| Frequently Asked Questions about: Male Sexuality by Dr. Richard F. Spark |
| Sexuality 1-7 | Sexuality 8-13 | Erectile Dysfunction 1-6 | Erectile Dysfunction 7-12 |
| Note: Information provided below is intended as a source of information and a guide. For specific details about your own health, speak to your doctor.
1. I am interested in having sex but whenever want I want to, I just can’t seem to get an erection. Can anything be done to help me? |
1. I am interested in having sex but whenever want I want to, I just can’t seem to get an erection. Can anything be done to help me? |
| Answer: Yes. But first your doctor has to find out exactly what is causing the problem. He/she will want to know if you have erections in the middle of the night, first thing in the morning or while masturbating. If the answer is YES then all you may need Viagra to restore your ability to have erections when you want to have sex. If the answer is NO then more studies will be done to find out if a medication you are taking or some other unrecognized problem like too many cigarettes or alcohol, too little testosterone levels, unrecognized high blood pressure or diabetes mellitus is responsible. Whatever the cause treatment is available. Do not suffer in silence. Speak to your doctor. |
2. I have no problem getting an erection but my penis goes soft and I cannot penetrate. Why is this and what can I do about it? |
| Answer: When a man is sexually aroused blood rushes into specialized chambers in the penis called corporae cavernosae at such a high pressure and intensity that it chokes off the veins that would normally drain blood out of the penis to create a rigid erection. Anything -like high blood pressure or cigarette smoking-that stifles the flow of blood into or anxiety that accelerates the flow of blood out of these chambers will diminish the quality of a man’s erection. |
3. When I was younger I wanted to and did have sex 2-3 times a week, but now that I am 40-50-60-70(pick one age)-I just don’t have the same desire I did when I was in my 20-s and 30’s. Is there something wrong with me? What can I do to be like I was when I was 20? |
| Answer: For both men and women there is alas only one “first time” when sex was new and fresh and pursued with the an obsessive passion. With continued experience sex remains enjoyable and eagerly anticipated but with time the novelty of the experience dims a little. Also as we mature other demands from family and/or career claim more and more of our time and energy so there is less and less time for couples to get pleasure from sex. For most mature men and women sexual pleasure and satisfaction is vital to an improved quality of life. |
4. My wife and I are about the same age and even though I love her very much sex is not the same as it was when we were younger. Do you think I would be better off with a younger woman? |
| Answer: I was speaking to a group of very successful middle- aged businessmen when one of them piped up with this question. To a man all in the audience turned to me perhaps expecting that I would provide them with a” medical release” for sanctioned adultery. I did not. The reality of life is that there will always be someone younger, slimmer and sexier for not just every man but for every woman as well. Men and women who feel that they need a fling to “recharge their sexual batteries” may be temporarily invigorated with the excitement attending the machinations and skulking required to maintain a clandestine relationship but more often than not end up either disappointed, plagued with guilt or both |
5. I still enjoy sex but since my wife went through the menopause she no longer does. Is there anything that can be done to rekindle her sexual desire? |
| Answer: Today we know more about male, than female sexuality. But this is rapidly changing. An intense effort is underway to probe the physiology of the female sexual response. For example we know that a common finding among women with diminished sexual desire is a low testosterone level. Surprisingly women’s ovaries make a small but significant amount of testosterone. In a woman as in a man testosterone is vital for normal sex drive. Women who have had their ovaries removed or are in menopause have two hormone problems-low estrogen levels as well as an inability to make a full ration of testosterone. Their low estrogen levels cause hot flashes and prevent their vaginas from lubricating normally during sexual foreplay. The lack of vaginal lubrication makes intercourse painful for these women. The low testosterone levels throttle their interest in sex. Supplying them with estrogen makes vaginal lubrication easier. A little testosterone often restores a woman’s sex drive. This is something a woman should discuss with her gynecologist. |
6. From age 55 on I have been taking Vitamin E and zinc tablets to keep myself young and sexy. Is there anything else I can take to improve my manliness? |
| Answer: Vitamin E and zinc routinely used by men, more often on recommendation from other men than from doctors. Evidence of their long- term benefit is lacking but they tend to be harmless and may have some useful properties as anti-oxidants. Other purported male restoratives like “Andro” available as Androstenedione or marketed with egregious claims to be “ The Stud Pill for Men” as well as creatine have not been shown to be any more effective than placebos. For the 55-year-old man who is in good health can best improve his virile profile by commonsense health habits –stopping smoking, prudent diet, and a regular exercise program. |
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