I have many clients and during their massages they talk about so many different things. I had a client mention ED Erectile Disfunction and drugs to help ED and improve sex, so I wanted to do some in-depth research as this is what I found. It’s a complicated subject so this post will be added to as time permits.
To maintain an erection urologist recommend using these.
Limited studies have explored rings alone as an ED treatment.
The Urology Care Foundation (UCF) reports that using an ED ring and a pump is effective and safe.
A 2022 case report and literature review also claimed that ED rings can be effective in improving ED and other sexual health issues, such as climacturia, which is when a person leaks urine as they ejaculate.
However, the case report notes the dangers of using metal penis rings, which can cause severe health complications if they become stuck.
If a person gets their penis stuck in an ED ring, they should seek immediate medical assistance.
ED rings work best for people with ED who can get an erection but not maintain it. However, they do not work for everyone.
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According to BMJ Journals, ED is one of the most common conditions among middle-aged and older males. In this article, we look in more detail at what urologists can do for ED, how to find a urologist, and the treatments a urologist may recommend.
Urologists specialize in treating conditions that affect the urinary tract and the male reproductive system, including ED. A urologist can diagnose ED and investigate what is causing it. They do this by:
- Taking a medical history: Urologists will take a detailed medical history to understand how ED affects a person and whether they have any pre-existing health conditions. They will also ask questions about sexual activity to establish the issues a person is experiencing, such as erections, ejaculation, or sexual desire.
- Performing a physical exam: A urologist will perform a physical exam to check for signs of an underlying illness, such as a person’s blood pressure and heartbeat. They will also look at the penis and testicles to check their appearance and sensitivity to touch and may test the prostate for enlargement.
- Blood and urine tests: If necessary, a urologist may order tests that measure blood sugar levels, cholesterol levels, hormone levels, and liver, kidney, or thyroid function.
- Injection test: This test involves a doctor injecting medicine that causes an erection into the base of the penis. If an erection does not result, it may suggest there is a problem with blood flow.
- Penile Doppler ultrasound: For this test, a doctor injects medicine that produces an erection into the penis. They then use ultrasound to see how well blood flows in and out of the penis through the arteries and veins.
The results of these tests will help the urologist identify the potential causes for someone’s ED and recommend the best course of treatment.
There are a variety of treatment options for ED. A urologist will recommend treatments according to what is causing the dysfunction.
Treatments for underlying conditions
Several health conditions and lifestyle factors can cause or worsen ED, such as:
- high blood pressure
- type 2 diabetes
- multiple sclerosis
- kidney disease
- anxiety or depression
- obstructive sleep apnea and other sleep disorders
- hypogonadism, or low testosterone
If a urologist finds evidence of a health condition that could play a role in a person’s ED, they will recommend treating or managing it. According to the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)Trusted Source, this may include:
- taking medication to lower blood pressure, cholesterol, or blood sugar levels
- taking hormones to boost testosterone or thyroid function
- changing existing drugs if ED could be a side effect
- counseling or psychotherapy to address mental health conditions
A person may also benefit from making lifestyle changes, such as:
- reducing alcohol intake
- stopping smoking or recreational drug use
- reaching or maintaining a moderate weight
- beginning regular exercise, if possible
One of the main treatments for ED are phosphodiesterase-5 (PDE5) inhibitors. These medications increase blood flow to the penis to help people get or maintain an erection. They include:
- sildenafil (Viagra and Revatio)
- tadalafil (Cialis and Adcirca)
- vardenafil (Levitra and Staxyn)
- avanafil (Stendra)
People with ED can take PDE5 inhibitors several hours before sexual activity. It is also possible to obtain suppositories or injectable medications for ED, such as TriMix, Edex, or Caverject. Urologists recommend trying these if oral PDE5 inhibitors do not work.
PDE5 inhibitors are available only via a prescription from a doctor. Most over-the-counter (OTC) supplements marketed as ED treatments are unproven and may be harmful.
In 2009, the Food and Drug Administration (FDA)Trusted Source found that numerous “natural” ED remedies contained unlisted drugs.
An option for people who prefer not to take medication is a pump that pulls blood into the penis via suction. This creates an erection, which a person maintains by placing an elastic ring around the base of the penis.
