Couples going through menopause often have unique struggles when coping with the new changes and challenges it brings to them both as individuals, and as partners. It is an inner battle - mentally and physically - for not just women, but men as well. For women, it may be hard to get a male partner to understand and be able to empathise with her challenges. But both sexes go through a form of menopause, and this transition is disruptive and even scary, and a certain level of understanding and communication is required for any one to have a quality relationship at this stage of life.
Nancy Cetel talks about many of the changes couples experience in her book Double Menopause, and what often happens is that emotions, including past hurts, hopes, dreams, etc., that may have been buried or unexpressed in the past, can no longer hidden. It can't be helped - the truth will not be held back any longer. For some women, that shows up in pent up aggression that is taken out on a male partner by pushing him away and/or making him unable to relate to you on a physical level. Men need to know that the loss of desire for sex may be caused from the hormonal changes, but there might also be an emotional element that needs to be dealt with.
It is advisable that men in menopause couples acquaint themselves with the effects of menopause, in themselves and their partners, in order to better understand the changes their relationship is going through. Men soon realize that hormonal imbalances are causing unwanted emotional symptoms in women that could lead to verbal spats every now and then. Men need to be aware that emotional changes are likely to occur and that they are not to blame for them but that their partner may require extra attention, love and outward expressions of caring more now than ever before.
Men need to understand that their sexual drives could also have changed as they experience a slower loss of testosterone. To keep sexual interest, partners may need to put more time and attention into the quality of their sex lives and 'update' themselves on what things turn them on at this stag of the game.
Men need to know that a decrease in estrogen in their lover's bodies - can significantly alter how she thinks and feels about sex. In addition, vaginal discomfort and thinning of the lining of the vagina can make sex painful so it will not be enjoyable for either of them until they find a solution for this.
More than ever this is a critical time for couples to communicate more about the changes they are both experiencing. Christian Northrup talks about 'reversing roles' as couples go through this transition in her book the Wisdom of Menopause. Men often lose a lot of the aggression that once fueled their younger years and they are happier to stay home and engage in more nuturing activities, that they never paid attention to before, such as cooking. Women, on the other hand, may want to venture out into the world and pursue a long-thought about career. They become more aggressive and passionate about accomplishing things. In this way, the couple almost switch roles in the relationship.
Talking a lot, expressing ideas, and bonding with one another again becomes critical during this transition. Men need to know what is happening to their women on a day-to-day basis, and visa versa. Women want men to cheer them on as they undergo significant changes including dealing with physical discomfort, hormonal imbalances, and possibly venturing out into the career world for the first time!
Men need to know that sex isn't going away totally. Explore sexual alternatives and realize that having less sex is not the end of the world! Experiment with vibrators, and oral sex, if you haven't already as these are fine alternatives and to maintain a healthy sex life. Women love toys as much as guys do. Menopause might mean taking more time for foreplay for some women. Get into a habit of communicating your needs to each other and learn to enjoy the changes instead of fighting against them.
The most important thing is that husbands provide a social network for their menopausal wives to rely on. Realize that menopause is only a phase, albeit the end of the old and the beginning of a new one, and it's possible to adjust to the changes by remaining aware. By staying informed of each other's thoughts and feelings and becoming tolerant and understanding to the emotional pains women can go through, menopause couples can overcome most difficulties. And, who knows, you might like the new person you wake up to better! Think of it as another adventure.
Erectile dysfunction (ED) affects the lives of many middle-aged men and their partners. The term erectile dysfunction covers a range of disorders, but usually refers to the inability to obtain an adequate erection for satisfactory sexual activity.
Although erectile dysfunction, formerly called impotence, is more common in men older than 65, it can occur at any age. An occasional episode of erectile dysfunction happens to most men and is normal. As men age, it's also normal to experience changes in erectile function. Erections may take longer to develop, may not be as rigid or may require more direct stimulation to be achieved. Men may also notice that orgasms are less intense, the volume of ejaculate is reduced and recovery time increases between erections. Erectile dysfunction may also be a sign of a physical or emotional problem that requires treatment.
