Posted by admin on March 27, 2009 under Men's Health-Erectile Dysfunction | 
One of the most common obstacles to satisfying sex stems from feelings of anxiety. There are numerous causes, including fear of not being able to perform adequately, dissatisfaction with penis size, self-consciousness about body appearance (especially weight), and financial or health concerns. Sometimes fear itself is a factor.
On a strictly physiological basis, anxiety can effectively prevent a man from becoming aroused and getting or maintaining an erection. It can also limit or even destroy spontaneity and curtail the partner’s exploration of new sexual territory.
Consider the case of Linda and Greg. His ED had been brought on by a combination of factors including obesity, insomnia, and stress. Sadly, all three of his conditions were a response to Linda’s precarious state of health. She was diagnosed with breast cancer at the age of thirty-eight. Greg, three years older and devoted to his wife, wasn’t all that surprised when his own problems began. When they came to see me two years later, their circumstances had, fortunately, changed. Linda had come through surgery and a course of radiation weak but determined. Her prognosis was excellent. Greg, however, still had his ED.
“It’s not that I don’t want to have erections again,” he began nervously. “It’s that I’m worried that after I take the medication and can function again, I’ll hurt Linda. She’s so thin and frail, I’m afraid to have sex with her.”
“You’ve been scared to touch me for two years,” she challenged him.
“That’s because I saw what was happening to you and it put a brake on me.”
Linda regarded him with a combination of sadness and anger. “I think you’re just put off by how I look. Be honest, Greg—isn’t it true?”
Smiling ruefully, he answered, “The truth is, I look a lot worse than you do.”
Throwing her hands up in the air, Linda exclaimed, “The competition never ends. Greg, I want you to know—in front of a witness— that I want you again, spare tire and all. If you want me, then it’s with my buzz cut and protruding ribs. But you have to stop being afraid of me. I’m not going to break—and you’re not going to hurt me any more than I’m going to hurt you.”
This situation is not an unusual one: sex is often a casualty of cancer. Please note that sex will not cause the disease to spread; nor are women who receive radiation dangerous to your health. (This is a particular concern for men whose partners have cervical cancer.)
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Posted by admin on March 26, 2009 under Men's Health-Erectile Dysfunction |
During erection, the body’s nervous system is the central computer that tells the arteries when to open up and increase blood flow into the penis. It also controls ejaculation. But the nervous system doesn’t just give orders to open and close. It also sends messages from the penis to the brain. A man becoming aroused has his nervous system operating in full gear. The taste of his lover’s mouth, the touch of her hand, the sound of her voice, the smell and sight of her body all send messages to the brain, which then orders the arteries to send more blood to the penis. And the sensations of pleasure in his penis and throughout his body are transmitted through the nervous system to the brain.
Your emotions and your state of mind affect your physical ability to get an erection. Here’s where the nervous system plays such an important role. There are two parts to the unconscious (or autonomic) nervous system which control erections: the parasympathetic network, which relaxes you, and the sympathetic system, which puts your whole body on alert.
During erection, the parasympathetic nervous system is in full gear, sending messages to the arteries and sinuses to expand and let more blood into the penis. The parasympathetic nervous system also plays a crucial role in food digestion and in relaxation.
In contrast, the sympathetic nervous system is the uptight partner in this operation. These nerves tell the arteries and sinuses in the penis to constrict and decrease blood flow. They go into full gear when you are anxious or tense, shifting blood away from your penis and digestive system into your muscles. Therefore, a man who is tense and anxious might be physically unable to get an erection because the overactivity of his sympathetic nervous system is clamping down on the blood flow into his penis.
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Posted by admin on March 20, 2009 under Men's Health-Erectile Dysfunction |
• Can she move so that stimulation remains good?
• Does it allow her to see her partner?
• Is it comfortable during the latter stages of pregnancy?
• Can she or her partner reach her clitoris easily?
• Does it allow her to kiss her partner and hold him close?
• Will it stimulate her G-spot?
• Is it comfortable?
• Does it allow her partner to reach her breasts?
• When in the position, can she reach down and touch her partner’s scrotum?
• Is it good for cuddling?
