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A fiery debate has long raged in the medical profession on whether male menopause actually exists and what, if any, is its effect on male sexual performance. The questions are many. If it really does exist, at what age will it begin to affect their sexual performance?
What precautions can be taken to avoid its arrival and are there treatments to help reverse it? If it's real, how does it differ from female menopause? It's a no-brainer that men go through sexuality changes as they age, just as women do. The erection-on-demand performance they enjoyed as teens is no longer the case at age forty. Little by little as they age, men begin to notice changes in their sexual performance as the urge for sex also lessens.
As they age, it takes longer for men to get an erection to come on and the penis requires more direct stimulation to get and stay aroused. The erection may also be angled, rather than straight and rigid and ejaculation may not be as forceful. Also, the time it takes between erections gets longer.
Rather than physical, the decrease in a man's sexual performance could also be due to psychological factors like a mid-life crisis. His waning sexual performance could be blamed on any number of external factors. It could be due to lack of interest in an aging wife who isn't the babe she was ten years ago, the stress of work, demands of growing children, or financial difficulties, even worries about caring for aging parents.
So how do you differentiate between a mid-life crisis and male menopause? A mid-life crisis is more a problem of psycho-social adjustment, meaning it may have nothing to do with a man's sex life. However, male menopause is distinctly physiological in nature, similar in many ways to female menopause. Because frequently men can have both physical and psychological factors affecting them, the line between male menopause and mid-life crisis becomes hazy.
Although menopause is most often associated with women, men experience a different type of menopause or 'life change.' Where women cease to menstruate and usually can no longer get pregnant, men can continue to father children. Symptoms of menopause in both men and women are similar and can sometimes be just as overwhelming.
As reported in Andrology: The Science of Dysfunctions of the Male Reproductive System, approximately 40% of men between 40 and 60 will experience some degree of lethargy, depression, irritability, mood swings, hot flashes, insomnia, decreased sex drive, weakness, loss of both lean body mass and bone mass, making them susceptible to hip fractures, and difficulty in attaining and sustaining erections (impotence).
Testosterone (male sex hormone) stimulates sexual development in male infants, bone and muscle growth in adult males and also controls sex drive and male sexual performance. The levels of testosterone diminish gradually after age 40. In healthy males age 55, the amount of testosterone is significantly lower than 10 years earlier, and by 80 decreases to pre-puberty levels.
In 1944 what is now described as male menopause was reported in a key article written by two American doctors, Carl Heller and Gordon Myers. Comparing symptoms with that of female menopause, they did a blind controlled trial showing the effectiveness of testosterone treatment.
But like many pioneering efforts their findings were vastly unreported due to men being unwilling to accept that they could have 'menopause,' while men with genuine symptoms and sexual dysfunctions were often told it was a mid-life crisis or just in their heads.
Around the same time testosterone therapy had come into disrepute in the public eye due to athletes misuse and abuse. So the concept of male hormone replacement therapy for male menopause symptoms, impotence, or sexual performance problems wasn't very well received.
Added to that, the hype about side effects and the tie between prostate cancer and hormone replacement further negated its acceptance by many men.
Only after HRT (Hormone Replacement Therapy) became popular and produced desirable results for women, providing tangible improvement in symptoms and 'age reversal' in post-menopausal women, did men begin to take notice and jump on the bandwagon, not wanting to get left behind their female counterparts.
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Coldsores, also called fever blisters and oral herpes, are a global epidemic - or pandemic.
Coldsores are the visible symptom of an active herpes virus infestation. More specifically, coldsores are the result of the reproduction process of the herpes virus.
The World Health Organization estimates 85% to 91% of the world population currently carries the herpes simplex virus type 1 or 2 (HSV-1 and HSV-2). For all practical purposes, that means just about everybody is infected with the coldsores virus. Recorded history shows that this has been true since about 500 years prior to the Roman Empire.
HSV-1 is responsible for about 80% of reoccurring coldsores. The other 20% of coldsores are caused by HSV-2.
Of those infected with the herpes virus, 76% will have one or several coldsores within the next 12 months. The other 24% often go a lifetime without experiencing any symptom of coldsores.
The herpes virus most of the time is latent, or in hibernation, in the nerve ganglia nearest to the site of your coldsores. In the case of facial coldsores, this would be in an area behind the jawbone, near the brain stem.
When the coldsores virus becomes active, they travel up the nerve fibers to the surface where they replicate and create those painful coldsores right on the end of the nerves.
Coldsores normally occur on the face, appearing on the edge of the lip, called the vermilion border. The nostril is also a common site for coldsores.
What most people don't know, however, is coldsores can appear anywhere from the waist up. For example: fingertip coldsores do occur. They're often a much more painful event because of the constant use of the fingers in our daily routine.
Coldsores are extremely contagious. The coldsores virus spreads externally, not internally. Kissing is the primary way coldsores are transmitted to others - especially from adults to children. Most people are infected before they're a dozen years old.
