Understanding Performance Anxiety Erectile Dysfunction.
Performance anxiety is the commonest cause of erectile dysfunction in young men. This applies across all cultures, socio-economic groups and educational levels reached. It is a universal fact. And still it remains poorly understood. Most men, on being told that their problem is performance anxiety, want to reject such a suggestion and want you the doctor to come up with an alternative diagnosis. Sometime even the consultation can end in conflict.
In order to become sexually aroused a man’s subconscious brain needs to send a message to his penis. This signal is to ask the penis to fill with blood and get ready for action. If in the meantime the man’s mind is entertaining negative thoughts, however slight or niggling, about the state of his penis, then these subconscious messages are blocked and no erection results. For the system to work there must be no negative thoughts whatsoever. Only desire and relaxed pleasure work.
When a doctor tries to explain this to a man the patient’s immediate reaction often is to reject any such suggestion. He does this because he makes the following incorrect assumptions:
• Performance anxiety is the man’s own fault. That is not correct.
• Performance anxiety is difficult to treat. That is not correct.
• Performance anxiety is a sign of weakness and only affects wimps. That is not correct.
What young men often do not seem to understand is that all other causes of erectile dysfunction, in their age group, are relatively rare. These would include things like venous leek -- extremely rare in my experience. Indeed I have never seen a case in all my years of medical practise. Diabetes – very easy to rule in or to rule out. Medications or drug abuse – again easy to exclude. Neurological diseases or other chronic illness. Again this should be blindingly obvious as a cause of ED. In short, nine times out of ten, performance anxiety is the candidate of first choice but is often the one that is most difficult to sell.
Doctors or counsellors who would assume to treat sexual dysfunction in younger men need to be very aware of how the notion of performance anxiety can often be met with hostility. Often indeed it is necessary to come at this diagnosis via a circuitous rout. It is often wise to list all possible causes and to rule them out one by one such that the client is left with on reasonable alternative explanation for his problem other that to accept the cause as being our old friend, performance anxiety. Because until such time as this acceptance begins to dawn on him, there can not be any cure.
For more information about performance anxiety please visit www.doctorrynne.com
Showing posts with label Erectile Dysfunction. Show all posts
Showing posts with label Erectile Dysfunction. Show all posts
Monday, August 8, 2011
Online Medical Consultation Here to Stay
Online Medical Consultation Here to Stay.
Being in General Practise for thirty years or more has, as you can imagine, thought me a thing or two about people and their relations with doctors. Here are some of the things I learned:
• People often don’t trust doctors but are afraid to challenge them. They are afraid to ask for a second opinion.
• People often don’t understand doctors or what they are trying to tell them.
• In the confusion of the consulting process people find it difficult to concentrate on what the doctor is saying. Therefore, they may afterwards appear to be almost deliberately non-compliant.
• For reasons perhaps known only to them, people can withhold vital information from their doctor or simply not tell the truth. This may render the entire consultation worthless.
• There are some things that all of us may find impossible to talk about face to face with another human being. Sexuality may be one such subject.
Given all these natural fault lines that appear in many doctor-patient consultations, it occurred to me that the Internet might be the perfect medium through which to allow people augment and redress this often flawed process. Online medical consultation is not designed to and never will replace the traditional doctor patient physical interaction. It can however bring clarity and lend valuable support to this process. When a person commits to Online consultation they:
• Have the required time and space to concentrate on their complaints and symptoms.
• Are less inhibited about discussing difficult topics.
• Are not afraid to argue their point of view.
• Are less inclined towards untruthfulness.
• Have the time and space to absorb all that is being said to them.
• Can seek clarification until they fully understand their diagnosis and its implications.
Whether we like it or nor, and personally I know many doctors who don’t like it, people will use the Internet to try and diagnose and even treat their own illnesses. Or at the very least will go to their doctor pre-loaded with a lot of Google information and misinformation. The Internet has now irrevocably infiltrated the doctor-patient process. It is up to us in the profession to try and make this development as innocuous as possible.
For more information about Online Doctors and e-Consultations please visit: www.doctorrynne.com
Being in General Practise for thirty years or more has, as you can imagine, thought me a thing or two about people and their relations with doctors. Here are some of the things I learned:
• People often don’t trust doctors but are afraid to challenge them. They are afraid to ask for a second opinion.
• People often don’t understand doctors or what they are trying to tell them.
• In the confusion of the consulting process people find it difficult to concentrate on what the doctor is saying. Therefore, they may afterwards appear to be almost deliberately non-compliant.
• For reasons perhaps known only to them, people can withhold vital information from their doctor or simply not tell the truth. This may render the entire consultation worthless.
• There are some things that all of us may find impossible to talk about face to face with another human being. Sexuality may be one such subject.
