Performance Anxiety when Trying to Conceive

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November 12th, 2014

When you first start trying to have a baby, it can seem too good to be true. There are no more condoms to fool around with. Your partner may be extra motivated, which is always fun. Certain days you know, no matter what happened that day, you are getting lucky that night. But after some time, say months or even a year, what was once an added bonus can turn into a liability. Los Angeles marriage and family therapist Aaron Buckwalter says, “…after 6 months of no pregnancy, people start to get a little worried. Part of this worry derives from hearing so much about infertility that people start to get anxious and move rapidly into concern about infertility.” This is where sex turns a corner. Instead of fun, it becomes a chore. Buckwalter says, “Some books and doctors recommend having sex twice a day during the ovulation period. Having sex 6 times in three days sounds like it could be fun, but can lead to performance anxiety and often anger and resentment.” This negativity is carried into the bedroom. But how men and women deal with such emotions is different.anxiety (1)

“Men do typically bear the brunt of performance anxiety as couples try to conceive,” Buckwalter says. “When the pressure is on to have sex numerous times in a short time period, many men have erection difficulties and also difficulty achieving orgasm each time. If there is a ‘failure’ in one of those attempts, it can compound the pressure later in the day or the following day to perform their duty successfully.” The woman’s own anxieties can compound the issue. With so much pressure and negative emotions building up on both sides, and the spontaneity and playfulness gone out of it, it’s no wonder so many guys have performance anxiety at this crucial time. So how can you overcome it? According to Buckwalter, “Rather than giving into the timetable and feeling rushed, the couple should relax and try to re-introduce playfulness into the situation. It can be a good time to check in with each other about fantasies or role playing ideas and other ways to distract them from the timetable.” Make it more like in the old days. Don’t feel pressured. Instead, find ways to deal with your anxiety. Talk about it and see how she feels, too. Once you clear the air and deal with those negative emotions, lovemaking can become organic and exciting, and less of a chore. If performance anxiety still exists, seek out a counselor or sex therapist. If you cannot conceive after one year of trying, see a fertility specialist.

The Not-So-Incredible Shrinking Penis

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November 12th, 2014

The size of a man’s member means a lot in our society. Most men know about shrinkage. Whether or not women do is another matter. That famous episode of George Canstanza being walked in on, on “Seinfeld” comes to mind. Most men know that cold water temporarily causes shrinkage. This is because the cold forces the penis to move closer inside the body, in order to remain warm. Of course, this state causes no permanent damage whatsoever. There are other causes however, which can also affect both length and width. Some are temporary. Taking care of your member and your health can help you avoid it. One place not to worry about this phenomenon is when working out. During exercise, blood rushes to the muscles to give them oxygen and nutrients. When this happens, other areas become smaller. That doesn’t mean any damage is dealt. In fact, exercise overall is one of the healthiest things you can do.shrinkage

Being overweight may make the penis look smaller. But the extra fat around the pubic area doesn’t actually shrink the organ. It just hides it, somewhat. In fact, losing weight will make it look bigger. These have been temporary issues so far. Instead, long-term shrinkage is actually penis atrophy, and that spells trouble. The tissue of the penis reduces due to a serious health issue. One such thing that can cause it is smoking. Not only does ingesting tobacco hurt performance, and cause ED, it can also create visible shrinkage in girth and length. This is because toxins in tobacco hurt nerves, muscles, and blood vessels in the penis, and elsewhere in the body. Quitting may restore lost size. Penis tissue needs a constant supply of blood to bring it oxygen and nutrients. Poor circulation can limit these things, causing there to be less tissue in the most important of areas. Eating healthier and exercising can help improve circulation. A low level of testosterone limits the amount of erections a man has. Without a periodic rush of blood to the area, the tissue atrophies.Peyronie’s disease, usually an arc to the penis due to a buildup of scar tissue, can cause the inability to have sex, pain, and shrinkage. If you have this, see a doctor right away. Lastly, simple aging shrinks many areas of the body. The penis is sometimes one of them. Keep up a healthy lifestyle and you will maintain sexual and overall health. And the next time you change after swimming, make sure the door is locked.

