YOU and J2G in 2024: Grab Your Membership Discount & Participate for Prizes!

Hi there!

As we close the chapter on another year, it’s incredible to look back at all we’ve achieved together. From the gains made through our training to the techniques we’ve polished, it’s been a journey of growth and discovery. Now, as we step into 2024, it’s the perfect time to set new goals and continue our journey towards personal enhancement.

🎙️Share Your Story

This email isn’t just a recap; it’s an invitation to share your experiences with us. How has this year been for you? What have you learned, and what are you aiming to achieve in the coming year? Your stories and feedback are what drive our community forward.

🎯Nudging Your Goals

Training’s tough but rewarding, right? With the new year, it’s the perfect time for a little self-reflection. We’ve got an article that hits right at home about the discipline needed for penis enlargement and setting clear goals. Give it a read; it might just give you the clarity you need as you plan your next moves.

🫂Support for Your Journey

We know training solo can be tough, so we’re doing two things to support you: extending our 40% off on all memberships for anyone who missed it, and launching a survey to improve our content for non-members. Plus, there’s a reward for responding to the survey!

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To take advantage of the 40% off and receive top-notch guidance from JELQ2GROW, simply use the code RESOLUTION2024. It’s our way of ensuring you have the best support as you embark on your 2024 goals.

❤️Shape Our Blog’s Future and be part of JELQ2GROW

Your journey, member or not, is at the heart of what we do. That’s why our blog is brimming with content to guide and safeguard your path. But here’s where you come in: your thoughts can shape our blog’s future. Dive into our brief survey, and let’s make our resources even more impactful together. As a heartfelt thanks, you’ll unlock a 20% discount on our store products. Your feedback isn’t just valued – it’s essential for creating content that truly resonates.

 

The Balm You’ve Been Waiting For is Back!

Hey there!

We’re thrilled to announce that our much-loved Jelqing Balm is back in stock! 🎉

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Stay safe and keep yourself healthy,

Health How Pelvic Floor Exercises Can Help Reduce Incontinence and Improve Sexual Performance in Men

Here’s how and why you should be including them into your workouts

By Mens Health

This article is a repost which originally appeared on Men’s Health

Edited for content. The opinions expressed in this article may not reflect the opinions of this site’s editors, staff or members.

Key takeaways:

Men often face incontinence as they get older

Maintaining pelvic floor fitness can help to alleviate incontinence and maintain/improve sexual performance

The Kegel Exercise is widely recommended for pelvic floor health

A common health issue that many men face as they get older is incontinence. Erectile dysfunction and low libido are also problems that come with ageing. Thankfully, there are specific exercises you can do to reduce the impact of these issues and stop them from occurring frequently.

In a recent interview with the Daily Mail, Joe Ward spoke about his health issues after emergency back surgery and surviving sepsis. Following the incident, Joe, at the age of 30, experienced double incontinence and was unable to function sexually. To further complicate things, he was told he would have to use a catheter for the rest of his life.

‘For six months, I had to use pads — like someone 50 years older than me — because I was having leakages and accidents,’ Ward told the paper. ‘It was tough, especially in social situations. And for a long time, I didn’t feel like a real man because I couldn’t function sexually, which was very upsetting.’

Despite the effect this was having on multiple areas of his life, he was shown some simple pelvic floor exercises to improve these issues, exercises which he believed made a significant improvement.

Pelvic floor exercises have been shown to support a range of health problems. According to research, pelvic floor exercises could benefit men who are effected by erectile dysfunction, premature ejaculation, urinary problems and those who would like additional help in the bedroom. Published by NeuroQuantology, the study showed that pelvic floor exercises effectively reduced urinary incontinence and improved erectile function in those recovering from prostate operation.

What Are the Pelvic Floor Muscles?

The pelvic floor muscles stretch from the tailbone to the pubic bone. They work as a supportive sling of muscles that support the bladder and bowel organs as well as assisting sexual function while protecting the organs.

According to the NHS, the pelvic floor muscles contract when you cough, sneeze or laugh; preventing leakage of urine. They are kept under slight tension so that when you pass urine or open your bowels the muscles should relax and then tighten afterwards. This prevents leakage and controls the passing of urine, bowel and gas motions.

What Are Pelvic Floor Exercises?

Pelvic floor exercises include engaging your pelvic floor muscles and squeezing them for a certain amount of time. This can also be referred to as a ‘kegel’ exercise. To do so:

  • Stand, sit or lie comfortably with your legs slightly apart.
  • Engage your pelvic floor by imagining you are trying to stop yourself from passing wind or passing urine.
  • Squeeze the muscles and hold before relaxing again.

Once you have mastered these steps, the NHS recommends you try to hold the contraction for as many seconds as possible up to 10 seconds. It then recommends to rest and then repeat the process 10 times. After this you can repeat quick contractions for 10 repetitions.

Using The Pumping Chamber, Phimosis: Ask The Experts

Big Al, of MaleEnhancementCoach.com, answers questions about using the TOTALMAN Vacuum Chamber device, and phimosis.

If you have questions you’d like answered in an Ask the Experts article, please PM Big Al

 

Q. In your instructions of how to use the vacuum chamber attachment, you mentioned the use of a penis pump sleeve and attached rubber extension that goes up to the penis glans. Where can I purchase one!? Thanks

Al: You’ll want the SPANDEX SLEEVE for covering the glans, and the SILICONE SLEEVE for securing the VACUUM CHAMBER. You’ll also need 3M MICROPORE TAPE for foundational protection of the glans.

Please see the following tutorial for full instructions: Taping and Attaching the Vacuum Chamber – PART 1: PREPARATION

 

Q. I’m able to perform many of the stretches but I’m not able to get a full range of motion due to having phimosis.  Is there something you’d recommend for resolving this?

Al: You NEED to get the phimosis issue taken care of if you want to train in an unfettered manner.

If your condition doesn’t require surgery, then phimosis-specific manual stretches would be recommended.

Here are the instructions:

Manual stretching is the least invasive phimosis treatment.

‧ While in the bath or while using a lubricant, if there is enough of an opening to insert the tips of one finger on each hand, do so and very gently stretch the opening. Be sure to do this when your penis is completely flaccid.

‧ Hold the stretch for 30 to 60 seconds.

‧ Repeat for 10 to 20 reps, twice a day.

‧ If your opening is not that large yet, gently pinch your foreskin between your thumb and index fingers of both hands, at the opening, and stretch it from the outside of the skin.

‧ Continue this process until the foreskin can be retracted over the glans of the penis.

‧ This process may take a few months.

The following may be of additional interest: Phimosis (aka Tight Foreskin): Treatment Options

 

*                *                *

Want assistance with YOUR Male Enhancement Training?  Please check out MaleEnhancementCoach.com

Senior Sex: How to Maintain or Improve Intimacy

Sex in the Senior Years

By Mark Stibich, PhD | Updated on August 13, 2023
Medically reviewed by Isaac O. Opole, MD, PhD

This article is a repost which originally appeared on verywell health

Edited for content. The opinions expressed in this article may not reflect the opinions of this site’s editors, staff or members.