Given all these natural fault lines that appear in many doctor-patient consultations, it occurred to me that the Internet might be the perfect medium through which to allow people augment and redress this often flawed process. Online medical consultation is not designed to and never will replace the traditional doctor patient physical interaction. It can however bring clarity and lend valuable support to this process. When a person commits to Online consultation they:
• Have the required time and space to concentrate on their complaints and symptoms.
• Are less inhibited about discussing difficult topics.
• Are not afraid to argue their point of view.
• Are less inclined towards untruthfulness.
• Have the time and space to absorb all that is being said to them.
• Can seek clarification until they fully understand their diagnosis and its implications.
Whether we like it or nor, and personally I know many doctors who don’t like it, people will use the Internet to try and diagnose and even treat their own illnesses. Or at the very least will go to their doctor pre-loaded with a lot of Google information and misinformation. The Internet has now irrevocably infiltrated the doctor-patient process. It is up to us in the profession to try and make this development as innocuous as possible.
For more information about Online Doctors and e-Consultations please visit: www.doctorrynne.com
Tuesday, March 22, 2011
Benign Prostatic Hyperplasia
Benign Prostatic Hyperplasia – the Classical Design Fault.
Lets face it, these days very very few patients indeed will consult their doctor without having first consulted Google, Yahoo, Bing and Wikipedia. Love it or hate it (and I suspect most of us are not overjoyed at the prospects of competing with computers) it is now the way of the modern world. It is here and here to stay.
Benign Prostatic Hyperplasia or sometimes, incorrectly, hypertrophy, is of course your classic. It has become a Global industry that stuffs the search engines for thousands of pages. Doctors, surgeons, hospitals, clinics, pharmaceutical and alternative enthusiasts all feed greedily from the bottomless trough that BPH has become. Any wonder then that the middle aged man, finally deciding to consult a real doctor for his dysuria, comes laden down with tonnes of cyber babble and internet rubbish.
The textbooks, but now of course the search engines; tell us that the incidence of BPH is about 50% in men over the age of 50 and more or less leave it at that. Doctors know of course that that is not the full story. In real life we know that the incidence of this pestilence increases with age such that by the age of 80 well over 80% of men will be significantly effected by it. Indeed all men will eventually fall foul to this design fault of nature. For that is what it is – a classical design fault. The urethra should never have been made to pass through a gland that is destined to enlarge with age. All men should be recalled at the age of forty and have this put right!
False dawns, in the form of “office procedures” for the surgical management of BPH continue to come and go. Transurethral Microwave Thermotherapy machines, like Electronic Voting machines, now lie gathering dust in back storeroom of many the teaching hospital. They are embarrassing monuments to the folly of rushing into unproven new technologies. Not only did they not work, they were also quite dangerous. Laser Turps, one suspects, may very well be heading in the same general direction. I will leave to others to inform us about its true efficacy when the dust eventually settles on this still controversial treatment.
If recently introduced minor surgical interventions for the management of BPH have been more gimmicks that genuine then the same can hardly be said about the pharmaceuticals. I refer particularly the alpha blockers of course. In the last twenty years, these medicines have allowed millions of middle aged men across the world, to get on with their lives in relative comfort and without the constant fear of the nightmare that acute urinary retention must be. They have also allowed men to at least postpone, perhaps indefinitely, the indignity in a TURPS procedure with its attending morbidities. Clearly I’m a big fan of the alpha blockers.
Not so however 5-alpha reductase inhibitor. Because Fenasteride has the ability to reduce prostate bulk by some 25% and so relieve some of the symptoms of BPH, this drug is now being pushed as a first line treatment for this benign condition. I believe that this is akin to the old proverbial sledge hammer approach to cracking a nut and I’ll tell you why.
Over the last five years or so, for my sins, I seem to have become more and more involved in the management of sexual dysfunction, not just erectile dysfunction but all sexual dysfunction in man and women. On the internet, hardly a week goes by that I am not being approached by yet another young man recently prescribed Propecia as a “treatment” for male pattern baldness. This drug has the capacity to obliterate their sexuality, not just for the time that they take the drug, but for all time. This vanity treatment can and does condemn many young men to a life sentence of sexual anhedonia, without feeling, desire or function, to otter misery and despair for which, as yet, we have no treatment. If you would like to know more about this you can share in their pain on www.propeciahelp.com
I believe that potentially toxic medicine like this must be reserved for the indications for which it was first introduced and that is in the management of advanced prostate cancer with metastases. Here, as we all know, it can be life-saving or at any rate life-prolonging. Using it to treat a benign condition like BPH is, in my view, at best questionable. Using it to treat a naturally occurring condition in men like male pattern baldness, is reckless in the extreme.
