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A testosterone deficiency (TD), also known as male hypogonadism, refers to the lack of testosterone, a male hormone responsible for sexual ability, male characteristics and normal brain function. Testosterone is essential for the development of male sex and reproductive organs such as penis, testicles, scrotum, prostate and seminal vesicles. Low level of this hormone causes a myriad of syndromes and problems in men?s lives.
The production of testosterone declines naturally with age. The condition is often observed in middle-aged men. Testosterone deficiency may also result from disease or damage to hypothalamus, pituitary gland or testicles. Depending on age, insufficient testosterone production can lead to diminished libido, underdeveloped genitalia, erectile dysfunction, muscle weakness and osteoporosis, loss of body hair, and depression and other mood disorders.
Testosterone deficiency can be congenital or it may build up later. Depending on the body organ where the problem first occurs, TD is classified into three different types, namely, primary testosterone deficiency (testicles), secondary testosterone deficiency (pituitary gland) and tertiary testosterone deficiency (hypothalamus). While primary testosterone deficiency results in low testosterone and normal or high gonadotropin, secondary and tertiary types account for low testosterone and low gonadotropin levels.
The common congenital causes of TD are Klinefelter's syndrome (presence of an extra X chromosome), cryptorchidism and congenital hormonal disorders. Acquired causes of TD include infections (e.g., meningitis, mumps, or syphilis), radiation treatments, glandular malformation, testicular trauma, chemotherapy, isolated LH deficiency (e.g., fertile eunuch syndrome), and tumors on the testicles, pituitary gland or hypothalamus.
Common diagnoses for testosterone deficiency include serum and blood testing, which is undertaken to determine the availability of testosterone and levels of leutenizing and gonadotropin-releasing hormones in the body. Other tests include injecting GnRH or clomiphene citrate (an estrogen), and rarely, testicular biopsy that detects malfunctions in sperm production.
Testosterone deficiency treatments involve hormone replacement therapies including testosterone injections, gel, patches and capsules. The selection of treatments is determined by age and extent of deficiency. There are also some risks associated with testosterone replacement. They include acne, mild fluid retention, breast enlargement, increased chance for sleep apnea and stimulation of prostate tissue.
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Most of the questions asked to sexual health experts are about men's early ejaculations and women's orgasm troubles. When you read this you may say: It's normal, if man is coming off quickly, woman couldn't have an orgasm! But if you really think for a few seconds, surprisingly, you won't see any relation between these two events. Because, a man if he is not a boor, will prepare his woman to reach her orgasm before his ejaculation.
The other highly popular question is about the penis size! After all that porn movies many people are really confused. How and where to find such a prominent organ? What is the normal size? How thick and long can be the biggest? How small is acceptable for lovemaking?
Every man's genital is different as his finger print and the role of the penis size in a happy and successful sexual relationship is not such important. At least you don't have to be such stupid to pay sack full money to programs, drugs or advice for making it bigger! Even with a huge organ a man's chance is very limited to make her achieve an orgasm if he is not a good lover and doesn't know proper sex techniques, most probably he will cause pain instead of pleasure.
Even a man who has a miniscule dick may be a perfect lover! The only way is to learn how to make better love, how to be a better partner, instead of being paranoiacly distressed. This is normal and this is your body, love it and try to use it more creatively and with more love. Kiss and caress every part of your partner's body for long time, arouse her enough, and go down and give her a nice oral love... until she reaches the climax.
Believe me, every woman loves and prefers such a talented lover in the place of a big dick entering a few times into your vagina before spurting out and then sleeping in his side as nothing happened! Naturally!
Having a small organ is not a guilt, a crime, if he knows his body and has developed many better solutions he is absolutely a CLEVER man and a perfect lover!
In regard to early ejaculations... This, also, is not a crime and if the man has not an organic disorder, may be corrected with some effort. But many men, instead of paying attention to their situation, act like early coming off doesn't make any difference in their sex life! Which may be true!
Actually you may consider the natural disharmony between two genders. Men, by their nature, want to thrust into a hole when aroused and squirt in, that's all! But woman needs a prior preparation, a foreplay of at least 10-15 minutes to be concentrated and ready for insertion.
One woman likes this position, another may choose that position, many women request clitoris stimulation besides men's thrusting... Many fatiguing services asked from men! And furthermore, if a serious and passionate relationship doesn't exist between partners, men are really exhausted in the bed. Is a natural error, an innate lack of harmony exists between men and women?
Let see some different type of early comers:
Type A: The worst. He doesn't even know he is an early comer. When he likes, he takes the woman under him and ejaculates. He doesn't care anything else! For the woman's orgasm? What is that? He hasn't heard anything about woman's orgasm!
Type B: He knows about woman's orgasm but act like he doesn't know. Same of the Type A, he pulls the woman under and he comes off, the only difference, if by mistake or pain, woman makes a weak sound like "ah" he will suppose she reached an orgasm but for his comfort, he will never ask her the truth!
