Archive for the ‘Sex’ Category

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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Testosterone Therapy Guidelines From the Endocrine Society

Saturday, August 3rd, 2019


May 01, 2019

How do healthcare professionals make decisions when diagnosing and treating illnesses? Certainly, their continuing medical education helps, and most attend conferences and keep up with research in their field’s peer-reviewed journals.

But professionals also consult guidelines issued by medical societies, such as the International Society for Sexual Medicine (ISSM) or the American Urological Association (AUA). Society panels take a close look at the latest clinical trials and other studies and use that evidence to develop recommendations.

Over the last few years, testosterone replacement therapy has been a hot topic for medical societies. Back in August of last year, we covered new guidelines from the American Urological Society. Today, we’ll discuss a set of guidelines that were updated by the Endocrine Society, a professional group of over 18,000 hormone specialists.

Since testosterone is an important hormone for men, the list of guidelines can be an essential tool for sexual health specialists and primary care physicians who treat men with hypogonadism (low testosterone).

The Endocrine Society guidelines were originally issued in 2010 and updated in 2018.

(Note: For a primer on hypogonadism, please see the links at the bottom of this post.)

Why were the guidelines updated?

Scientists have conducted a great deal of research on testosterone therapy in recent years. The updated guidelines reflect new findings and address concerns.

In addition, more men are seeking help for issues related to testosterone deficiency nowadays, and “low t” gets a lot of media coverage. As a result, men are asking their doctors whether testosterone therapy could help them. It’s critical that prescribers fully understand the benefits and risks.

What do the updated guidelines say?

Highlights of the Endocrine Society’s updated guidelines on hypogonadism include the following points:

Diagnosis

  • In general, men shouldn’t be routinely screened for hypogonadism. However, a diagnosis of hypogonadism is recommended if a man has symptoms (such as low libido or fatigue), and a blood test reveals lower-than-normal testosterone levels.
  • Based on other hormonal measurements, men can be diagnosed with primary hypogonadism (caused by problems in the testes) or secondary hypogonadism (caused by problems in parts of the brain that trigger testosterone production).

Treatment

  • The recommended goals of testosterone therapy are to “induce and maintain” secondary sex characteristics that are driven by testosterone (such as facial hair and muscle mass) and to alleviate symptoms like low sex drive.
  • Testosterone therapy is not recommended for men who would like to father a child in the near future. Men with certain health problems (such as prostate cancer, breast cancer, untreated severe obstructive sleep apnea, and recent heart attack or stroke) should not take testosterone.
  • Testosterone therapy might not be appropriate for men between the ages of 55 and 69 who are expected to live at least another ten years. Doctors should discuss the benefits and risks with these patients.
  • Men over age 65 shouldn’t be prescribed testosterone routinely. Instead, doctors should consider each individual’s situation.
  • Men with HIV, low testosterone, and weight loss might undergo testosterone therapy to gain and maintain weight.
  • Men with diabetes and low testosterone should not use testosterone as a way to control their blood sugar.

Monitoring

  • Once testosterone therapy has begun, men should have regular checkups to make sure it is working well and there are no side effects.
  • During the first year of therapy, men with abnormal prostate cancer screening results should see a urologist.

What does this mean for patients?

While these guidelines are intended for healthcare professionals, they can be useful for men, too.

Understanding the guidelines for any treatment you receive helps you weigh the pros and cons of therapy as you make health decisions.

“The [updated Endocrine Society] guideline emphasizes the importance of patient engagement in a shared decision-making process, especially with respect to the choice of treatment regimens and prostate monitoring,” said Dr. Shalender Bhasin, head of the guideline development task force, in an interview with Endocrine News.

Learn more

For more information on hypogonadism and testosterone, please see these links:

Low Testosterone

Unpacking the Latest Testosterone Therapy Guidelines

What Should Men Know About Topical Testosterone?

Self-Injectable Testosterone Now Available

FDA Approves Testosterone in Pill Form

Resources

Endocrine News

“Q&A: Shalender Bhasin, MD”

(May 2018)

https://endocrinenews.endocrine.org/qa-shalendar-bhasin-md/

The Endocrine Society

“About the Endocrine Society”

https://www.endocrine.org/about-us

“Testosterone Therapy for Hypogonadism Guideline Resources”

https://www.endocrine.org/guidelines-and-clinical-practice/clinical-practice-guidelines/testosterone-therapy

The Journal of Clinical Endocrinology and Metabolism

Bhasin, Shalender, et al.

