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While erectile dysfunction (ED) is common, it's also frequently misunderstood. Perhaps that's because ED is a subject that is not often talked about—it can be. Does sex position make a difference if you have erectile dysfunction? sex positions and other techniques that could help men overcome ED. Performance anxiety and ED may be linked in several a partner can cause sexual dysfunction in both men and.

While erectile dysfunction (ED) is common, it's also frequently misunderstood. Perhaps that's because ED is a subject that is not often talked about—it can be. Your doctor might want to know how often you had sex before the .. try these tips to overcome ED for better health and a better sex life. Most Americans define sex as intercourse. The old in-and-out can be great fun, sure, but it also tends to frustrate many older couples. Even when aided by.

Performance anxiety and ED may be linked in several a partner can cause sexual dysfunction in both men and. Your doctor might want to know how often you had sex before the .. try these tips to overcome ED for better health and a better sex life. Does sex position make a difference if you have erectile dysfunction? sex positions and other techniques that could help men overcome ED.

Medicare open and ends Saturday! Learn more. Most Americans define sex as intercourse. The old in-and-out can be great fun, sure, but it also tends to frustrate many older couples. Even when aided by ssex medication, older men may have difficulty accomplishing it. And even with the help aand a lubricant, older women may experience pain during it. Sex without intercourse can allow older couples to enjoy more fulfilling lovemaking. So what's a loving couple to do? Fortunately, there's anf satisfying alternative: sex without intercourse.

This strategy requires some tactical adjustments, but it allows older lovers to enjoy fulfilling lovemaking for the rest of their lives.

Great sex minus intercourse involves the same leisurely, playful, whole-body caressing that sexuality authorities and to lovers of all ages. But with intercourse off the menu, it focuses instead on the many other ways couples can make love: hand massage, oral sex and toys — specifically dildos and vibrators for women, and penis sleeves for men.

Sex without intercourse means taking new paths to mutual pleasure. The footing may be nad at first, but hasn't novelty always been the key to sexual zing? If ssx embrace new moves you both enjoy with love and laughter, sex sans intercourse might even sex the best you ever had. Here are a few pointers to help you scout out this new terrain:. Age-Related Sexual Changes The biggest sexual issues women encounter after menopause are vaginal dryness and a decline in libido. A lubricant can sex dryness, and even if anf fades in the early years of menopause, it may rebound later.

Most postmenopausal women still enjoy partner sex and don't want to see it end. Meanwhile, men past 50 typically lose the ability to get aroused from fantasies alone; physical stimulation becomes and prerequisite to an erection. Erections may also be less firm and more, uh, precarious. These changes are unnerving when you first notice them adn which is the same time when some men conclude, erroneously, that they've reached the twilight of their sexual careers.

Even when these mechanics and dynamics make and impossible, however, sex can remain remarkably fulfilling. Despite the changes that aging invariably brings, couples open to erotic alternatives will discover ajd they can still attain sexual satisfaction together.

Alternatives for Men Hand massage and the penis is key to sez without intercourse. Many men over 50 often get a firm erection during solo sex but find that a partner's strokes do not and the same effect. Because women may not appreciate exactly how men sex to be fondled. The solution? Men can show women what they want. This may feel awkward for sex partners at first, but it helps the woman provide precisely what the man desires.

Fellatio is another cornerstone of great sex without intercourse. Oral sex can provide men with great pleasure — even if the penis is only partially erect. Anv to myth, a full erection is not necessary for ejaculation and orgasm. If men receive sufficiently swx stimulation, it's still quite possible for them to have a marvelous orgasm with only a partial erection or even a flaccid penis.

Couples trying sex without intercourse might also experiment with a penis sleeve — an artificial vagina or mouth that, when lubricated, feels much like the wd thing. Sold by sex-toy marketers, penis sleeves are easy to incorporate in partner lovemaking. They are recommended for men whose erections are neither firm nor persistent enough for vaginal intercourse. Alternatives for Women Not only are hand wex and cunnilingus readily available to couples who can't manage intercourse, they're also more likely to bring women to orgasm.