Key takeaways:

People in their 70s and 80s and beyond can continue to enjoy sex.

Striving for optimal physical and mental health can allow one to continue to enjoy sex in older age.

Issues you cannot resolve on your own should be brought to the attention of a qualified medical professional.

Many people in their 70s and 80s are not only sexually active, but satisfied with their senior sex lives.1 Though the frequency or ability to perform sexually may decline with age due to physiological changes, these don’t necessarily affect how a person experiences or enjoys sex.

Aging-related problems like erectile dysfunction (ED), vaginal dryness, or urinary incontinence can affect sex. But their impact can also be minimized by using medication, managing chronic conditions, seeking individual or couples counseling, and changing sexual practices.2

This article explores the sex lives of adults 65 and over and the problems that can interfere with sex as the body ages. It also discusses the various treatment options and ways to maintain—or even jumpstart—your senior sex life.

Sexual Activity in Older Adults

Studies suggest that men are almost twice as likely as women to still have sex or masturbate in their later years. A British study found close to 60% of men ages 70 to 80 and 31% of men ages 80 to 90 are still sexually active. In women, those figures drop to 34% and 14%, respectively.3

This lower rate of sexual activity in older women may be due to a lack of opportunity rather than a lack of desire. Research shows that older women are less likely to have partners (due in large part to the fact that they often outlive their partners). This is sometimes referred to as “the partner gap.”1

Sexual Health Problems in Older Men

It is common for men to experience sexual problems after age 40. Reasons include a natural decline in testosterone levels, heart disease, and prostate problems. The inability to achieve or sustain an erection or reach orgasm or ejaculation are common concerns.4

Erectile Dysfunction

Erectile dysfunction (ED), formerly known as impotence, is the inability to achieve or maintain an erection firm enough for sexual penetration and long enough to achieve orgasm.

While ED is more common in older men, aging itself does not cause the problem. ED is related to conditions, sometimes several at once, that directly or indirectly interfere with erections.

Risk factors include high blood pressure, diabetic nerve damage, smoking, obesity, Peyronie’s disease, depression, and even certain medications. An accurate diagnosis is needed to ensure the right treatment.5

ED drugs like Viagra (sildenafil), Levitra (vardenafil), and Cialis (tadalafil) are often the first-line treatments for ED. Lifestyle changes and counseling can also help. For some men, hormonal therapy, penis pumps, and penile implants may be recommended.
Is There a Female Viagra?

Benign Prostatic Hyperplasia

Benign prostatic hyperplasia (BPH) is a non-cancerous enlarged prostate and one of the most common health problems in older males.6 BPH can cause symptoms like difficulty urinating, frequent urination, or waking up in the middle of the night to urinate (nocturia).

On top of this, BPH can cause sexual problems like low libido (low sex drive) and delayed ejaculation (difficulty reaching orgasm).

Among the treatment options, testosterone therapy may help restore libido. There are also certain drugs used off-label that may help with delayed ejaculation, including cabergoline (originally marketed as Dostinex) and Wellbutrin (bupropion).7

Because some BPH medications can also cause sexual dysfunction, a change in the dose may help resolve these concerns.8

Sexual Health Problems in Older Women

More than a third of older women experience sexual problems. These are typically due to menopause, when estrogen levels steeply decline. Hormonal changes can lessen sexual desire and make it harder to become aroused.9

Sexual organs also change as a person gets older. A woman’s vagina will shorten and narrow. The vaginal walls become thinner and less flexible, tearing more easily. Vaginal lubrication decreases, making vaginal intercourse more painful.10

Hypoactive Sexual Desire Disorder

Hypoactive sexual desire disorder (HSDD) is diagnosed when an absence of sexual fantasies, thoughts, and desires causes personal distress. It is a problem that is common among many older women.

A medication known as Addyi (flibanserin) is used to treat HSDD in women. It is currently only approved for premenopausal women, but research shows that it can also improve libido in older women as well.11

Vaginal Dryness

Vaginal dryness is uncomfortable and can make sex painful. Over-the-counter (OTC) remedies that can help relieve irritation and itching from vaginal dryness include lubricants such as K-Y Jelly or vaginal suppositories like Replens.

If OTC remedies don’t help, your doctor may prescribe estrogen cream as well as estrogen-containing vaginal rings and vaginal suppositories.

There are also plant-based products, like black cohosh, that have estrogen-like effects. These should be used with caution in women who have had or are at risk of breast cancer.12

Pain With Sex

Painful intercourse is more likely in older women as vaginal tissue tends to thin and tear easily after menopause. Standard treatments for vaginal dryness can often help ease pain during sex.

If that is not effective, prescription drugs like Osphena (ospemifene) and Intrarosa (prasterone) can treat thinning vaginal tissues and help relieve moderate to severe vaginal dryness.12

Pelvic Organ Prolapse

The pelvic floor muscles and tissues hold the bladder, uterus, cervix, vagina, and rectum in place. Pelvic organ prolapse (POP) occurs when the pelvic floor weakens, causing the pelvic organs to drop and bulge (prolapse) in the vagina. This can cause pelvic pain and pressure, pain with sex, and urinary incontinence.13

POP is often treated with pelvic floor physical therapy to strengthen the supporting muscles. In some cases, surgery may be needed.14

Other Health Concerns

Chronic medical conditions become more common as a person ages. Many of these can interfere with an older person’s sex life.
Arthritis and Chronic Pain

Arthritis and other chronic pain conditions are common among older adults and can make sex very difficult. Depending on the cause, doctors may recommend physical therapy to strengthen muscles and improve flexibility.

Nonsteroidal anti-inflammatory drugs (NSAIDs), both over-the-counter and prescription, can be taken before sex to help ease the pain. Opioid drugs, while effective as a pain reliever, can cause a drop in testosterone and contribute to ED.15

If the pain only occurs in certain sexual positions, let your partner know and try different positions. Bolstering your bodies with pillows and cushions can also help.

Diabetes

In the United States, almost one-third of adults over 65 have diabetes. Approximately half of these are undiagnosed.16

Diabetes can cause sexual dysfunction in both men and women. This can be due to circulation problems, medication side effects, or nerve damage. Problems include:17

  Low libido
Difficulty with arousal
Erectile dysfunction
Painful intercourse
Reduced genital sensation
Urinary tract infections
Yeast infections

The best way to reduce the impact of diabetes is to gain control of your blood sugar. Speak with your doctor if you have difficulty managing your blood sugar, and be sure to mention any sexual health problems you may be having. It’s important for your doctor to know.

Heart Disease

Older age is the greatest risk factor for heart disease.18 Heart disease causes problems as arteries start to narrow and harden (referred to as atherosclerosis). This reduces blood flow throughout the body, including the pelvis and genitals, resulting in sexual dysfunction in both men and women.

Heart disease is one of the leading causes of erectile dysfunction in men. It can also cause women to have difficulty achieving orgasm due to the decreased blood flow to the genitals.

