Author Archive

The Ultimate Guide OF Bohemian style

Saturday, December 14th, 2019

Artistic, relaxed, freed.

Bohemian style(gynaikeia rouxa) is greater than simply a fashion fad it’s an actual society in its very own right, one that includes an extremely certain belief and difficult background. While it’s closely connected with the hippie fashions of the 60s as well as 70s, nowadays, bohemian fashion becomes part of the conventional society. However fact is, boho fashion really started as a counterculture back in the 19th century. Today, the wide range of boho clothing and also accessories make the style a real phenomenon, one that adheres to the lines of easy, unwinded style, with its loose-fitted clothes products, informal devices and also general creative, creative collection of components.

The fashions identified as bohemian stand for the way of life ideological background that features it: a choice to the conventional means of clothing, paired with a just as alternate, much more liberated lifestyle and also a social stance versus every little thing from materialism to culture’s constraints.

History of Bohemian Style

Bohemian style is defined as an alternate type of fashion, various from the mainstream trends of any provided period in time. In fact, this exact interpretation puts on the whole background of the pattern. Over 200 years back, bohemian was a term referred to an unique design feeling, normally connected with the musicians of the time, as well as with authors and also particular eccentric intellectuals.

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The Very Early 20th Century Bohemian Icons

In the very early 20th century, developers began taking the bohemian fashion to the following level. Amongst them was Paul Poiret, who integrated a range of ethnic details right into his styles, including Russian and Middle Eastern elements. Furthermore, fabric developer William Morris created a selection of patterns for both interior decoration as well as fashion, including lavish floral prints, paisley as well as swirls, all elaborate and also highly ornamental.

The Hippie Era

The Bohemian Motion took a brand-new definition in the 1960s, one that was about to alter the interpretation of style. Back when the Hippie Motion stood against conventional lifestyles, new apparel designs including ethnic gowns, needleworks, combined prints, quantity, fringe and also flared shapes began obtaining popular. The hippies declined every little thing from mainstream worths to materialism, and also from well established organizations to social constructs, which was apparent in their style selections that broke the structured, sleek as well as sophisticated silhouettes of the previous decade.

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Trademark elements of Boho-chic

Boho style is everything about the natural materials from fragile cotton, bed linen and also chiffon to the more long lasting natural leather, suede, sheepskin and also fur. Oversized garments is common, with tunic design blouses and kaftan dresses that can be easily layered with tighter garments, or adapted as well as cinched to match your structure with belts or headscarf.

Lengthy floaty maxi skirts, large balloon sleeves as well as droopy cardigans create the traditional ‘peasant’ appearance. Colour combinations range from autumnal tones like deep browns as well as tans to charcoal, to cooler neutrals like milky whites and also soft lotion to beige and taupe. Individuals frequently couple avant garde vibrant patterns with neutral pastels to balance a clothing. Enhance your appearance with shoelace, crochet, embellishments as well as beads. Incorporate animal print, African prints as well as florals.

On your feet, believe Cowboy boots or thick-heeled ankle joint boots, or in warmer climate choose Roman shoes or ballet flats. Complete your look with lengthy layered pendants or one declaration rather pendant, and opt for dangly jewellery. Rocks, shells, natural leather, steels, plumes and also fringe prevail in boho jewellery.

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Should Men with ED Use Telehealth Platforms?

Saturday, December 14th, 2019


Justin was 24 years old and in his sexual prime. Or at least, he thought he should be. The last few times he wanted to have intercourse, his erection was rather…lackluster. It wasn’t firm at all, and while his partner didn’t say anything, he was sure his performance disappointed them both.

“I’m too young for this,” he thought. He had seen commercials for erectile dysfunction drugs on television, but the guys always seemed so much older. This type of stuff didn’t happen to younger guys, did it?

He didn’t go to the doctor often, and he couldn’t imagine calling for an appointment for this specific problem. But as time went on, his erections became less predictable. He knew he had to do something.

While surfing online, he found some websites that offered erectile dysfunction (ED) drugs that could be discreetly delivered to his home. He could talk to a doctor through video chat and get a prescription easily. Was this the route to take?

In this post, we’ll consider Justin’s question.

What is telehealth?

Technology has brought people closer together in ways we might not have imagined thirty years ago. And this includes doctors and patients, who can now use the internet to communicate through telehealth (sometimes called telemedicine). Patients can email their doctor, send relevant pictures, and have videoconference discussions of symptoms and treatment options without actually getting together in an office or exam room. These communications can take place on desktop and laptop computers, tablets, and smartphones. In some cases, patients can receive prescriptions through telehealth services.

Why might men with ED consider telehealth?

“Seeing” a doctor online is convenient. Patients can do so in the comfort of their own homes, without the hassle of traveling there, finding parking, or taking time off of work. In addition, many men feel awkward or embarrassed about sexual health problems. Telehealth might offer a degree of privacy, as long as the connection is secure.

Why should men with ED see a doctor in person?

While telehealth has its advantages, it is not a substitute for seeing a doctor in person. For men with ED, this is especially important.

