Archive for December, 2008

Aging and Sex

Wednesday, December 31st, 2008

 

One of the most important needs of mankind is to relate emotionally and physically and that includes the ability to have effective sexual relationship. Sex is a natural instinct and men and women are natural sexual beings. Through sexual relationship one begets children. Probably the main purpose of sexual relationship is procreation and only at a later stage, when the family is formed and the relationship is stable that one becomes drawn towards sexual relationship for recreation. When this happens sexual relationship will take a different turn from a more penetrative sexual relationship to a more non-penetrative sexual relationship. These is not the norm for most couples especially when the male partner is still virile and consider penetrative form of sexual relationship the only approach to sexual expression.

 

Aging has an impact to sexual relationship. Problems of sexual dysfunctions both in men and women occur when men and women aged and experience deterioration in their health. Physical disability is also another negative factor. As far as the sexual organs are concerned the less they are used the less effective they become or otherwise if they are regularly used. If they cannot be used then appropriate medical intervention is recommended

 

For men with ED, the causes for ED need to be evaluated and appropriate treatment provided. The options are plenty and involved improving blood flow into the penile musculature. Viagra maybe another option provided the therapy is safe for the patients. Hormonal causes of ED need hormonal replacement therapy.

 

For women, if the problem is related to low sex drive, testosterone therapy can be provided along with estrogen therapy and if there is less lubrication, water-based lubrication can be provided. Both parties can be counseled about non-penetrative sexual relationship and TLC.

 

Touching is one of the most sensuous experiences one can enjoy but along the way this basic experience is lost. Probably all is not lost when one soon realize that touching can be a satisfying option of sexual expression.

 

ED - erectile dysfunction
TLC - tender loving care

 

ESP - Enjoyable Safe Pleasure - Your Intimate Care Partner

 

When Size is the matter!

Tuesday, December 30th, 2008

Penis enlargement products are becoming big business globally and Malaysian males are getting into it as well. There are miracle pills and oils and not to mention the various exercises and stretching massage that are advertised in the local papers with pictures of ‘Urut Gurus’ making rediculous claims.Now with the internet,junk mails full of penis enlargement materials are also getting in the e-mail in box of every person on the planet. Do they work? Are they safe? Does a man need to worry about the size of his penis? These are the issues this article will examine.

 

For starters we need a good understanding of how the penis is constructed, and how it works. The penis is composed of three chambers; the two cavernous bodies (or corpora cavernosa) which lie side by side on the top of the penis, and the spongy body (or corpus spongiosum) which is centered below the other two. The spongy body surrounds the urethra, and extends out the end of the shaft to form the glans. All three chambers contain small hollow areas that can fill with blood to produce an erection. Surrounding all three bodies is a semi-elastic membrane called the tunica albuginea. The arteries that feed blood to the penis are surrounded by smooth muscle fibers that normally limit blood flow to the penis. When a man is aroused by thought, sight, or physical stimulation, the muscle fiber relaxes and blood flow into the penis increases. The spongy tissue of the penis fills with blood, causing the penis to swell. The size of the erect penis is governed by the tunica albuginea membrane, just as a bicycle tire limits the expansion of the inner tube inside it. As with a bike tire, once the limit of the membrane is reached, further pressure results in firmness rather than expansion. The veins that drain the penis lie close to the surface, and are compressed by the erection, thus slowing flow of blood from the penis.

 

The only muscle in the penis is the smooth muscle fiber that controls erection, and this muscle can not be built up in the same way skeletal muscles can be. Even if this muscle could be strengthen, doing so would only serve to reduce blood flow to the unerect penis, making it smaller. In order to lengthen the penis the tunica albuginea and the spongy bodies would all have to be lengthened. The tunica albuginea is flexible to a point, but repeated stretching does not lengthen it the way the ear lobes can be lengthened.

 

So, “buyer beware” is vital when looking at things that claim to enlarge the penis. There is no way to guarantee you are getting what you are sold, no proof it works, and no legal recourse if it does not work. Even worse, there is no guarantee the device, exercise or product is safe. Herbs are unregulated, even though some have been proven to have nasty side affects, so harm is possible.

 

69% of men over estimated the size of the average penis, some by several inches.One other thing should be covered before we look at the methods advertised for “male growth” - how big is the average penis? In one Internet poll 69% of men over estimated the size of the average penis, some by several inches. For a long time studies done by Kinsey in the late 40s were quoted, but there are some serious problems with these studies. The Kinsey study was based on self reporting of men who responded to a post card mailed to them by the Kinsey institute. This gives us two problems, the men may have exaggerated, and the sample is not demographically valid. It has since been found that, surprise, a man with a big penis is more likely to volunteer for measurement than a man with a small penis. Web sites trying to convince men they need to be bigger give the average at 6 inches (15.25 cm) and larger, but science says otherwise.

