Monday, August 31, 2015


Female sterilization and male vasectomy are permanent methods of contraception and are highly effective. They are usually chosen by relatively older couples who are sure that they have completed their families. Occasionally, individuals who have no children or who, for example, carry an inherited disorder may choose to be sterilized. The uptake of female sterilization and vasectomy in the UK is relatively high compared to many other European countries, with around 50 per cent of couples over the age of 40 years relying on one or other permanent method.

Vasectomy is easier, cheaper and slightly more effective than female sterilization. It does not require a general anaesthetic. Semen analysis has to be checked after the procedure to ensure that it has been successful.

Technically, both female sterilization and vasectomy can be reversed, with subsequent pregnancy rates of about 25 per cent, but reversals are not funded by the NHS in many parts of the UK. Individuals should not have a sterilization procedure performed if there is a chance that one day they might want to have it reversed.

It is estimated that around 10–15 per cent of individuals in the UK subsequently regret the decision to be sterilized. Regret is more common in individuals who are aged less than 30 years at the time, have no children or in women who are within a year of delivery.

Long-acting reversible contraception is highly effective and the option to use these methods instead of a sterilization procedure should always be raised in the counselling session. They are reversible should a woman wish to keep her options open for a future pregnancy.

This involves the mechanical blockage of both Fallopian tubes to prevent sperm reaching and fertilizing the oocyte. It can also be achieved by hysterectomy or total removal of both Fallopian tubes.

Female sterilization will not alter the subsequent menstrual pattern as such, but if a woman stops the combined pill to be sterilized, she may find that her subsequent menstrual periods are heavier. Alternatively, if she has an IUD removed at the time of sterilization, she may find her subsequent menstrual periods are lighter.

Sterilization in the UK is most commonly performed by laparoscopy under general anaesthesia, which enables women to be admitted to hospital as a day case. Alternative techniques are mini-laparotomy with a small transverse suprapubic incision or, less commonly, through the posterior vaginal fornix (colpotomy). Mini-laparotomy is the technique of choice when the procedure is carried out post-natally (the uterus is enlarged and more vascular) and in developing countries where laparoscopic equipment is not available.

Essure® is a newer technique which is becoming popular. It involves insertion of metal springs into each Fallopian tube guided by the hysteroscope. Scar tissue grows round the metal springs and blocks the tubes. It can be performed under local anaesthetic or light sedation making it a cheaper and easier option than conventional laparoscopic sterilization.

Vasectomy involves the division of the vas deferens on each side to prevent the release of sperm during ejaculation. It is technically an easier and quicker procedure than female sterilization and is usually performed under local anaesthesia. Various techniques exist to block the vas, and their effectiveness is related primarily to the skill and experience of the operator. Vasectomy differs from female sterilization in that it is not effective immediately. Sperm will still be present higher in the genital tract and azoospermia is therefore achieved more quickly if there is frequent ejaculation. Men should be advised to hand in two samples of semen at 12 and 16 weeks to see if any sperm are still present. If two consecutive samples are free of sperm, the vasectomy can be considered complete. An alternative form of contraception must be used until that time.

Tuesday, August 11, 2015

An introduction to erectile dysfunction

An erection is the stiffening of the male sex organ which occurs during sexual arousal. On the other hand, ED or erectile dysfunction is the inability to achieve and/or maintain an erection (in more than 3 months) sufficient for uninterrupted sexual intercourse. This condition is not considered normal in any age and needs to be taken care of. Men at any age should be able to reach an erection, with less or more stimuli.

The most common diseases and health problems that lead to erectile dysfunction
- Diabetes – between 30% and 75% of diabetes patients have erectile dysfunction and this number is increasing with the aging process.
- Hypertension or high blood pressure – One in ten people suffering from hypertension have ED.
- Depression and other psychological disorders
- Neurological diseases and injuries like spinal cord injury and multiple sclerosis.
- Surgery and radiation therapy in the pelvic area can also lead to temporary or even permanent erectile dysfunction. The use of certain drugs and medications can also lead to the onset of this condition.
- The psychogenic influence on the formation of erectile dysfunction today is more present than ever. Modern lifestyle often leads to ED.