Penile implant surgery
For some people, penile implant surgery may be an option. Penile implants allow a person to create an erection even if other methods do not work.
Inflatable penile implants include a pump that a surgeon places inside the scrotum, which a person can then use to pump fluid into implants in the penis. Releasing a valve then allows the fluid to drain back into a reservoir. Other types of implants are semi-rigid and stay firm all the time.
Penile implants do not address aspects of sexual health such as sensation or sexual desire, but they make it possible to create erections without taking medication or planning in advance.
Scientists are also investigating other treatments for ED. In the future, a person may be able to receive:
- stem cell therapy, which could help someone grow new blood vessels
- low-intensity shockwave therapy, which may make people more responsive to ED medication
- gene therapy, which could address genetic causes for ED
However, these treatments are currently still in the development phase.
As well as urologists, other doctors may be involved in the diagnosis and management of ED. These include:
- primary care doctors
- cardiologists, if cardiovascular disease is a factor
- endocrinologists, who treat hormone conditions
- mental health professionals, such as a psychologist or counselor
ED Erectile Disfunction
What is Psychogenic – Porn and maturation, prolactin, neural wiring, dopamine wave pool.
What prescribed drugs are used for psychogenic erectile dysfunction?
How oral medications differ
Although they work in similar ways, each oral medication has a slightly different chemical makeup. These minor differences affect the way each medication works, such as how quickly it takes effect and wears off, and the potential side effects. Your doctor will consider these factors as well as other conditions you have and possible interactions with other medications you take.
- Sildenafil (Viagra). This medication is most effective when taken on an empty stomach one hour before sex. It’s effective for four to five hours or more if you have mild to moderate erectile dysfunction.
Vardenafil (Levitra, Staxyn). This medication also is most effective when taken one hour before sex and can be taken with or without food. A high-fat meal might keep it from absorbing as quickly.
Vardenafil is effective for four to five hours or more if you have mild to moderate erectile dysfunction. A newer form of the drug that dissolves on the tongue might work faster than the pill that you swallow.
- Tadalafil (Cialis). This medication is taken with or without food about one to two hours before sex. It’s effective for up to 36 hours. It can be taken in a small dose daily or in a larger dose as needed.
- Avanafil (Stendra). This medication is taken with or without food 30 minutes before sex, depending on the dose. It lasts up to six hours.
Because these drugs are similarly effective, the American College of Physicians recommends that the choice be based on your preferences, including cost, ease of use, how long the drug’s effects last and side effects. There are generic versions of sildenafil, vardenafil and tadalafil available.
When oral medications might not be safe
Before taking any medication for erectile dysfunction, get your doctor’s OK. Medications for erectile dysfunction might not work or might be dangerous if you:
- Take nitrate drugs — commonly prescribed for chest pain (angina) — such as nitroglycerin (Nitro-Dur, Nitrostat, others), isosorbide mononitrate (Monoket) and isosorbide dinitrate
- Have very low blood pressure (hypotension) or uncontrolled high blood pressure (hypertension)
- Have severe liver disease
- Have kidney disease that requires dialysis
Most men who take oral erectile dysfunction medications aren’t bothered by side effects. When side effects do occur, they can include:
- Visual changes, such as blue tinge to vision, sensitivity to light or blurred vision
- Stuffy or runny nose
- Back pain
Rarely, more-serious side effects can occur, including:
- Hearing loss or vision loss. Some men have had sudden loss of hearing or loss of vision after taking one of these medications. However, it isn’t clear whether vision or hearing loss was directly caused by taking the medication or by a preexisting condition. If you’re taking an oral erectile dysfunction medication and have sudden loss of hearing or vision, seek prompt medical attention.
- An erection that doesn’t go away on its own. Called priapism, this rare condition can be painful and requires medical treatment to avoid damage to your penis. If you have an erection that lasts more than four hours, seek immediate medical attention.