Finally, a word on tadalafil, the longer acting treatment for erectile dysfunction. Can I refer you to the October issue of the Journal of Urology 2008? Here is reported a study that found tadalafil to be as effective as the alpha blockers in relieving Lower Urinary Tract Symptoms of BPH. Since older men often suffer from both BPH and erectile dysfunction and since tadalafil has been clinically shown to relieve both, might not an argument be made for prescribing daily tadalafil for such men. Two birds with one stone perhaps? I think so.
Dr Andrew Rynne.
March 22nd 2011
Doctor Rynne is an expert on male and female sexual dysfunction. For more information please visit http://www.doctorrynne.com.
Monday, March 7, 2011
Find the Right Consultant to Fix My Erectile Dysfunction
Erectile Dysfunction Treatment
You have a number of choices but they can be broadly divided into two categories of professionals:
(1) Clinical Psychologists
(2) Medical Doctors
(1) Clinical Psychologists. Clinical Psychologists are professional graduates specifically trained to talk, to listen, and to guide people suffering from a wide range of emotional and mental upset. As a rule, they offer an excellent drug-free alternative to Psychiatrics.
If you choose to consult with a Clinical Psychologist about your sexual dysfunction make sure it is one who has a specialist interest in this subject as distinct from a General Clinical Psychologist. Generalist might treat anything from aerophobia to insomnia and, while they may be excellent at their job, they may lack the subtle skills that can make all the difference when it comes to resolving your erectile dysfunction.
Be weary also of posers and charlatans operating in this area. There are hundreds of unqualified people out there offering a quick fix for erectile dysfunction through hypnotherapy or herbal remedy. Always ask about qualifications and for any scientific studies supporting their claims. If either of these seem lacking or are being obfuscated, then steer clear.
If you choose a Clinical Psychologist to help you overcome your ED then ensure that they are fully qualified, that they have many years experience, that they specialise in managing sexual dysfunctions and that they are working from an accredited professional setting such as a University based Department or Family Planning Clinic. Never be afraid to ask questions. It is your right to know exactly who to going to try and help you through this difficult and sensitive problem.
Just one final word about Clinical Psychologists treating sexual dysfunction: Whereas they undoubtedly have a great deal to offer, they are nonetheless confined to treating your erectile dysfunction without the benefit of any prescription medicine. This, in some respects, maybe admirable but some cases of erectile dysfunction simply cannot be resolved without at least some medication. You do need to bear this in mind if choosing a Clinical Psychologist.
(2) Medical Doctors. The same rules apply to Medial Doctors. If you are choosing a medical doctor to help you to resolve your erectile dysfunction then make sure that he or she has many years experience and has a specialist interest in treating sexual dysfunction. Here is a useful tip for you. Ask yourself these questions about the doctor treating your erectile dysfunction:
(a) Is the doctor treating my erectile dysfunction genuinely trying to understand my problem and diagnose the underlying cause? If the answer to this is ‘no’ then you may be with the wrong doctor.
(b) Is the doctor treating my ED a generalist or a specialist? If the doctor is a generalist treating all diseases then perhaps you are in the wrong place.
(c) Is the doctor dealing with my erectile problem prepared to stay with me until a solution is found, or simply throwing Viagra at the problem and hoping for the best? If the doctor seems willing to give up on you after trying a few tablets then you should definitely take your problem elsewhere.
(d) Is the doctor treating my erectile dysfunction well known as a specialist in managing this problem? If the answer to this is ‘no’ then maybe you should be looking elsewhere.
SUMMARY
In finding a professional to help you overcome your erectile dysfunction, you may choose either a Clinical Psychologist or a Medial Doctor.
If you decide to consult a Clinical Psychologist then:
(a) Ensure that they specialise in treating sexual dysfunctions and are not just a general Clinical Psychologist.
(b) Ensure that they practise from a credible setting.
(c) Remember that they will not be in a position to prescribe any mediation.
(d) Realise that, while they may be excellent at treating ED related to anxiety, this maybe the totality of their skills.
(e) Understand that a Clinical Psychologist may be very limited as to their diagnostic abilities.
If you decide to consult a Medical Doctor then:
(a) Make sure you are talking to a specialist in treating sexual dysfunction, not just to a General Practitioner dabbling in this area.
(b) Ask yourself is the doctor genuinely trying to diagnose the underlying cause of your problem.
(c) Enquire if the physician can offer the whole range of ED treatments including Testosterone Replacement Therapy and painless penis injection where appropriate.
(d) Ensure that the doctor is prepared to stay working on your problem until a solution is found that you find satisfactory.
(1) Clinical Psychologists
(2) Medical Doctors
(1) Clinical Psychologists. Clinical Psychologists are professional graduates specifically trained to talk, to listen, and to guide people suffering from a wide range of emotional and mental upset. As a rule, they offer an excellent drug-free alternative to Psychiatrics.