Type C: He knows his disorder, he is sad and wants to visit a doctor but he is shamed or can't find the time to go! As a foreplay he kiss and caress her a little but he can't wait and comes off. Sometimes he can't even find times to thrust his dick into her. He is sad but life goes on!
Type D: He is aware of his early ejaculation disorder but he also knows his partner's orgasm right! So, he will kiss and caress her at great length, give her a great oral love and bring her to an orgasm. Then start to make love for himself and he comes off. Because his partner reached orgasm before his quick ejaculation there is no trouble. Partners are relaxed and happy!
That means, if a man is understanding and clever the early ejaculation is not an important obstacle on the way of a happy sexual relationship. Man may visit a doctor and try to find the main reason behind this disorder and get a treatment which is totally normal, but meantime he is kind and not selfish, gives her ultimate pleasures to reach her orgasm.
An absolutely good sex for a woman is a normal dick size, a foreplay at length, long kisses and caresses, staying inside her long enough with many thrusting, knowing her favorite positions and giving her the best pleasures... not insisting on what he wants, but understanding her and giving her what she needs to get her climax.
Please remember that if she has reached to one orgasm in her entire life, she knows the best position for her, and an intelligent man never insists on a new position which may cause a lack of concentration, he will follow her orientations.
Finally, what is the woman's responsibility in creating a harmonious sexual relationship? Women must talk and describe what they want clearly. Of course talking to the boors will not produce a positive result but intelligent men may understand your needs. Do not imitate orgasm or do not keep silent and sleep... talk to your lovers and kindly explain your desires, if not you will lose your sexual desires and even you won't be able to masturbate and get orgasm by yourself in the future!
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In the man’s body, the pituitary gland in the brain sends a hormone, called follicle-stimulating hormone, (FSH) to the testicles, which are the male sex glands. FSH signals the testicles to produce sperm, which are the male reproductive cells.
Sperm are so small they can only be seen through a microscope. Each tiny sperm has a tale that allows it to move. After sperm are produced in the testicles, they travel through a tube called the vas deferens to the seminal vesicle, which holds the mature sperm. A gland called the prostate makes seminal fluid, which is the fluid that will transport the sperm in the urethra. The urethra is a tube that extends from the bladder, through the prostate, then through the penis to the outside of the man’s body.
During sexual activity, the prostate gland becomes as full of fluid as it can comfortably hold, and it contracts (squeezes). As the prostate contracts, it draws sperm from the seminal vesicle. Seminal fluid mixed with sperm is called semen. The contractions of the prostate gland force the semen through the urethra and out the tip of the penis. This is called ejaculation. The ejaculate (semen) is a teaspoon to a tablespoon of thick milky liquid and contains millions of microscopic sperm. During sexual activity, but before ejaculation, the penis becomes engorged with blood. This causes the penis to become firm and erect, and is called the male erection. The male erection allows the penis to pass into the vagina of the woman.
When a man has an erection a valve closes between the prostate gland and the bladder to prevent urine from being released when semen is ejaculated. Practically speaking, this means that a man cannot urinate and ejaculate at the same time.
To begin the reproductive cycle in a woman’s body, a hormone, called follicle-stimulating hormone, (FSH) is produced by the pituitary gland in the brain. FSH travels through the bloodstream to the ovaries, causing a few of the many tiny follicles there to begin ripening, or maturing. Each follicle is a tiny ring of cells with a tiny ovum, or egg, inside. As the follicles ripen, they produce another hormone, called estrogen. Estrogen causes the cervix, the opening of the uterus, to begin making moisture and mucus. This is when a woman notices wetness or mucus outside the vagina. This mucus is not a sign of disease. It is a natural part of the cycle and indicates that the ova are maturing in the ovaries. If intercourse occurs at this time, the mucus will protect the sperm from the acidity of the vagina, assuring that the sperm will still be alive at ovulation.
Estrogen also causes the endometrium, the lining of the uterus, to grow soft and spongy, forming a kind of bed that can, in the event of pregnancy, hold and nourish a baby. Finally, estrogen signals the pituitary gland in the brain that some follicles have matured in the ovaries.
When the pituitary gland receives the message that some follicles have matured, it produces another hormone, leutenizing hormone, or LH. LH causes one of the ripening follicles to release its ovum into a fallopian tube. This is called ovulation. Once ejaculation has deposited the sperm in the women’s vagina, they swim up the vagina to the uterus. They do not know which fallopian tube may contain the ovum, and so they swim both ways. When a sperm penetrates the ovum, it is called fertilization. Dividing and maturing as it goes, the fertilized ovum is moved slowly along the fallopian tube toward the uterus by the cilia, tiny hairs inside the fallopian tubes. In six or seven days, the fertilized ovum implants in the endometrium (the lining of the uterus), which is the bed that has been created to receive it. Menstruation does not occur, because the fertilized ovum, growing and developing in the uterus, creates hormones that maintain the uterine lining. The woman realizes she has conceived
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If you are still waiting for a happiness pill to be invented by scientists, you might not have to wait long. It has been less than a decade since the launch of sildenafil citrate (Viagra) - the first oral drug to help men with erectile dysfunctions.