“Testosterone Therapy in Men With Hypogonadism: An Endocrine Society Clinical Practice Guideline”

(Full-text. Published: March 17, 2018)

https://academic.oup.com/jcem/article/103/5/1715/4939465



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Multiple Sclerosis: Be Open to Sexual Changes

Monday, July 15th, 2019


May 28, 2019

Last year, scientists reported that almost two-thirds of people with multiple sclerosis (MS) experience sexual challenges, with the most common problems being loss of libido, orgasm difficulties, and trouble with arousal (vaginal lubrication and erections).

While this rate is high, it doesn’t mean that people with MS can’t enjoy intimacy. But understanding the challenges, staying patient, and making adjustments will go a long way in keeping sexual relationships strong.

Mechanisms

How does MS cause sexual problems? Here are some of the mechanisms:

  • Poor message transmission. MS is a central nervous system disorder that attacks the myelin sheath, the coating that protects nerve cells. The result is a disconnect between the brain and other body parts, including organs involved with sexual function. For example, a man with MS might receive sexual stimulation (such as an erotic image or touch), but his brain might not “get the message” to start an erection. Similarly, a woman’s vagina might not lubricate because it doesn’t “know” about sexual stimuli. For some people, MS leads to decreased – or increased – genital sensation. In some cases, touch might become painful.
  • Depression and anxiety. An illness like MS takes a toll on one’s mental health as well. It can be hard to plan for the future, and people may miss doing things they used to do. They might also worry about their partner’s feelings and reaction to the situation. Communication between partners can break down. Together, these factors can diminish libido and make it more difficult to become aroused.
  • Incontinence. Some people with MS feel nervous about having urinary accidents, especially during sex.
  • Fatigue. With MS, it’s not unusual to feel too tired for sex.
  • Spasticity and muscle weakness. Trouble controlling muscle movements or feeling weak in the muscles may make some sexual activities difficult.

Problems for Women

In November 2018, a study in the Journal of Sexual Medicine provided some insight on how extensive sexual dysfunction is among women with MS. Researchers looked at data from nine other studies on MS and female sexuality. Overall, almost 1,500 women – roughly half with MS – were involved.

In the analysis, women with MS were almost twice as likely to have sexual problems than women who didn’t have MS. Trouble with arousal, lubrication, desire, orgasm, and pain were more common in women with MS. They also tended to have lower sexual satisfaction.

Problems for Men

Erectile dysfunction (ED) is a common problem for men with MS. Erections might not be firm enough for sex, or they might not occur at all.

Fortunately, men with ED have a number of treatment options:

Men might also experience trouble with ejaculation.

Next Steps

If you or your partner is struggling with MS and intimacy, consider these options:

  • See your doctor. As about treatments for sexual issues. For example, the solution for poor vaginal lubrication might be an over-the-counter product. And as noted above, there are several ways to treat erectile dysfunction. Many people feel awkward discussing their sex life with their doctor. But remember, your doctor is there to help you.
  • Seek other professional help. Seeing a counselor or sex therapist, especially one who works with people with MS, can give you some new ideas to try in the bedroom. He or she can also help you cope with any depression, anxiety, or relationship conflict you might be experiencing. (Learn more about sex therapy here.)
  • Talk to your partner. Have an honest, open conversation with your partner about any changes in your sexual relationship and how you’re feeling about them. He or she might be feeling the same way but be hesitant to bring it up. Work as a team to keep your relationship on track, emotionally and sexually.
  • Plan for sex. For people with MS, it isn’t always possible to have sex at the spur of the moment. But you can plan for romance and intimacy. Figure out when you and your partner can have time to yourselves to relax and enjoy being together. It might not be as spontaneous, but having that time to look forward to can be just as exciting.
  • Take your time. If it takes you longer to become fully aroused or to climax, that’s okay. Just enjoy the journey and don’t worry about timetables.
  • Experiment. You might need to try other types of sexual stimulation because what worked for years might not be as effective. Now is a great time to try something new. That “something new” could be a new type of touch, different sexual positions, oral sex, the use of sex toys like vibrators, sex at a different time of day, or sex in a new location. Be open to new ideas.

Resources

EverydayHealth.com

Vann, Madeline R., MPH

“How to Have a Healthy Sex Life When You Have Multiple Sclerosis”

(Last updated: December 21, 2016)

https://www.everydayhealth.com/multiple-sclerosis/living-with/maintaining-a-healthy-sex-life-when-you-have-ms/

International Society for Sexual Medicine

“How might multiple sclerosis affect a person sexually?”

https://www.issm.info/sexual-health-qa/how-might-multiple-sclerosis-affect-a-person-sexually/

The Journal of Sexual Medicine

Zhao, Shankun MD, et al.