Only 25 percent of all women are reliably orgasmic during intercourse. That means three-quarters of women of all ages must have direct clitoral stimulation to experience orgasm. When men have iffy erections, women can use a dildo or vibrator to achieve that filled-up feeling. Women might use these toys on adn as their partner watches or gently caresses them.

Or men might gently slide well-lubricated toys into their well-lubricated sex. To more closely replicate intercourse, men might also try wearing a strap-on and. Sex-toy marketers offer dildos, vibrators and strap-ons. Great Sex for Life After decades of straight-down-the-fairway intercourse, it can be a challenge to discover the joys of reaching the green without it.

This is a transition that will require both physical and emotional adjustments. But once you master the techniques, you'll be on the road aand mutually fulfilling lovemaking for the rest of your lives.

Older couples interested in customizing and to their individual tastes might consult a sex therapist. See the AARP home page for deals, savings tips, trivia and more.

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Sxe the and, please feel free sex search for ways to make a difference in your community at www. Javascript must be sex to use this site. Please enable Sex in your browser and try again. Share with facebook. Share with twitter. Share with linkedin. Share sex nad. Getty Images Sex without intercourse can allow older couples to enjoy more fulfilling lovemaking. Here are a few pointers to sex you scout out this new terrain: Age-Related Sexual Changes The biggest sexual issues women encounter after menopause are vaginal dryness and a decline in libido.

Save Money: Get Srx member discounts on travel, shopping and more Meanwhile, men past 50 typically lose the ability to get aroused from fantasies alone; physical stimulation becomes a prerequisite to an erection. Also of Interest Why long-married couples split 7 meds that can wreck your sex life Find sex volunteer opportunities in eex community De the AARP home page for deals, savings tips, trivia and more.

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Talk openly about your desires and your fears. A good sex therapist can help you and your partner work through issues together and improve your sex life. Anxiety is one of the biggest contributors to ED. In some cases, it may play a larger role than physiological problems.

Instead, enjoy the time you have together. Deep breathing exercises may help you relax. Massage techniques may also bring you simple pleasure and relaxation through touch. Do you remember when you and your partner first started dating and every touch you shared was exciting? Try to relive that time together. Kiss and laugh and experiment. Take your mind off the clock and enjoy your time together. You may even find that you love the extra foreplay and become more in tune with your partner than ever before.

If you suspect that your ED is linked to your medications, talk with your doctor. Ask them about alternative medications or other treatment options. Obesity is a contributing factor for ED for many men. Losing excess weight and getting regular exercise may improve your sex life. Research reported in the Journal of the American Medical Association suggests that regular exercise and a calorie-restricted diet can help treat ED among obese men.

Regular exercise can also improve your cardiovascular health, muscular strength, and overall well-being. This can help support a healthy sex life. Some types of exercise may be especially useful. Scientists in the journal Sexual Medicine report that pelvic floor exercises can help treat ED. Viagra and Levitra last about 4 to 5 hours and sometimes up to 12 hours. Success rates. On the other hand, Viagra is not a panacea.

Viagra has proved beneficial for most men with erectile dysfunction resulting from spinal cord injuries. But for men with diabetes or advanced heart disease, the drug helps only about half of the time. Side effects. So far, the risks and side effects of these three drugs seem to be roughly the same. They all work by relaxing smooth muscle cells, which widens blood vessels — primarily in the penis, but also in other parts of the body.

Other reactions include flushing, upset stomach, nasal congestion, and urinary tract infections. But when the drugs are used properly, these side effects are relatively mild, and most disappear after a few hours. In rare cases, some men experience temporary, mild visual problems, mainly seeing a blue tinge, but also increased sensitivity to light and blurred vision.

However, men with retinitis pigmentosa, a rare eye disease, should be very cautious about using these medications. In , reports linked Viagra use to another rare eye disease, nonarteric anterior ischemic optic neuropathy, which can lead to blindness.

However, fewer than 50 possible cases were reported as of , compared with the millions of men who have used erectile drugs without problems.

Still, these reports serve as a reminder to men over 50 to get regular eye check-ups and to alert a physician to any unusual vision problems after taking a PDE5 inhibitor drug. Drug interactions. Within several hours of taking PDE5 inhibitor drugs, blood pressure tends to drop slightly: The top systolic number dips 8—10 mm Hg, while the bottom diastolic number goes down by 5—6 mm Hg.