While Viagra is not the first drug to address erectile dysfunction, it is the first drug to be taken orally. Before that, the drugs that were used were either injected directly into the penis, or were inserted into the urethra at the tip of the penis.
After Viagra, new drugs from the same class - vardenafil hydrochloride (Levitra) and tadalafil (Cialis) – followed soon. What they have in common is that they are taken an hour before sexual activity, and the chemical reactions they cause lead to increased blood flow in the penis.
They should not be taken more than once a day. They should not be taken at all if the patient takes other drugs, because they might combine to cause blood pressure problems or heart attacks.
Other oral drugs for erectile dysfunction are said to deliver good results, but for now there is no indisputable evidence that the resulting erection is due to them, rather than to the placebo effect. Some of the oral medications (for instance, testosterone) may damage the liver, so erectile dysfunction drugs should not be taken unless prescribed by a doctor.
Drugs which are injected into the penis or inserted into the urethra may lead to stronger and longer erections but they are known for their side effects, such as aching, priapism (persistent erection), bleeding, scarring, etc. And since research is advancing rapidly, it is much better to wait a little longer for a better drug.
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When trying to improving any aspect of your health, cutting down on stress is virtually always helpful. In men, emotional stress is thought to reduce sperm count by interfering with normal hormone production. When there is a longing desire on the part of a couple to have a child, it adds to the overall stress level for both partners. Anti-stress activities are always a good idea. Such activities include regular gentle exercise, deep breathing and progressive relaxation, and getting enough sleep.
Women who are struggling with infertility have been found to struggle with depression as much as women with life threatening diseases like cancer! For both partners, the inability to produce a baby has a tendency to erode the self-esteem. Much of our self image hinges on our femininity or our masculinity. We feel less as a woman, especially when we are around our friends who seem to be able to get pregnant "every time their husband lays his pants on the bed" as the old saying goes. The same loss of self-worth happens to our husbands, and we know how delicate men's egos can be! (Women's egos, too?)
Infertility can strain the relationship, too. If one partner blames the other, a wall can begin to grow between the two of you. Between the growing disappointment and the necessity to perform on demand when the ovulation indicators say to, the stress on the marriage can be serious. The best way to remedy this is to affirm to your spouse that you will face the problem together, being glad you have them even with the disappointment of infertility.
Having the support of a group of other couples dealing with the same problems can be a big help to your emotional outlook. That support group can even be online.
The sexual relationship can be stressed by infertility, since performance is related to success. However, if you stop to think about it, there are only a few days you can become pregnant. If you focus on the relationship the rest of the time, you can rekindle those warm fuzzies and enjoy sex more, which is good for the emotional side of the relationship. Sometimes taking a break from the temperature charting and scheduled rendezvous can make a big difference, even resulting in the pregnancy that has been so elusive.
Baby showers can be difficult, as can social gathering where many of your friends' and family members' children will be in attendance. It is permissible to skip the showers. Simply send a gift ahead or with someone else. Grab something quick or order something online, but don't take a long time shopping through baby clothes. Board books or some baby toiletries can be picked up without a long stay in the baby department.
In any difficult time of waiting and disappointment, it's a good idea to stay busy. Use the free time you have to enjoy hobbies or learn new skills. Enjoy humor with your single friends and your spouse.
One distressing but normal part of trying hard to get pregnant is that you can psychologically imagine that you have the symptoms of pregnancy, such as nausea and frequent urination. It is very easy to get your hopes up every month. If a home pregnancy test comes out negative, however, it's probably accurate. They tend to be very reliable. There's even a condition called pseudocyesis in which women experience even more symptoms, such as feeling movements and even the abdomen increasing in size. This condition is sometimes called a false pregnancy, and is most common in married women who have experienced pregnancy before. Premenstrual symptoms can mimic pregnancy symptoms with nausea and breast enlargement being quite common sensations. It is disappointing, however, when your period starts a day or two later. Try not to let a little nausea make you get your hopes up.
In some cases a woman has all the symptoms of pregnancy, and even have a positive result on a pregnancy test. Yet a miscarriage happens a month or two later, and no fetus is found in the material discharged. This condition is called a "blighted ovum" and probably indicates a baby was conceived but had genetic abnormalities which prevented it from developing normally.
As with any endeavor in life, positive thinking can make a big difference. If you can keep from giving up hope, it will help. It also helps to place the outcome of your quest for a baby into the hands of a higher power. Prayer has helped many seemingly infertile couples go on to produce a houseful of happy, healthy children. Striving to be at peace with the outcome is imperative, however, because ultimately, a child is a gift from God, and it doesn't help matters to struggle emotionally with the things we can't understand.