The lips, mouth and nose are not protected by skin and are an easy target. Coldsores can also spread to anywhere on the body where the virus can find an opening - like a cut on the finger.
Although coldsores are not life threatening, coldsores can cause a lot of grief and damage if spread to the eyes with contaminated fingers. This can cause loss of sight. Also, with oral sex, the coldsores can be spread to the vagina or penis, creating the dreaded genital herpes.
Coldsores are contagious from the first itching stage to the disappearance of the final red spot. They are most contagious during the open weeping and crust stages. The crust cracks frequently when you move your mouth, as in smiling.
The fluid from these coldsores is absolutely teaming with the coldsores virus.
Extreme caution must be taken with active coldsores. Coldsores itch and hurt a lot, so we tend to touch them frequently. Then the virus sheds to our fingers - and is easily transmitted to another location or person.
Self-control is imperative. Each time you touch your coldsores, you must wash your hands.
Keep little bottles of hand sterilizing soap or baby-wipes on hand. Baby-wipes have a sterilizing ingredient and are particularly handy and useful. You can dab the coldsores with them instead of your fingers. This also speeds healing of coldsores.
Coldsores are brought on primarily by physical stress. Keep in mind even mental stress will manifest itself physically. Colds (thus the term coldsores), fever (thus the term fever blisters), pregnancy, injury, and nearly any physical trauma can easily bring the virus out of hibernation and cause coldsores.
Fact is, upcoming weddings, according to the mail I get, are one of the biggest causes of coldsores.
There are a huge variety of treatments for coldsores. These include over-the-counter medications, prescription anti-viral pills and salves, and many natural remedies.
You'll find over-the-counter products are mainly comfort medications. None of them have ever proven to shorten your coldsores. One exception to this - some have antibacterial agents. This prevents secondary bacterial infections. If you do get a bacterial infection, and this is common, it will greatly lengthen the healing times and discomfort of your coldsores.
Much of the benefit of over-the-counters is a numbing agent to reduce pain. Some contain oils that help keep the scab softer so it doesn't crack.
Prescription medications for coldsores, up to this point, have been dismal failures. There are several brand names but the generic name for the active ingredient is acyclovir. The antiviral salve will take, maybe, one or two days off your 3-week coldsores. The antiviral pills helped reduce the number of coldsores for only 47% of the people tested. This was a very short study so it wasn't very accurate.
Please note this medication is not to be taken if you're pregnant or going to be pregnant soon. Also, there is some concern for liver damage.
Your best option, in fact your ONLY option for coldsores right now, is the variety of known natural remedies for coldsores. In real life studies, natural remedies have shortened the duration of coldsores by as much as 85%. Among these are honey, DMSO, tea tree oil, zinc, lysine, aloe vera, certain herbs and a few others in certain forms and combinations.
Coldsores can literally be a real pain. But you can easily, like many thousands of others have, discover the right combination of remedies for yourself and enjoy a lifetime of freedom from coldsores.
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Medically speaking, and also by some studies, there is a strong case for keeping the penis intact. Is circumcision a good idea or not?
There is a case for circumcision, and it is based on a study done by this author with 46 men, circumcised after their 25th year.
The Survey
The men who participated in the survey were all mature men over 25 years of age, have had sex with and without circumcision, and were able to comment directly on the difference in sexual gratification, illness, and proclivity to masturbate.
Of the 46 men, 31 were recent converts to the Jewish faith, 19 to Islam, and 6 had the procedure done for medical reasons.
The Survey Questions:
1. Is your sexual experience (a) greater, (b) the same, (c) less, after circumcision?
2. Have you noticed any difference in your incidence of genital infections since your circumcision? (a) less, (b) more, (c) no change.
3. If you masturbate, has circumcision (a) made no change in your masturbating habits, (b) you masturbate less, or (c) masturbate more.
The Results
Question #1 was answered by 32 men (a), 10 men (b), and 4 men (c)
Question #2 was answered by 35 men (a) 0 men (b) 11 men (c)
Question #3 was answered by 23 men (a) 20 men (b) 3 men (c)
The Results Interpreted
On question #1, an overwhelming majority agreed the sexual experience was more than before circumcision.
This is a very subjective question, and to compare, a man would have to had sex with and without a prepuce. No amount of conjecture on the nature of the prepuce can supplant the opinion of those who had it and then did not.
The fact that approx 70% said that their sexual experience was greater without a prepuce is significant. The fact that 91% said that is was greater or the same is very significant as a case for circumcision.
On question #2 the same majorities exist, and even a stronger case for circumcision is made. Using the studies and reasons for not circumcising men are fairly well refuted here.
Question #3 is not very clear, as the men’s masturbating habits are not clearly defined.
An old excuse for circumcision is that it would discourage men from masturbating, but this question seems only to have determined that recently circumcised men either masturbate the same as they used to (before circumcision) or less. This would tend to confirm one reason for circumcision.
Conclusions
While the above survey does not follow scientific method in its strictest form, it does have something to say from men who knew the situation before circumcision and then afterwards.