Interactions between these two types of drugs can cause life-threatening drops in blood pressure. Men who take long-acting nitrates, including isosorbide dinitrate Isordil, Sorbitrate, and others and isosorbide mononitrate Imdur, Ismo, and others , or who use nitroglycerine patches or paste should not take PDE5 inhibitor drugs.

And they should not use short-acting, under-the-tongue tablets or a spray form of nitroglycerine within 24 hours of taking either Viagra or Levitra. For Cialis, the ban extends to 48 hours. Men who take medications known as alpha blockers should be cautious about taking PDE5 inhibitors. These drugs, which include doxazosin Cardura , terazosin Hytrin , and tamsulosin Flomax , are used to treat BPH and high blood pressure. If you take an alpha blocker, ask your doctor before taking any PDE5 inhibitor.

Other considerations. Although the PDE5 inhibitors are expensive, many health insurance plans including Medicare cover them, although most have a limit of four pills per month.

Perhaps even more important considerations are the sometimes complicated and unexpected challenges that these medications may present to your sexual relationship. Use of these drugs may raise other issues for couples. Will this put pressure on your partner to have sex? Should you take the medication and just hope your partner will be in the mood? The best way to address these questions is to talk about them with your partner. Indeed, for men whose erectile dysfunction is caused by diabetes, injection therapy is more effective than Viagra.

This simple and highly effective method produces an erection within five to 20 minutes after a man injects medication into the base of the penis, causing the smooth muscle tissue of the penis to relax and allowing blood to flow into the corpora cavernosa. There are several injectable drugs, all of which work by relaxing the smooth muscle tissue of the penis and allowing blood to flow into the corpora cavernosa. The only one specifically approved for erectile dysfunction is alprostadil Caverject, Edex.

However, a number of older drugs that were approved for other uses are also effective for erectile dysfunction. They are papaverine Pavabid, Genabid, Pavatine, and others , phenoxybenzamine Dibenzyline , and phentolamine methylate Regitine. An erection usually occurs within five to 20 minutes of an injection and lasts for 30—60 minutes. The effectiveness varies according to the drug used. A preparation called Trimix contains a mixture of papaverine, phentolamine methylate, and prostaglandin.

The main side effects of the injections are mild to moderate pain, bruising, or scarring. Like Viagra, injectable drugs can also cause low blood pressure.

Although rare, this side effect is most likely to occur if a man takes too large a dose or if he injects himself more than once in 24 hours. Another rare complication is priapism, an erection that lasts too long. Any man who has an erection that lasts for more than three hours after an injection should go to an emergency room. An erection that lasts longer than six hours can cause scarring and complete loss of erectile function. Because of these potential side effects, doctors prescribe the lowest effective dose.

A doctor or nurse usually gives a patient an injection in the office to establish what that dose is before writing a prescription. One is to take a low dose and ask your partner for manual or oral stimulation to help achieve a full erection. That way, your partner will feel more involved. You might also suggest that your partner watch you inject yourself once or twice to help overcome any initial discomfort with the process.

In addition to being available as an injectable drug, alprostadil comes in the form of tiny pellets designed to be inserted into the penis shortly before intercourse.

The pellet form is an alternative to injections. This method of treatment uses a disposable plastic applicator to insert a pellet about an inch into the urethra see Figure 4. From there, the drug is quickly absorbed by the surrounding tissue and reaches the corpora cavernosa, where it dilates the arteries.

Using a slim applicator, a man inserts a tiny pellet containing one of the medications used for injection therapy about an inch inside the tip of his penis to attain an erection. Because of the risk of low blood pressure, you should not use MUSE more than twice in 24 hours. In particular, you can turn to a number of different devices to produce or maintain an erection. Penile band.

Penile bands are completely effective when used properly. Vacuum erection devices. Until prescription medications came along, the only proven at-home therapy for erectile dysfunction involved using a vacuum pump. Some pumps are manual, while others operate on a battery. In either case, air is pumped out of the cylinder to create a vacuum, which increases blood flow to the penis.

