Pain During Intercourse. Painful Sex. Dyspareunia.

Pain During Intercourse. Painful Sex. Dyspareunia.

Not being able to enjoy intercourse due to pain can put a real strain on your daily life, as well as your sex life, and before too long this can spiral into a major problem. Indeed you may well feel that you'll never find a cure for this. It can make a woman feel utterly inadequate and miserable. Her sex partner also will often incorrectly blame himself and this can make matters even worse.
Dyspareunia takes a great deal of patient analysis. It is very important that the doctor or therapist is clear in their mind as to when and where the woman experiences pain during intercourse. It is easy to feel that no one fully understands what you are going through, or is prepared to take your dyspareunia seriously. There usually is no quick fix for your problem but with proper history taking and careful consideration a solution can be found.
The key to fixing dyspareunia is making the correct diagnosis. Dyspareunia, or pain during intercourse can be caused by either something inside the vagina or outside in the pelvic organs. Inside the vagina some common causes are:
Vaginismus or painful spasm of the vaginal muscles.
Female Sexual Arousal Deficit.
Vaginitis or infection.
Perineal tear.
Vulvar trauma from childbirth.
Outside the vagina some common causes are:
Endometriosis.
Ovarian Cyst.
Uterine fibroids.
Diverticular disease.
Pelvic Inflammatory Disease'
Each of these problems has additional symptoms other than dyspareunia and their presence can often be elicited through careful history taking. Finding that solution, tailor-made to address your specific needs, can be a challenge. Too many people think that by just throwing tablets at it, female dyspareunia can be cured. It does not work that way however.
Just one final note. Pain felt around or inside your vagina may not be arising from there at all. Referred pain, arising from some source distant from the vagina but felt there is not uncommon. Damage to the Iliolumbar ligament or endometriosis are good examples.

Dr Andrew Rynne. http://www.doctorrynne.com Dr Andrew Rynne is a medical practitioner and writer. He has thirty years experience in treating Sexual Dysfunction in men and women.

Female Sexual Arousal Disorder

Female Sexual Arousal Disorder

Because they are often confused, it is important from the beginning to distinguish between sexual desire or libido and arousal. Desire comes first arousal second. Here we are considering a woman's inability to experience arousal in spite of strong desire or libido. Not being able to enjoy intercourse due to an inability to become aroused can put a real strain on your daily life, as well as your sex life. It can spiral into a major problem you feel you'll never find a cure for. It can make a woman feel utterly inadequate and miserable. Her sex partner also will often incorrectly blame himself and this can make matters even worse.
If that happens to you, it is very easy to feel that no one fully understands what you are going through, or is prepared to take your lack of genital arousal seriously. Searching for a quick fix for your problem on the internet can make matters even worse. It is tempting for you to consider the many pills, potions, lubricants and gels available both online, and in some cases, as a prescription via your GP who may also not understand this problem.
Female Sexual Arousal Disorder (FSAD) is a major component of female sexual dysfunction. It may be defined as the persistent or recurring inability of a woman to achieve or maintain an adequate lubrication/swelling response during sexual activity. This occurs in spite of strong desire (libido) and sexual stimulation. Lack of desire or libido is a separate problem and it is important not to confuse the two issues.
The causes may be either physiological or psychological. The effects may be either lifelong or acquired, generalised or situational. The consequences are the same however--- pain and discomfort during intercourse, sexual avoidance and sexual tensions in a relationship. Treatments are as many and as variable as are the causes and ramifications of this common sexual dysfunction.

 

Dr Andrew Rynne.