There is no one way to resolve these issues, but there is evidence that statin drugs used to reduce the risk of heart disease can improve erectile dysfunction in some men.19 Some studies suggest that similar approaches may improve sexual function in women with heart disease.20

People with heart disease may also be nervous about sex due to fear of a heart attack. While sexual activity is generally safe, talk to your health provider if you are concerned.21

Obesity

Today, more than 40% of adults over 65 meet the definition of obesity.22 Research shows that women who are obese are more likely to experience sexual dysfunction than non-obese women.23 In addition, obesity increases the odds of erectile dysfunction in men.20

These issues may be directly related to higher rates of diabetes among people who are obese as well as reduced blood circulation due to atherosclerosis.24

Weight loss, achieved with a healthy diet and routine exercise, is considered the best strategy to overcome obesity. It may also improve a person’s self-image and sense of well-being while making sex easier to navigate.

Urinary Incontinence

Urinary incontinence is the loss of bladder control. This becomes more common with age, especially in women.

Incontinence can be embarrassing and make sex awkward. Women who experience stress incontinence may be afraid to orgasm. Extra pressure on the abdomen during intercourse can also cause urinary leakage.

If you have incontinence, empty your bladder before sex. Changing sexual positions can help prevent urinary leakage by avoiding the compression of the bladder. Pelvic floor exercises can also help strengthen the muscles that aid with urine control.

Medications

Some medications used in older adults can cause sexual dysfunction in both men and women. These include:25

  Antidepressants
  Antihistamines
  Chemotherapy
  Diuretics (“water pills”)
  High blood pressure medicines
  Opioid painkillers

If you are having sexual difficulties, let your doctor know and advise them of any drugs you are taking, including over-the-counter, prescription, or recreational.

Lifestyle and Mental Health

Lifestyle and mental health issues can also contribute to sexual problems in older adults. These issues can be just as difficult—and sometimes even more difficult—to overcome than physical ones. If you are faced with any of these issues, there are things you can do to turn them around.
Alcohol

For some people, drinking a glass of wine helps them relax and get in the mood. However, too much alcohol can end up impairing sexual function. According to the National Institute on Drug Abuse, alcohol is the most-used drug among older adults, with 65% of people 65 and older reporting high-risk drinking.26

Alcohol can impair a man’s ability to get an erection, cause premature ejaculation, or delay orgasm.27 In women, too much alcohol can make it difficult to climax.2

Reducing the amount you drink can help, but if you are unable to control your alcohol use, speak to your doctor about treatment options.

Depression

In the United States, between 5% and 10% of adults over 65 are estimated to be depressed.28 This can lead to many health concerns, including sexual dysfunction.29

In people with depression, neurotransmitters—chemical messengers that send signals between the brain and body—are out of balance. This can affect sexual desire, arousal, and orgasm. Ironically, medications used to treat depression can have the same effects.

While the benefits of antidepressants often outweigh the risks, therapy and counseling may offer a reasonable option for those with mild depression.

Stress

Stress can be a contributing factor to sexual dysfunction. Financial worries and health concerns are just some of the common stresses affecting older adults.

To relieve stress (and the effect it has on your sex life), consider stress management techniques like mindful breathing, tai chi, yoga, and meditation. Research shows practicing mindfulness and meditation can ease the effects of stress and improve overall feelings of well-being.30 This alone may help improve sex.

In addition, seek professional assistance from financial advisors, health advocates, and social workers to help better deal with the other stresses in your life.

Relationship Issues

Lack of sexual intimacy is often related to relationship problems. If you are and your partner are not connecting emotionally, it can lessen your desire to be intimate.

On the flip side, studies show that older couples who engage in sexual intercourse with their partner are likely to share a closer relationship. Moreover, closeness to one’s partner has been shown to increase overall well-being.31

While this issue is not unique to older couples, many people find talking to a marriage counselor can help them work through relationship issues and rekindle sexual feelings and attraction.

Self-Image

With age can come weight gain and other body changes that may affect one’s sense of physical attractiveness. Self-consciousness can spill over into the bedroom and affect a person’s confidence during sex.

A 2019 study among older women found that those who were self-conscious about their bodies reported less sexual satisfaction. By contrast, those who had greater self-acceptance of their bodies irrespective of weight or aging-related changes had a more satisfying sex life.32

Self-acceptance is ultimately the key. Working with a therapist, either alone or as a couple, can help you discuss your feelings openly and find a way to embrace a more positive self-image.

How to Maintain a Healthy Sex Life

The benefits of maintaining your sex life as you age are physical and emotional. Being sexually active is associated with a lower risk of medical conditions and a longer life. It’s also associated with a greater sense of happiness and overall well-being.3

If your sex life has become stagnant and you’d like to rev it back up, here are a few things you can do.

Communicate

Good sex begins with good communication. Couples who have been together a long time often think they know what the other is thinking. But no one is a mind reader.

Talk to your partner about any concerns you have. You may feel as though your mate is no longer attracted to you because sex has become infrequent, when in fact they are experiencing a decline in sexual interest.

In addition, as sex organs change with age, what felt good before may no longer feel good or may even be painful. Be open with your partner about these changes.

Communicating about sex can be challenging at any age, however. If you and your partner struggle to talk about sex, consider seeing a sex therapist.

Redefine Sex

Sex, as you get older, may need to change. But different can still be good, if not better. With an empty nest and possibly retirement, there’s more time and privacy to explore.

Research shows older adults have a broader definition of sexual activity than younger adults.33 In other words, they better understand that there is more to sex than just intercourse. Foreplay on its own can be quite satisfying.

Be creative and willing to try new things.

Rethink Intimacy

Sex isn’t just physical. It’s an emotional expression of intimacy. As you grow older, sexual intimacy changes. What this means to you and your partner may need to be redefined.

Emotional intimacy can be expressed through non-sexual physical touch. Examples of non-sexual physical touch include:

  Back rubs
  Cuddling
  Holding hands
  Hugging
  Placing your hand on your partner’s shoulder or arm
  Playful nudges
  Sitting next to each other
  Touching feet under the table

Another non-sexual way to build emotional intimacy is spending quality time together. Things you can do:

  Go out on dates with other couples.
  Look through old photos and reminisce.
  Play cards, board games, or word games.
  Read aloud to each other.
  Play music together.
  Travel, explore new places.
  Visit with friends or family.

Just Do It

Instead of waiting for the desire to strike, experts recommend that older adults just go for it. This is because sex has physical and emotional benefits. Orgasms release oxytocin, a hormone that induces a state of calm and improves sleep.

Even if you’re not in the mood, having sex can set the stage for more sex in the future. This is especially true for women. Having sex regularly helps increase natural lubrication and vaginal elasticity. It may also improve erections in men.

Summary

Older age can lead to sexual problems in different ways. Age alone increases the risk of erectile dysfunction, delayed ejaculation, low libido, vaginal dryness, and pelvic organ prolapse. Medical conditions like arthritis, diabetes, heart disease, obesity, and incontinence can also directly or indirectly interfere with sex.

Lifestyle and emotional issues that can impair sexual function in all ages can become even more profound in adults 65 years and older. These include stress, depression, negative self-image, relationship problems, and alcohol abuse.