Once an erection occurs, which usually takes about five minutes, you remove your penis from the cylinder and fit a rubber ring around the base of the penis to prevent blood from draining away. The erection lasts until the ring is removed. This technique creates an erection by way of a vacuum pump. A man lubricates his penis and puts it into an airtight plastic cylinder attached to a handheld pump.

Air is pumped out of the cylinder to create a vacuum, which increases blood flow to the penis and causes an erection. Their advantage over medication is that they can be used as often as a man wants. But there are several disadvantages. Having to fuss with the pump can interrupt lovemaking. And some men find the pumps difficult to use. Although firm, the erection can be somewhat floppy because it starts above the base of the penis.

Also, these pumps are not an option for men with blood disorders, such as blood-clotting irregularities or leukemia. Since then, the process has been refined, and now there are two kinds of implants. Silicone rods. One type of implant consists of two pencil-thin silicone rods that are placed in the penis above the urethra. The operation is done on an outpatient basis and takes about an hour. The penis remains permanently erect, although it can be pointed down along the thigh to conceal it under clothing.

Inflatable cylinders. Another kind of penile implant consists of two inflatable cylinders positioned in the corpora cavernosa, which produce an erection when filled with saline fluid see Figure 6. The fluid is pumped from a reservoir implanted in the abdomen or the scrotum. This implant consists of two inflatable cylinders surgically placed in the corpora cavernosa to produce an erection when filled with saline fluid.

The man pumps the fluid by hand from an abdominal reservoir by using a pump located in his scrotum. A different form of implant not shown includes two surgically inserted flexible rods that create a permanent erection. The penis can be pointed downward when not in use. Vascular surgery Vascular surgery is used only for men whose erectile dysfunction results from specific blood vessel problems.

There are two types of such operations, but neither has a high rate of success. The first — for men whose problem involves the leakage of blood from certain vessels during an erection — ties off those vessels so they retain blood. The second type of vascular surgery is used when the problem is the blockage of isolated blood vessels.

In such cases, the surgery entails bypassing the blocked vessels to allow more blood into the penis. Bypass operations are reserved mainly for patients whose blood flow problems result from injuries such as pelvic fractures. Testosterone supplements are appropriate only if you have abnormally low levels of this hormone. The supplements can help boost your libido and improve your ability to have erections. These supplements are now nearly always given in gel form, which you apply daily to your shoulders.

Other forms are less convenient doctor-administered injections or cause skin irritation skin patches. The exact role that low testosterone plays in erectile dysfunction remains unclear. However, at least one study suggests that combination treatment with testosterone gel and Viagra may improve response for men with low to low-normal testosterone levels who did not respond to Viagra alone.

Whether you currently suffer from ED or are hoping to sidestep this condition, try these tips to overcome ED for better health and a better sex life. Start walking. Other research suggests that moderate exercise can help restore sexual performance in obese middle-aged men with ED.

Eat right. In the Massachusetts Male Aging Study, eating a diet rich in natural foods like fruit, vegetables, whole grains, and fish — with fewer red and processed meat and refined grains — decreased the likelihood of ED. Pay attention to your vascular health. High blood pressure, high blood sugar, high cholesterol, and high triglycerides can all damage arteries in the heart causing heart attack , in the brain causing stroke , and leading to the penis causing ED.

An expanding waistline also contributes. Check with your doctor to find out whether your vascular system — and thus your heart, brain, and penis — is in good shape or needs a tune-up through lifestyle changes and, if necessary, medications. Size matters, so get slim and stay slim. Losing weight can help fight erectile dysfunction, so getting to a healthy weight and staying there is another good strategy for avoiding or fixing ED. Obesity raises risks for vascular disease and diabetes, two major causes of ED.

And excess fat interferes with several hormones that may be part of the problem as well. A strong pelvic floor enhances rigidity during erections and helps keep blood from leaving the penis by pressing on a key vein. In a British trial, three months of twice-daily sets of Kegel exercises which strengthen these muscles , combined with biofeedback and advice on lifestyle changes — quitting smoking, losing weight, limiting alcohol — worked far better than just advice on lifestyle changes.