ED is often a sign of more serious health conditions, like diabetes and heart disease. Sometimes, the links are complicated. For example, erections might be impaired by hardening of the arteries (atherosclerosis), low testosterone levels, or autonomic neuropathy (a form of nerve damage). To learn more about these issues, a physical exam is essential. Lab tests may also be ordered, and these can only be done during a traditional office visit.

In fact, ED diagnosis guidelines issued by the American Urological Association (AUA) stress the importance of a physical exam:

Men presenting with symptoms of ED should undergo a thorough medical, sexual, and psychosocial history; a physical examination; and selective laboratory testing.

In other words, a telehealth doctor may be able to prescribe an ED medication, but he or she will not have all the information necessary to determine exactly why a man has ED.

A comprehensive physical exam can reveal any underlying medical conditions, and treatment can begin immediately. Erections can improve, and the risk of any further complications can be reduced.

Dr. Hossein Sadeghi-Nejad, President of the Sexual Medicine Society of North America (the organization behind SexHealthMatters.org) contributed to the AUA guidelines on ED. In an interview with Business Insider, he pointed out that while not all men with ED are at risk for more serious health conditions, “but some are.”

“To lose that window of opportunity to address the bigger problem would be a pity,” Dr. Sadeghi-Nejad added.

Next steps?

Some men might find it difficult to work up the nerve and mention ED to the doctor. But it’s worth making the call. It can lead to more satisfying, more confident sex. And it can help you and your doctor address any bigger health concerns that need attention.

Check out these links to learn more:

Erectile Dysfunction (overview of ED, including causes and treatments)

Young Men and Erectile Dysfunction

Possible Causes of Early Onset Erectile Dysfunction (ED)

How Do Certain Diseases Lead to Erectile Dysfunction?

Resources

American Urological Association

“Erectile Dysfunction: AUA Guideline (2018)”

(Published: 2018)

https://www.auanet.org/guidelines/erectile-dysfunction-(ed)-guideline

Business Insider

Court, Emma

“Hot startups like Hims and Roman are marketing Viagra to young men online, but their approach raises 2 big questions”

(February 25, 2019)

https://www.businessinsider.com/hims-and-roman-target-erectile-dysfunction-which-can-signal-health-issues-2019-2

DiversityNursing.com

Bettencourt, Erica

“TeleHealth Pros and Cons”

(January 11, 2019)

http://blog.diversitynursing.com/blog/telehealth-pros-and-cons

SexHealthMatters

“How Do Certain Diseases Lead to Erectile Dysfunction?”

(January 12, 2016)

https://www.sexhealthmatters.org/sex-health-blog/how-do-certain-diseases-lead-to-erectile-dysfunction



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Genital Herpes: What Does It Mean For Sex?

Monday, November 25th, 2019


A diagnosis of genital herpes can be devastating. You might feel confused, angry, bitter, afraid, and sad. How could this have happened? Who “gave” you the virus? How will you explain this to your partner? Will this be the end of your sex life?

It’s a delicate problem, and it takes time to process. The good news is that you can still enjoy intimacy with your partner. But from now on, you need to be very, very careful about your sexual relationships.

What is genital herpes?

Herpes is a sexually transmitted infection caused by herpes simplex virus (HSV). It can be spread by skin-to-skin and genital contact, and also through oral sex.

There are two types of HSV linked to genital herpes. HSV-1 usually causes cold sores and blisters around the mouth, but it can cause genital herpes, too. But most people who get genital herpes are infected with HSV-2.

There is no cure for genital herpes. Once the virus enters your body, it will stay with you. You can pass the virus to a partner even when you’re not having active symptoms.

What are herpes outbreaks?

HSV can be an unpredictable virus, and outbreaks come and go.

Outbreaks are times when you have the most herpes symptoms, which include lesions, sores, and blisters that appear on the genitals (the penis, scrotum, vagina, cervix, and vulva, for example), buttocks, or thighs. Sometimes, sores develop around the anus or mouth. The sores may be itchy or painful. Broken blisters may ooze, then scab over.

For some people, the first outbreak takes the longest to heal. After that, outbreaks tend to be shorter, but the time frame between outbreaks can be difficult to predict. Some people have “prodromal symptoms” like pain and tingling sensations, that let them know an outbreak is about to start.

It’s also possible to be infected with HSV and have no symptoms at all.

How is genital herpes managed?

Doctors treat herpes by prescribing antiviral drugs, such as acyclovir, famciclovir, and valacyclovir. Some patients are advised to take these medications every day to keep outbreaks under control.

Can I still have sex with genital herpes?

