How Alcohol and Smoking Affects Erections

A night out with the boys until the wee hours of the morning, a party with friends, a nice romp in the hay with a girl. The usual companions to these popular pastimes are alcohol and tobacco. Indeed, the very idea of party or night out is inextricably linked with alcohol consumption, despite the fact that smoking is not that popular anymore.

However, while drinks and smokes make the party infinitely better, ending the party in a bed with someone can become a bit of a problem. It is a well-known fact that alcohol and sex don't mix well. True, a glass or two can be relaxing and even arousing, but a whole bottle of hard liquor is the fastest way to a limp noodle. Some young people can actually pour a lot of alcohol down their throats without missing out on bedroom performance, but heavy drinking means impotence sooner or later.

Smoking is just as bad for your sex life as alcohol. Although you will still be able to perform in bed, your lungs and heart will not be able to keep up with the increased effort. Pretty soon you'll find yourself wheezing and forced to assume a more passive role in order to save your strength. And this even before considering the negative effect smoking has on fertility in both men and women.

After sex, cigarettes are a nice touch to the afterglow of a shared orgasm, but various studies show that 40% of smokers are impotent. Smoking increases the risk of impotence by some 50% for men in their 30's and 40's. This means that many men who would otherwise be perfectly healthy, are now impotent simply because they liked to smoke. It sounds like a bitter tradeoff

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Benefits of a Clitoral Orgasm

By far the most common way for a woman to regularly reach orgasm is through direct or indirect clitoral stimulation.  Before we just into that subject, I think it may help to share with you some information about the clitoris.

    The clitoris is located just by the vaginal entrance and behind the labia minora.  In most women, it is a small nub of flesh which contains a high concentration of nerve endings which make it highly sensitive.  It is often covered by a clitoral hood.  Many people don't realize that only a small portion of the clitoris is actually visible.  The remainder of the organ is surrounded by the rest of the reproductive system and extends  all the way to the bottom of the pubic bone.

    Two things are particularly interesting about the clitoris.  First, all female mammals have a clitoris.  This is interesting because the sole purpose, at least according to biologists, of the clitoris is sexual pleasure.  That would seem to mean that humans aren't the only ones who enjoy the way sex feels.

    Second, the clitoris is made from the same material as the penis.  In fact, in men the clitoris becomes a full-fledged penis after the embryo is exposed to testosterone in the womb.  Just like the penis, the clitoris fills with blood and becomes erect during sexual arousal.  The clitoral hood is essentially the same as the foreskin of a penis.
    The only real difference between a clitoris and a penis – besides location in the body – seems to be that the penis is also used for urination while the clitoris is not.

    With that said, its important to realize that the clitoris is really similar in size to the penis, even though most of it cannot be seen.   Vibrations through the pelvic region caused by intercourse could stimulate the nerve endings in the unseen part of the clitoris as well and this can also cause orgasms.
   
    What many people don't realize about the clitoris is that the penis alone usually cannot stimulate it.  Because of its position in the woman's body, the ability of the penis to provide rhythmic stimulation to the clitoris is extremely difficult.  That means traditional intercourse usually needs to be coupled with clitoral stimulation. 

    The question is how does one engage in clitoral stimulation.  Some male partners  take the approach that the women should be responsible for the stimulation themselves, which has always seemed a bit unfair to me since the woman is providing him with the  stimulation he needs to reach orgasm.  However, this is one way to deal with it.

    Another method is by, what I like to call multi-tasking.  Multi-tasking basically means the man does more than one thing at the same time.  For example, he may be penetrating the vagina while also stimulating the clitoris in one way or another (we'll discuss those ways a little later).  If the couple wants to achieve orgasm at or near the same time, this is clearly the best option.

    Other couples I've met with have resorted to an alternative approach.  One person reaches orgasm at a time.  Depending on how each person best reaches orgasm, this may be a possibility but it's usually not the most satisfactory approach.

    The best thing about clitoral orgasms is that they can be achieved in many different ways.  Because the entire area is highly sensitive, experimenting with these types of orgasms can also add some interest and spice to sexual relationships which may have become less enthusiastic over time.

    And the key is experimenting because different women prefer different types of clitoral stimulation.  While some prefer direct stimulation, others find it uncomfortable and prefer to have the area around the clitoris stimulated instead.  Women who have masturbated will generally have a much better idea of what type of stimulation they prefer than women who have not.