 

So what is average? In the last ten years there have been several statistically and scientifically well done studies on penis size. The most famous of these studies, done by the University of California School of Medicine and reported in the Journal of Urology in 1996, found the average erect penis to be 5.1 inches (13cm) in length and 4.9 inches (12.5) in circumference. Studies done by the Department of Urology, University of Florence, Italy, and St. Mary’s Hospital, London, as well as at other medical institutions, have give results that vary from 5.03 to 5.3 inches (12.78 to 13.46 cm).National University of Singapore gave a figure of 10-13cm during erection and isolated Malaysian Study gave similar figure.However size vary when not erect!

 

Let’s look at the products available to make the penis bigger.

  • Pills: It only takes a bit of reasoning to understand why these could not work. What kind of drug could enter the blood stream and affect only the two specialized tissues in the penis?
  • Creams: These are targeted to the penis, and anything rubbed onto the penis is going to be carried away from the penis by the blood stream before it could get to the tunica albuginea or the spongy bodies.Some of these creams that contain aromatic oils can actually cause mild breast enlargment in some men because of the estrogenic effect of some of the aromatic oils (like teatree and lavender)!
  • Surgery: There are two techniques that doctors can perform that do actually add size, but both are full of risks. For more length a doctor can cut the ligaments that attach the penis to the pelvic bone, and then move the penis outward some. This gains a man only about an inch, risks infection, and can leave the penis less stable because it’s no longer anchored. For more width, fat can be injected into the penis. Unfortunately the fat does not stay put, and it can become lumpy or gradually leave the penis.
  • Somatotherapy: Injecting irritants into the penis skin to cause tissue expansion can be dangerous if the lax connective tissue under the skin swells and thickened.The penis skin can become enormous and the penis will look short and stumpy!Penis penetration will be impossible!
  • Stretching exercises, weights, and stretching devices: Those promoting these technics offer a variety of explanations for how they work, but most of these explanations are contrary to the facts about how the penis is constructed. Some parts of the body can be enlarged by mechanical stretching, but this has never been shown to occur with the penis, and most experts doubt the tissue involved can be expanded in this way. Some urologist have voiced concerns about scaring, nerve damage, damage to the blood vessels, and Peyronie’s disease (bent penis syndrome). While there are isolated claims in some well controlled studies of such devices eg.Andropenis-penis extension device (www.andromedical.com ) improving penis size, to date is far from conclusive.
  • Jelqing: The Jelq is the most common method of penis enlargement being touted today. Basically jelqing consists of a “milking” motion down the penis that is supposed to gradually increase both length and circumference. The technique is said to be something used by men in the Middle East for centuries. But no one can back that claim up, and experts of Middle Eastern Traditions never heard of such practices!

 

We must weigh the possible risks against the possible benefits.
The bottom line is this - pills and creams cannot possibly work, and surgery which does work can leave a man disfigured or impotent. The “unproven” methods have a theoretical chance of doing some enlarging, but they also have a very real chance of doing long term and permanent harm if not monitored by professionsls. In the end each couple must weigh the possible risks against the possible benefits. We have looked at the risk. what about the benefits?

 

So, does size really does matter, and can a penis be too big? We have heard from several men and women who have problems enjoying sex because his penis is large - it may be a rare problem, but it does happen. The book “The Kinsey Institute New Report on Sex” (1990) says that more women report concerns and apprehension about too large a penis than report being unhappy with a smaller penis.But for guys who are really small, do not hesitate to seek professional help.Getting treatment from charlatans can be disaster!

 

ESP - Enjoyable Safe Pleasure - Your Intimate Care Partner

 

How to bend my penis to upward not downward?

Tuesday, December 30th, 2008

Question:
Dr, can you give me an advice for me to bend my penis to upward not downward? Because my penis cannot straight upward and short. Please help me doctor.

 


Answer:
The human penis in a non erect state appears small and tipped downwards. When fully erect it tipped upwards when the pelvic muscles are fully contract, or it bend downwards if the tip is heavier or the pelvic muscles are not firmly contracted. The purpose of the erection is for vaginal penetration and if the position of the erect penis does not interfere with this then there is no issue. If the penis size in the erected state is an issue, placing it upwards or downwards will not influence its size. Considering the shape and size of the penis is related to the owners genes and ethnicity then that dimension must be right for him and his female partner unless the penis is really small and in the case he might need to get his penis examined and get medical advice. Besides surgical procedure to enhance penis shape and size through Augmentation Phalloplasty that may need a plastic surgeon consultation, he might want to check on this penis extension device called the Andropenis. This device has been evaluated and found to be very penis friendly. You might want to try using this device before going for something serious. You can view information about the Andropenis device in the website www.andromedical.com

 


ESP - Enjoyable Safe Pleasure - Your Intimate Care Partner

 

Vaginal inflammation

Tuesday, December 30th, 2008

Original Question:
Masalah saya ialah
a.Vagina saya mengeluarkan cecair kekuningan dan berbau hanyir.
b.Vagina saya mengalami masalah kekeringan dan apabila melakukan perhubungan intim, saya akan merasa sakit

Bagaimana cara untuk saya mengatasi masalah ini. Terima Kasih.