Erectile dysfunction was once a taboo subject, but more men are seeking help. Doctors are gaining a better understanding of what causes erectile dysfunction and are finding new and better treatments.
This Website discusses all about erectile dysfunction, physiology of the normal erection and the pathophysiology, and treatment of ED.
What is Erectile Dysfunction?
Erectile dysfunction or impotence is a sexual dysfunction characterized by the inability to develop or maintain an erection of the penis for satisfactory sexual intercourse regardless of the capability of ejaculation. There are various underlying causes, such as diabetes, many of which are medically reversible.
The causes may be physiological or psychological. Psychological impotence can often be helped by almost anything that the patient believes in; there is a very strong placebo effect.
Due to its embarrassing nature and the shame felt by sufferers, the subject was taboo for a long time, and is the subject of many urban legends. Folk remedies have long been advocated, with some being advertised widely since the 1930s. The introduction of perhaps the first pharmacologically effective remedy for impotence, sildenafil (trade name Viagra), in the 1990s caused a wave of public attention, propelled in part by the news-worthiness of stories about it and heavy advertising.
The Latin term impotentia coeundi describes simple inability to insert the penis into the vagina. It is now mostly replaced by more precise terms.
Signs and symptoms:
Erectile dysfunction is characterized by the inability to maintain erection. Normal erections during sleep and in the early morning suggest a psychogenic cause, while loss of these erections may signify underlying disease, often cardiovascular in origin. Other things leading to erectile dysfunction are diabetes mellitus (causing neuropathy) or hypogonadism (decreased testosterone levels due to disease affecting the testicles or the pituitary gland).
Here are some causes of Erectile Dysfunction:
* Arousal: The first step is sexual arousal, which men obtain from the senses of sight, touch, hearing and smell, and from thoughts.
* Nervous system response: The brain communicates the sexual excitation to the body's nervous system, which activates increased blood flow to the penis.
* Blood vessel response:. A relaxing action occurs in the blood vessels that supply the penis, allowing more blood to flow into the shafts that produce the erection.
Physiology of normal erections:
Penile erections involve an integration of complex physiologic processes involving the CNS, peripheral nervous system, and hormonal and vascular systems. Any abnormality involving these systems, whether from medication or disease, has a significant impact on the ability to develop and sustain an erection, ejaculate, and experience orgasm. Tumescence, the vascular filling of the cavernous bodies, relies on neural and hormonal mechanisms operating at various levels of the neural axis. This is unique among visceral functions because it requires central neurological input.
Andersson et al summarized some of the information related to the pathways involved in erectile function. The degree of contraction of corpus cavernosal smooth muscle determines the functional state of the penis. The balance between contraction and relaxation is controlled by central and peripheral factors that involve many transmitters and transmitter systems. At the cellular level, smooth muscle relaxation occurs following the release of acetylcholine from the parasympathetic nerves.
Pathophysiology of erectile dysfunction:
Erectile Dysfunction is essentially a vascular disease. It is often associated with other vascular diseases and conditions such as diabetes, hypertension, and coronary artery disease. Other conditions associated with Erectile Dysfunction include neurologic disorders, endocrinopathies, benign prostatic hyperplasia, and depression. Conditions associated with reduced nerve and endothelium function, such as aging, hypertension, smoking, hypercholesterolemia, and diabetes, alter the balance between contraction and relaxation factors. These conditions cause circulatory and structural changes in penile tissues, resulting in arterial insufficiency and defective smooth muscle relaxation. In some patients, sexual dysfunction may be the presenting symptom of these disorders.
Treatment:
Sildenafil Citrate is the way to treat Erectile Dysfunction. Generic Viagra contains sildenafil citrate and contains same ingredients like branded drug.
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