Attention Men: Go To The Doctor

September 22nd, 2015

Guys, we need to talk. You lag behind women when it comes to getting health coverage according to the Census report. Not only that, you tend to shy away from health screenings.

And compared to women, you don’t have a regular clinician to go to when you’re sick or need medical advice. That’s according to the Journal of American Medical Association.

In other words, you’re not taking care of yourself. What gives?

“Men have, in general, this idea of strength and power and control,” said Dr. Tom Walsh, a urologist and the director of the Men’s Health Center at UW Medicine.

“The idea of losing control or taking time out of one’s busy day to actually see a doctor is part of a man’ s paradigm,” he said.

Walsh isn’t surprised with these findings. He said this pattern is also common in Europe and Australia. It holds across socio-economic groups.

He thinks it’s more than a time issue. Walsh said unlike men, women have been conditioned to see a doctor at an early age, starting in their teens.

“They’re introduced to somebody who helps begin screening them for what used to be a very dangerous cancer — cervical cancer — so that it’s very routine once women become in the post-pubertal arena where they would see a gynecologist… on a yearly basis for what was deemed to be an important screening.”

So when men do see a doctor, Walsh said it’s not usually to get screened, but for areas that impact their quality of life, like fertility and sexual health — things that the UW Men’s Health Center focuses on.

That was part of the idea of creating the clinic to begin with. Once they’re in the door, Walsh uses the opportunity to refer them to a primary care person for the routine stuff.

Walsh said there may be other reasons why men hesitate to seek care: it could be fear of bad news or a sense of resignation that doctors won’t do anything. But here’s something to consider: Men are more likely than women to have diabetes and high cholesterol. And men tend to die at a younger age.

Better Positions for a Small Penis

September 1st, 2015

Lots of guys feel insecure about their size. But research has shown that the vast majority of men are within the normal range. Many are really unaware of this. Most straight men don’t check out other men while they are naked. Even if they do, there’s no way to tell another man’s size unless he is erect.Though most guys are average in size, there are still millions of men that are less than average. But even these men shouldn’t fear. It only takes three to four inches to please a woman. Moreover, women work differently when it comes to sex. The most important thing is to invest in a lot of foreplay. Invest in her too. Find out what really turns her on. But once you get her there and it’s time for penetration, initiate positions which will favor your size. There are some positions that a man with a small penis can do that will give a woman more pleasure than if she was with a larger man. Here are some of those positions.

Try the doggie. Here a woman is on her knees with her thighs together. She should place her head and shoulders on a pillow and arch her back. Use your body weight and lean forward with each thrust. The more body contact you make the better it will be for her. The antelope is another good position. Both of you are arched over a piece of furniture say an easy chair or the couch. Spread her legs and enter from behind. This can be really satisfying, offering a lot of body contact and friction. The next position is called the rabbit ears. Here you place her on the bed on her back. Lift her buttocks up and place a pillow underneath. Gently push her legs back until her knees are at the level of her ears. Help her keep her legs in place by using your arms. This position will give you deep penetration which should be very satisfying for both of you. Include clitoral stimulation to any of these moves and she’s likely to have an orgasm, and come back for more.positions

The Best Medications for an Overactive Bladder

September 1st, 2015

An overactive bladder (OAB) is a frequent or sudden urge to urinate. Some even experience leakage, multiple episodes of nighttime urination or urinary incontinence. For many patients, OAB interferes with their daily routine and quality of life. Luckily there are lots of treatment options, including medication. First, the physician has to find out what is causing the issue. For older men, an enlarged prostate or benign prostate hyperplasia (BPH) is often the cause. Here, ED medications are sometimes prescribed. Those who have M.S. or Parkinson’s may find OAB a symptom of their condition. Bladder stones or even cancer may also be at fault, so it’s important to see a doctor. A full examination and diagnosis must be completed before the appropriate therapy can be arrived upon. Depending on the cause, some physicians suggest trying lifestyle changes and behavioral therapy before taking medication as some people can experience side effects. Creating a bathroom schedule, keeping tabs on what you drink, watching what you drink, relaxation techniques and more can help. For some patients, a specific cause cannot be found.

If these lifestyle changes fail to curb the problem, medication is usually the next step. What are the best medications for OAB? There are generally two kinds. The first relaxes the muscles in order to allow urine to pass more easily out of the body. The second is the type that strengthens the muscles of the bladder which may have weakened over time. Anticholinergics are the most commonly prescribed class of drugs for OAB. These relax the muscles and stop the spasms which lead to urination. They do so by blocking the chemical messenger acetylcholine. Dry mouth is the most common side effect. Tricyclic antidepressants are also pretty commonly prescribed. They strengthen the muscles at the neck of the bladder helping to curb incontinence while relaxing other muscles, lowering the urge to go. Sleepiness is the most common side effect. Lastly, Botox has been used to neutralize some of the muscles in the bladder that cause OAB. Though effective, this is a new procedure and may not be covered by insurance. If you haven’t already, see your doctor and find out what is causing OAB and which treatment is right for you.

Erectile Dysfunction in Most Men Left Untreated

September 1st, 2015

It is predicted that 322 million men around the globe will develop erectile dysfunction by the year 2025. But what exactly is ED? According to the National Institutes of Health (NIH) erectile dysfunction is defined as “the inability to achieve or maintain an erection sufficient for satisfactory sexual performance.” Experts agree that lifestyle choices like diet and exercise have a lot to do with it. A poor diet and the tendency toward a sedentary lifestyle have elevated the risks. But the chance of developing ED only increases as a man gets older. Age-related body changes, conditions such as heart disease, cancer or diabetes and others increase the chances of decline in sexual functionality. Yet, even though ability has altered, studies have shown that desire remains. Also, sexual intercourse at any age can convey a whole host of physiological and psychological benefits. Conversely, dysfunction can have a negative impact on one’s mood and emotional wellbeing.


Advances in medical science have allowed people to live longer. Growing older brings with it its own health related issues and problems. Older men have less endothelial function for instance. This is the ability for blood vessels to dilate, such as the arteries of the penis which cause an erection. Add to that plaque buildup from a poor diet and ED is likely to occur. A recent study finds that today, 69% of men in the U.S. between the ages of 40 and 69 develop ED. 77% of men over age 70 experience such dysfunction. Older men also are more likely to have severe symptoms. Over half of those with ED had not discussed it with their doctor. 72% received no treatment at all. That’s a problem because erectile dysfunction may be a symptom of a more worrisome illness or mood disorder such as depression. There are lots of treatments available today. Anyone who has ED shouldn’t ignore it.