If you choose to consult with a Clinical Psychologist about your sexual dysfunction make sure it is one who has a specialist interest in this subject as distinct from a General Clinical Psychologist. Generalist might treat anything from aerophobia to insomnia and, while they may be excellent at their job, they may lack the subtle skills that can make all the difference when it comes to resolving your erectile dysfunction.
Be weary also of posers and charlatans operating in this area. There are hundreds of unqualified people out there offering a quick fix for erectile dysfunction through hypnotherapy or herbal remedy. Always ask about qualifications and for any scientific studies supporting their claims. If either of these seem lacking or are being obfuscated, then steer clear.
If you choose a Clinical Psychologist to help you overcome your ED then ensure that they are fully qualified, that they have many years experience, that they specialise in managing sexual dysfunctions and that they are working from an accredited professional setting such as a University based Department or Family Planning Clinic. Never be afraid to ask questions. It is your right to know exactly who to going to try and help you through this difficult and sensitive problem.
Just one final word about Clinical Psychologists treating sexual dysfunction: Whereas they undoubtedly have a great deal to offer, they are nonetheless confined to treating your erectile dysfunction without the benefit of any prescription medicine. This, in some respects, maybe admirable but some cases of erectile dysfunction simply cannot be resolved without at least some medication. You do need to bear this in mind if choosing a Clinical Psychologist.
(2) Medical Doctors. The same rules apply to Medial Doctors. If you are choosing a medical doctor to help you to resolve your erectile dysfunction then make sure that he or she has many years experience and has a specialist interest in treating sexual dysfunction. Here is a useful tip for you. Ask yourself these questions about the doctor treating your erectile dysfunction:
(a) Is the doctor treating my erectile dysfunction genuinely trying to understand my problem and diagnose the underlying cause? If the answer to this is ‘no’ then you may be with the wrong doctor.
(b) Is the doctor treating my ED a generalist or a specialist? If the doctor is a generalist treating all diseases then perhaps you are in the wrong place.
(c) Is the doctor dealing with my erectile problem prepared to stay with me until a solution is found, or simply throwing Viagra at the problem and hoping for the best? If the doctor seems willing to give up on you after trying a few tablets then you should definitely take your problem elsewhere.
(d) Is the doctor treating my erectile dysfunction well known as a specialist in managing this problem? If the answer to this is ‘no’ then maybe you should be looking elsewhere.
SUMMARY
In finding a professional to help you overcome your erectile dysfunction, you may choose either a Clinical Psychologist or a Medial Doctor.
If you decide to consult a Clinical Psychologist then:
(a) Ensure that they specialise in treating sexual dysfunctions and are not just a general Clinical Psychologist.
(b) Ensure that they practise from a credible setting.
(c) Remember that they will not be in a position to prescribe any mediation.
(d) Realise that, while they may be excellent at treating ED related to anxiety, this maybe the totality of their skills.
(e) Understand that a Clinical Psychologist may be very limited as to their diagnostic abilities.
If you decide to consult a Medical Doctor then:
(a) Make sure you are talking to a specialist in treating sexual dysfunction, not just to a General Practitioner dabbling in this area.
(b) Ask yourself is the doctor genuinely trying to diagnose the underlying cause of your problem.
(c) Enquire if the physician can offer the whole range of ED treatments including Testosterone Replacement Therapy and painless penis injection where appropriate.
(d) Ensure that the doctor is prepared to stay working on your problem until a solution is found that you find satisfactory.
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.
Monday, February 28, 2011
Male Pattern Baldness and Propecia / Proscar and Male Pattern Baldness
Male Pattern Baldness and Propecia.
by Dr. Andrew Rynne
by Dr. Andrew Rynne
Proscar and Male Pattern Baldness.
I want to shout this from the rooftops. However, I will shout it into cyberspace instead. I want the ear of every young man on this planet who may be experiencing testosterone driven male pattern balding. Please listen to me. Do NOT under any circumstances even for one minute consider taking the testosterone-suppressing drug Proscar or Propecia or Finasteride to give it its chemical name. The consequences of using this drug for male pattern balding can be life shattering.
Here’s what the manufacturers Merck say on their Patient’s Product Information leaflet about Propecia:
“ In clinical studies for Propecia, a small number of men experienced certain sexual side effects, such as less desire for sex, difficulty in achieving an erection, decrease in the amount semen produced. Each of these side effects occurred in less than 2% of men and went away in men who stopped taking Propecia because of them.”
What jumps out at you here is that figure 2%. However, even if you accept this figure as true, and personally I do not accept it, but even if you do, to the uninitiated it might seem like a low figure. But for 2% of men on Proscar to experience serious side effects like erectile dysfunction, loss of libido and reduced volume of semen this is actually a very high and significant figure.
Remember you are dealing here with a naturally occurring normal male phenomenon called ‘Male Pattern Baldness’. This is not an illness or a disease. This is a healthy normal occurrence. If in an attempt to “cure” it, you are getting a 2% rate of serious side effects, then that quite frankly is unacceptable.