If you have genital herpes, you can still enjoy a healthy, satisfying sex life, but you should be extra cautious. Keep these tips in mind:

  • Your partner needs to know. It can be a difficult conversation to have, but anyone you have sex with should be aware of your situation. You can reduce the risk of spreading herpes, but you can’t eliminate it completely. Your partner will need to weigh that risk.
  • Never have sex during an outbreak. Herpes can be transmitted regardless of whether a person has active sores. But the likelihood increases during an outbreak.
  • Don’t touch the sores. Even if you are not having sex, you and your partner should never touch herpes lesions. If you do, wash your hands immediately.
  • Always use a latex condom during every sex act. And never re-use a condom. This means that if you and your partner engage in vaginal intercourse, oral sex, and mutual masturbation in one night, you need at least three condoms. You might consider carrying several with you to be on the safe side.
  • Don’t perform oral sex if you have a cold sore. This applies to both you and your partner. Cold sores are caused by the herpes virus, which can be transmitted during oral sex.
  • Practice good hygiene. Washing your hands regularly is a good practice for everyone, but especially for people with herpes. Use a separate towel for your genitals, too.

Remember that even if your sex life changes somewhat, your bond with your partner can still stay strong. And you can still stay physically connected through activities like kissing and cuddling. Having herpes may call for some adjustments, but it shouldn’t end the possibility for intimate relationships.

Resources

Centers for Disease Control and Prevention

“Genital Herpes – CDC Fact Sheet (Detailed)”

(Page last reviewed: January 31, 2017)

https://www.cdc.gov/std/herpes/stdfact-herpes-detailed.htm

EverydayHealth.com

Migala, Jessica

“How to Have a Healthy Sex Life if You Have Herpes”

(June 22, 2016)

https://www.everydayhealth.com/sexual-health/how-have-healthy-sex-life-you-have-herpes/

Harvard Health Publishing – Harvard Medical School

“Genital herpes: Common but misunderstood”

(Updated: April 16, 2019)

https://www.health.harvard.edu/mens-sexual-health/genital_herpes_common_but_misunderstood

Mayo Clinic

“Genital herpes – Diagnosis & treatment”

(October 3, 2017)

https://www.mayoclinic.org/diseases-conditions/genital-herpes/diagnosis-treatment/drc-20356167

“Genital herpes – Symptoms & causes”

(October 3, 2017)

https://www.mayoclinic.org/diseases-conditions/genital-herpes/symptoms-causes/syc-20356161

WebMD

“Dating with Genital Herpes”

(September 9, 2018)

https://www.webmd.com/genital-herpes/genital-herpes-reentering-dating-scene#1

“How to Tell Your Partner You Have Genital Herpes”

(November 10, 2018)

https://www.webmd.com/genital-herpes/all-about-genital-herpes-how-tell-your-partner#1

“Genital Herpes and Your Sex Life”

(September 9, 2018)

https://www.webmd.com/genital-herpes/genital-herpes-sex-life#1



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4 Things to Remember when Buying Phone Cases

Thursday, November 21st, 2019

Spills, declines, as well as drops are simply a few of the regrettable events that might destroy your expensive phone or tablet. If you’ve ever lost your hold and watched helplessly as your phone rocketed towards the ground, after that you already understand how crucial a phone case (thikes kiniton) is.

From lightweight, slim cases to tough cases using the utmost in attributes as well as defence, our guide will make it simple for you to remember the 4 things when buying a phone case.

Expensive or cheap phone case?

You will hardly ever locate the very best cost for a case on a website, or a carrier site. The Recommended Retail Prices (RRP) are frequently discounted. When you identify the case you desire, do a contrast search and shop around.

Thikishop.gr is frequently the least expensive place to buy, however it pays to cast a broad net. You likewise have to look out for knock-offs. It’s worth stating that some case manufacturers will certainly offer a life time guarantee, however only if you buy directly from the manufacturer, to make sure that’s a possible reward to pay the complete retail price.

Do your research

Check out reviews of the cases you have an interest in. Even if you can not locate a testimonial for your specific phone model, other evaluations for the exact same producer will give you a basic feeling of the high quality. You can likewise find individuals talking about cases and also publishing pictures of them in numerous online forums around the internet.

It’s also essential to confirm that the case has exact cut-outs. Sometimes cases are rushed out the door and also they miss out on a port, button covers are rigid, or there are troubles with camera flash reflections. If something like cordless charging is important to you, or you wish to be able to dock your mobile phone with the case on, after that contact the maker before you acquire.

Pick your features

Think of added functions you might want in a case. For tablet cases, a landscape stand could be vital. Some cases likewise use several settings, as well as 360-degree joints. For phones, you’ll generally discover kickstands that pop out the back, however make certain they’re secure, since it can be bothersome if they bulge unwelcome. List what you really feel is important and also keep it as a checklist while you go shopping.

What does security mean for you?

Exactly how awkward are you? The first thing to exercise is how difficult you require your case to be. If you wish to be able to drop it on concrete with immunity, or have it survive a dip, after that you’ll require some severe security. If you’re mindful and also you simply want standard defence, after that you do not need to invest a lot. There is a clear trade-off in between the degree of security supplied and the bulk and weight included.

