| 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.
7. I never had trouble having sex about 6 weeks ago when I could not get or hold on to my erection. I was mortified. From that point on every time I try to have sex I cannot. Why? Is there something that can be done to help me? |
7. I never had trouble having sex about 6 weeks ago when I could not get or hold on to my erection. I was mortified. From that point on every time I try to have sex I cannot. Why? Is there something that can be done to help me? |
| Answer: When a man has a single failed sexual episode and then becomes more preoccupied with performance than pleasure he is said to develop a problem called “performance anxiety”. Instead of enjoying the sexual experience he becomes preoccupied with the ability of his penis to become erect. He is in a sense dissociated from the sensual act and finds himself a “spectator” focusing only on his penis worrying whether it will become erect, and if it does how long the erection will last. An interruption of the performance anxiety cycle with either a series of sensate focus exercises or a brief trial of Viagra may be all that is needed to restore a man’s sexual confidence and defuse his anxiety. |
8. My major problem is premature ejaculation. Is there a treatment for that? |
| Answer: In Nature rapid ejaculation after coupling is a desirable trait for it allows animals to spend as little time in the posture of copulation where they are easy target for predators. Rapid ejaculation diminishes the pleasure men and women derive from sex. Speak to your doctor and find out what treatment is best for you. |
9. How does Viagra work? |
| Answer: For a man to have an erection blood must flow into specialized spongy chambers of his penis called corpora cavernosae. Within the corpora cavernosae two chemicals one called cyclic GMP and the other PDE-5 determine whether a man’s penis will be erect or limp. When cyclic GMP levels are high a man’s penis is erect whereas when PDE-5 levels dominate- as they do after a man ejaculates- his penis becomes limp. Viagra blocks PDE-5 allowing cyclic GMP levels to remain high so that a man can have a more sustained rigid erection. |
10. Does Viagra work every time for every man? |
| Answer: The Viagra success rate is between 50 and 80% with the highest percentage of responders among those with “psychogenic impotence” whereas the response rate i.e. the number of men who will be able to have successful sexual intercourse after taking Viagra is somewhat less in those with other physical problems contributing to their erectile dysfunction. Thus about 55% of those with diabetes mellitus and about 50% of men suffering from neurological problems respond well whereas for men who have had prostate cancer surgery and sustained more serious nerve damage the success rate is only about 28%. |
11. I have heard that men who take Viagra die after they have sex. Is this true? Is taking Viagra risky? |
| Answer: Men known to have heart disease should not take Viagra especially if, they are using medication like nitroglycerin or Isordil as part of their treatment. Men being men occasionally want to “stretch the sexual envelope” and in the past some with heart disease eager to have sex ignored their doctors advice, took Viagra, had a sudden drop in blood pressure and died. However, when Viagra is used properly it has proven to both safe and effective. But men with heart disease especially those who use nitrates should not take Viagra. |
12. My wife has no sexual desire. If I give her one of my Viagra pills will it get her interested in having sex again? |
| Answer: Viagra increases blood flow to a man’s penile erectile bodies the spongy corpora cavernosae as well as to a woman’s clitoris. It does not increase sexual desire in either men or women. Trials of Viagra in women have been disappointing. When this was explored it turned out that many women with diminished sexual desire had unusually low testosterone levels..Llow testosterone and mild depression are factors known to be responsible for low sexual desire in women as well as men. |
| Sexuality 1-7 | Sexuality 8-13 | Erectile Dysfunction 1-6 | Erectile Dysfunction 7-12 |
| Julia Linnea about Sexual Fantasies |
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