 

Jawapan Soalan:
Cecair yang keluar dari vagina kebiasaannya jernih dan jarang berbau kecuali cecair yang keluar itu hasil keradangan vagina akibat jangkitan. Jika cecair itu kekuningan maka kemungkinan besar cecair yang keluar itu mengandungi nanah dan kuman. Anda perlu rujuk kepada doktor untuk menjalani pemeriksaan dan ujian kepada cecair itu, menentukan jika anda ada menghidap jangkitan faraj. Rawatan sewajar akan diberi setelah doktor mengesan infeksi.
Keradangan faraj menggangu proses penghasilan cecair pelembap mukosa faraj dan secara langsung membuat faraj kurang menghasilkan cecair pelicin dan menggangu hubungan intim seksual. Apabila masalah faraj dah selesai, keadaan akan menjadi sediakala. Untuk sementara waktu anda boleh gunakan pelicin atau ‘lubricant’, seperti yang dipaparkan dalam laman ini.

 

Answer:
Vaginal secretions are usually watery, colourless and odourless unless the vaginal secretions were due to vaginal inflammation caused by infections. If the vaginal secretions are yellowish there is a strong possibility the secretions contains pus cells and bacteria. You need to seek medical assistance and need to be examined if the vaginal secretions contain infections. Appropriate treatment will be provided by the doctor once the infection has been identified.
Inflammation of the vaginal mucosa affect the proper function of the mucosa and will interfere with the production of natural lubrication and affect sexual intimacies. Once the vaginal problems are overcome then the situation will be resolved. Meanwhile it is recommended to use vaginal lubricants and examples of such lubricants are in this web.

 

ESP - Enjoyable Safe Pleasure - Your Intimate Care Partner

 

Is there anything we can do differently to speed up an orgasm?

Monday, December 29th, 2008

Question:
It takes me forever to have an orgasm. My husband is so patient with me. He touches me in all the right places and it feels good. Is there anything we can do differently to speed up an orgasm?

 

Answer:
Recent studies on female orgasms reported women need to be mentally prepared and ready for a sexual encounter and cannot be rushed to sex. This means that what is happening to you might just be the issue of being rushed into lovemaking when you are actually not that ready. Maybe your husband needs to take it slow when come to arousing you. You need to lead him on and work your self into getting off at your own pace. This will also be rewarding to him since men feel great if they can make their partner climax. This is an ego thing for men.

 

ESP - Enjoyable Safe Pleasure - Your Intimate Care Partner

 

Which ED drugs are safe and effective?

Tuesday, December 16th, 2008

Question:
I will be sixty (come next January) and my wife is two years younger. We have sex once a week with the aid of Viagra. However, I read a recent article on Viagra which stated that it can cause “stroke in the eyes”. Since then I have stopped taking Viagra and now am unable to have sex anymore. My sex life is empty and I am at a total loss because I feel very embarrassed to go to the doctor or pharmacies to ask for other ED drugs at my age. Could you please let me know about other ED drugs, which are safe and effective that can be bought over the counters without any hassles?

 

Answer:
Erectile dysfunction of various stages afflicts about 2.4 million Malaysian men above the age of 40 and you are not alone. Less than 2% of these men ever seek medical assistance. A majority of them are like you, trying all sorts of medications without doctor’s prescription or without seeking your friendly Family Physician. Seeking medical assistance is never a hassle and ones see the pharmacist to fill ones prescription and not seeking treatment. Being sick is not a sign of weakness so also having problems with erection.It is high time men understand this. Taking a scheduled ‘poisonous’ drug like Viagra without doctor’ advice can be dangerous because you do not know who to refer to if you were to experience any side effects. The loss of vision associated with PDE-Inhibitor like Viagra is due to a condition called nonarteritic anterior ischemic optic neuropathy (NAION). NAION presents itself with a painless onset of a vision loss in one eye. The most common visual symptom is an inferior visual field defect, where the lower half of an object appears blurred blocked; the drug’s label currently has no warning of a risk of permanent vision loss. However Viagra as with other PDE-5 inhibitors like Cilais and Levitra have been the favorites because of the convenience of being oral medications. These drugs are safe if prescribed by a Physician and not otherwise. There are other treatment options available for the management of erectile dysfunction besides the oral medications.Intracavernosal injection therapy, vacuum erect aid devices and penile implants are some of the treatment available. Complimentary therapy includes active glycoprotein extracts of the herbs Tribulus and Eurycoma (Tongkat Ali) which has been found to be proerectile and seems to work for some men with mild ED.

 

ESP - Enjoyable Safe Pleasure - Your Intimate Care Partner