Buying oral erectile dysfunction medications online
Treatments for erectile dysfunction are big business, and online scams abound. If you do buy medications over the internet:
- Check to see if an online pharmacy is legitimate. Never order medications from an online pharmacy if there’s no way to contact the pharmacy by phone, if prices seem too good to be true or if you’re told no prescription is necessary. Some illegal businesses sell counterfeit versions of legitimate medications, which can be ineffective or dangerous. In the U.S., the National Association of Boards of Pharmacy can tell you whether an online pharmacy is licensed and in good standing.
- Make sure you get the right prescription and dose. When you order medications — and when you receive them in the mail — make sure they’re the exact dose and type prescribed by your doctor.
- Don’t be fooled into buying ‘herbal Viagra.’ Never take any medications that claim to be the “herbal” or nonprescription equivalent of an oral medication for erectile dysfunction. These aren’t an effective alternative, and some contain harmful substances.
- Breathe deeply. …
- MORE: 9 Ways To Want Sex Again.
- Go silent.
- Read to each other. …
- Start flirting again. …
- Pull a bait-and-switch.
- MORE: 11 Things You Should Definitely Put On Your Sex Bucket List.
- Work out (downstairs).
- Incorporate healthy eating habits to lose weight and body fat.
- Ensure you are getting the right amount of high quality sleep.
- Monitor your blood pressure and heart health.
- Begin practicing pelvic floor exercises, like Kegels.
What is average testosterone level by age?
According to recent guidelines from the American Urological Association (AUA), a testosterone level of at least 300 nanograms per deciliter (ng/dL) is normal for a man. A man with a testosterone level below 300 ng/dL should be diagnosed with low testosterone.
Men older than age 65 should have a testosterone level of about 300–450 ng/dL. Testosterone levels below 300 affect approximately 40 percent of men older than age 45, including 2 out of 10 men over 60, 3 out of 10 men over 70, and 3 out of 10 men over 80 years old. Testosterone replacement is likely beneficial in healthy older subjects with significant hypogonadism. Testosterone replacement in individuals with borderline low or low-normal testosterone levels is yet to be proven effective and may not outweigh the risks.
- IMPROVING LOW TESTOSTERONE NATURALLY. The following information is a summary of materials featured in the “Men’s Health” Whole Health overview. …
- MAINTAIN IDEAL BODY WEIGHT.
- AVOID DEVELOPING DIABETES.
- SLEEP WELL.
- AVOID TOBACCO PRODUCTS.
- AVOID EXCESSIVE ALCOHOL.
- AVOID OPIOID PAIN MEDICATIONS.
- Testosterone skin gels: You apply the gel every day to clean, dry skin as directed.
- Intramuscular testosterone injections: You or a provider can administer the injections into a muscle every 1 to 2 weeks.
- Testosterone patches: You apply these patches every day to your skin as directed.
- Ginger. Share on Pinterest Ginger may help increase testosterone levels and improve male fertility.
- Fortified plant milks.
- Leafy green vegetables.
- Fatty fish and fish oil.
- Extra-virgin olive oil.
- Pomegranates Juice. Who would have thought that fresh pomegranate juice can benefit the sexual health of an individual!
- Pineapple Mint Juice.
- Beetroot Juice.
- Oat Milk.
- Green Smoothie.
- Almond and Dates Shake.
- Soy products. Soy foods, such as tofu, edamame, and soy protein isolates, contain phytoestrogens.
- Dairy products.
- Bread, pastries, and desserts.
- Licorice root.
- Certain fats.
How do you fix psychogenic erectile dysfunction?
- Hair loss.
- Male breast enlargement.
- Testicular atrophy.
- Prostate enlargement.
- Loss of libido.
- Increased aggression.
Medicine side effects, such as from chemotherapy. Testicle injury or cancer. Problems with glands in the brain (hypothalamus and pituitary) that control hormone production. Low thyroid function.
Your hypothalamus, a structure deep in your brain, acts as your body’s smart control coordinating center. Its main function is to keep your body in a stable state called homeostasis. It does its job by directly influencing your autonomic nervous system or by managing hormones,
Your thyroid is a small, butterfly-shaped gland in the front of your neck. It makes hormones that control the way the body uses energy. These hormones affect nearly every organ in your body and control many of your body’s most important functions.
How many times should a man release sperm in a week?
