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Andropause and Bio-T Blood screening

As many of my friends are over the age of 45, I find myself concerned about their sexual health as they enter this phase of their lives. Natural production of testosterone declines after a certain age, and there are symptoms associated with it. I found a very nice Canadian website called andropause.ca that not only helps men understand what it is and what the treatment options are, but it addresses the issue that most doctors are not familiar with this condition, including your family doctor. There is a list (by province) of doctors who specialize in andropause.



I mentioned andropause to a few clients (over age 65) who have complained about weak erections and lowered libido, a few symptoms of the condition. They mentioned it to their (female) doctor, who discounted the possibility without doing a blood test that measures the bio-available testosterone in the sample. I felt sad and compelled to provide an outside source of information and a list of sympathetic doctors (at least to my Canadian friends).



Men that I know who are on supplemental testosterone have more energy, more life, and enjoy more their visits with me. When sex hormones are balanced these guys feel better than normal, and fatigue never seems to get to them like it did before supplementation. They don't accumulate body fat as fast as before, and their dicks get as hard as a rock like it did before. Erection drugs like Viagra and online pharmacy viagra work better, and that aspect makes sexual activity less worrisome.



Worrying about getting erections remove the mental energy that is needed for letting go and having fun. But with preparation and participation in adjusting to the natural changes that occur to everyone that ages, sex can get better than you remember because of the appreciation factor.



You can fully appreciate something when it is gone, and when you get it back after some effort, you will never let it slip away again. Sex is something joyful that we must never lose touch with. But when sex does leave a person's life, people around you can tell. You should witness the subtle transformation my friends undergo when they leave my apartment. Simply put, it's a good feeling for everyone!

Kidscape response to NHS Sheffield "Pleasure" leaflet

The other day I asked whether Kidscape might have a view on the dreadful leaflet "Pleasure" produced by NHS Sheffield. (See: More taxpayer-funded sex-ed filth) Peter Bradley, the Deputy Director of Kidscape, has written as follows:

Kidscape certainly have a view on the "Pleasure" leaflet produced in Sheffield. Michele Elliott has already spoken out about this on Radio Sheffield - she made Kidscape's view loud and clear. In summary - parts of the leaflet provide young people with ridiculous, irresponsible advice that may lead young people on a potential sexual path of misery and harm. This is a frequent message adults tell us about on reflection in later, more mature years.

How about a leaflet exploring the necessary skills for teenagers to say to say "No". Would the NHS fund this? With high rates of teenage pregnancy, Chlamydia and other S.T.I.'s it is incredible the same old messages are recycled, sexed up and promoted. If the professional messages don't change how can we expect young people's sexual activity to change? After 20 years of working in the sexual cheap cialis field I have seen for myself how it is far too easy for workers to hand out free condoms to children without providing accurate information or the opportunity to discuss the moral issues many young people seek to discuss but workers do not provide. Don't get me wrong, young people should be given accurate up to date information around sexual cialis and relationship options - but they must also be able to make an informed choice based on accurate, thought provoking information which is inclusive for all.

"An orgasm a day keeps the doctor away" (Stated in leaflet) - my advice - "Stick to apples".

We might have one or two differences on what constitutes appropriate discussion of moral issues, information and sexual health and relationship options but it is most encouraging that the respected child-protection charity, Kidscape, which focuses particularly on preventing bullying, has taken such a robust and sensible view on the "Pleasure" leaflet. Michelle Elliott pointed out that

"Young people under 16 should not be having sex... We know they do, but we should not encourage it."

Post-Prostatectomy Rehabilitation Improves Men's Natural Sexual Function

Men's Natural Sexual Function

This year doctors will diagnose nearly 219,000 men with prostate cancer. Many will undergo radical prostatectomy surgery. While radical prostatectomy provides an excellent cure, impotence (erectile dysfunction) is a common side effect. However early, postoperative penile rehabilitation can speed prostatectomy patients' healing, achieve natural erectile function and improve their quality of life.

Studies show that even 24 months after prostate cancer treatment sexual dysfunction was the most important quality of life issue. "Increasingly doctors are finding quality of life issues important in the overall treatment of any disease, including erectile dysfunction," said Dr. Skip Freedman, executive medical director for AllMed Healthcare Management.

Treating erectile dysfunction has changed over the last several years, and can offer men a confusing number of treatment choices. Today treatments can range from vacuum erectile devices, oral drugs and injection therapies to penile prostheses.

Working with postoperative patients, a doctor may choose either single or combined therapies based on a patient's rehabilitation need and lifestyle. "Starting penile rehabilitation early after a prostatectomy prevents tissue damage, or fibrosis, by oxygenating the cavernosa or erectile tissue," said Dr. Freedman.

Doctors commonly prescribe single oral therapies such as 5PDEI, or order cialis (trade name Viagra). Studies of these drugs show early treatment with 50 to 100 milligrams a day (or every other day) improves sexual function and that higher doses produce better results. There's also a health benefit. Using cheap cialis early preserves the smooth muscles in the penis. At 100 milligrams a day, 5PDEI increases the smooth muscle content of the cavernosa. With oral therapies, patients often will accept a lower degree of sexual satisfaction.

After post-radical prostatectomy, vacuum erectile devices (VEDs) or vacuum constriction devices (VCDs) aid earlier recurring erections while preserving the penile length and girth that heightens sexual satisfaction for men and their spouses.

Injecting vaso-active substances, such as alprostadil (Prostaglandin E1, or PGE1), increases blood flow and expands blood tissue vessels. Studies on intracavernous injections of PGE1 show it can prevent long-term postoperative damage by periodically increasing oxygenation of the spongy cavernosa tissue. Intraurethral PGE1 (MUSE, or Medicated Urethral Suppository for Erections) can promote the earlier return of spontaneous erections and sexual activity.

Intracavernous PGE1 or VCDs are best used during the first postoperative months, because they allow sexual activity to begin earlier and facilitate long-term healing. However, because of the postoperative nerve damage (neuropraxia), 5PDE1 medications are rarely successful in producing erections. In time, their efficacy improves, however.