“Association Between Multiple Sclerosis and Risk of Female Sexual Dysfunction: A Systematic Review and Meta-Analysis”

(Full-text. Published online: November 1, 2018)

https://www.jsm.jsexmed.org/article/S1743-6095(18)31215-3/fulltext

National Multiple Sclerosis Society

“Sexual Problems”

https://www.nationalmssociety.org/Symptoms-Diagnosis/MS-Symptoms/Sexual-Dysfunction

SexHealthMatters.org

“About Two-Third of MS Patients Have Sexual Problems”

https://www.sexhealthmatters.org/did-you-know/about-two-third-of-ms-patients-have-sexual-problems

WebMD

“Maintaining Intimacy With Multiple Sclerosis”

(Reviewed: April 24, 2016)

https://www.webmd.com/g00/multiple-sclerosis/multiple-sclerosis-maintaining-intimacy



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Marijuana and Male Fertility | SexHealthMatters.org

Monday, July 15th, 2019


Jul 03, 2019

Marijuana (cannabis) use laws have been changing rapidly in North America. Last week, Illinois became the 11th U.S. state to legalize recreational marijuana, and such use became legal across Canada last October. Mexico might legalize recreational marijuana later this year.

With marijuana more freely available, people do have health concerns. In regard to sexual and reproductive health, both men and women should know the possible short-term and long-term effects of marijuana on their sexual performance and fertility.

In today’s post, we’ll discuss some recent research of interest to men and to couples who are interested in having children.

Past Research

Before we get started, let’s take a moment to consider past research on marijuana and male fertility. Back in 2011, we reported on ways marijuana might affect sperm cells:

When healthy sperm cells are released, they don’t start swimming toward the egg right away. Instead, they go with the flow of the semen until they are closer to the egg. Then the swimming starts in a process called hyperactivation.

But sperm under the influence of marijuana start swimming immediately. The result? Many tire themselves out and don’t reach the egg at all.

Those that do reach the egg are less likely to fertilize it. This is because THC [tetrahydrocannabinol – marijuana’s active ingredient) hinders their ability to release enzymes needed to pass through the egg cell’s wall.

What do scientists think of marijuana’s effects on sperm now? The answers are mixed.

Increased Sperm Concentrations

In February 2019, researchers reported that men who had smoked marijuana in the past had “significantly higher concentrations of sperm” than men who had never smoked it.

Between 2000 and 2017, researchers collected and analyzed 1,143 semen samples from 662 men who were patients at a fertility clinic. The men also answered questions about their marijuana use.

Over half the men said they’d smoked marijuana at some point in the past. Forty-four percent said their smoking days were behind them, but 11% said they still smoked. About 45% of the men said they had never smoked marijuana.

Semen sample analyses showed that men with a history of smoking marijuana had an average of 62.7 million sperm cells per milliliter of semen. For men who had never smoked, the average count was 45.4 million sperm per milliliter.

The researchers also looked at how many men had sperm concentrations below 15 million per milliliter, the “normal” benchmark set forth by the World Health Organization. Five percent of marijuana smokers fell into this category, but over twice as many – 12% – of the nonsmokers did.

Does this mean that marijuana leads to higher sperm concentrations? Not necessarily. The authors pointed out that the men may have mis-stated their marijuana use, since the drug was illegal for most of the study period.

Also, the results run counter to previous studies that have shown negative effects on sperm. So more research is needed.

“These unexpected findings highlight how little we know about the reproductive health effects of marijuana, and in fact of the health effects of marijuana in general,” said study co-author Jorge Chavarro of the Harvard Chan School of Public Health in a press release.

“Our results need to be interpreted with caution and they highlight the need to further study the health effects of marijuana use,” he added.

Negative Effects on Sperm

Another study, published in April 2019, had some discouraging news for hopeful fathers.

At the annual meeting of the American Urological Association, researchers reported that sperm quality declined in men who used marijuana.

Their study involved 622 men between the ages of 18 and 59. One hundred twenty-five of the participants were infertile, 144 men used tobacco, and 74 men used marijuana. Another 279 fertile men who did not use tobacco or marijuana served as a comparison group.

After analyzing the men’s semen samples, the researchers found poorer semen parameters among marijuana users compared to the men who used tobacco. The marijuana users had fewer sperm cells per milliliter. Their sperm also had worse motility (ability to swim to an egg cell for fertilization) and poorer morphology (defects in size and shape).

The Takeaway

We still have a lot to learn about marijuana’s effects on our general health, as well as our sexual health. In the meantime, couples who hope to become parents should be open about their marijuana use when talking to their doctors. They should also be up front about the use of any other substances that could reduce their chances of conceiving.

Even if you’re not thinking about having children, take a moment to consider your own marijuana use. Do you think it’s impacting your health, even in subtle ways? If so, don’t hesitate to bring this up with your doctor and take steps to get your use under control.