What should we do when we notice that we have improper erection?
The first thing you should do is to answer some important questions. For example, do you have a desire to extend the use of medications and new techniques? Are you motivated enough for an active sex life? Do you get the support from your partner?

Given that about 50% of cases of erectile dysfunction occur as a result of a combination of organic diseases and mental disorders, it is necessary to discuss with your partner and with your doctor after that. In this way you can determine the real cause of your problem. Learn more about it then you may know the way to treat impotent naturally.

The primary goal is to determine whether there is existence of some organic cause for the emergence of ED. During the medical examination it is necessary to determine the existence of anatomical changes in the reproductive system which can lead to ED. For example, testicles with smaller size, presence of plaques on the penile structure, prostate cancer are some of the reasons that lead to erectile dysfunction. It is also necessary to perform full blood analysis and determine the level of PSA – a specific prostate antigen – and testosterone levels too. Finally, it is crucial to share these problems with your partner and it would be advisable to consult your doctor once in a while.

Final thoughts
When you finally decide to determine the reasons for ED, you must be aware of the specifics of this problem and the causes. However, because of the fact that erectile dysfunction directly affects the quality of life in men and their partners; we should never ignore the warning signs. Although only 25% of cases are related to some organic disease and half of them experience combinations of organic and psychogenic factors, the very existence of organic disease affects the psychological condition of a person and the sex life cannot be consumed completely.

This is why it is very important to visit a doctor as soon as possible and to ask for your partner’s support and help. 

Monday, August 3, 2015

A Few Things You Should know About Anal Sex

There are many myths and delusions associated to anal sex and that’s why it is a good idea to learn more about this type of sexual intercourse. These tips will help you learn the experience and protect yourself from injuries. It will improve sexual health, make sex life more and more interesting.

Anal sex is not actually painful, but only if it is practiced in the right way
Since the anus itself has a huge number of nerve endings, due to improper treating it can be a source of pain. However, if it is performed right it can bring great pleasures. When it comes to penetration, anal muscles contact in a way like they are creating resistance. The pain will occur only when the partners don’t wait for these muscles to relax. If they are relaxed and if they use lubricants, the penetration will be painless.

Anal penetration is the least practiced form of anal sex
There are many ways in which we can experience anal pleasure. According to many people, the most practiced form is caressing the anus during masturbation, vaginal or oral sex. Some people enjoy feeling the fingers, while others prefer the use of anal vibrators or plugs. Analingus is also very popular among young people.

The anus is surrounded by two muscle sphincters
The anus is surrounded by an external muscle sphincter, which can be freely relaxed or tensed by any individual and internal muscle sphincter, which is managed by the subconscious bodily reaction system. This system is responsible for things like heart rates and response to stress. This muscle can be relaxed only when our body is completely focused on having anal sex.

You can always start enjoying anal sex even if it was uncomfortable in the past
The very sexual desire to have anal sex is not necessarily a guarantee for true pleasure. Chronic tension in the anus is one of the main reasons for discomfort during anal sex (constipation, hemorrhoids etc.). This tension can be removed by learning more about the anus. The most ideal opportunity to do so is during a shower or a bath through masturbation when the body is completely relaxed. In addition, deep breathing can also relax anal muscles. When an individual learns how to relax the anal muscles, anal sex becomes completely painless.

Anal stimulation can lead to strong orgasms
The truth is that only a small number of people experience orgasm during anal sex. Most often, they experience anal orgasm when they are stimulating the vagina or penis at the same time.

Anal stimulation provides different kinds of pleasure
Anal pleasure can be mental or physical in their nature. In men, a source of pleasure may be pressure on the prostate no matter if we are talking about massage with the fingers, use of vibrator or homosexual intercourse. When it comes to mental pleasures, we are talking about the excitement caused by the feeling of breaking some taboos.