By working with a doctor or therapist, you can overcome many of these concerns and improve not only your quality of life but your sex life as well. Keeping open lines of communication and embracing change as a natural part of life can also help keep your sex life fresh as you approach your later years.

Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.

1. University of Michigan Institute for Healthcare Policy and Innovation. Let’s talk about sex.

2. National Institute on Aging. Sexuality in later life.

3. Lee DM, Nazroo J, O’Connor DB, Blake M, Pendleton N. Sexual health and well-being among older men and women in England: findings from the English longitudinal study of ageing. Arch Sex Behav. 2015;45(1):133-144. doi:10.1007/s10508-014-0465-1

4. Shigehara K, Kato Y, Iijima M, et al. Risk factors affecting decreased libido among middle-aged to elderly men; Nocturnal voiding is an independent risk factor of decreased libido. Sex Med. 2021 Oct;9(5):100426. doi:10.1016/j.esxm.2021.100426

5. National Institute of Diabetes and Digestive and Kidney Diseases. Symptoms & causes of erectile dysfunction.

6. National Institute on Aging. Prostate problems.

7. Abdel-Hamid IA, Elsaied MA, Mostafa T. The drug treatment of delayed ejaculation. Transl Androl Urol. 2016;5(4):576-591. doi:10.21037/tau.2016.05.05

8. National Cancer Institute. Understanding prostate changes: a health guide for men.

9. Harvard Health Publishing. Yes, you can have better sex in midlife and in the years beyond.

10. Szymański J, Słabuszewska-Jóźwiak A, Jakiel G. Vaginal aging—What we know and what we do not know. Int J Environ Res Public Health. 2021 May;18(9):4935. doi:10.3390/ijerph18094935

11. Portman DJ, Brown L, Yuan J, Kissling R, Kingsberg SA. Flibanserin in postmenopausal women with hypoactive sexual desire disorder: Results of the PLUMERIA study. J Sex Med. 2017;14(6):834-842. doi:10.1016/j.jsxm.2017.03.258

12. Naumova I, Castelo-Branco C. Current treatment options for postmenopausal vaginal atrophy. Int J Womens Health. 2018;10:387-395. doi:10.2147/IJWH.S158913

13. Department of Health and Human Services: Office on Women’s Health. Pelvic organ prolapse.

14. Duralde ER, Rowen TS. Urinary incontinence and associated female sexual dysfunction. Sex Med Rev. 2017;5(4):470-485. doi:10.1016/j.sxmr.2017.07.001

15. Marudhai S, Patel M, Valaiyaduppu Subas S, et al. Long-term opioids linked to hypogonadism and the role of testosterone supplementation therapy. Cureus. 2020;12(10):e10813. doi:10.7759/cureus.10813

16. Kalvani RR, Golden SH, Cefalu WT. Diabetes and aging: unique considerations and goals of care. Diabetes Care. 2017 Apr;40(4):440–3. doi:10.2337/dci17-0005

17. American Diabetes Association. Sex and diabetes.

18. Steenman M, Lande G. Cardiac aging and heart disease in humans. Biophys Rev. 2017 Apr;9(2):131–7. doi:10.1007/s12551-017-0255-9

19. Kosti JB, Dobrzynski JM. Statins and erectile dysfunction. World J Mens Health. 2019 Jan;37(1):1–3. doi:10.5534/wjmh.180015

20. Nascimento ER, Maia ACO, Pereira V, Soares-Filho G, Nardi AE, Silva AC. Sexual dysfunction and cardiovascular diseases: a systematic review of prevalence. Clinics (Sao Paulo). 2013 Nov;68(11):1462–8. doi:10.6061/clinics/2013(11)13

21. Penn Medicine. Sex and your heart: What to know about intimacy and heart disease.

22. Hales CM, Carroll MD, Fryar CD, Ogden CL. Prevalence of obesity and severe obesity among adults: United States, 2017-2018. NCHS Data Brief. 2020;360.

23. Mozafari M, Khajavikhan J, Jaafarpour M, et al. Association of body weight and female sexual dysfunction: a case control study. Iran Red Crescent Med J. 2015;17(1):e24685. doi:10.5812/ircmj.24685

24. Ho JH, Adam S, Azmi S, et al. Male sexual dysfunction in obesity: the role of sex hormones and small fibre neuropathy. PLoS One. 2019;14(9):e0221992. doi:10.1371/journal.pone.0221992

25. Conaglen H, Conaglen J. Drug-induced sexual dysfunction in men and women. Aust Prescr. 2013;36(1):42-45. doi:10.18773/austprescr.2013.021

26. National Institute on Drug Abuse. Substance use in older adults DrugFacts.

27. Prabhakaran DK, Nisha A, Varghese PJ. Prevalence and correlates of sexual dysfunction in male patients with alcohol dependence syndrome: a cross-sectional study. Indian J Psychiatry. 2018;60(1):71-77. doi:10.4103/psychiatry.IndianJPsychiatry_42_17

28. Cheruvu VK, Chiyaka ET. Prevalence of depressive symptoms among older adults who reported medical cost as a barrier to seeking health care: findings from a nationally representative sample. BMC Geriatr. 2019;19(1):192. doi:10.1186/s12877-019-1203-2

29. National Institute of Aging. Depression and older adults.

30. Goyal M, Singh S, Sibinga EM, et al. Meditation programs for psychological stress and well-being: a systematic review and meta-analysis. JAMA Intern Med. 2014;174(3):357–68. doi:10.1001/jamainternmed.2013.13018

31. Smith L, Yang L, Veronese N, Soysal P, Stubbs B, Jackson SE. Sexual activity is associated with greater enjoyment of life in older adults. Sex Med. 2019 Mar;7(1):11–8. doi:10.1016/j.esxm.2018.11.001

32. Gillen MM, Markey CH. A review of research linking body image and sexual well-being. Body Image. 2019;31:294-301. doi:10.1016/j.bodyim.2018.12.004

33. Hinchliff S, Tetley J, Lee D, Nazroo J. Older adults’ experiences of sexual difficulties: Qualitative findings from the English longitudinal study on ageing (ELSA). J Sex Res. 2018;55(2):152-163. doi:10.1080/00224499.2016.1269308

 

 

 

 

 

 

The Male Sex Drive — How it Changes With Age

Published on July 24, 2023 .
Kristopher Bunting, MD  Author

This article is a repost which originally appeared on healthnews

Edited for content. The opinions expressed in this article may not reflect the opinions of this site’s editors, staff or members.

For many men, having a strong sex drive—or libido—can be an important part of feeling healthy and having a good quality of life.

Key takeaways:

Male sex drive and testosterone levels decrease with age.

Less sex does not mean less sexual satisfaction.

Good health improves sexual function and sexual quality of life at any age.

Aerobic exercise can improve sexual function and sexual satisfaction.

However, as men age and their bodies change, so does their sex drive. Sex drive tends to decrease with age after it peaks in men in their 20s, but that does not mean that aging has to have a negative effect on sex.