But here is the real lie that Merck is giving you in its Patient’s Leaflet. Do you see that bit there about “went away in men who stopped taking Propecia – ” That is simply not true and Merck know full well that it is not true. They know it is not true because I and hundreds of other doctors and thousands of patients have told them that these side effects do not always go away when you stop taking Propecia. We continue to be ignored of course. Merck in a multi-billion multinational company. In some cases men who have taken Proscar, even for a few months, have unwittingly condemned themselves to a lifetime of Sexual Anhedonia, the most horrible and cruel or all sexual dysfunctions.
I have spoken to several young men in my clinic in Kildare who continue to suffer from sexual anaesthesia and for whom all sexual pleasure and feelings have been obliterated for all time. I have felt their suffering and shared their devastation. If you would like to learn more about this subject then visit them on www.propeciahelp.com Please spread the word around. Taking Propecia for balding can have utterly disastrous consequences. If you have suffered in any way as a consequence of having used Propecia or Proscar them please use the comment box below to share your story with us. We would love to hear from you.
About Dr. Andrew Rynne
With over thirty years experience in treating men and women with sexual dysfunction and Testosterone Deficiency Syndrome Dr Andrew Rynne is a highly skilled professional in this field. Dr. Rynne can provide you with a Personal Consultation that will diagnose the root of your problem and provide you with a course of action and treatment that will help you work towards a personalised solution.
This entry was posted in Sexual Dysfunction and tagged balding, finasteride, hair loss, male pattern baldness, propecia, proscar, sexual anhedonia. Bookmark the permalink.
Doctor Andrew Rynne
http://www.doctorrynne.com
Thursday, February 24, 2011
Why Buying Erectile Dysfunction Medication Online Is A Bad Idea.
Why Buying Erectile Dysfunction Medication Online Is A Bad Idea.
Online Pharmacies are not legal in most civilised countries. There are some very good reasons why this is so and it is not just a case of "control" or of big brother keeping an eye on you. Here are just a few reasons why online pharmacies in general can be bad for your health. I will return specifically to Viagra later.
* Most prescription medications need the input of a healthcare profession if they are not to be abused. Often, simple lifestyle changes can render the use of medications obsolete. However, lifestyle change requires human effort. It is so much easier to buy online than it is for example to loose weight, take more exercise or stop smoking.
* Prescription medications need to be taken in the proper dose and in a prescribed manner. Otherwise, they are open to abuse and can be damaging or addictive. Sleeping tablets are a good example of harmful medication when not controlled. Online Pharmacies offer no such control.
* Online pharmacies are uncontrolled and uncontrollable. Therefore no assurances can be given that product is in fact what it says it is on the package. Generic or worse still, totally fake tablets or capsules can be dispensed. You simply have no way of knowing what is or is not what you hope it is.
* But even more worrying than this is the possibility of lethal contamination. There are on record cases of where active ingredient or excipients have, wittingly or unwittingly, found their way into spurious pharmaceutical products with fatal consequences.
These serious reservations apply to all medications purchased from Online Pharmacies. However, in the case of Viagra and other erectile dysfunction treatments, there are additional pitfall and dangers that are particularly worrying. I can only touch on a few of these here but this should give you an idea:
* Viagra is now the biggest selling online pharmaceutical in the world.
* Not all, or even most, erectile dysfunction requires Viagra to fix it.
* Viagra is now widely used as a 'recreational drug' in the mistaken belief that it improves erections where no dysfunction exists. If it were not for internet selling this situation would not have evolved.
* Taken in this way Viagra can actually CAUSE erectile dysfunction by allowing for a 'performance anxiety' situation to develop. Performance anxiety is the commonest cause of erectile dysfunction that there is.
* Much erectile dysfunction is not in fact fixt by using Viagra or Cialis. However, the self-medicating may not realise this and be inappropriately driven to depths of despair when these drugs fail to work. I see this all the time in my practise.
Normally I am all in favour of patient's autonomy and of people taking charge of their own illnesses. I am not in principle opposed to sensible self-medicating and self-care. People cannot go running to their doctor or drugstore with every little sniffle and sneeze. Indeed, I once argued for the free availability of the "morning after" pill as a means of reducing abortion demand. But Online Pharmacies? I think not and I hope that after reading this you might agree with me.
Dr Andrew Rynne.
www.doctorrynne.com
Online Pharmacies are not legal in most civilised countries. There are some very good reasons why this is so and it is not just a case of "control" or of big brother keeping an eye on you. Here are just a few reasons why online pharmacies in general can be bad for your health. I will return specifically to Viagra later.
* Most prescription medications need the input of a healthcare profession if they are not to be abused. Often, simple lifestyle changes can render the use of medications obsolete. However, lifestyle change requires human effort. It is so much easier to buy online than it is for example to loose weight, take more exercise or stop smoking.