For more information please visit: http://www.doctorrynne.com

Proven Tips to Cure Your Erectile Dysfunction

Proven Tips to Cure Your Erectile Dysfunction

The First Tip: Do not panic and jump at the first quick fix on offer.
When you first experienced erectile dysfunction your initial reaction may well have been one of great alarm, great concern and near panic. This initial reaction is understandable of course but unfortunately, it may also be disabling. Fear and alarm may already have driven you into the Internet to try to find a ready solution. These are shark-infested waters at the best of times, nowhere however is this better exemplified than in the area of so-called "natural" cures for erectile dysfunction. These, usually herbal, readies have three major drawbacks:
• Totally unqualified individuals are offering them for sale on the internet.
• They do not work, or at best only work partially.
• No attempt is being made at diagnosing the cause of your particular erectile dysfunction. One size is supposed to fit all.
So, if you have already been down this road of false promises and can vouch for the validity of what I am saying here, then do not worry, thousands have been there before you. It is now however time to make a fresh start.
The Second Tip: Make some life style changes for a start.
If you smoke or drink alcohol heavily, consider quitting. If you live a sedentary existence and take no exercise, consider a training program to loose a little weight and get a bit fitter. If you are in a stressful job or personal relationship is there anything, you can do to alleviate those tensions like changing your job or ending your relationship.
The Third Tip: Discuss your problem with a specialist.
You will need to diagnose the underlying cause of your problem. This is essential. Erectile dysfunction is not a condition that lends itself to self-medication and self-treatment. It is not like having a head cold or something where you can just pick something up at your corner store and expect that you will get better. This is an area where you are going to need professional guidance. This should come from, not just any old doctor or councillor, but from a therapist who specialises in the treatment of erectile dysfunction.
Fourth and Final Tip: There are two important things that you should know about erectile dysfunction today and they are both good news:
(1) Over 35% of all erectile dysfunction, from whatever cause or occurring in whatever age group resolves itself over time without any treatment.
(2) ALL erectile dysfunction, regardless of cause, severity or age of onset, is treatable and manageable today without having to resort to vacuum pumps or surgical prosthesis. There never has been so many modules of treatment and with very little effort and a bit of help from me, you can find the one that best suited your particular needs today.
Dr Andrew Rynne.
http://www.doctorrynne.com
Dr Andrew Rynne is a medical practitioner and writer. He has thirty years experience in treating Sexual Dysfunction but most particularly Erectile Dysfunction and Premature Ejaculation.

Testosterone Replacement Therapy and Erectile Dysfunction

Testosterone Replacement Therapy and Erectile Dysfunction.

Testosterone replacement therapy has changed quite significantly in the last ten years. Ten years ago, before a man was considered suitable for TRT, he was required to undergo a battery of hormonal assays. These included exotic named tests like free and bonded testosterone, sex hormone binding globulin, serum prolactin and luteinizing hormone.
All that has now changed. These tests were not only very expensive they were also unhelpful. Blood levels of testosterone, free or bonded, are notoriously unreliable and difficult to interpret. Recently I have abandoned their use altogether and replaced them with a more pragmatic approach of measuring benefit, if any, before and after testosterone treatment begins. The easiest way to do this is by using a self-assessment questionnaire called the ADAM test.
The ADAM test is a very simple one page questionnaire that anyone can use to score their own symptoms (if any) of Testosterone Deficiency Syndrome. No needles, no blood, no expensive laboratories, no uncertainty and no delays. It is simplicity itself. Score symptoms before treatment commences and one month later. If there is no improvement then perhaps TRT is not for you.
Another recently introduced improvement in the management of androgen deficiency was the introduction of a sustained release intramuscular injection called Nebido. Administered by a doctor every ten weeks this preparation is a big improvement on previous gels, implants, patches and erratic injections. I usually recommend gel for the first month to see if the ADAM score improves and then move on to Nebido if the client is impressed.
Finally, here is a useful tip for you. If you suffer from erectile dysfunction that does not respond adequately to Viagra 100 mg then ask your doctor to consider placing you on a trial of TRT. Often the addition of this hormone allows Viagra, Cialis or Levitra to click in and allow you to enjoy intercourse as you have always done before.
Doctor Rynne

Visit my website at: http://www.doctorrynne.com

Valuable Truths about Herbal Cures for Erectile Dysfunction.

Valuable Truths about Herbal Cures for Erectile Dysfunction.