Are any Penile Enhancement Products Effective?

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November 6th, 2014

“Penis enhancement” products are all over the internet. Put that phrase into Google and some 4.28 million search results come up. The most common methods include pumps, drinks, and pills that claim to elongate and widen the male member. Most are illegitimate. But are any of these products effective? According to the director of the University of Washington’s Men’s Health Center, Thomas J. Walsh, M.D., “To date there’s never been a cream, a pill, or anything of that nature that’s been shown to benefit phallus size.” He added, “There’s no quick, one-shot way to increase the size or the function of the male penis.” There are pills that can engorge the penis with blood faster, but that won’t increase size. The good news is, most men who think they are small aren’t, at least according to Larry Lipshultz, M.D. He is the chief of male reproductive medicine and surgery at Baylor College. Lipshultz says, “The majority of men who come in seeking penile enlargement are average.”enhanced

Marketers of such products pray on men’s feelings of inadequacy to make sales. Lipshultz says, “I just don’t think men have a realistic idea of what normal is. Hence they think that they are below normal when actually they’re average.” According to research published by the Journal of Sexual Medicine the average size is just 5.6 inches, which it turns out is plenty to satisfy a woman. One way to make it seem larger is to lose weight. Look at the area and notice if you have “suprapubic fat.” This can make the penis appear smaller. If it is in fact getting smaller, this is a sign of a serious medical issue. Difficulty creating or maintaining an erection is an issue to address with a physician or urologist. Dr. Walsh says, “There’s a very strong association between new erectile dysfunction and subsequently experiencing a cardiovascular event.” If you really want to be a superstar in the bedroom, avoid enhancement products. Instead, follow Dr. Walsh’s advice, “Improving your overall physique, reducing body fat, increasing lean muscle, and improving cardiovascular health have all been shown to enhance sexual performance.” The takeaway, “Anything you could think of to improve your overall health outlook is going to improve your sexual function and your sexual appearance,” Walsh said.

Low Testosterone and Type-2 Diabetes tied to Higher Vascular Risk

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November 6th, 2014

Doctors have long seen a connection between type-2 diabetes, vascular problems and erectile dysfunction. But this is the first study to connect the other two with low levels of the male hormone. This was a cross-sectional study. All participants had type-2 diabetes, low serum testosterone levels—the kind that freely roams the bloodstream, and had a greater risk of thickening of the carotid artery. This is the one leading to the brain. Blood clots in this blood vessel can cause a stroke. These participants had six times greater risk of what is known as carotid artery intima media thickness (CIMT). 31% of the participants had low testosterone which was linked to a higher risk of vascular disease, known in medical terminology as atherosclerosis. The study was conducted by the Hospital Universitario Sanatorio Guemes in Buenos Aires, Argentina, in conjunction with Emory University in the U.S. The results were published online in the peer-reviewed Journal of Clinical Endocrinology & Metabolism.Doctor-examining-patient-obese

Dr. Javier Mauricio Farias was the lead author of the study. Emory’s Dr. Guillermo E. Umpierrez co-authored. Umppierrez said in a statement, “Several cross-sectional studies have reported that about one-third of adult patients with obesity and type 2 diabetes have low serum testosterone.” He added, “Our study indicates a strong association between cardiovascular disease and low testosterone but does not prove causation.” The authors note that few studies have looked at a link between low testosterone, atherosclerosis and type-2 diabetes, before. Doctors say that the choice to administer testosterone replacement therapy, in hopes of saving men with these combined conditions, is controversial and up to their physician’s discretion. The researchers wrote, “Prospective randomized studies are needed to assess the clinical significance of our findings and the clinical impact of testosterone replacement on cardiovascular risk factors in diabetic patients with low total testosterone.” The role of testosterone replacement therapy (TRT) was not included in this study. However Dr. Umpierrez noted, “In elderly patients with evidence of atherosclerosis, testosterone replacement has not been shown to be of benefitand may even increase the risk of cardiovascular events.”