Read more about phone cases here:

Dating After Cancer – Taking the Next Steps

Wednesday, November 6th, 2019


On SexHealthMatters, we often discuss how cancer and its treatment affect one’s sexual health. (See the links at the bottom of this post to learn more.) Often, a supportive partner plays an important role in sexual recovery after cancer. Usually, the partner has been there from the beginning and has some idea of what to expect going forward.

But what if you’re single?

The idea of dating after cancer may sound overwhelming, especially if you have been out of the dating scene for a while. But there’s no reason you can’t have a satisfying dating life – and sex life – as a cancer survivor.

Just take it step by step.

Are you ready?

During your cancer treatment, dating was probably not your top priority. And you might not feel up to it at first. That’s okay – the timetable is up to you.

Don’t rush into dating because you feel you should. There is nothing wrong with waiting, if that is what feels right to you. But if you do feel like dating, or if you meet someone who interests you, then there’s no reason not to pursue it.

Meeting partners

In the age of dating apps, “swiping right,” and “swiping left,” it should seem easy to find potential mates. But sometimes that just isn’t the case.

Some people use dating websites specifically for cancer survivors. In this way, they might meet people who might better understand what they’re going through.

However, meeting partners “the old fashioned way” can be effective, too. Instead of focusing precisely on dating, try just having fun. Take that cooking class you’ve been thinking about, join a Scrabble club or a cosplay group, or volunteer with a cause you’re passionate about. You may meet partners, or you may not. But you will likely make friends who could introduce you to others later on.

Talking about cancer

When should you disclose your cancer situation to a new partner? The answer depends on you. Some people like to discuss cancer early in the relationship, so their partner is aware. Others prefer to wait until they know their new partner better. It’s entirely your call.

If you feel nervous about the conversation, think ahead to what you think your partner should know and what questions they may have. You don’t have to disclose more than you’re comfortable with, but preparing ahead of time can make the conversation go more smoothly. You might try writing down what you’ll say or practicing the dialogue with a friend.

It may also help to seek support from fellow cancer survivors. Ask your doctor about a group that meets in your area or look for one online. Peers can share their experiences with dating and cancer and offer tips for discussing cancer with partners.

Becoming intimate

Cancer and its treatment can take a toll on sexuality. Men might find it more difficult to achieve firm erections. Women may find intercourse uncomfortable because of vaginal dryness. People often struggle with body image after treatment, and worry that they will not be attractive to a sexual partner.

Don’t hesitate to ask your cancer care team about treatments for sexual problems. For example, ED can be treated, and vaginal lubricants and moisturizers may alleviate discomfort during intercourse.

You might also consider seeing a sex therapist who specializes in cancer care. A professional can help you navigate these changes, rebuild your sexual self-esteem, and offer practical suggestions to try in the bedroom.

When you’re ready to become intimate, be honest with your partner about any sexual concerns you have. If you are self-conscious about surgical scars, be open about it. If a specific sexual position is uncomfortable, try suggesting an alternative. If you need more time to get aroused, explain your situation and tell your partner how you enjoy being touched.

Chances are, your partner will appreciate your openness and reassure you that everything is okay. Remember, your partner wants to be intimate with you.

If it doesn’t work out…

If your first attempt at dating doesn’t work out, don’t give up. Sometimes, people just don’t click. That’s true regardless of whether someone has had cancer.

Don’t let cancer prevent you from having a fulfilling relationship. When you’re ready, just try again.

See these links to learn more about cancer and sexuality:

Female Cancer Survivors and Sex Health Issues

Cancer and Sexuality: Questions For Your Provider

The Effects of Cancer on Women’s Sexuality

How Does Cancer Affect Men’s Sexual Health?

Enjoying Intimacy Despite Sexual Pain and Discomfort

Resources

CancerCare.org

“Dating and New Relationships: During and After Cancer”

(Last updated: June 5, 2019)

https://www.cancercare.org/publications/293-dating_and_new_relationships_during_and_after_cancer

NextAvenue.org

Starr, Liane

“Dating After Cancer: How Men and Women Navigate a New Reality”

(July 10, 2019)

https://www.nextavenue.org/dating-after-cancer-men-and-women/



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Keep Your Relationship Strong During Infertility Treatments

Friday, October 18th, 2019


Sex can be especially exciting when you’re trying to start a family. You and your partner can enjoy your time together, bond as a couple, and smile to yourselves, wondering if your most recent bedroom encounter will result in a new family member nine months from now.

But if you and your partner aren’t experiencing this fairy tale, sex and relationships can become more difficult. Some couples drift apart during infertility treatments, but it’s important to stay connected – including sexually.

Let’s look at some of the challenges couples face:

Having sex on a schedule. Many couple feel like they have to have sex at a certain time, depending on what the calendar or clock tells them about ovulation cycles. No matter how they feel, they need to take advantage of a window of opportunity. However, the real world doesn’t always work that day. Your fertility specialist might say that October 6 is the ideal time to make a baby, but when that day arrives, one of you might have had a stressful day at work. Or you might be away on business. Or your partner might have the flu. If sex doesn’t work out, you might feel guilty about losing the opportunity.