* Prescription medications need to be taken in the proper dose and in a prescribed manner. Otherwise, they are open to abuse and can be damaging or addictive. Sleeping tablets are a good example of harmful medication when not controlled. Online Pharmacies offer no such control.
* Online pharmacies are uncontrolled and uncontrollable. Therefore no assurances can be given that product is in fact what it says it is on the package. Generic or worse still, totally fake tablets or capsules can be dispensed. You simply have no way of knowing what is or is not what you hope it is.
* But even more worrying than this is the possibility of lethal contamination. There are on record cases of where active ingredient or excipients have, wittingly or unwittingly, found their way into spurious pharmaceutical products with fatal consequences.
These serious reservations apply to all medications purchased from Online Pharmacies. However, in the case of Viagra and other erectile dysfunction treatments, there are additional pitfall and dangers that are particularly worrying. I can only touch on a few of these here but this should give you an idea:
* Viagra is now the biggest selling online pharmaceutical in the world.
* Not all, or even most, erectile dysfunction requires Viagra to fix it.
* Viagra is now widely used as a 'recreational drug' in the mistaken belief that it improves erections where no dysfunction exists. If it were not for internet selling this situation would not have evolved.
* Taken in this way Viagra can actually CAUSE erectile dysfunction by allowing for a 'performance anxiety' situation to develop. Performance anxiety is the commonest cause of erectile dysfunction that there is.
* Much erectile dysfunction is not in fact fixt by using Viagra or Cialis. However, the self-medicating may not realise this and be inappropriately driven to depths of despair when these drugs fail to work. I see this all the time in my practise.
Normally I am all in favour of patient's autonomy and of people taking charge of their own illnesses. I am not in principle opposed to sensible self-medicating and self-care. People cannot go running to their doctor or drugstore with every little sniffle and sneeze. Indeed, I once argued for the free availability of the "morning after" pill as a means of reducing abortion demand. But Online Pharmacies? I think not and I hope that after reading this you might agree with me.
Dr Andrew Rynne.
www.doctorrynne.com
Sexual Health Treatment - Is online the way to go ?
Is Online Counselling the Next Wave?
So you have a problem and you need to discuss it with a professional? Your marriage is on the rocks, you have become phobic, you are getting panic attacks, you are worried about one of your children's sexuality, you have just lost a loved one, or you have suddenly developed erectile dysfunction. What exactly your problem is does not really matter. The point here is, you need to discuss it with a professional that you trust and you need to find some resolution. There is a degree of urgency to all of this.
So what do you do next? Well, traditionally you would 'shop around'. You would ask a trusted friend if they could recommend someone or you'd ask your GP for a referral, or you would simply go through the Golden Pages and see if you could find the service you are looking for. Then you would ring up and make an appointment and wait for the day to come along.
Eventually you take a half day off work, assuming your boss allows it, and off you go and sit in a waiting room for half a hour before going in to discuss your intimate problems with a perfect stranger. It is not easy now is it?
But wait a minute! Is there not now another way - what about the Internet? The idea that the Internet could be used as a conduit for Counsellor/Client sessions still meets with considerable resistance from the professionals. As if they feel threatened by the very idea, they immediately start raising all sorts of objections. How does the Client know whom they are dealing with? Internet Consultation does not allow for the therapist to pick up on the subtleties of body language or the nuances in speech. And what about confidentiality they will ask?
While some of these objections may have validity, others are somewhat spurious and are common for all forms of counselling be they over the phone, head to head on through the internet. One way or the other, it is my firm belief that, whether you like it or not, the Internet is going to play a major role in delivering quality-counselling services in the coming years.
Take Erectile Dysfunction as a model for online consultation if you will. Here I can immediately see that there are some distinct advantages to this way of doing business over the more conservative traditional head-to-head model. Chief among these I would list:
(a) Men do not like talking live to another about their erectile dysfunction. So, if they can't get help through the internet they may never get it elsewhere.
(b) Completing a detailed medical questionnaire online allows the client, maybe for the very first time in their life, to focus in on their problem. This of itself can be therapeutic.
(c) Research has shown that people are more likely to be truthful and accurate when alone and away from head to head encounters.
(d) In receiving a diagnosis and advice online, the client has a better chance of absorbing all the details of the consultation than he would if it were being delivered to him verbally.
No doubt, this topic will remain a controversial one for some time yet. I agree that the Internet can often be a den or rouges and thieves. Nevertheless, equally it can be an extremely useful and powerful tool. It is up to all of us to make it an honest and safe place to do business. One area that has hardly been touched yet is in the realms of psychotherapy. Watch this space.