Nutrition affects pleasures caused by anal sex

Nutrition can play a significant role on the way we experience anal sex. It is best to eat food that doesn’t interfere the digestive process. Otherwise, penetration can only intensify the discomfort due to the tension in the digestive system. 

Sunday, July 19, 2015

Top five herbal remedies for erectile dysfunction

Erectile dysfunction is emergent in this era, being a source of trouble to happy homes. However, a correlate of vascular diseases, its major cause remains a novel for many. Clinical studies explain its psychological implications, with the attempt of medical cures. Although the cure is far from reality, herbal remedy for erectile dysfunction seems the best alternative, owing to the side effects of conventional medicine. Here are the five herbal remedies for erectile dysfunction.
1. Ginseng
With its origin in Korea, Scholars suggest its benefits in the stimulation of the male sexual function. Its roots, red are steamed then dried. In a study conducted in men with erectile dysfunction, the Ginseng herb relieved the symptoms bringing enhanced penile rigidity. Though its physiology is a mystery, it thought to promote the production of nitric oxide. 
2. Pomegranate Juice
Pomegranate juice, an antioxidant has abundant health benefits including reduction of risk for vascular diseases. Scientists have evidence in a study published in 2007, showing the effectiveness of this juice. It is beneficial in prolonging the active phase of erection.
3. Yohimbe
This is one of the ancient herbs used before the invention of Viagra medications. Barks from the tree are of benefit. They contain an alkaloid called Yohimbine that is a sexual booster. However, an original of the conventional “Yohimbine hydrochloride” type of drug, its use is gradually fading. It is because of its incomplete effectiveness and potency in comparison to the pharmaceutical version one. It is associated to trigger blood pressure, a reason why it is discouraged.
4. Horny goat weed
Horny goat weed and other related herbs have been a treatment for impotent for several years in Italy. Researchers found out that, it contained an active compound called icariin, with similar mechanisms of action as Viagra. Other related herbs include the Ginkgo biloba whose use arouses men and women. It increases blood flow to the genitals thereby sexually arousing an individual. However, researchers have published varied information on the use of this herb, a reason for its limited use.
5. Watermelon Juice
Watermelon juice has benefits to men with erectile dysfunction. Taking a cold slice of watermelon, or its juice alternatively helps in prolonged sexual function. Watermelon has an amino acid called Citrulline that is in high concentrations. Taking this supplementation improves the erectile function by increasing blood flow to the penis.

Though its use is effective, caution should be taken.

Saturday, July 4, 2015

Psychological treatment of sexual dysfunction

Specific treatment recommendations are treatment of sexual dysfunction. Many disorders will respond to pharmacological treatment. However, treatment of a broad range of sexual dysfunction may need more structured psychological treatment. In this form of treatment the couple is seen together whenever possible.

There are three stages:
 (i) Improving communication,
(ii) Education
 (iii) Graded activities’.

1 Improving communication has two main aims: (i) to help the couple to talk more freely about their problems and (ii) to increase each partner’s understanding of the wishes and feelings of the other. These aims may be appropriate to various kinds of problems. For example, a woman may believe that her partner should know instinctively how to please her during intercourse; she may then interpret his failure to please as lack of affection rather than as the result of her not communicating her wishes to him. Alternatively, the man may wish the woman to take a more active role in intercourse but be unable to say this to her. A further aim of this stage of treatment is to enable the couple to achieve a general relationship that is more affectionate and satisfying.

2 Education focuses on important aspects of the male and female sexual responses; examples are the longer time needed for a woman to reach sexual arousal, and the importance of foreplay, including clitoral stimulation, in bringing about vaginal lubrication. Suitably chosen books on sex education can reinforce the therapist’s advice. Educational counselling is often the most important part of the treatment of sexual dysfunction, and it may need to be repeated when the couple have made some progress with the graded activities described next.