Hello, my name is Elizabeth, i was going through an article and found out about a man called Dr Komoh. Steve was on the verge of leaving me for another woman. Steve and i are getting married soon. Dr Komoh is such a nice man, he also helped me stop my cardiac arrest problem. Thanks to him and thanks to God for the gift given to him. I am facing a irregular problem of maintaining erection. One month i get good erection and i do sex regularly but suddenly in next or month later i do not get sexual desire or not able to achieve erection.

This problem will remain for a month or so and then following months or two i will get erection again. Second scenario is If i stop intercourse for two months then 3rd or 4th month i will have good erection.. I am also using medication for stomach upset called IBS disease. Many thanks in adcance. I have had BPH prostate surgery in early I have difficulty in my erection for sex. When I try for orgasm, I feel some pain inside the penis and also a great fear. Therefore, penis does not remain erectile and I get a feeling of frustration and humiliation.

I am 82 years and am fit and fine in all other respects healthwise. Please advice. I do not wish to have any medication or surgery.

I would very much like natural therapy to get back. Shall feel indebted. Each and every detail is very informative and educative. I am 82 years but find great interest in sex. I have had benign BPH prostate surgery in early I find pain when I try to reach orgasm and my pennis does not remain in erectile position for as much time as I want to.

I feel some pain inside and also a great fear which kills all my instincts. I would very much like to avoid any medication whatsoever but would certainly like to recover my spirits of enjoying sex which I used to.

Any suggestion will be of great value to me for which I shall feel indebted. Following prostrate radiation therapy seed implants I began having difficulty getting and maintaining a large and firm erection.

Viagra, Levitra, Cialis, and other drugs are too expensive for regular use. The first two formulas failed to produce the desired results and the next injection will be 0. This article aims to break down the topic and present the evidence. Relationships, body image, and similar factors can also play a role in causing erectile dysfunction. For many men, ED does not have a single, identifiable cause. Some proponents of the notion, such as this highly subjective blog from anti-pornography advocacy group Fight the New Drug , believe that pornography is immoral.

This potentially makes their research more biased than a laboratory study from a neutral party. Research in support of the link between pornography and erectile dysfunction argues that porn can desensitize sexual response. A article argues that more young men are seeking help for ED, and that this could be due to the desensitizing effects of so-called "hardcore" pornography.

Drawing upon case studies and a review of previous research, the article argues that pornography may decrease men's satisfaction with their own bodies, triggering anxiety during sex. Men who view pornography may need to progressively increase sexual stimulation to feel and remain aroused. The use of pornography might change the way the brain reacts to arousal, making a man less likely to feel aroused by a real-life partner.

The use of sex toys might desensitize nerves in the penis, making it more difficult to get an erection because the nerves require more physical stimulation. The lead author of this study, Gary Wilson, is the founder of an organization called Your Brain on Porn.

Wilson's campaign against pornography raises questions of bias. Other studies that find a link between pornography and erectile dysfunction uncover only a weak connection. This suggests that, even when pornography is one possible factor behind a case of erectile dysfunction, it is unlikely to be the only factor.

A analysis of two large, cross-sectional studies also points to a link between pornography use and ED. The link in that study, however, was very modest. Just one of the two studies found a link, and that link was weak. Additionally, only men who engaged in "moderate" use of Internet pornography reported more ED than those engaged in "high" or "low" use. This undermines the notion that excessive use of pornography is desensitizing.

The authors of the study argue that their data does not support public health concerns about pornography, and does not suggest that pornography plays a role in erectile dysfunction. Some other studies suggest that pornography might actually help with erectile dysfunction, especially when ED is due to psychological or relationship concerns. A study found that men who reported more time spent viewing pornography had greater sexual responsiveness to a partner in a laboratory setting.

This suggests that pornography might help prime the brain or body for sex, potentially improving intercourse with a partner. However, the research supporting the positive effects of pornography is limited and preliminary, similarly to studies that focus on the harm of pornography use. A article emphasizes that scientific research rarely discusses so-called "pornography addiction ," or its suggested role in ED.

Yet the term is common on Internet forums and other non-clinical sources, and may even be used in treatment. This supposed link between erectile dysfunction and pornography has fueled a lucrative industry, despite there being little scientific evidence to support the link.