Please visit http://www.doctorrynne.com/ for more information
So you have a problem and you need to discuss it with a professional? Your marriage is on the rocks, you have become phobic, you are getting panic attacks, you are worried about one of your children's sexuality, you have just lost a loved one, or you have suddenly developed erectile dysfunction. What exactly your problem is does not really matter. The point here is, you need to discuss it with a professional that you trust and you need to find some resolution. There is a degree of urgency to all of this.
So what do you do next? Well, traditionally you would 'shop around'. You would ask a trusted friend if they could recommend someone or you'd ask your GP for a referral, or you would simply go through the Golden Pages and see if you could find the service you are looking for. Then you would ring up and make an appointment and wait for the day to come along.
Eventually you take a half day off work, assuming your boss allows it, and off you go and sit in a waiting room for half a hour before going in to discuss your intimate problems with a perfect stranger. It is not easy now is it?
But wait a minute! Is there not now another way - what about the Internet? The idea that the Internet could be used as a conduit for Counsellor/Client sessions still meets with considerable resistance from the professionals. As if they feel threatened by the very idea, they immediately start raising all sorts of objections. How does the Client know whom they are dealing with? Internet Consultation does not allow for the therapist to pick up on the subtleties of body language or the nuances in speech. And what about confidentiality they will ask?
While some of these objections may have validity, others are somewhat spurious and are common for all forms of counselling be they over the phone, head to head on through the internet. One way or the other, it is my firm belief that, whether you like it or not, the Internet is going to play a major role in delivering quality-counselling services in the coming years.
Take Erectile Dysfunction as a model for online consultation if you will. Here I can immediately see that there are some distinct advantages to this way of doing business over the more conservative traditional head-to-head model. Chief among these I would list:
(a) Men do not like talking live to another about their erectile dysfunction. So, if they can't get help through the internet they may never get it elsewhere.
(b) Completing a detailed medical questionnaire online allows the client, maybe for the very first time in their life, to focus in on their problem. This of itself can be therapeutic.
(c) Research has shown that people are more likely to be truthful and accurate when alone and away from head to head encounters.
(d) In receiving a diagnosis and advice online, the client has a better chance of absorbing all the details of the consultation than he would if it were being delivered to him verbally.
No doubt, this topic will remain a controversial one for some time yet. I agree that the Internet can often be a den or rouges and thieves. Nevertheless, equally it can be an extremely useful and powerful tool. It is up to all of us to make it an honest and safe place to do business. One area that has hardly been touched yet is in the realms of psychotherapy. Watch this space.
Please visit http://www.doctorrynne.com/ for more information
Saturday, February 19, 2011
Persistent Sexual Arousal Syndrome (PSAS) or Persistent Genital Arousal Disorder (PGAD).
Persistent Sexual Arousal Syndrome (PSAS) or Persistent Genital Arousal Disorder (PGAD).
Persistent Sexual Arousal Syndrome or (more recently) Persistent Genital Arousal Disorder is a condition that effects women usually in their 40’s and post-menopausal years. It may be defined as persistent, intrusive and unwelcomed sexual arousal in women that differs qualitatively from that associated with sexual desire and that is not relieved by masturbation or orgasm. It is invariably described as a “rare” condition although it is readily acknowledged that, for obvious reasons, it may be under reported most particularly in underdeveloped countries.
Persistent Sexual Arousal Syndrome is not, contrary to popular belief, a trivial or humorous condition. People, including other women, may think that a permanent state of sexual arousal would be a desirable or even an enviable thing. But this is to completely misunderstand the intrusive and relentless nature of the arousal and how it differs from that associated with voluntary sexual activity. It may also be to confuse this condition with hyper sexuality or so-called nymphomania. Indeed, so distressing can this syndrome become that sufferers often report suicidal ideation.
When it comes to finding any cause for this distressing condition researchers remain very much in the dark. However, it is interesting to note yet again that, even here, our old friends the antidepressants may be implicated. Both the tricyclic and the SSRI group of drugs have been associated with PSAS. In the case of the former Trazodone in particular has been implicated. In the case of the latter it should be noted that simply discontinuing the drug give no assurance that the PSAS will quickly abate at abate at all. The ill-effects of drugs that interfere with neurotransmitters like serotonin can be life long.
If identifying a cause of PSAS is difficult so too of course is finding a solution to the problem. In our present state of knowledge no definitive treatments have been identified that give consistent results. The situation is changing and research is on going.
A useful place to liaise with fellow suffers might be to register on: http://www.psas-support.com
This is where a cure, when one is eventually found, will be first posted.
Doctor Andrew Rynne: http://www.doctorrynne.com
Thursday, February 10, 2011
Excessive Pre-ejaculation Discharge or Too Much Precum.
Excessive Pre-ejaculation Discharge or Too Much Precum.