3 Graded activities begin by negotiating with the couple a mutually agreed ban on full sexual intercourse. The couple are encouraged instead to explore the pleasure that each can give the other by tender physical contact. The partners are encouraged to caress each other but not to touch the genitalia at this stage. When they can achieve caressing in a relaxed way that gives enjoyment to each partner, the next stage is genital foreplay without penetration. When genital foreplay can be enjoyed by both partners,the next stage is the resumption of full intercourse in a gradual and relaxed way, in which the partner with the greater problem sets the pace. In this stage a graduated approach starts with ‘vaginal containment’, in which the penis is inserted gradually into the vagina without thrusting movements. When this graded insertion is pleasurable for both partners, movement is introduced, usually by the woman at first. At each stage, each partner is encouraged to find out and provide what the other enjoys. The couple are advised to avoid checking their own state of sexual arousal. Such checking is common among people with sexual disorder, and has the effect of inhibiting the natural progression of sexual arousal to orgasm. Each partner should be encouraged to allow feelings and physical responses to develop spontaneously whilst thinking of the other person.

Hormones have no place in the treatment of sexual dysfunction except in cases where there is a primary hormonal disorder. The overall results of sex therapy are that about a third of cases have a successful outcome and another third have worthwhile improvement. Patients with low sexualdrive generally have a poor outcome.

Tuesday, June 30, 2015

Sleep Apnea Can Be A Risk Factor For Erectile Dysfunction?

A review of studies published in the September issue of the journal “Sleep and Breathing” suggests an association between erectile dysfunction, commonly known as impotence, and obstructive sleep apnea - characterized by the interruption syndrome of breathing for more than 10 seconds during sleep.

According to experts at Tufts University in the United States, “Erectile dysfunction is a well-known entity with certain risk factors, which usually has a negative impact on quality of life.” And for them, obstructive sleep-disordered breathing would be among the possible risk factors for erectile dysfunction.

Assessing the scientific literature on the subject, the researchers found that there is evidence that these respiratory disorders induce a series of abnormalities in the neural regulation, hormonal and vascular that may contribute to the development of erection problems.

The authors point out that, although more studies are needed for confirmation, several cases and the opinions of experts have contributed to show a fundamental relationship between apnea and erectile dysfunction.

With the analyses, the researchers concluded that the treatment of respiratory problem may help overcome erectile dysfunction. Thus, it is recommended that patients with this sexual problem were evaluated for sleep quality.

This was the biggest study to date to exhibit a relationship between obstructive rest apnea and erectile disorder. Specialists at Mount Sinai Medical Center in New York assessed 870 continuously enlisted men through a heart screening project. Patients were screened for obstructive sleep apnea and erectile dysfunction through clinical polls and were asked some information about their history of cardiovascular sickness, pulse, diabetes and smoking. The average age of the men involved in the study was 47 years, with an average BMI of 30.

63 percent of patients in the study were noted positive for obstructive sleep apnea, 5.6 percent had a past filled with diabetes, and 29 percent had a smoking history. This concluded that the probability for having OSA increase with the increase in the severity of erectile disorder.

While there gives off an impression of being an immediate connection in the sleep apnea or obstructive sleep apnea (OSA) and the advancement of ED, the regular covering components and shared danger elements make it to some degree hard to build up an unmistakable fundamental relationship. Both conditions are connected with aging, hypertension, and diabetes, which may jumble the genuine relationship between sleep apnea and erectile dysfunction. Accordingly, some civil argument exists about whether OSA is an essential cause of ED or whether the two simply exist together because of comparable shared co-morbid fundamental elements.

Sunday, June 21, 2015

Maintain an erection during sex is a true male dilemma. This is one question for which most of the men are looking for an answer. However, with little change, practice and perseverance, a truly firm erection can be achieved. We ensure that the methods described here are based on real life experiences and industry knowledge of sexual consultants. Read through the article to find gems of information to solve your sexual problem forever.