Age, sex drive, and sexual satisfaction

Most men (and women) are more sexually active in their 20s than in any other decade of life. Men’s sex drives seem to peak in their 20s and begin to decrease in their 30s and onward slowly. Men in their 40s and older are also more likely to have problems with sexual function, including erectile dysfunction.

Men have less sex as they get older, but that is only half the story. Sexual satisfaction does not necessarily decrease with age.

A study in Norway found that although sexual activity decreases with age and sexual dysfunction increases with age, sexual satisfaction is more complex. According to the study, men in their 20s had the highest level of sexual satisfaction, followed by men in their 50s. Surprisingly, despite increased sexual dysfunction and decreased sex drive, men in their 50s reported higher sexual satisfaction than those in their 30s and 40s.

Another study from the US found that overall, sexual quality of life tended to decrease with age but was higher in older people who had a better quality of sex. The authors attributed this to “sexual wisdom”—better sex through past experience. No matter the cause, this is certainly good news for anyone worried about their odds of having a fulfilling sex life as they age.

Testosterone and sex drive

Testosterone levels play a major role in the male sex drive. Testosterone is the primary sex hormone responsible for male sexual development and is also associated with sex drive. Research has shown that men’s testosterone levels decline with age beginning after age 30, and reach their lowest levels after age 70—when sex drive is at its lowest.

Low testosterone in men is called male hypogonadism. Hypogonadism in men can cause or contribute to lower sex drive, erectile dysfunction, infertility, loss of bone mass, loss of muscle mass, and depression.

Testosterone replacement therapy can treat male hypogonadism, and research shows that in older men, it can improve sexual activity, sexual desire, and erectile dysfunction. In a study of men with poorly controlled type 2 diabetes, testosterone replacement therapy was shown to improve not only sexual function but also the quality of life and memory.

While considered a normal part of aging, low testosterone can be caused by various medical conditions, including head injuries and some medications. Certain prescription medications can decrease testosterone levels, including opioids (painkillers), hormone therapy for prostate cancer, and a few other drugs.

Remember, do not stop taking any medication without first talking with your healthcare provider. If you are concerned about your testosterone levels, discuss it with your doctor or another healthcare provider.

Better health means better sex

As men age, health plays an increasingly important role in their sex life. According to research, people in better health are more interested in sex, have sex more often, and have a better sexual quality of life. On the other hand, high blood pressure, heart disease, and other conditions that affect blood flow can affect sex drive and contribute to male sexual dysfunction.

Medications can also affect sex drive and sexual performance in men, including some prescription medications for high blood pressure, depression, prostate disease, and hair loss. Common medications that contribute to low sex drive and sexual dysfunction are beta-blockers, diuretics, and finasteride (Propecia, Proscar). Always discuss possible medication side effects with your healthcare provider—the benefits may outweigh the drawbacks.

Erectile dysfunction

Along with a decreased sex drive, aging, poor health, and certain medications can also lead to erectile dysfunction—a known contributor to depression. Fortunately, modern medicine has dedicated a great deal of research to improving men’s erections.

Nowadays, there are several ways to successfully improve erectile dysfunction, including penile implants and medications such as sildenafil (Viagra), tadalafil (Cialis), and vardenafil (Levitra, Staxn). While these medications are safe for many men, they can cause dangerous side effects in people taking nitrates (such as nitroglycerin, isosorbide, and others).

However, it is possible to improve erectile function with natural means such as CBD oils. The latter is one of the best ways to reduce anxiety and stress interfering with libido. CBD oils and gummies improve blood flow in vessels, thus benefiting erectile function. Full-spectrum CBD oils are believed to be a better choice for erectile dysfunction containing both CBD and THC in moderate amounts.

Exercise can improve sex

It is no secret that aerobic exercise is good for your health. It helps reduce cholesterol, blood pressure, and body fat in addition to decreasing the risk of death from coronary artery disease. Studies also show that aerobic exercise is also important for sexual health.

A study in Japan found that regular aerobic exercise improved sexual function in men aged 43-59. Another group of researchers in the U.S. showed that aerobic exercise—running, cycling, or swimming—improved sexual function in men aged 18-50. The potential for better sex life is excellent motivation to get more exercise,

When do men stop being sexually active?

If you think that people stop being sexually active when they get older, you would be wrong. Research shows that men have a sexual life expectancy well into their 70s. While it is true that sexual activity decreases with age, even the elderly are busy getting busy.

In fact, the 55 and older population has had a significant increase in sexually transmitted diseases (STDs) over the past few decades, including chlamydia, gonorrhea, syphilis, and HIV. While an increase in STDs may be alarming, it clearly indicates that both men and women keep having sex well into old age.

As men age, they tend to have less sex but have high satisfaction with their sex life. Aging and health can have significant effects on sexual function and satisfaction, but medical treatment and exercise can improve both sexual function and sexual satisfaction at any age. If you are concerned about decreased sex drive or sexual dysfunction, talk with your healthcare provider.

Resources:

1. BJU International. Assessment of male sexual function by the Brief Sexual Function Inventory.
2. NIH. Sexual Quality of Life and Aging: A Prospective Study of a Nationally Representative Sample.
3. StatPearls. Physiology, Testosterone.
4. Endocrine Reviews. The Decline of Androgen Levels in Elderly Men and Its Clinical and Therapeutic Implications.
5. Mayo Clinic. Male hypogonadism.
6. The Journal of Clinical Endocrinology & Metabolism. Testosterone Treatment and Sexual Function in Older Men With Low Testosterone Levels.
7. ENDOCRINE SOCIETY. Testosterone improves quality of life, sexual function, and delayed verbal recall in men with uncontrolled type 2 diabetes.
8. ISSM. Can prescription medications affect testosterone levels?
9. thebmj. Sex, health, and years of sexually active life gained due to good health: evidence from two US population based cross sectional surveys of ageing.
10. NHS. Low sex drive (loss of libido).
11. Mayo Clinic. High blood pressure and sex: Overcome the challenges.
12. MedlinePlus. Finasteride.
13. NIH. Sexuality in Ageing Male: Review of Pathophysiology and Treatment Strategies for Various Male Sexual Dysfunctions.
14. NIH. Increased incidence of depressive symptoms in men with erectile dysfunction.
15. NIH. Health benefits of aerobic exercise.
16. NIH. Regular aerobic exercise improves sexual function assessed by the Aging Males’ Symptoms questionnaire in adult men.
17. NIH. Exercise Improves Self-Reported Sexual Function Among Physically Active Adults.
18. EmergencyMedicineNews. STI Rate Has Doubled Among Senior Citizens.

Does Sex Hurt for Men? – 10+ Causes

Why Sex Could Hurt for Men

By Jerry Kennard
Updated on July 12, 2023
Medically reviewed by Jamin Brahmbhatt, MD

This article is a repost which originally appeared on verywell health

Edited for content. The opinions expressed in this article may not reflect the opinions of this site’s editors, staff or members.

Key Points

‧ There may be one or more causes to pain during sex for men.

‧ Refrain from sexual activity if you suspect you have an injury which needs attention.

‧ STIs can interfere with sexual performance and pleasure.

