied for over 3,000 years in the fat east.

And I’m not an expert on this topic because I’m still exploring it myself, but I can recommend you to read Mantak Chia’s books.

In conclusion:

You can always overcome any sex-related challenge in your life and become the kind of lover you dreamed of becoming.

Another thing that I want you to remember and understand is that if you are having a sexual challenge right now, it’s not your fault, and everything can be solved!

And most importantly, you are now on PEGym, and this is a community is here to help each other, so you are at the right place in this stage in your life, and hopefully, you’ll master your sexuality fast, and you’ll enjoy the process.

Until the next time,

David Finer

About the Author:

David Finer is the man behind VibratingLove.com. He was written extensively on matters related to male enhancement and sexuality, and has written this article specifically for PEGym members looking to get a better understanding of their overall sexuality.