What happens if a man stop ejaculating?
What Recreational Drugs are good for Sex?
Please note that I am not recommending at all or saying that you should use any of these substances. They are against the law and are controlled substances.
Addiction to Cannabis
Addiction is a sneaky disease. At first, it just seems like a good time. Eventually, however, for some people, a good time becomes something much different. The beast of addiction takes hold and getting a fix becomes the priority. If you, or someone you love, suffer from an addiction to cannabis, you are not alone. A variety of treatment options can help you live a life free from the chains of cannabis addiction. Learn more about cannabis abuse facts below.
What is Cannabis and does it improve sex?
Sex and cannabis. Cannabis has been identified to have sexually stimulating effects and can intensify sexual experiences (Cohen 1982). The cannabinoid profile in cannabis influences sexual functioning and satisfaction as too much tetrahydrocannabinol (THC) may cause more inhibiting effects (Palamar et al. 2018).Jan 20, 2023
Users of CBD and THC suppositories say they’re great lubricants that also help mitigate pain during and after anal or vaginal sex, as well as enhance sexual pleasure. Feb 4, 2020
Sour Diesel is a potent marijuana strain with high levels of THC and terpenes that encourage sex. This marijuana variety will fulfill all of your fantasies and may be the best for sex. Terpenes that can be discovered in Sour Diesel include caryophyllene, limonene and myrcene. Oct 17, 2022
Indica strains especially appeal to body senses, including the all-important (for sex) touch. Sativa strains are known for amplifying energy and precipitating more psychedelic and cerebral experiences than Indica. Energy is great for sex, naturally.
- Green Tea. Yes, green tea is not just a wonder-drink for weight loss, but can also rev up your sexual desire. …
- Black coffee. Coffee, as we all know, is a mood enhancer! …
- Red wine. …
- Banana shake. …
- Pomegranate juice.
- Penguin CBD Gummies.
- Everest Full Spectrum Gummies.
- Elm & Rye Libido Gummies.
- Batch Gold Reserve Gummies.
- Otterspace Full Spectrum Gummies.
- Joy Organics Organic CBD Gummies.
- Verma Farms CBD Gummies.
- FOCL CBD.
This bind helps balance hormones, which ultimately leads to an increased libido. While were on the topic of sex science, CBD also works by increasing our body’s production of a chemical called anandamide. Pain-Free with CBD Unfortunately for many, including up to 40% of women.
To better understand the scale of cannabis abuse in the US, the following statistics give an overall perspective on just how common this substance is today:
- According to the National Survey on Drug Use and Health, 94 million people in the US admitted using cannabis at least once.
- Among teens aged 12 through 17, 6.7% of them currently use marijuana.
- In one year alone, over 240,000 ER visits involved marijuana use.
- Across the nation, 40% of adult males involved in crime tested positive for marijuana.
- According to US government estimates, marijuana production has increased tenfold in 25 years.
- Marijuana users spent over $10.5 billion on the drug in one year alone.
It is also interesting to note that marijuana ranks second to alcohol as being involved in fatal automobile accidents.
How is Cannabis Used?
Most commonly, cannabis is smoked. It can be rolled into a cigarette, known as a joint. It can also be placed in a cigar and mixed with tobacco. This is known as a blunt. Smoking marijuana in a pipe, bong or other device is also popular. Some people
take cannabis oil in pills, bake it into edibles or create a tea with the leaves.
Is Cannabis Medicine?
It is essential, in an article about abuse, to discuss the popularity of so-called medical marijuana. In 23 states and the District of Columbia, marijuana is currently legal for medicinal purposes. The benefits are still being researched, but it seems that in certain situations it may help alleviate suffering or even heal disease. Like any medication, however, the potential for abuse, dependency, and addiction abound. Cannabis, when misused, is as dangerous as any other drug.
Cocaine use can also increase the risk of engaging in unsafe sexual practices. Cocaine can impair judgment and decision-making, leading individuals to engage in risky behaviors that they may not otherwise engage in while sober. In addition, cocaine can increase libido, leading individuals to engage in more frequent sexual activity, which can increase the risk of sexually transmitted infections (STIs) and unintended pregnancy.