 1. Eat Watermelon seeds
This is one trick known to be used by many porn actors. The watermelon seed is rich in Citrulline which, after ingested and metabolized, the blood arrives as nitric oxide. This is an important component in maintaining erection, it is what relaxes the smooth muscle in the penis and provides the corpora cavernosa to fill with blood, thus leading to erection. In health food stores, you can buy roasted seeds. Prefer non-salty to avoid sodium intake in the body. How much you need to eat a day? 30 grams is enough, or two tablespoons. Another option is tea made with water 500ml or so juice, beating the pulp and the seeds in a blender, but without adding water or sugar.

2. Anesthetic Ointment
Once the penis to be erect, place a minimum amount of EMLA cream (found at any drugstore and cost about 30 dollars) on the foreskin of the penis, enough to cover the tip of a cotton swab. Do not cover the entire glans, not to let the totally insensitive penis. The intention is to decrease the sensitivity in the erogenous point of the penis.

3. Whiskey Doses if done well
Whiskey is an excellent peripheral vasodilator, thus allowing your penis to fill with blood and, as alcohol is quickly absorbs and blocks certain neurotransmitters in the nervous system. It greatly decreases the sensitivity in the extremities. That is, men take much longer to ejaculate during sex. An important note: fermented beverages such as beer, wine and champagne usually has the opposite effect, leaving the more flaccid penis than usual. In addition, whiskey two doses are enough. The whole bottle causes you powerlessness over the years.

4 Eat right
Look for lower fat intake, so there is no compromise on the blood vessels. The external pudendal artery, which takes blood from the heart straight to the penis, is so thin that it is the first artery in the body to become blocked. As the blood flow to the penis will shrink, the erection will be compromised. Men who have experienced situations reported signs of impotency two years before the stroke. So, understand, where there is excess fat there is no health. If impotency is coming, it is worth to diet and exercise. And for best performance, sex comes before dinner, after taking food your blood will be concentrated in digestion, especially if the food is heavy.

5. Change pace and frequency
During intercourse, if you keep the same momentum, the session will end fast. We need to change the pace and movement to decrease the excitement of the penis. The more frantic and consecutive are your movements; greater are the chances of you ejaculating quickly. Learn insinuating penetration in different ways, involving not only the usual movements, but also circular movements, not deep penetration. So when you think you're close to coming, control your anxiety, slow down and change the sexual position. This may be a good time to perform oral sex on your partner, for example.

6. Deep breathing
About 5 seconds before ejaculating, tilt your head up and breathe deeply. The lungs fill with air and the pubis retracts, compressing the muscles around the base of the penis. The abdomen must remain retracted for about 5 seconds or more while the lungs remains filled with air. Breathing should slowly return to normal, while there is an exchange of motion and depth of penetration to shallower and slower movements. A warning here is not to get to the exact last second before using this technique because it can happen the ejaculatory process begin chemically in the brain and be physically blocked in the penis region. Therefore, if you wait till the very last second, the chemical process of ejaculation will already start in your brain and it will then be impossible for you to hold on to your ejaculation.

7. Erotic thoughts
The brain is the body's largest sex organ. It is in charge of sending the command to the heart to pump blood to the penis. This is the exact reason why imaging sex scenes cause erection in men. An obscene thought in your brain can lead to early ejaculation. Use this information to your advantage. When you are close to an orgasm, change your thinking by images in the brain. This will take some practice before you become perfect. Once you feel that the penis is losing its erection capacity, resume sexual thought. Another tactic to prevent ejaculation is close your eyes, because the shape of the woman's body increases your libido, thus speeding up the orgasmic process.

Start masturbation and when you feel that will ejaculate stop, slow down your breath, calm thinking and wait till your feeling of ejaculation subside. Resume masturbation again, stop often as you about to ejaculate. Practice this exercise continuously for at least 10 to 15 minutes. Do it 3-4 times a week at least. The purpose of this exercise is to educate and teach you to control anxiety at the time of pre-orgasm, so you learn to identify and stop the ejaculation process.