Pain during sex happens to both males and females, regardless of gender identity. When sex hurts, it can cause anxiety and affect sexual pleasure.

Sex can hurt for men for a variety of reasons, including sexually transmitted infections, foreskin problems, and being allergic to chemicals in birth control methods (such as latex condoms).

This article explores some common reasons sex can hurt for men. It also offers guidance for when to seek medical care.

For the purpose of this article, “male” refers to people born with penises, irrespective of whether they identify with one or more genders or no gender at all.

Why Does Sex Hurt for Males?

Some of the reasons sexual intercourse can hurt for men include:

Sexually Transmitted Infections

Some sexually transmitted infections (STIs) can cause pain during sex. Infections such as herpes and gonorrhea can cause burning and itching if left untreated. They can also cause sores, bumps, or blisters on the penis or anus.

If you think you may have been exposed to an STI, visit your healthcare provider or a clinic to get tested.

The sooner you know if you’re infected, the sooner you can get treatment. Early treatment can limit or prevent some effects of these infections.

Foreskin Problems

Uncircumcised men can develop tight foreskin, or phimosis. When you pull back the foreskin, or when your penis is erect, it can tear, bleed, get inflamed, or be painful.

This problem can usually be treated with an ointment. In some cases, adult circumcision can resolve the problem. Talk to your healthcare provider about your options.

Why Does Sex Hurt For Females?

In general, women are more prone to experience painful sex than men. Here are some of the reasons sex can hurt for females:

‧ Losing their virginity

‧ STIs

‧ Vaginismus

‧ Vulvodynia

‧ Endometriosis

‧ Uterine fibroids

‧ Ovarian cysts

‧ Cervical cancer

Curved Penis

Normal penises vary in length, girth, and shape from one person to the next. Sometimes, a curved penis can cause painful erections or make sex difficult.

Some penises curve because of conditions like hypospadias. That’s where the urethra opens away from the tip of the penis.

In some cases, a curve can develop over time. One cause of this is Peyronie’s disease, which causes scar tissue to form in the penis. Scars from previous traumas or infections can make sex painful, too.

Lesions and Growths

Sometimes a growth on the penis is what’s causing the pain. Some cancers cause growths. Cysts and lesions can also form on the penis or in the ducts and tubes that carry sperm.

If your prostate is enlarged, you may have pain when you ejaculate. It’s also possible that an infected pocket called an abscess can form on the penis.

Any of these growths can cause pain when you’re having sex or ejaculating.

Priapism

Most of the time, erections go away after sex. Sometimes a non-sexual erection lasts much longer than it normally would. This condition is called priapism, and it is often painful.

An Allergy

Some men have an allergic reaction to vaginal fluids or the chemicals in birth control methods. A medical professional can help you find out if you’re allergic to latex condoms or another substance.

Hypersensitivity

The penis can become very sensitive after orgasm and ejaculation. If you keep having sex after that point, it may be painful. This may mean you need to limit how many times you have sex with your partner on a given day or find other ways to experience pleasure together.

A rare condition called pudendal neuralgia affects a nerve in the pelvic region and may cause pain during sex as well.

Medications

Some antidepressants and muscle relaxers can cause pain when you ejaculate.4 It’s important to talk to your healthcare provider if you think a medication may be causing this kind of pain.

However, you should not stop taking your medication without discussing it with your healthcare provider first, because serious health problems can arise if you do.

Skin Disorders

Some skin conditions can lead to painful sex. These include:

‧ Zoon’s balanitis, an inflammation of the foreskin

‧ Erosive lichen planus, which causes an itchy rash or blisters

‧ Lichen sclerosus, which causes itchy white patches

‧ Genital psoriasis, an itchy inflammation of the skin

‧ Penile cancer

Other Causes of Painful Sex

Other possible reasons that a man or woman might find sex painful include:

Sex positions: Some sexual positions are more uncomfortable than others. This can be due to a variety of reasons, including someone’s overall health, weight, flexibility. Some health conditions, such as back pain, can also make some positions painful. Work with your partner on finding the positions that are most comfortable for you. There are also other ways to enjoy sex that don’t involve intercourse.

Lack of lubrication: Vaginal dryness can cause pain for a woman during sexual intercourse. This can also affect men and women during anal sex. Using a lubricant designed to be used during sex can help with this.

Losing your virginity: Having sexual intercourse for the first time can be painful for women. Women are born with a hymen, thin, fleshy tissue that stretches across part of the opening of your vagina. When this tissue is penetrated, it may cause pain or bleeding. Men typically do not experience pain when they have sex for the first time.

Postorgasmic illness syndrome: Postorgasmic illness syndrome (POIS) is a rare condition in which a person develops flu-like and allergy symptoms after orgasm. It is much more common in men than in women. Symptoms typically develop shortly after an orgasm, and can last for up to seven days before going away. It is not known what causes POIS.

When to See Your Healthcare Provider

It is important to see a healthcare provider if you are experiencing pain during sex so it can be treated as soon as possible.

If you don’t feel comfortable talking about it with your current provider, try to find a healthcare professional you can talk. The right diagnosis and treatment can improve your health and your sex life.

Summary

Pain during sex can be a sign that you have an STI, a skin disorder, an allergy, or another health condition. It could also be that the shape of your penis, a medication, a long-lasting erection, or post-orgasm sensitivity could be the reason.

Some conditions that cause this kind of pain can be serious. It’s vital that you seek medical care when sex hurts so that you can protect your own health and your partner’s.

Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.

1. Urology Care Foundation. What are sexually transmitted infections (STIs) or diseases (STDs)?

2. National Health Service. Tight foreskin (phimosis and paraphimosis). Updated July 26, 2018.

3. The American College of Obstetricians and Gynecologists. When sex is painful.

4. Waqar M, Omar K, Moubasher A, Brunckhorst O, Ahmed K. Painful ejaculation: An ignored symptom. Cureus. 2020;12(10):e11253. Published 2020 Oct 30. doi:10.7759/cureus.11253

5. Muneer A, Alnajjar HM, Ralph D. Recent advances in the management of priapism. F1000Res. 2018;7:37. doi:10.12688/f1000research.12828.1

6. Marfatia YS, Patel D, Menon DS, Naswa S. Genital contact allergy: A diagnosis missed. Indian J Sex Transm Dis AIDS. 2016;37(1):1-6.

7. Turley KR, Rowland DL. Evolving ideas about the male refractory period. BJU Int. 2013;112(4):442-52. doi:10.1111/bju.12011

8. Genetic and Rare Diseases Information Center. Pudendal Neuralgia.

9. American College of Obstetricians and Gynecologists. Vulvovaginal health.

10. NIH. Genetic and Rare Diseases Information Center. Postorgasmic illness syndrome.

 

5 Supplements For Better Sex – Erectile Dysfunction Supplements

5 Supplements That Can Boost Your Erection and Sex Life

Skip the shady “Boner Blaster 5000” and consider these instead.

by Elizabeth Millard, Zachary Zane and Ashley Martens   Published: Jun 30, 2023

This article is a repost which originally appeared on Men’sHealth

Edited for content. The opinions expressed in this article may not reflect the opinions of this site’s editors, staff or members.