    Before I close this article, let's talk about what happens during a clitoral orgasm.  As I mentioned above, the clitoris feels up with blood and becomes erect like a penis.  This means its usually easier to spot when a woman is aroused.  Because the clitoris does not need to be erect for sexual intercourse to occur, clitoral orgasms will only happen if the woman is aroused properly.  That means some type of foreplay is generally a requirement.  When the clitoris is stimulate repeatedly, it becomes more engorged with blood and this further heightens its sensitivity.  With another stimulation a point is reached when all of the tension in the area must be released and this point is considered the orgasm.

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Sex Secrets: How To Turn A Woman On, Satisfy Her In A Big Way, And Get Her To Do The Things You've Always Wanted

How To Turn A Woman On, Satisfy Her In A Big Way, And Get Her To Do The Things You've Always Wanted

To begin with, I want to remind you of the differences between how men and women approach and experience sex.

To set the stage, I first want to talk about “experience.”

As humans, we use our five primary senses to take in information about the world. This is called “Perception.” Most of this happens on an UNCONSCIOUS level.

We then take what we get from our senses and we process this information. We compare it to what we’ve experienced before, we classify it, we imagine it in different ways, and we have UNCONSCIOUS reactions to it.

Next, we make decisions about what we’re going to do with what we just experienced. Again, these are mostly UNCONSCIOUS.

Finally, we take action on what we decided to do. You guessed it... again, mostly unconsciously.

This description is oversimplified, but I think it’s a useful model to work with here.

Basically, I believe that men and women go through these four stages a little differently. And when it comes to sex, I believe that they go through them much differently.

I mention this because most people deal with other people the way that they want to be dealt with. They communicate in ways that make sense to themselves. They usually assume that they know what’s best for others without checking first.

This only makes sense. Most people don’t walk around saying to themselves “Hmmm, I wonder if Sarah tastes the same thing as I do when she drinks coffee?” and “I wonder if water tastes exactly the same to her... or if it’s just slightly different...”

Most people have asked these questions once or twice in life, but they usually stop asking once they decide that most people have the same experiences as they do when they drink coffee, etc.

Here’s the deal: When it comes to most ‘gross’ experiences (meaning common level) like getting hit with a baseball, tasting salt, or seeing a color, we as humans usually have pretty similar experiences.

But when it comes to ‘subtle’ experiences (meaning less extreme, and in this context, also more complex) people, and especially different genders, have vastly different experiences.

For instance, if you show a man and a woman a picture of a Victoria’s Secret catalogue, the man will usually notice all of the women, while the woman will notice the clothing, including the colors and the details.

Finally, the order or sequence of experiences and thoughts have a major role in the responses that men and women demonstrate.

In the area of sex, men are usually pretty simple: See hot woman, get turned on and want sex. All in about 1-3 seconds. A man can be outside working on his car and see a beautiful woman out of the corner of his eye, and instantly be in the mood.

On the other hand, women are a bit more complex. Even if a woman sees a handsome man, she will RARELY get sexually turned on. The first thing that women experience when they SEE an attractive man is usually more of a curiosity or intrigue... a wanting to know more.

If a man smiles at a woman, the woman usually interprets the smile as “Hi, you look nice and friendly.”

If a woman smiles at a man, the man usually interprets the smile as “I’m interested in sex.”

This one difference causes many first meetings to go the wrong way.

Here’s the deal: In general, it takes women longer to get in ‘The Mood’ for sex, and it happens differently than it does for men.

As I talk about sex and how to do it better, you need to keep this in mind. Some of the things I’m going to tell you might sound like just ‘interesting’ ideas, or unusual things to do.

Not so.

While they may be interesting and unusual, they are all specifically to appeal to the female mind and mating preferences. 50,000 years ago women had to figure out some way to determine if a man was going to be a good provider and a loyal mate.

I believe that the concept of ‘Romance’ was that way.

If a man was really interested, he would go through some demonstrations of his devotion... and be willing to wait for sex.

And so it goes. Women love things like ‘taking your time’, ‘anticipation’, ‘sensory rich experiences’, ‘romantic talk’ and ‘foreplay.’