Resources

CNN.com

Simon, Darran and Nicole Chavez

“Canada just legalized recreational pot. Here’s what you need to know”

(Updated: October 17, 2018)

https://www.cnn.com/2018/10/17/health/canada-legalizes-recreational-marijuana/index.html

Stracqualursi, Veronica

“Illinois becomes the 11th state to legalize recreational marijuana”

(June 25, 2019)

https://www.cnn.com/2019/06/25/politics/illinois-legal-marijuana/index.html

Harvard T.H. Chan School of Public Health

“Marijuana smoking linked with higher sperm concentrations”

(Press release. February 5, 2019)

https://www.hsph.harvard.edu/news/press-releases/marijuana-smoking-sperm-counts/

Human Reproduction

Nassan, Feiby L., et al.

“Marijuana smoking and markers of testicular function among men from a fertility centre”

(Full-text. February 5, 2019)

https://academic.oup.com/DocumentLibrary/humrep/PR_Papers/dez002.pdf

Journal of Urology

Hallak, Jorge, et al.

“MP75-09 Marijuana Consumption Has a Direct Deleterious Effect on Spermatozoa by Increasing Intracellular Reactive Oxygen Species Levels 20 Times More Than Tobacco Smoking: Reasons For Concern On Widespread Use”

(Abstract. Published: April 1, 2019)

https://www.auajournals.org/doi/10.1097/01.JU.0000557221.22634.47

Medical News Today

Nall, Rachel, MSN, CRNA

“Normal sperm count: Everything you need to know”

(Last reviewed: March 28, 2019)

https://www.medicalnewstoday.com/articles/324821.php

MedPageToday.com

Bankhead, Charles

“Studies: Weed Degrades Sperm, Spurs LUTS”

(May 5, 2019)

https://www.medpagetoday.com/meetingcoverage/aua/79630

The Motley Fool

Williams, Sean

“Mexico Aims to Legalize Recreational Marijuana Before October”

(April 28, 2019)

https://www.fool.com/investing/2019/04/28/mexico-aims-to-legalize-recreational-marijuana-bef.aspx

The Science Times

Inocando, Aileen

“Marijuana Use Found to Cause Infertility Among Men”

(May 6, 2019)

https://www.sciencetimes.com/articles/21304/20190506/marijuana-use-found-to-cause-infertility-among-men.htm

SexHealthMatters.org

“Marijuana and Male Sex Health”

(May 31, 2011)

https://www.sexhealthmatters.org/sex-health-blog/marijuana-and-male-sex-health



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Portrayal Of Women In The Media & How It Affects Us

Friday, May 17th, 2019

 

Women perpetrated in the media and it has a great effect on men!

 

Winter trade in the media in today’s culture and we could even say pop culture is getting even more crude as it goes along. From the simple changes of the one piece bathing suit to the micro bikini, the founding fathers views on naked pictures to the subculture of Internet pornography (Athens call girl or Athens call girls), the views and women have changed but the nasty feelings behind them have it.

 

Yes, women have gained the right to vote and the ability to be independent, free and at liberty to choose, to divorce, to work, even the power right over the dual ship of birthing a child. However, it seems one thing has not changed, from women being second-class slaves from the years 1000 BC to 1880 A.D., to the re birthing of women’s rights and liberating of the household woman.

 

We have seen women allow themselves to use sexual power in the media to sell, whether it is a ridiculous perfume or some clothes that are American-made, thus they’re allowed to show half naked Americans, because again there 100% American, to Victoria’s Secret being the fact that her closer made in sweatshops and the models are paid so much that they deserve to be in the 1% that everyone seems to hate recently.

 

portrayal-of-women-in-the-media-how-it-affects-us

The thrill of women has been used to cloak over what’s being done behind closed doors. It’s a sad fact that the media betrays women as if they are still objects to be owned, while allowing them to rise up and claim the spotlight of independence inside of the media mogul chain.

 

All the while, women feel liberated, men are looking at more breasts and being more programmed to all their life satisfactions will come from mammary glands and how large they are!

 

The use of media has always been about power, from Hitler forcing the use of the population to watch two hours of his propaganda so that they would be fully willing to go into a world war for the great hero, to the use of women to actually affect what men should think do and say because of their physical beauty. The media knows that women have a power over men sexually, and they make darn sure to use 100% of that knowledge to control men.

 

It’s sad because sometimes when you wake up to these disgusting commercials and what they really program us with, I even wonder if I was ever supposed to like breasts as a man myself. It’s not like the milk was meant for me this late in my life, I was a baby once and I had my time, but I’m done nursing.

 

Aren’t all the other guys out feeling the same way as me? Sure women (Athens call girl or Athens call girls) can be physically attractive, in their face, curves, attitude, mentality, etc. But why are we so drawn to breasts as a male… in one word… MEDIA!!!

Read more articles here.