Key Points

‧ Erection supplements are a multi-billion dollar a year endeavor.

‧ The supplement list below can go a long way towards helping your male enhancement goals.

‧ Certain supplements- like L-Arginine can be an alternative to erector drugs like Cialis.

It doesn’t matter what you call it—getting a boner, a hard-on, or wood—internet searches for stronger erections won’t stop. That’s especially true for people who are living with erectile dysfunction. It’s no surprise that the market for erectile dysfunction treatments is expected to reach 4.7 billion dollars in revenue by 2026.

There’s a big market for erection-boosting medications including Cialis and Viagra, especially given how easily you can access them via a prescription from your doctor and via telehealth companies like Hims and Roman that have them delivered to your door. But what about other options, like those over-the-counter supplements for a better sex life you see advertised on television or through random Instagram ads? Are those safe supplements for better sex and stronger erections?

Of the many supplements out there that claim to boost your erection and give you a better hard-on, many are dubious. There are significant dangers when it comes to “herbal Viagra,” explains Jamin Brahmbhatt, MD, a urologist and sexual wellness expert at Orlando Health. This term is used to describe the natural supplements advertised to boost your erection.

If you go to a convenience store and see something behind the counter with a name like “Boner Blaster 5,000,” it’s a surefire way to know a supplement is not legit. “Even if you buy them at a big retailer, and they seem to be made of ‘natural’ ingredients, be cautious,” he says. “No one is regulating this stuff.” That’s concerning. It’s not clear what you could be putting in your body and there’s always the chance it could harm your overall health—including your sexual health.

Is it all bad, though? Are any of these over-the-counter erection supplements safe and effective for your sex life? Surprisingly, yes, there are a few. Here is what to know about a few expert-approved sex supplements that are good for your health and your erectile health.

Omega-3s

Omega-3 fatty acids are a maybe when it comes to protecting your heart and your erections. The research goes back and forth about whether fish oil supplements are really helpful for the heart. If the scales tip toward them being helpful to your heart, then your erections may benefit as well, explains Brahmbhatt. That’s because heart-healthy changes are geared toward improving blood flow and increasing the size of blood vessels, he says.

Your penis has the smallest blood vessels in your body, meaning they’re easier to get clogged up. And impeded blood flow is bad for erections, so anything that improves blood flow is good.

At first, it might not make sense that many blood pressure medications list erectile dysfunction as a side effect, he adds. That’s because they modulate the way that blood vessels open and close, which can reduce flow overall, especially down south.

By contrast, omega-3 fatty acids can have the opposite effect because they lower inflammation that might be affecting blood vessels, while also reducing blood clotting. That can help boost your blood flow. While you can get your omegas from supplements, getting them from foods such as fatty fish is your best bet.

L-Arginine

L-arginine is an essential amino acid that can be good for both heart health and erectile issues, Brahmbhatt says.

In fact, a study in the journal Andrology found that patients with severe or complete erectile dysfunction had L-arginine levels that were significantly lower than that of men with milder forms of ED. L-arginine might help trigger the production of nitric oxide, a compound important in getting and maintaining erections.

In addition, “L-Arginine is a peripheral vasodilator via a pathway similar to PDE5 inhibitors [those include Cialis and Viagra]. Vasodilation is associated with increased blood flow and thus possibly better erections,” says Peter Tsambarli, MD, assistant professor of urology at RUSH University Medical Center in Chicago.

L-arginine is found in most protein-rich foods such as red meat, poultry, beans, and dairy products, according to according to the Mayo Clinic, which has marked it as generally safe but cautions people who take blood pressure meds to talk to a doctor first.

This is good advice for any supplements if you’re on blood pressure medications, Brahmbhatt says. That’s because a product like L-arginine can reduce your blood pressure—which is great if it’s a bit too high, but not if you’re already bringing it down with meds. In that case, you may see a sudden and dramatic drop in pressure that could cause you to faint, or in extreme cases, have a stroke.

If you’re not on those meds and want to try the amino acid, Brahmbhatt suggests starting at a dose of about six grams a day to see how you tolerate it. In some people, the supplement can cause side effects including nausea, abdominal pain, diarrhea, and bloating.

L-Citrulline

In addition to L-Arginine, L-Citrulline may help with stronger erections. This is because L-Citrulline is converted in the body to L-Arginine, explains Tsambarli. L-Citrulline can also aid in the production of nitric oxide. “Nitric oxide is involved in vasodilation (widening and opening up of blood vessels) which can begin and maintain the erectile response,” says Michael Eisenberg, MD, professor of urology at Stanford Health.

A 2001 study published in Expert Opinion Pharmacotherapy states that “NO is the principal agent responsible for relaxation of penile smooth muscle.” (FYI, penile erection is a vascular phenomenon that directly results from smooth muscle relaxation along with arterial dilation and venous restriction.)

Vitamin D

Some studies suggest that men with vitamin D deficiencies are more likely to have erectile dysfunction, says Brahmbhatt. That may be because low levels of the vitamin are associated with diseases like hypertension, coronary artery disease, and peripheral vascular disease. Basically, blood flow issues that affect your system can also raise your risk of ED.

Although you can get some vitamin D from foods including salmon and eggs, along with sunshine, most people in the U.S. are lacking the vitamin, especially if you live in the northern part of the country, says Brianna Elliott, R.D., a coach at nutrition counseling service EvolutionEat.

She adds that the longer you maintain low levels, the more effects you might see, including potential ED. But how much you should take is a moving target. The National Institutes of Health recommends 600 IU, while the Endocrine Society suggests much higher levels of up to 2,000 IU daily.

“This would be a good topic for your next doctor visit,” Elliott says, noting that it’s easy to test for vitamin D levels, and from there, you can get a recommendation about dosage amounts based on that information.

Folic Acid (B9)

Another supplement that is good for overall health and wellness, including erectile health, is folic acid or B9. Some research has linked improvement in sexual performance with folic acid supplementation, which lowered levels of the amino acid homocysteine, explains Tsambarli. “Homocysteine levels were previously found to be higher in men with ED than their counterparts who were not suffering from ED.”

The bottom line on sexual supplements?

Despite the fact that there are some supplements that may help with erections to a certain extent, supplements are not held to the standards of pharmaceuticals. Always choose supplements with a third-party verification, like NSF or USP. “I always attempt to temper expectations when utilizing supplements for sexual performance,” says Tsambarli.

In general, here’s the best possible “supplement” you can take for your sex life: lifestyle changes. A healthy diet, regular exercise, good sleep habits, and lower stress levels all go a long way toward improving your health, as you’ve heard a million times.

“Overall health and sexual health are closely related,” explains Dr. Eisenberg. “Thus, anything that benefits heart health can also benefit sexual health. A good diet, exercise, and maintaining a good body weight can all help [as well].”

“Diet and exercise have consistently outperformed supplements and have a significant and reliable impact on sexual performance,” says Tsambarli.