I know, I know. We all want a woman that gets turned on by just seeing your unshaven face and dirty hair in the morning. But these are the cards we were dealt, and we might as well learn how to play them in this lifetime.

Onward.

So I just mentioned a bunch of ideas. Let’s tie them together.

As far as the senses go: In general, women get turned on by a few major categories of things:

1. Voice tone, sensual (not sexual) language, and vivid descriptions. Women love to hear a sexy voice describing ideas, feelings, and scenarios in painful detail.

2. A wide range of different touching, kissing, stroking, caressing, and cuddling.

3. Smells and smelling. Women love great cologne. And women love to be smelled.

4. Tastes. Women love to be fed all kinds of wonderful things like Strawberries, chocolate, and champagne.

Did you notice anything missing from the list?

I left out SIGHT on my list. Why?

Well, women don’t get turned on as much by sight as they do by other senses. Men are usually more turned on by visuals than by the other four senses combined.

Women are turned on more by the others.

It’s true that what you look like can PREVENT you from being attractive due to not taking care of yourself, not being her ‘type’ or whatever.

But I believe (and have proven to myself over and over) that if you pave the way correctly, you can overcome looks and get a woman VERY sexually stimulated by using her other senses and her imagination.

Next I talked about how women notice details. Women notice subtle things. If you rub a woman’s hand, she’ll feel warm and friendly toward you.

If you very very gently and slowly run the tips of your fingers over her hand, she will begin to get aroused (other conditions have to be right, of course).

If you kiss a woman on the lips and stick your tongue down her throat, she’ll probably be disgusted. But if you kiss her gently... then slowly pull away and look into her eyes... then kiss her again slowly and gently... you’ll start a fire inside of her that will build (if you do everything else correctly as well).

I also mentioned romance. To me, romance is simply demonstrating to a woman that this whole encounter and ‘relationship’ with her is meaningful.

It’s a way of saying “I want to create a great experience for you” to her. If you play up the romance too much, you’ll push a button inside of a woman called “He loves me and wants to marry me.” So be careful.

I recommend sticking to the kinds of romance that involve the senses, and not the kind that involve money, gifts, and love letters. There’s nothing wrong with these... it’s just that they lead to the M word. If you want a wife, great. If not, use care and stick to the senses.

Anticipation

I believe that anticipation, excitement, and tension are some of the biggest turn-ons that a woman can feel. Women LOVE to wonder what’s coming next. They LOVE to be surprised. They LOVE to be waiting on the edge of their seats.

Here are a few ways to do it:

1. Say “I have a surprise for you.” Then say “But I’m not going to give it to you yet... it’s for later.” The surprise can be anything from a piece of chocolate to some melon-scented massage oil that you bought to rub her shoulders. It doesn’t matter. The key is to pique her curiosity and make her want to know what it is.

2. Put a blindfold on her. Women LOVE to be blindfolded! Don’t ask, just do it. Go grab a scarf out of your closet (silk if you have it) and put it on her. Remember, women are turned on more by their other senses anyway. Turning their vision off heightens their other senses and makes them even more responsive.

3. When you’re doing something that’s turning her on, STOP. This seems counter-intuitive, but it’s the promise land. Guys like to find what feels good and KEEP DOING IT BABY. Women like to have what feels good taken away... so they can feel some more anticipation!

Do you get it? Come up with your own ways to build anticipation. Tell her a story about someone that felt anticipation. Tell her you’re feeling it. Whatever. Just make her anticipate what’s coming next.

Stimulating Her Senses

So how do you best stimulate these other four senses in a way that will turn her on? Now that’s a GREAT question.

1. Touch her very very gently and slowly. Use the very tips of your fingers. Run them over her arms, neck, shoulders, lips, hands, legs, feet... everywhere. If you avoid her breasts, crotch, and ass, you’ll even get her more turned on for later (Remember anticipation? It will drive her crazy... “When is he going to touch my tits?”).

2. Kiss her sensually. Let the first kiss be very light... almost a brush. Then wait (anticipation). Kiss her 100 times on the neck and shoulders. Suck on her lips gently. Lick her just a tad on the neck, shoulders, and lips. Think eating an ice-cream cone, then tone it back a bit. Like you’re tasting her a little each time.