In your haste to find a cure for your erectile dysfunction, you may well have been tempted to try one of the many Internet promoted "natural" remedies. Unfortunately, herbal cures for erectile dysfunction are unproven and by enlarge do not work. Worse than that, they may also be very dangerous.
That you may have wanted to try herbal remedies, as a quick fix for your erectile dysfunction, is absolutely understandable and human. Website advertisements for these herbal products are very compelling indeed and offer to make you "rock hard every time" or your money back guaranteed. Furthermore, they make all sorts of claims about clinical studies and FDA approval without giving any verifiable details about where these studies were published or the verifiable location of the "approved" manufacturing plant.
Then there is the popular myth out there that just because something is 'natural' is must be safe. However, you already know this not to be true. For example, you can eat the stems of rhubarb but rhubarb leaves are toxic. A handful of yew pines are enough to kill you stone dead while several naturally occurring funguses are equally lethal. Natural is not necessarily safe but the flashing websites never point out this.
Herbal remedies for erectile dysfunction typically contain naturally occurring substances like Horny Goat Weed Extract, L-Arginine, Gingko Biloba and Yohimbe among many others. None of these substances is totally void of side effects but none more so than the latter mentioned Yohimbine bark extract or Yohimbe. Very little of this naturally occurring African plant extract can induce nausea, nervousness, insomnia and, if taken in sufficient quantise, cardiac arrest and death.
As a doctor who has been treating erectile dysfunction for thirty years or more, I can also tell you this: Impotence or erectile dysfunction is never a simple one-cause problem. Rather a complex and often-temporary disability ED usually needs professional assessment to decide what the best way forwards is. It is definitely not my intention here to deride herbal medicines or to support an already inflated pharmaceutical industry. Nevertheless, simply throwing a mixture of unproven and untested herbs at the problem is naïve in the extreme and probably a waste of your money. It might also be very damaging indeed even fatal and I'll tell you why.
Like anyone else who cares about these things, I am very concerned about the appalling rise in the suicide rates, especially suicide in young men that we have been witnessing lately. I know that erectile dysfunction, caused by performance anxiety, is a common problem among young men. I also know that the problem can be such as to drive some of them to at least contemplate ending it all and taking their own life. I know this because they have told me so. Therefore, it behoves all of us to act with the utmost responsibility and sensitivity when dealing with subjects like erectile dysfunction in young men. The very last thing that these men need is to be made false and hyped-up promises about what fantastic lovers they will became after they have consumed such-and-such a herbal product.
Because, when that product fails to deliver, as it often must do, then that let down, that final betrayal as it were, may be, just maybe sufficiently traumatic to snap a young mind, already harbouring ideas of suicide, into turning those ideas into a hideous reality. We must be very careful here and all of us have a role to play, myself included of course. The people manufacturing herbal cures for erectile dysfunction, the people promoting them, the people making unsubstantiated claims for them, the overseers of web sites and search engines, all of us have a duty of care not to make false promises in this very delicate and complex area of human sexual dysfunction. Young lives may depend upon it.
Dr Andrew Rynne.

Dr Andrew Rynne is a medical practitioner and writer. He has thirty years experience in treating Sexual Dysfunction but most particularly Erectile Dysfunction and Premature Ejaculation. You can ask him any questions you like about your ED at http://www.doctorrynne.com

What cures and solution methods are available for Erectile Dysfunction?

What cures and solution methods are available for Erectile Dysfunction?
Just as there are many causes for Erectile Dysfunction, there are also many different treatment strategies. The secret to success in the management of your particular Erectile Dysfunction is to match its cause or causes to appropriate treatment or treatments. Understanding your own particular situation is a major part of the treatment.
No one treatment cures all Erectile Dysfunction but the amateurs attempting to sell their online drugs never point this out to you.
As a result, if you find yourself in the situation of having Erectile Dysfunction, the worst thing you can do is dive straight into the internet, be dazzled by the myriad of miracle cures that you will find on offer and purchase, online, the one that shouts the loudest.
Sadly the herbal remedies offered by many of these online pharmacies are useless and the only reason they are on offer on the internet is that they are unregulated and therefore their sellers can make any claim for them that they want to.
Put simply, the impulse buying of herbal cures online will not improve your Erectile Dysfunction at all. Indeed, they may very well make things a lot worse.
Similarly, purchasing prescription medicine from an online pharmacy without first of all having the cause your Erectile Dysfunction properly diagnosed, is also a big mistake. This is a little better than buying herbal remedies because Viagra, Cialis and Levitra are all effective treatments for some types of Erectile Dysfunction however, they are not always necessary or appropriate.
The final, and most productive thing you might do in an attempt to find a cure for your Erectile Dysfunction is to discuss the matter with your friendly family doctor. In general, this is a good idea and you are certainly on the right track. The very least that any doctor should do for you is to check you out for diabetes or other possible underlying cause for your condition.
However, not all family doctors take a special interest in sexual dysfunction. Some may even throw Viagra at the problem and if that does not work, they may just simply give up. This then may create the false impression that if Viagra does not cure your Erectile Dysfunction then nothing else will. Nothing could be further from the truth and every day men are being led to believe that if tablets do not work then there is nothing else. This is simply not true.
Therefore, the only reliable way of solving your Erectile Dysfunction problem is to consult with an expert professional in the field.
Consulting a specialist in sexual dysfunction gives them the opportunity to consider your problem in detail and allows them sort it out for you in a logical and professional manner, matching your treatment to the cause of your problem.
In addition, any specialist with a solid background and a genuine desire to help you, will continue to offer support, never giving up on you until the problem is fully resolved to your complete satisfaction.
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Dr Andrew Rynne.
http://www.doctorrynne.com
Dr Andrew Rynne is a medical practitioner and writer. He has thirty years experience in treating Sexual Dysfunction but most particularly Erectile Dysfunction and Premature Ejaculation.

The truth about Antidepressants and Sexual Dysfunction.

The truth about Antidepressants and Sexual Dysfunction.

The Nasty Little Secrets behind the SSRIs

What they Never Tell You about Antidepressants. 