Try this: Make sure you are still having sex for connection and fun. It might help to plan date nights, explore fantasies, and keep that romantic spark burning. Remember that there are lots of good reasons to have sex. Becoming pregnant is only one.

Coping with disappointment. If you and your partner have been trying to conceive for a long time, it’s natural to feel sad and frustrated if it doesn’t happen. Depression and anxiety can take a toll on all aspects of a relationship, including sexuality.

Try this: Don’t keep your feelings bottled up inside. If you are feeling down, be open with your partner. Don’t blame each other for your situation. Just know that you are in this together. Consider joining a support group in your community where you can talk to other couples coping with infertility. You might also see a counselor or therapist – alone or as a couple – to help keep your relationship strong. It’s okay to seek help.

Dealing with “know-it-alls” and nosy people. Friends and family, no matter how well-intentioned, may ask invasive questions. (When are you going to have a baby? How often do you try? What’s your sperm count?) or make thoughtless comments. (You just need to relax. You’re trying too hard. My co-worker got pregnant after she started using X supplement.)

Try this: You and your partner are in charge of this journey. If someone asks you a nosy question, you do not have to answer it. If someone makes an insensitive comment, don’t take it to heart. You know your situation best. Talk together about how much information you’re willing to share and with whom you’re willing to share it.

Putting your relationship on the back burner. During infertility treatment, it’s easy to get swept away by the whirlwind of doctor’s appointments, hormones, and tests. And all of this takes place in the midst of your daily lives, which can have their own stresses.

Try this: This is the time to make your relationship a priority. You and your partner got together for a reason. Think about what brought you close and what keeps your relationship solid. And don’t forget to have fun. Go out with friends, see a silly movie, make an elaborate meal together. Share a hug or a smile. Keep yourselves connected.

You and your partner might not know what the future holds for your family. But one thing you can know is that you’re in this together, for now and for the future.

Resources

FertilityIQ.com

Jaeger-Skigen, Beth, LCSW

“Sex & Infertility: How to Reconnect Sexually During Infertility”

https://www.fertilityiq.com/topics/mental-health-and-infertility/sex-and-infertility-how-to-reconnect-sexually-during-infertility

The Journal of Sexual Medicine

Gao, Jingjing, MM, et al.

“Relationship between Sexual Dysfunction and Psychological Burden in Men with Infertility: A Large Observational Study in China”

(Abstract. First published: May 20, 2013)

https://onlinelibrary.wiley.com/doi/abs/10.1111/jsm.12207

SexHealthMatters

“Men with Infertility”

https://www.sexhealthmatters.org/premature-ejaculation/men-with-infertility

Sexual Medicine

Winkelman, William D., MD, et al.

“The Sexual Impact of Infertility Among Women Seeking Fertility Care”

(Full-text. Published online: May 7, 2016)

https://www.smoa.jsexmed.org/article/S2050-1161(16)30022-8/fulltext

WebMD

Watson, Laurie J., LMFT

“How to Stay Sexually Connected During Infertility Treatment”

(June 5, 2019)

https://blogs.webmd.com/healthy-sex/20190605/how-to-stay-sexually-connected-during-infertility-treatment



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The most scenic Santorini Tours for you!

Wednesday, October 9th, 2019

Even one of the most seasoned traveler can not be but aid seduced by Santorini. The island’s caldera rises out of the Aegean Sea in a collection of towering multi-coloured high cliffs, creating an absolutely dramatic technique by boat. Obviously, its amazing beauty makes Santorini a very popular traveler destination; run away the crowds as well as experience the island at your own pace, on an exclusive Santorini trip with a regional overview.

Ancient Thira was the site of one of the biggest volcanic eruptions in modern background, which struck during the elevation of the Minoan human being. Proof of the Minoans, together with Hellenic, Roman and also Oriental ruins, can be located around the island. See the famous whitewashed towns of Oia and Akrotiri (your overview will locate you the best regional cuisine to sample along the way) and be sure to watch the sunlight set over the ocean from the edge of the caldera.

Your guide enjoys to create an exclusive Santorini scenic tour that shows your special rate of interests in this sensational Cycladic island.

Extraordinary sunsets, pearly white buildings decorated with bougainvillea, blue-domed churches, and attractive windmills make Santorini a popular destination. This Greek paradise attracts couples and pairs from around the globe eager to witness its well known sunsets of Oia, swim in thermal springs, savor its cuisine, and also indulge in lavish resorts.

Whether you fly in or take the ferry from the various other islands, it’s impossible to miss the striking sight of the mainly immersed caldera (volcanic crater) visible from quaint negotiations atop lava-layered cliffs. The whitewashed settlements of Firá and also Oia are the island’s most alluring destinations. In between both towns, small towns cling to the clifftops, offering quieter and more loosened up settings for your holiday.

Santorini has more to offer than multi-colored coastlines as well as incredible views. Get on your own an ATV or a smart auto and set concerning experiencing the tough island on undulating roads.

For concepts on just how to spend your time, see our checklist of the top traveler destinations in Santorini.