3. Feed her little bits of things that are sexy. Try strawberries, chocolate, champagne. Also, go out and get yourself some of that ‘Kama Sutra Oil’ at the adult store. The flavored kind not only tastes good, it HEATS UP if you put it on and breathe on it. Nice.

4. Smell her. Smell her neck and shoulders for about 5-10 minutes STRAIGHT. No kissing. No licking. Just smelling for 5-10 minutes. Gently run your nose and lips over her shoulders and neck smelling her. Say “Mmmmm... you smell good. I’m just going to smell you for awhile.” You’re going to love how she reacts to this.

5. Talk sexy to her. Men like to hear “I want it harder big boy”... women like to hear “Your lips feel so soft and sexy. I love the way your lower lip feels when I kiss it... And I could just kiss you for hours... it feels so nice.” Women love to hear about the DETAILS, remember?

6. Tell her stories, and describe what you’re going to do to her. If she’s getting turned on, take a few minutes to whisper in her ear exactly what you’re going to do to her. “You know what I’m going to do next? First, I’m going to slowly and gently kiss your shoulders... and then work my way up to your neck... smelling your sexy perfume... mmm... you smell soooo good... then, I’m going to kiss you deeply...” Get it? Also tell her what feels good in the same detailed way. Use a soft, slow, deep tone of voice.

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Impotency or Erectile Dysfunction Predicts Heart Disease

MONDAY, Jan. 18 (HealthDay News) -- Erectile dysfunction is a strong warning sign that a man might be at increased risk for heart attack, stroke and other cardiovascular problems, a long-running study indicates.

"We saw that adjusting for age and Framingham [Heart Study] risk factors, men with erectile function still had a 40 percent increased risk," said Andre Araujo, director of epidemiology at New England Research Institutes and lead author of a report published online Jan. 19 in the Journal of the American College of Cardiology.

Though adding erectile dysfunction to the list of known risk factors determined by the Framingham Heart Study -- cholesterol, smoking, high blood pressure -- doesn't improve the prediction of future cardiovascular trouble, it can be a quick, free addition to risk assessment, Araujo said.

"If a man presents with erectile dysfunction, the physician should work him up for cardiovascular disease," he said. "It is low cost -- indeed, no cost -- with no risk associated with it."

The study is the latest of several that have linked erectile dysfunction to cardiovascular disease. That is to be expected, Araujo said, because the same artery-blocking conditions that reduce blood flow to the heart and brain can also reduce flow to the penis.

The study followed 1,057 men, aged 40 to 70, for an average of 12 years. Overall, 37 percent of the men with erectile dysfunction were in the high-risk category according to the Framingham standards, compared with 17 percent of men without erectile dysfunction.

Once the link to cardiovascular problems was established, "we started modeling to see if we added erectile dysfunction to the Framingham risk profile we could reclassify some men," Araujo said. "In fact, it doesn't do much."

The reason is that the Framingham risk profile is hard to improve on, he said. Over the years, studies of a number of diagnostic techniques -- including computerized tomography scanning and various molecular markers, such as inflammation-related C-reactive protein -- have been shown not to improve on the Framingham profile's predictive power.

But those other measures are either costly, require blood tests or carry some risk, whereas erectile dysfunction can be determined by a simple question, Araujo said.

So doctors should ask the question, said Dr. R. Parker Ward, a cardiologist and an associate professor of medicine at the University of Chicago, who has done several studies on erectile dysfunction and cardiovascular risk.

"Why not ask a simple question in the office that will reveal a diagnosis very clearly?" Ward said. "It is cheaper and easier than doing a lipid profile or measuring high blood pressure."

It's information that men should offer to their doctors, Araujo said. "Self-reported erectile dysfunction matches what urologists say about the question," he said. "We should get the message out: If you have an erectile problem, see your doctor."

Having a doctor ask the question or a man offer the information can lead to preventive therapy that can be lifesaving, Araujo said.

"One of the first signals that a guy has cardiovascular disease is often sudden death," he said.

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The source: Business Week

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Impotency: Restless Legs Linked to Erectile Dysfunction

TUESDAY, Jan. 5 (HealthDay News) -- Men with restless leg syndrome are more likely to have erectile dysfunction, new research suggests, but it's not clear how the two conditions are related.