• Does it allow good skin contact?
• Is it good for conception?
• What sort of penetration does it allow – shallow or deep – and is it the sort she wants?
• Is it good for learning sex with a new or shy partner?
• Does it stimulate the back or front vaginal wall?
• Does it allow her to take a dominant (or submissive) role?
• Can she look into her partner’s eyes and speak to him?
Often, when couples whose sex life has gone off the boil consult me about making improvements, one of the first questions I ask is whether they vary the way they make love. Many of these couples have tied themselves to a single position for lovemaking, and it has simply become boring. The missionary position with the man on top and the woman underneath is most commonly used and, for some couples, never varied. (It is so-named because it was forcibly advocated by missionaries who took their faith to “heathen” or “uncivilized” peoples.) For many years the church tolerated this position and no other, since it was thought to be the one in which the woman would almost certainly be fertilized. This rigidly adhered-to tradition allowed the man always to adopt the dominant role during sexual intercourse and to experience most or all of the pleasure of sex.
But between consenting lovers, all coital positions are perfectly normal and legitimate, and everyone’s sex lives will certainly be enlivened by a little adventure and experimentation.
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Posted by admin on under Men's Health-Erectile Dysfunction |
For numerous people, the anus and its surrounding area are very sensitive sexually, and for some it is their most erogenous zone. The anal region is well supplied with nerves that follow a similar pathway to the nerves supplying the penis and vagina. Anal stimulation, therefore, gives deep feelings of sexual pleasure unobtainable in other ways, and adds variety to lovemaking. Orgasm that occurs as a result of anal penetration is thought by many to be exceptionally exquisite.
The most basic form of anal stimulation is merely touching your partner’s anus during intercourse or oral sex. This is an activity known as “postillionage”. More sensation can be produced by inserting a finger into the rectum. When doing this, always lubricate your finger first, and make sure your nail isn’t jagged or you could cause harm. Never do this if you have any infection on your finger or hand.
Another technique, gluteal sex, involves the man using the crease of the woman’s buttocks as an alternative to the vagina. If the woman contracts her gluteal muscles and rotates her pelvis, the man can thrust into there and reach orgasm this way.
Anal penetration carries with it the risk of AIDS, and if performed over a long time, can lead to stretching of the anal sphincter, which could lead to incontinence. However, the illicit overtones of the act (it is illegal in many parts of the world), the dominant and submissive qualities inherent in it, and the particular sensations it inspires are, to its practitioners, alluring and attractive reasons for indulging in it, and quite a few heterosexuals do.
Stimulating a Woman-Using very gentle pressure, insert a well lubricated finger into the rectum or move it gently in and out. Keep the heel of your hand pressed firmly between the anus and the vulva. As you apply pressure from the outside, ask your partner to bear down on your finger. This may help to tighten up the anal sphincter deliberately, and then let it relax.
For reasons of hygiene, once you have inserted your finger into the rectum, keep it well away from the vagina, and make sure that you wash it thoroughly immediately afterwards.
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Posted by admin on under Men's Health-Erectile Dysfunction |
Women enjoy kissing very much, and most complain that they don’t get enough of it – too many men proceed to genital touching far too soon. Women enjoy a rather gradual progression to the genitals, and like having their ears, necks, shoulders, breasts, stomachs, inner thighs, knees and feet kissed along the way. Women also use kissing as a way of initiating sex and stimulating interest in their partners.
Simple kisses on the lips can be quite delicious but many women enjoy deep
tongue-to-tongue kisses and hard, prolonged kisses on the lips. You will be almost certain to arouse your partner by kissing and caressing certain areas such as the back of her neck, her hair, ears, cheeks and eyelids. Use deep, sensuous kisses to stimulate your partners lips and tongue and the inside of her mouth. Tantalize her by flicking your tongue in and out of her mouth and try to have your tongues touching.
Gentle biting and nibbling can be highly erotic as well, but its best to avoid “love bites” on the genitals, which are highly sensitive and may be damaged or caused excessive pain, and on the breasts, where gentle sucking is more widely preferred. Some women can even reach orgasm this way. And for many women, kissing can be an end in itself.