Also the most seasoned tourist can’t aid however be attracted by Santorini. Of program, its amazing charm makes Santorini an extremely prominent tourist location; leave the crowds and also experience the island at your own rate, on a private Santorini trip with a local overview.

Santorini has more to supply than extraordinary panoramas as well as multi-colored beaches.

See more about Santorini:

Sexual Effects of ADHD Different in Men and Women

Sunday, September 29th, 2019


We get it. When you have a sexual problem, you might not want to talk about it. Sex is a delicate, private subject, and lots of people don’t want to admit they’re having trouble. 

Instead of seeing a doctor, many people turn to the internet and look for products that might help. But are supplements the answer? 

Over-the-counter supplements don’t require a prescription, and you can easily get them in pharmacies, in health food stores, and over the internet. And buying them this way saves you a trip to the doctor. 

Cost is another important factor. Sexual health treatments, such as pills for erectile dysfunction (ED) aren’t always covered by insurance, and they can carry a hefty price tag. The supplement route can be more affordable. 

But before you add a sexual enhancement supplement to your cart, keep these points in mind: 

Lack of regulation

  • Supplements aren’t regulated by agencies like the U.S. Food and Drug Administration (FDA). In fact, the FDA considers supplements to be foods, and manufacturers are not required to provide evidence of their products’ safety and effectiveness. 

Buzzwords

  • Products are often marketed with terms that imply safety, like natural, homeopathic, and organic. These descriptions can be misleading. As Dr. Ryan Terlecki of Wake Forest University told Medscape.com, “Nothing falls from a tree in the shape of a pill or capsule.”

Unlisted ingredients

Examples: 

Scientists have found supplements that contained prescription drugs for erectile dysfunction (sildenafil, tadalafil) or antidepressants (dapoxetine). Such ingredients may not be safe for everyone, and they aren’t always on the supplement label.

Men who take nitrates for conditions like heart disease and diabetes should never take ED drugs because the interaction can cause a serious drop in blood pressure.

Interactions and side effects

Examples: 

Fenugreek, a common supplement ingredient, can interact with anticoagulants (medicines that help prevent blood clots). 

People who take antidepressants, blood pressure medications, or central nervous system stimulants should avoid yohimbine. 

In addition to drug interactions, supplements can have other side effects and may affect lab test results ordered by your doctor. 

Lack of evidence

Examples: 

In an April 2019 Journal of Sexual Medicine study, researchers reported that in 413 studies of sexual enhancement product ingredients, only 17% involved human subjects. 

Some people claim that a product called Zestra boosts sexual desire and improves orgasms in women. But the product has not been tested in men. 

Unreliable reviews

Example: 

In the Journal of Sexual Medicine study mentioned above, researchers used a tool called ReviewMeta to filter out suspicious reviews related to six erectile dysfunction supplements sold on Amazon.com. After using this software, almost half of the reviews were filtered out, suggesting that they were unreliable. 

“The removal of nearly one-half of all reviews associated with these products raises concerns about the veracity of comments linked to these products,” the authors wrote. 

(Learn more about sex health product reviews here.) 

The bottom line

If you’re coping with a sexual problem, your best bet is to talk to your doctor about it. Remember, doctors are there to help you, and chances are, they’ve had other patients go through what you’re experiencing now. They know your medical history and can guide you on what treatments are most appropriate for you. They might also suggest other ways you can improve your sexual health, like following a healthy diet, getting enough sleep, and staying fit. 

Also, some sexual health issues are signs of a more serious health condition. For instance, men with diabetes and heart disease often start having trouble with erections because of poor blood flow to the penis. With a thorough health checkup, your doctor can screen for such conditions and start treating you immediately. Sometimes, treatment for the underlying condition resolves the sexual problem. 

Doctors might also know about coupons and promotions that could keep your treatment costs down. It never hurts to ask. 

Don’t leave treatment for sex health problems to chance. Ask a board-certified physician about the best path for you. 

Resources

The Journal of Sexual Medicine

Balasubramanian, Adithya, BA, et al.

“An Analysis of Popular Online Erectile Dysfunction Supplements”

(Full-text. Published online: April 26, 2019)

https://www.jsm.jsexmed.org/article/S1743-6095(19)30731-3/fulltext 

Medscape.com

Harrison, Pam

“Supplements for Sex: What To Know”

(April 22, 2019)

https://www.medscape.com/viewarticle/911644



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Sex Health Supplements: Are They Right for You?

Tuesday, September 10th, 2019


We get it. When you have a sexual problem, you might not want to talk about it. Sex is a delicate, private subject, and lots of people don’t want to admit they’re having trouble.

Instead of seeing a doctor, many people turn to the internet and look for products that might help. But are supplements the answer?

Over-the-counter supplements don’t require a prescription, and you can easily get them in pharmacies, in health food stores, and over the internet. And buying them this way saves you a trip to the doctor.