Cocaine use can also interfere with the body’s ability to experience physical sensations, including the sensation of pleasure during sexual activity. This can lead individuals to engage in more dangerous and extreme sexual behaviors, increasing the risk of physical harm, including tearing of the anus or vagina and other types of injury. The use of cocaine can have a profound impact on a person’s sexual health and well-being, increasing the risk of dangerous and unsafe sexual practices.
Meth can increase sexual drive and lead to more pleasurable sexual experiences because of the increase in dopamine it creates in the body. However, if in meth addiction, sexual health can be affected by a high risk of unprotected sexual activity and erectile dysfunction.
One of the most known side effects of meth use is an increase in energy. One of the results of this effect of meth is a heightened sexual desire.
Similar to other illicit drugs, methamphetamine abuse often occurs before a long night of partying or clubbing. Stimulants lower inhibitions, making it easier to socialize with potential sexual partners.
Though the confidence-inducing and hyperactive effects of methamphetamine may seem beneficial, there can be negative impacts on sexual activity in the long run.
Several sexual health problems can arise from long-term methamphetamine use and other substance abuse. Below we’ll explore the connection between meth and sex.
How Meth Effects Sexual Behavior
There are positive and negative effects methamphetamine can have on sexual behavior. Some start to smoke meth to make sex more enjoyable.
However, as substance use continues, meth can create mental health problems, leading to a tarnished sexual life.
Short-Term Effects Of Meth On Sexual Behavior
When ingested, meth can make someone feel wide awake with lots of energy. At first, this can seem like the perfect substance to mix with sex.
With the intense rush of dopamine meth causes, sex, something that also creates dopamine in the brain, feels better. Sexual stamina also increases from meth.
Some of the perceived positive short-term effects of methamphetamine on sexual behavior are:
- ability to last longer
- stronger orgasms
- increased sex drive
- more sexual agency
- confidence to approach potential partners
- lowering inhibitions to try out new sexual experiences
Long-Term Negative Effects Of Meth On Sexual Behavior
At first, meth may be abused to enhance sexual activities. But because methamphetamine is a highly addictive stimulant drug, a person can quickly become dependent on its effects.
As someone abuses more meth, the brain can only receive dopamine from drug abuse. Instead of being interested in sex, the brain’s cravings for meth will overcome any other urges.
Additionally, while meth can make someone more confident, it can also cause them to engage in more dangerous sexual risk behaviors.
Some find they need multiple sexual partners to become satisfied. Engaging with many partners increases HIV risk as well as other sexually transmitted diseases (STD).
Negative long-term effects of methamphetamine use are:
- erectile dysfunction
- lowered sexual desire
- diminished sexual pleasure
- weaker orgasms
- fertility issues
- aggressive sexual acts and other risky sexual behavior
Methamphetamine dependence also damages physical appearance. It has drastic effects on someone’s skin, mouth, and eyes.
Psychological impacts such as meth-induced psychosis can induce feelings of skin crawling, paranoia, mood swings, and depression. Eventually, these mental effects drown out any sexual feelings.
A person may become completely dependent on meth to feel sexual pleasure. Many feel they need crystal methamphetamine or other psychoactive drugs to perform sexually.
Meth And Sexual Orientation
New studies show a connection between methamphetamine addiction and people experimenting with sexual orientation.
Because meth can make someone go outside their comfort zone, some find they are changing sexual prevalence.
Homosexuality and meth shouldn’t be viewed as synonymous. People of all orientations, races, and gender use meth, it should never be stigmatized as limited to one group.
However, there is a vast wave of meth use amongst gay and bisexual men. Online forums, dating apps, and video chats often host sex and meth parties.
Meth abuse encourages unprotected sex. This can increase the chance of HIV-positive people and those with sexually transmitted infections (STIs) engaging in sex under the influence of meth.
This risky sexual behavior has created public health crises with increasing STI and HIV infection cases in the gay community.
So while this issue is certainly not limited to bisexual and gay men, it does reveal the importance of educating certain populations on the dangers of meth abuse and introducing harm reduction interventions for at-risk communities.