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Posted by admin on under Men's Health-Erectile Dysfunction |
Social responsiveness is not the same as sexual encouragement. And invitations can be misunderstood. For instance, when you’re invited to a lady’s home for the first time and told to make yourself comfortable, do you remove your jacket, loosen your tie and lounge on the sofa? Do you allow your anticipation to show and then, when the lady returns in jeans and an old shirt, do you feel an absolute fool when she says, “What do you think you’re doing, moving in? I’ve got to finish putting up my bookshelves. You can get yourself a drink before letting yourself out.”
Nor should you expect every single encounter to lead to great romance or sex. If you get too serious or expect a woman to give you more than she is prepared to, you will probably make her retreat. Many women prefer a softer approach to an overtly sexual come-on, and it is not a good idea to be familiar too soon. Express your admiration and interest but stay away from endearments or physical caresses at first.
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Posted by admin on under Men's Health-Erectile Dysfunction |
The speed of response by the clitoris depends on whether it is stimulated directly or indirectly. The most rapid response depends on direct stimulation of the clitoral body or the mons area. Indirect stimulation, which includes manipulation of other erogenous zones such as the breasts or vagina, without direct clitoral contact, has a definite but certainly slower response.
The only form of direct stimulation is touch – by the fingers, mouth or erect penis — and most women require touch in addition to penetration to achieve orgasm. Because of its position, the clitoris is not stimulated directly during intercourse, so movements of the penis on its own are often insufficient to excite the clitoris to orgasm. However, indirect stimulation of the clitoris does develop with penile thrusting, the body being pulled downwards and then the hood being released. Desire begins in the brain, which then sends messages to the body that result in a variety of changes indicating arousal. Arousal, if prolonged sufficiently, leads to climax, and with orgasm, muscular tension is released and the flow of blood to the pelvis is reversed.
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Posted by admin on March 12, 2009 under Men's Health-Erectile Dysfunction |
Prevention of infection in health care establishments
Health care establishments including medical practitioners’ rooms should establish appropriate infection control guidelines to prevent exposure of staff to blood and body fluids. Detailed Infection control guidelines have been published by the AIDS Task Force. Staff at risk of hepatitis В should be immunised.
Management of exposure
Hepatitis В immunoglobulin (HBIG) is effective in protecting a person exposed to infection e.g. the sexual contact of a carrier or a person exposed to infection by a needlestick injury. HBI should be given soon after exposure (within 72 hours of a needlestick). Such a patient should be immunised.
Management of infants of hepatitis В carrier mothers Antenatal testing for HB There is a high risk of chronic infection in babies born to carrier mothers markers should be routine and me testing of pregnant women should be routine. The infants of carrier
mothers should be given immunoglobulin within hours of birth and
immunised. The infants of mothers who belong to high risk groups but
who are marker free should be immunised.
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Posted by admin on under Men's Health-Erectile Dysfunction |
The treatment of choice is erythromycin 500 mg every 6 hours for at least 7 days and continued until the lesions heal. Alternatively, trimethoprim and sulphamethoxazole (160/800 mg) twice daily for at least 7 days, or intramuscular ceftriaxone may be used.
Local therapy has an important role particularly in the treatment of subpreputial lesions. Lesions should be kept clean and dry by careful cleaning; the prepuce should be kept retracted until the lesions heal.
Early antibiotic treatment will usually abort the development of buboes. Inguinal buboes may be aspirated through normal skin to relieve pain but should not be incised. If buboes are incised or spontaneous eruption occurs, permanent scarring and deformity are likely.
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Posted by admin on under Men's Health-Erectile Dysfunction |
NGC may present as a vaginal discharge, as symptoms of urethritis or as low abdominal pain. Most women with NGC present as the symptom-free partners of men with NGU.
Speculum examination may reveal a cervical discharge with or without an inflamed cervix. The cervix may appear normal.
The most important complication of NGC is the spread to the upper genital tract to cause endometritis, salpingitis and PID.
Babies born to mothers infected with chlamydia are commonly infected and may present with conjunctivitis, pneumonitis or middle ear infections.
Reiter’s disease occasionally follows infection with С trachomatis.
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