“It’s definitely easier to stop at the gas station and get some shady supplement that makes promises about boosting your libido or increasing your girth,” Brahmbhatt says. “But play it safe, skip that junk, and do what’s proven to help your sex life: healthy lifestyle habits.”

 

 

 

8 Ways to Boost Male Fertility and Improve Sperm Health

Posted June 23, 2023

(BPT) – Written by: Dr. Sina Abhari, Medical Director and board-certified reproductive endocrinology and infertility specialist at CCRM Fertility of Newport Beach

This article is a repost which originally appeared on LI HERALD.COM.

Edited for content. The opinions expressed in this article may not reflect the opinions of this site’s editors, staff or members.

Key Points

‧ Recent surveys show up to 40% of men are concerned about fertility.

‧ There are many individual things someone can do to improve their fertility health.

‧ Checking with a fertility specialist is recommended if problems are suspected.

With studies reporting a significant decline in sperm counts across the globe, fertility health has been a top-of-mind concern for many men in recent years. In fact, a recent survey of 1,000 men, ages 25-54, found that nearly 40% of men are currently concerned with their fertility health.

While some causes of male fertility are genetic or structural and require help from a fertility doctor, there are lifestyle considerations and changes you can factor into your everyday routine to improve your wellness and optimize reproductive health.

Here are some tips to help improve male fertility:

1. Maintain a healthy weight

Having a higher body mass index (BMI) may have a negative impact on sperm production. Research suggests that if your BMI is on the higher side, you might be at a greater risk of experiencing fertility issues and sometimes pregnancy outcomes are negatively impacted. So, it’s worth keeping an eye on your BMI and taking steps to maintain a healthy weight if you’re planning to start a family. Focus on eating well-balanced meals, exercise three to four days a week, and aim for a BMI between 21 to 26.

2. Eat a nutritious diet

Consume a diet rich in fruits, vegetables, whole grains, lean proteins, and healthy fat and include foods high in antioxidants, such as berries, leafy greens, nuts and seeds, which can help protect sperm from damage. Certain vitamins and supplements can also affect sperm health. Taking a multivitamin can provide additional antioxidants such as zinc, selenium and vitamin C — all of which are used by the testes to support sperm production.

3. Avoid tobacco

Smoking tobacco can take a serious toll on your overall health and wellness, and this includes negatively impacting your fertility. A meta-analysis of 20 studies with 5,865 participants found that smoking tobacco reduces sperm count and motility (how the sperm move/swim). If you smoke and are trying to conceive, it is time to kick the habit. Here are some tips from the CDC on how to quit smoking.

4. Consume alcohol in moderation

Excessive alcohol consumption can lower sperm counts, lower testosterone, and can disrupt reproductive hormone balance. So, what amount of alcohol is considered okay? The results from studies are inconsistent and there is no one study that gives direction on how much alcohol you should drink before your fertility is negatively impacted. But generally, fertility specialists recommend consuming less than four to six glasses of wine (or the equivalent) a week.

5. Exercise regularly

Some studies show that getting regular physical activity can increase testosterone levels and better sperm quality. However, excessive exercise may have a negative impact, so strike a balance.

6. Limit heat exposure

Avoid prolonged exposure to high temperatures, such as hot tubs, saunas, or tight-fitting underwear, as they can raise scrotal temperature and affect sperm production.

7. Minimize exposure to toxins

Reduce exposure to environmental toxins and chemicals that can harm sperm, such as pesticides, heavy metals, and certain workplace chemicals. Use protective clothing and follow safety guidelines if you work in a potentially hazardous environment.

8. Get enough sleep

Sleep deprivation has been correlated with a number of health concerns, including male fertility problems. Sufficient rest (aim for seven to eight hours each night) promotes hormonal balance and overall well-being.

If you’re concerned about your fertility, it is best to consult a fertility specialist. They can provide a thorough evaluation and recommend appropriate treatments or interventions based on your specific situation.

Factor beyond hormone: What impacts male sexual health and why it is related to mental wellbeing

Sexual problems in men can occur on and off and at any age and most of them can be easily dealt with

Dr Lalitha Palle June 19, 2023 16:57:15 IST

This article is a repost which originally appeared on Firstpost.

Edited for content. The opinions expressed in this article may not reflect the opinions of this site’s editors, staff or members.

Key Points

‧ Testosterone and sperm level decline, hormonal imbalances, and male pattern baldness are becoming a more common occurrence in younger men.

‧ It’s believed various contributing factors are the cause.

‧ Negative relationship dynamics and emotional concerns can contribute to worsening sexual health.

The topic of male sexual health has gained importance recently as an alarming number of reports reveal reduced male hormones i.e Testosterone levels, in younger men, reduced sperm counts, and increasing incidence of erectile dysfunction, premature ejaculation, male Infertility or impotence and early onset of male pattern baldness among younger men, becomes a common occurrence.

There are also reports that state that with the alarming rate of male hormone imbalance, India is set to become the Impotency capital of the world! It is thus high time that we take note of this silent yet fast-spreading condition and start by understanding its causes and impact and how we can at least start by destigmatizing conversations around male sexual health.

Male sexual health is influenced by a variety of factors, including physical, psychological, and emotional well-being. While physical factors such as hormonal balance, cardiovascular health, and neurological function play important roles, mental well-being can significantly impact male sexual health for several reasons:

Psychological Factors: Sexual desire, arousal, and performance can be influenced by psychological factors such as stress, anxiety, depression, and self-esteem. Negative emotions and mental health conditions can affect libido, sexual confidence, and overall sexual satisfaction.

Relationship Dynamics: The quality of relationships and emotional connection with a partner can have a significant impact on male sexual health. Relationship issues, unresolved conflicts, or lack of intimacy can contribute to sexual difficulties and dissatisfaction.

Performance Anxiety: Many men experience performance anxiety, which is the fear of not being able to perform sexually to their or their partner’s satisfaction. This anxiety can stem from various sources, such as societal expectations, personal insecurities, or previous negative sexual experiences. Performance anxiety which is very common, especially in younger men, can interfere with sexual arousal, leading to erectile dysfunction or premature ejaculation.

Body Image and Self-esteem: Body image concerns and self-esteem can affect sexual health. Men who have negative perceptions of their bodies may feel self-conscious and anxious during sexual encounters, impacting their ability to fully engage in the experience.

Stress and Lifestyle Factors: High levels of stress, unhealthy lifestyle habits, and poor self-care can contribute to sexual health problems. Stress can disrupt hormone production, reduce libido, and impair sexual performance. Lifestyle factors such as smoking, excessive alcohol consumption, and lack of exercise can also negatively impact sexual function.

It is essential to address both the physical and mental aspects of male sexual health. Seeking support from healthcare professionals, therapists, or counsellors can help individuals navigate and address the underlying psychological factors that may be affecting their sexual well-being. Open communication with partners, healthy lifestyles, and stress management can also contribute to overall sexual health and satisfaction. Sexual problems in men can occur on and off and at any age and most of them can be easily dealt with. Not speaking or discussing them will only lead to a vicious cycle of negative mental health and poor performance. Men should break free from the so-called ‘taboos’ and ‘stigmas’ to improve their lives’ quality.