Meth And Porn Addiction
Meth’s effects can fuel porn addiction and masturbation. Similar to sex, porn releases dopamine in the brain, which can exacerbate if mixed with methamphetamine.
Some people high on drugs feel porn to be an easier and more enjoyable sexual release than finding sex partners.
They believe porn’s voyeurism and the one-sided experience of masturbation to be a perfect companion of meth.
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Ketamine is also known as: K, Special K, Vitamin K.
K is an anaesthic – it’s sometimes referred to as ‘horse tranquilizer’. It’s one of the chems used in dance clubs or during sex.
Ketamine can come as a powder or a liquid that’s dried to make the powder.
Sex on Ketamine
Although ketamine can make you feel horny, it can make it difficult to get a hard-on or come. K is used by some vaginal fisters as it relaxes muscles. As the drug makes you feel less pain, rough sex can lead to damage (eg. inside your srase) or cuts and bleeding that aren’t noticed. This may mean more risk of HIV, hepatitis C and other infections being passed on.
Ketamine can lower your inhibitions, which might lead to unsafe sex.
As a powder K can be snorted (known as a bump) or added to drinks (but not alcohol). It can be smoked if the powder’s mixed in a joint with cannabis and tobacco. Ketamine powder can also be mixed with water and injected into a muscle (but never a vein). K can also come as a pill.
Highs and Lows
Ketamine can boost your energy levels (in small doses), or make you feel high, numb, cut off from your body, or in a dreamy, floating state. K can cause hallucinations and an out of body experience (sometimes described as like entering a different reality, meeting God, aliens, etc.).
The effects last for 45-90 minutes if snorted and up to three hours if injected or swallowed.
Side effects of K can include dizziness, feeling sick, throwing up (risky as you might choke on your vomit if you’ve passed out), feeling disorientated, blurred sight and speech.
A large enough dose can cut you off from your surroundings and sense of self. This is called a K hole can can last up to 90 minutes. You might find it hard or impossible to move or talk. Swallowing or breathing can be difficult.
A Long Term Relationship?
Overdose deaths are rare, but you can build up a tolerance to K, with more needed to get the same results. Some people become dependant on it. Using ketamine long term might cause anxiety, depression, suicidal thoughts or memory loss.
Ketamine with Other Drugs
Depressants (‘downers’ like alcohol, GHB/GBL, Valium, barbituates) – as K and other depressants slow the body and its functions down, the combined effect can knock you out and/or slow your breathing to a dangerous level.
HIV drugs – some of these, especially protease inhibitors, can cause higher levels of ketamine in your body.
Tobacco/cannabis – smoking cigarettes or joints carries a risk of fires (if K makes you unable to move) or burns (if K’s anaesthic effect stops you feeling a burn).
Useful to Know
Someone in a K hole should be taken away from music and bright lights and reassured it’ll be over soon and they’ll be OK.
Injecting K is best avoided. It’s more likely to lead to a dependence or overdose.
If you share your injecting equipment there’s a real risk of getting or passing on infections such as HIV or hepatitis C. Injecting can also cause skin abscesses, blood poisoning, life-threatening blood clots or heart infections.
K should be avoided by people who have fits, high blood pressure or heart or liver problems.
Ketamine is a class C drug.
more info at:
https://www.issm.info/sexual-health-qa/what-is-the-nocturnal-penile-tumescence-npt-test/ https://www.menshealthmelbourne.com.au/pdf/low-testosterone-questionnaire.pdf https://christophervincent.substack.com/p/the-dopamine-wave-pool
*Disclaimer: This information is not intended to be a substitute for professional medical advice. You should not use this information to diagnose or treat a health problem or disease without consulting with a qualified healthcare provider. Please consult your healthcare provider with any questions or concerns you may have regarding your condition. The information provided is for educational purposes only and is not intended as a diagnosis, treatment, or prescription of any kind. The decision to use, or not to use, any information is the sole responsibility of the reader. These statements are not expressions of legal opinion relative to the scope of practice, medical diagnosis, or medical advice, nor do they represent an endorsement of any product, company, or specific massage therapy technique, modality, or approach. All trademarks, registered trademarks, brand names, registered brand names, logos, and company logos referenced in this post are the property of their owners.