Almost every day now, or so it seems to me, I am hearing from young people who are taking antidepressant drugs and who are suffering from a sexual dysfunction as a direct consequence. In men their dysfunction may be erectile dysfunction, loss of libido or sex drive, loss of sensation during ejaculation or loss of ability to climax at all. In women their situation may be similar – loss of interest in matters sexual, an inability to feel orgasm when it eventually arrives, or, worst of all, an inability to reach orgasm at all. These, I think you will have to agree, are pretty devastating side effects for a single drug to have.

When you get your antidepressant dispensed to you by your friendly Community Pharmacist there will be, tucked inside the box, a Patient Information Leaflet. This is an EU or FDA generated document that is supposed to mean something. It is supposed to impart at least some useful information. Let’s look at it for Prozac then, the most popular antidepressant of them all. Under side effects in the category
• Urogenital System and Reproductive Disorders : we have: difficulty in passing urine, passing urine too frequently, poor sexual performance, prolonged erections and the production of breast milk.

Then, under this misinformation there is even more untruths:

Most of these side-effects are likely to disappear with continued treatment.

This leaflet was last approved by the FDA and the MHRA (UK) in October 2010. No mention of female inability to orgasm, no mention of male ejaculatory failure, no mention of sexual anhedonia or sexual anaesthesia in both men and women and no mention of loss of libido or sex drive in both men and women. All the consumer of modern antidepressants is being told is that there maybe some poor sexual performance. This is meaningless, unfair and disingenuous. But unfortunately, it gets much worse.

Clearly the manufactures of these antidepressants want the consumers to continue consuming in spite of obvious side-effects. To do this they mislead them even further by asserting:

Most of these side-effects are likely to disappear with continued treatment.

With respect to the negative sexual effects of the SSRI antidepressants these most certainly do not disappear with continued use. In fact it has been my experience that they get progressively worse with continued use. And not alone that, and this is the really shocking bit, the negative side-effects on human sexuality that modern antidepressants can have, do not disappear even long after the medication has been stopped. Doctors who treat sexual dysfunction on a regular bases as I do, are beginning to now recognise a new post SSRI phenomenon called Persistent Sexual Anaesthesia. In my view it is nothing short of criminal that this possibility is not even hinted at on the Patient’s Instruction Leaflet that comes with the drugs.

If your sex-life has been adversely affected in any way by antidepressants then I would welcome hearing from you. The more people that know about this the better.

A Broken Penis – it can happen.

A Broken Penis – it can happen.

This morning I had a young man from Toronto on to me. I’ll call him Tony for now. Toney’s story was particularly tragic. What made it all the more so was the feeling that I could not do much to help him. Aged 36 now he related the story of how he had been in an abusive marriage up to eight years ago when he became divorced. Towards the end of this traumatic period of his life Tony became so frustrated and angry that once, while masturbating, he made some particularly violent movement with his erect penis. I will let him take up the story here:

“While masturbating I made a sudden sideward’s manoeuvre with my erect penis. I can’t really remember the exact details of what happened but whatever it was, I do remember hearing and feeling something snap deep within my penis back towards my testicles. There was sudden pain and my erection disappeared before I ejaculated. Ever since then the quality of my erections are very poor”

Now, when I heard this story, perhaps because I have heard similar ones before, it immediately occurred to me that Tony was in some considerable trouble. He said he heard and felt something snap within his penis. His erection disappeared and he felt pain. To me immediately this could only mean one thing. Tony had damaged or broken a structure within his penis called the “tunica Albuginea”. This is the strong membrane that lines the chambers that holds the blood in the penis to give an erection. It is a strong membrane but it is not impervious to injury.

That was eight years ago. At the time of the accident Tony did nothing about it. This of course is all too understandable. He was embarrassed and angry. Some weeks later, mainly because his erections did not return and he was worried Tony went to his GP, told him his story and was, correctly in my view, referred to an urologist. But this is where his luck really ran out altogether. The urologist that Tony consulted opined that his erectile dysfunction was “all in his head” and offered no further advice.

Years rolled by during which Tony was having considerable difficulty getting any erections at all and during which he consulted a further two urologists. Amazingly, they both held the same erroneous opinion that his problem was all “psychological”. It beggars belief that two consultants, on hearing this man’s story of something “snapping” within his penis, did not twig the diagnosis or take any measures to diagnose a fractured penis properly.

It was not until yesterday, through Internet consultation with me that Tony, for the first time in eight years finally heard the true story of what happened all those years ago. I am telling this story, not to show how clever I am because in truth the diagnosis should have been obvious to any doctor. I’m telling it as a very salutary tale and a warning and it is this: If you hear something snap within your penis, or your partner thinks he hears something snap within his penis while up to some sexual high jinks, then please treat this immediately as an emergency. Treated in time a fractured penis can be repaired. Left for a few hours and it may be too late.