You can certainly make up your own mind as to the conclusions, but statistically, it would seem that circumcision is a good idea, rather than a negative one.
It appears the circumcised men are enjoying their sexual experiences more than they used to, are healthier, and if they masturbate, are still masturbating.
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I yearn for a simpler time. Life in this modern age can be frustrating and scary, what with the global warming and the bad cholesterol and the high-definition reruns of 'The Nanny'. I long for a more peaceful existence, free from the complications of the twenty-first century lifestyle. I'm ready to re-adopt a few of our long-forgotten traditions, to recapture the halcyon days of yore. Yesteryore, even. I'm not screwing around here.
First, I'd like to go back to using surnames to describe peoples' professions. So, if I meet a Shoemaker, I'll know he can help me patch the holes in my sneakers. If I run into a Baker, I can ask for a 'doughnut hole', without worrying how exactly he'll interpret the request. And if a Parker happens to be around -- well, maybe he can finally get my car into my garage spot. Plus, he might be turn out to be Spider-Man. That would be sweet.
While we're at it, how about if we go back to riding horses to get around? Gas prices are high, pollution is terrible, and I for one am fed up with that creepy, big-eared 'zoom zoom' brat. Much better that we should saunter around the natural way, atop large domesticated hairy animals. We can ride twelve wide down the highway, trotting and cantering our way to the office. Sure, we'll all need stables -- and salt licks, and hay bales, and the level of poop in the streets would escalate, just a touch, unless you live in Paramus -- but it's a small price to pay to be rid of our mobile metal monsters. And just think of all the glue and Big Macs we'll be able to make with the 'leftovers'.
It doesn't end there, though. I think we should settle all of our differences the old-fashioned way, too, with a nice pistol duel. If it was good enough for the founding fathers, then why not us? Put away the fancy Glocks and rifles -- those things won't help you much, anyway, once we convert back to horseback travel. Have you ever heard of a 'gallop-by shooting'? Me, neither. We'll nip an awful lot of violence in the bud, if the would-be perps were forced to use ancient flint-lock pieces to do their dirty deeds. Those things are more likely to blow off your fingers than to take out your enemy. I'd think twice before stepping off ten paces against the guy who dissed my baby's mama, that's for sure.
I suppose the Internet is out, too -- if there's anything that screams 'modern technology', it's the internet. So we'll have to get our porn somewhere else, obviously. But also our communications -- email goes out the window, too. Maybe we can Pony Express parchments to each other, or learn to send 'leetspeak' instant messages via smoke signal. Of course, if the spammers get their grubby paws on that technology, they'll fill the skies with soot, selling their snake oil and combination butter churns/penis enlargers. And you thought pop-up ads were bad; at least nobody ever got black lung from one of those.
Finally, let's start talking like the old-timers -- sorry, I mean, 'olde-timers'. All the fancy new lingo and technical jargon around today -- let's throw it all away, and replace it with words like 'forsooth' and ''verily'. Sure, nobody knows what the hell those things mean any more, but is that really any different than technoweenie talk like 'phishing' or 'emoticon'? If we're going to be unintelligible, at least we can sound Shakespearean. That's my attitude.
Would any of these measures make our lives easier? Perhaps. Maybe we should ask the Amish, before we go to all the trouble. They certainly seem happy, raising barns and riding in buggies and not smoking or drinking or dancing or... wow. If we're really serious about going 'retro', I suppose we have to fall in line with all of that uber-observant religious mumbo-jumbo, too. I never thought about that. And there's no way I'm getting up before noon on Sundays, or giving up my three-margarita breakfasts. So, never mind. Maybe the modern life isn't quite so bad, after all. Verily.
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Impotence falls into two broad categories, impotence caused by a physical condition and that caused by a psychological condition. Sometimes impotence due to a physical condition may be worsened by a psychological component. The treatment of impotence should always include treatment of the underlying cause as well.
Impotence may be treated with counseling, drugs, surgery, mechanical aids, or some combination of these. Psychological impotence lends itself best to counseling, though anyone with impotence can benefit from counseling on coping mechanisms and available treatment options. As far as drugs go, some drugs may cause impotence and replacing or removing them from an individual’s treatment plan may take care of the problem. If testosterone deficiency is the cause, replacement therapy can be started. Some drugs such as Viagra and Cialis, can be taken by mouth and act by relaxing smooth muscle in blood vessels, allowing them to carry more blood to the penis. Other drugs that also relax smooth muscle in blood vessels can be injected into the side of the penis with a tiny needle, or inserted into the tip of the male urethra in pellet form using a special applicator.
Surgical treatment options for impotence include different types of penile implants, surgery to slow down the flow of blood out of the penis, and surgery to improve the flow of blood into the penis. In some people, the use of a vacuum device or a penile splint may help the penis stay upright.
There are several lifestyle changes that may both treat impotence and prevent it. These include quitting smoking, losing weight, being physically active, treating high blood pressure and high cholesterol, and reducing stress. Besides improving sex drive and the ability to enjoy sexual intercourse, such changes can also help improve other underlying medical conditions.