"There is an association, but we don't know which one comes first," said study author Dr. Xiang Gao, an instructor in medicine at Harvard University School of Public Health. If researchers do discover how they're connected, it could lead to more effective treatments, he said.

Restless leg syndrome "afflicts a significant portion of our population and in a minority of cases can cause insomnia and other important consequences," said Dr. Robert Vorona, an associate professor at Eastern Virginia Medical School in Virginia who studies sleep disorders.

Its causes remain a mystery, Vorona said, but some evidence suggests it's related to reduced levels of iron and the neurotransmitter known as dopamine in the brain. Those who have the neurological disorder complain of an almost irresistible urge to move their legs.

In the new study, published Jan. 1 in the journal Sleep, Gao and colleagues examined responses from 23,119 medical professionals, including physicians, veterinarians and pharmacists, who were asked questions about restless leg syndrome in 2002.

Of the men surveyed, 395 reported having restless legs at least 15 times a month. They were more likely than the other men to use antidepressants and more likely to smoke.

After researchers adjusted their statistics to reduce the effect of age on the results, they found that those with the most restless leg syndrome symptoms were about twice as likely to suffer from erectile dysfunction. The rate was still higher after the researchers adjusted their figures to account for the effects of other factors, such as antidepressant use and smoking.

The research doesn't prove that one of the disorders causes the other. And something else -- perhaps a third disease that boosts the risks of both -- could explain the link.

"There is an association between these two conditions, but we still don't know the exact mechanism," Gao said. His team said further research is warranted.

Vorona said another sleep disorder -- sleep apnea -- also has been linked to erectile dysfunction. And patients with erectile problems appear to do better when their sleep apnea is treated, he said.

As for the current study, Vorona said it makes sense that the two conditions might be linked "on a physiological basis," perhaps through dopamine.

Indeed, dopamine has been linked to both restless leg syndrome and erectile dysfunction, Gao said. "Dopamine plays an important role in many aspects of human health," he added.

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The Source: Business Week

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Comment:

Erectile dysfunction or ED is also known as impotency or impotence like that of  teenage impotence or teenage impotency. Teenage impotence is a very sad situation that will happen to a person or to a teenager that is why we should always take good care of our sexual health.

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Utilization of pharmacotherapy for erectile dysfunction following treatment for prostate cancer - Abstract

Brigham and Women's Hospital-Division of Urologic Surgery, Boston, MA, USA.

Pharmacotherapies improve sexual function following treatments for localized prostate cancer; however, patterns of care remain unknown.

Aim: To ascertain post-treatment utilization of pharmacotherapies for erectile dysfunction (ED) using a population-based approach.

We identified 38,958 men who underwent definitive treatment for localized prostate cancer during 2003-2006 from the MarketScan Medstat data.

We compared the use of ED pharmacotherapy at baseline (up to 3 months prior) and up to 30 months following radical prostatectomy (RP) or radiotherapy (RT) for localized prostate cancer by utilizing National Drug Classification codes for phosphodiesterase-5 inhibitors (PDE5I), intracavernosal injectable therapies (IT), urethral suppositories and vacuum erection devices (VED). In adjusted analyses, we controlled for the effect of age, comorbidity, type of treatment, health plan and use of adjuvant hormone therapy on the use of pharmacotherapies.

Men undergoing RP vs. RT were younger with less co-morbid conditions. Utilization of PDE5I was up to three times greater for men undergoing RP vs. RT, 25.6% vs. 8.8%, (P < 0.0001) in the first post-treatment year, and usage of these agents was greatest for men undergoing minimally-invasive RP procedures. A higher percentage of men also used IT, suppositories and VED after RP vs. RT (P < 0.001). However, more men in the RT group received adjuvant hormonal therapy (39.53% vs. 5.25% for RP, P < 0.01). In adjusted analyses, men undergoing RP vs. RT were more than two times likely (OR 2.1, 95% CI 1.98, 2.26) to use PDE5I post-treatment while men on adjuvant hormonal therapy were less likely to use PDE5I (OR 0.74, 95% CI 0.70-0.79, P < 0.0001).

Men undergoing RP vs. RT, particularly minimally-invasive RP, are more likely to employ IT, suppositories, VED, and PDE5I pharmacotherapy post-treatment.

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The Source: UroToday

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