Cost is another important factor. Sexual health treatments, such as pills for erectile dysfunction (ED) aren’t always covered by insurance, and they can carry a hefty price tag. The supplement route can be more affordable.

But before you add a sexual enhancement supplement to your cart, keep these points in mind:

Lack of regulation

  • Supplements aren’t regulated by agencies like the U.S. Food and Drug Administration (FDA). In fact, the FDA considers supplements to be foods, and manufacturers are not required to provide evidence of their products’ safety and effectiveness.

Buzzwords

  • Products are often marketed with terms that imply safety, like natural, homeopathic, and organic. These descriptions can be misleading. As Dr. Ryan Terlecki of Wake Forest University told Medscape.com, “Nothing falls from a tree in the shape of a pill or capsule.”

Unlisted ingredients

  • Supplements can contain ingredients that aren’t listed on the packaging label.

Examples:

Scientists have found supplements that contained prescription drugs for erectile dysfunction (sildenafil, tadalafil) or antidepressants (dapoxetine). Such ingredients may not be safe for everyone, and they aren’t always on the supplement label.

Men who take nitrates for conditions like heart disease and diabetes should never take ED drugs because the interaction can cause a serious drop in blood pressure.

Interactions and side effects

  • Supplement ingredients – whether declared or undeclared – can interact with other medications you take, which can be dangerous.

Examples:

Fenugreek, a common supplement ingredient, can interact with anticoagulants (medicines that help prevent blood clots).

People who take antidepressants, blood pressure medications, or central nervous system stimulants should avoid yohimbine.

In addition to drug interactions, supplements can have other side effects and may affect lab test results ordered by your doctor.

Lack of evidence

  • There isn’t always scientific evidence to back up the claims made by supplement manufacturers.

Examples:

In an April 2019 Journal of Sexual Medicine study, researchers reported that in 413 studies of sexual enhancement product ingredients, only 17% involved human subjects.

Some people claim that a product called Zestra boosts sexual desire and improves orgasms in women. But the product has not been tested in men.

Unreliable reviews

  • You might think that a product with hundreds of 5-star reviews is an effective one. But some vendors post fake reviews or paid reviews, which are not always trustworthy.

Example:

In the Journal of Sexual Medicine study mentioned above, researchers used a tool called ReviewMeta to filter out suspicious reviews related to six erectile dysfunction supplements sold on Amazon.com. After using this software, almost half of the reviews were filtered out, suggesting that they were unreliable.

“The removal of nearly one-half of all reviews associated with these products raises concerns about the veracity of comments linked to these products,” the authors wrote.

(Learn more about sex health product reviews here.)

The bottom line

If you’re coping with a sexual problem, your best bet is to talk to your doctor about it. Remember, doctors are there to help you, and chances are, they’ve had other patients go through what you’re experiencing now. They know your medical history and can guide you on what treatments are most appropriate for you. They might also suggest other ways you can improve your sexual health, like following a healthy diet, getting enough sleep, and staying fit.

Also, some sexual health issues are signs of a more serious health condition. For instance, men with diabetes and heart disease often start having trouble with erections because of poor blood flow to the penis. With a thorough health checkup, your doctor can screen for such conditions and start treating you immediately. Sometimes, treatment for the underlying condition resolves the sexual problem.

Doctors might also know about coupons and promotions that could keep your treatment costs down. It never hurts to ask.

Don’t leave treatment for sex health problems to chance. Ask a board-certified physician about the best path for you.

Resources

The Journal of Sexual Medicine

Balasubramanian, Adithya, BA, et al.
“An Analysis of Popular Online Erectile Dysfunction Supplements”
(Full-text. Published online: April 26, 2019)
https://www.jsm.jsexmed.org/article/S1743-6095(19)30731-3/fulltext

Medscape.com

Harrison, Pam
“Supplements for Sex: What To Know”
(April 22, 2019)
https://www.medscape.com/viewarticle/911644



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Most Men Like Their Penile Implants

Thursday, August 22nd, 2019


Aug 04, 2019

Mention a penile implant to a man with erectile dysfunction (ED), and you might get a squeamish look. The idea of having surgery on his private parts is likely to make any man squirm. And, naturally, there are questions. Will the implant work? Will there be complications? Will sex feel the same? What do partners think?

These are all valid concerns. However, research over the years has found that implants have high satisfaction rates from men and their partners.

What is a penile implant?

A penile implant (sometimes called a penile prosthesis), is a device that allows a man to get an erection whenever he chooses. The implant is placed inside the body. No part of the implant is visible. Sexual sensations, ejaculation, and orgasm remain the same for most men.

In basic terms, implant surgeons remove the corpora cavernosa – two spongy chambers in the penis. Typically, these chambers fill with blood to form an erection. The tissue is replaced with implant materials, which form erections differently, depending on the type:

  • Malleable (semi-rigid, bendable) implants are rods placed in the shaft of the penis. When a man wants to have an erection, he simply lifts the penis into position. When he is done with sexual activity, he places it downward again.
  • Inflatable penile implants are a bit more complex. Instead of bendable rods, surgeons place two cylinders inside the penis shaft. These cylinders are connected to a pump that is surgically placed in the scrotum. To have an erection, the man activates the pump, which fills the cylinders with fluid, making the penis erect. After sex, he deactivates the pump, and the penis returns to its flaccid (not erect) state. Inflatable implants come in two varieties. Three-piece units include the pair of cylinders, the pump, and a fluid-containing reservoir. With two-piece units, the pump and reservoir are in the same unit.

Why get an implant?

 While less-invasive treatments for ED, such as pills, injections, and suppositories, help lots of men, they aren’t appropriate for everyone. Some men just don’t have success with these options. And others can’t use them. For example, men who take medications containing nitrates cannot take ED pills because drug interactions could cause a dangerous drop in blood pressure.

Are men satisfied?

Experts say yes, for the most part. Here is a brief summary of research conducted over the last two years:

  • In June 2018, BJU International published a study of 142 Italian men with implants. Men tended to be satisfied with their implants one year after surgery. More experienced surgeons were more likely to have satisfied patients.
  • A July 2018 Journal of Sexual Medicine study of 902 men with implants reported that 93% were highly satisfied six months after implantation. Those who experienced major complications were less satisfied.
  •  A November 2018 paper in Sexual Medicine Reviews reported that patient and partner satisfaction rates were over 85%.
  • Research published in the Journal of Sexual Medicine in May 2019 analyzed couples’ satisfaction with implants in a group of 883 men and their partners. About 90% of those with malleable implants said they were “somewhat” or “very” satisfied. Rates for these categories were 96% for men with two-piece inflatable implants and 99% for men with three-piece inflatable devices.Most of the couples said the implant met their expectations and that the device was easy to use. In addition, most said they felt confidence in their ability to engage in sexual activity. 

Implant advantages

Many men enjoy the spontaneity that implants offer. Instead of waiting for other treatments to take effect, they can create their erection in the moment. Some feel more masculine having their erectile function restored and more confident being able to please their partner.

Implant disadvantages

On the other hand, implants can have some drawbacks. As with any surgical procedure, there is a risk for infection. Device malfunctions are rare, but possible. There could be some shortening of the penis (although some men don’t notice). And some men don’t like the “artificial” aspect of a prosthesis.

A big decision

While most men and their partners are satisfied with their implants, only you and your partner can decide what is best for your personal situation. It’s important to be prepared and have realistic expectations. Also, keep in mind that implant procedures are not reversable. Once the corpora cavernosa are replaced, they cannot be restored.

Be sure to let your urologist know if you or your partner have any questions or concerns.

Resources

BJU International

Capogrosso, Paolo, et al.

“Satisfaction rate at 1year followup in patients treated with penile implants: data from the multicentre prospective registry INSISTED

(Abstract. First published: June 29, 2018)

https://onlinelibrary.wiley.com/doi/abs/10.1111/bju.14462

International Society for Sexual Medicine

“What if I don’t like the implant? Can the operation be reversed?”

https://www.issm.info/sexual-health-qa/what-if-i-dont-like-the-implant-can-the-operation-be-reversed/?ref_condition=penile-prosthesis

“Will sex still feel the same with a prosthesis?”

https://www.issm.info/sexual-health-qa/will-sex-still-feel-the-same-with-a-prosthesis/?ref_condition=penile-prosthesis

Journal of Sexual Medicine

Carvalheira, Ana, PhD, et al.

“Why Are Men Satisfied or Dissatisfied with Penile Implants? A Mixed Method Study on Satisfaction with Penile Prosthesis Implantation”

(Full-text. December 2015)

http://www.jsm.jsexmed.org/article/S1743-6095(16)30020-0/fulltext

Çayan, Selahittin, MD, FECSM, et al.

“Comparison of Long-Term Results and Couples’ Satisfaction with Penile Implant Types and Brands: Lessons Learned From 883 Patients With Erectile Dysfunction Who Underwent Penile Prosthesis Implantation”

(Full-text. Published: May 30, 2019)

https://www.jsm.jsexmed.org/article/S1743-6095(19)31140-3/fulltext

Habous, Mohamad, MD, FEBU, FECSM, et al.

“Predictors of Satisfaction in Men After Penile Implant Surgery”

(Full-text. Published online: July 15, 2018)

https://www.jsm.jsexmed.org/article/S1743-6095(18)31002-6/fulltext

Mayo Clinic

“Two-piece penile implant”

https://www.mayoclinic.org/tests-procedures/penile-implants/multimedia/two-piece-penile-implant/img-20008851

Sexual Medicine Reviews

Barton, Gregory J., et al.

“Sexual Quality of Life and Satisfaction With Penile Prostheses”

(Full-text. Published online: November 29, 2018)

https://www.smr.jsexmed.org/article/S2050-0521(18)30113-6/fulltext

Urology Care Foundation

“What is Erectile Dysfunction?”

(Updated: June 2018)

https://www.urologyhealth.org/urologic-conditions/erectile-dysfunction#Treatment



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