It is very difficult to come up with good solid scientific information on this subject. In the many articles and journals that I have been perusing, Excessive Pre-ejaculate is invariably described as a “rare” condition. Yet from my perspective, as an Online Sexual Medicine Consultant, there is nothing at all rare about Excessive Pre-ejaculate. In fact, hardly a week goes by that I do not fine myself helping some other young man come to terms with this common problem.
Some small amounts of pre-ejaculation secretion are common to most young men during the early phase of sexual arousal. It is a clear, sticky mucous liquid produced by Cowper’s glands along the urethra. The function of this normal secretion is to create a friendly environment for the passage of sperm and to facilitate intercourse. Amounts can vary from a few minuscule drops to as much as 5ml and more.
The problem though is this: Who defines what is “excessive” pre-ejaculate or pre-ejaculation discharge? At the moment it is the customer who decides this question. Hence we have a situation where one young man may perceive his 3ml of pre-ejaculate as a “problem” while another young man, with the exact same volume of discharge, may perceive it as a joy! Is it any wonder then that this subject makes such a sparse appearance in the medical literature!
From my work as an Internet Medical Consultant I have noticed enormous geographical and cultural variations in the reported incidence of “problems” of too much Pre-ejaculate or Pre-cum to use the vernacular. From this remove, it is difficult to say if the difference is in the reality of “too much Pre-cum” or in the acceptability of what is an equal distribution of a common phenomena. That be as it may, Asia would appear to be in a league of its own when it comes to “excessive Pre-cum.” In this department anyway, young Asian men would appear to have an unassailable lead.
This is not to say that this complaint should not be taken seriously. If it is upsetting the young man in question sufficiently for him to take the trouble to write to me seeking my advise, then of course it needs to be taken seriously. In the absence of a better solution I normally advise as follows:
(1) Try, if at all possible, to look on this “excessive Pre-cum” as normal, healthy and pleasurable – not as something dirty or shameful.
(2) Understand that as you get older, within the next very few years in fact, amounts of Pre-ejaculate are likely to decline quite dramatically.
(3) Absorbent towels are all that are usually required.
(4) There is a medical treatment if all normal reassurance fails. But there is a strong element of using “a sledgehammer to crack a nut” about this approach to management.
It is very difficult to come up with good solid scientific information on this subject. In the many articles and journals that I have been perusing, Excessive Pre-ejaculate is invariably described as a “rare” condition. Yet from my perspective, as an Online Sexual Medicine Consultant, there is nothing at all rare about Excessive Pre-ejaculate. In fact, hardly a week goes by that I do not fine myself helping some other young man come to terms with this common problem.
Some small amounts of pre-ejaculation secretion are common to most young men during the early phase of sexual arousal. It is a clear, sticky mucous liquid produced by Cowper’s glands along the urethra. The function of this normal secretion is to create a friendly environment for the passage of sperm and to facilitate intercourse. Amounts can vary from a few minuscule drops to as much as 5ml and more.
The problem though is this: Who defines what is “excessive” pre-ejaculate or pre-ejaculation discharge? At the moment it is the customer who decides this question. Hence we have a situation where one young man may perceive his 3ml of pre-ejaculate as a “problem” while another young man, with the exact same volume of discharge, may perceive it as a joy! Is it any wonder then that this subject makes such a sparse appearance in the medical literature!
From my work as an Internet Medical Consultant I have noticed enormous geographical and cultural variations in the reported incidence of “problems” of too much Pre-ejaculate or Pre-cum to use the vernacular. From this remove, it is difficult to say if the difference is in the reality of “too much Pre-cum” or in the acceptability of what is an equal distribution of a common phenomena. That be as it may, Asia would appear to be in a league of its own when it comes to “excessive Pre-cum.” In this department anyway, young Asian men would appear to have an unassailable lead.
This is not to say that this complaint should not be taken seriously. If it is upsetting the young man in question sufficiently for him to take the trouble to write to me seeking my advise, then of course it needs to be taken seriously. In the absence of a better solution I normally advise as follows:
(1) Try, if at all possible, to look on this “excessive Pre-cum” as normal, healthy and pleasurable – not as something dirty or shameful.
(2) Understand that as you get older, within the next very few years in fact, amounts of Pre-ejaculate are likely to decline quite dramatically.
(3) Absorbent towels are all that are usually required.
(4) There is a medical treatment if all normal reassurance fails. But there is a strong element of using “a sledgehammer to crack a nut” about this approach to management.
For more information about causes and treatment for men who have problems with too much pre-cum or excessive pre sex ejaculation please do visit my website at http://www.doctorrynne.com
Tuesday, February 8, 2011
Improving your Sexual Performance
Well, that's a slightly loaded question because it's only natural for you to think that you would benefit from improved sexual function. And, just as you might reasonably expect to benefit from improved eyesight, improved memory, improved dexterity or improved anything else to do with your body, surely you would benefit also from improved sexual function.
However, you need to be extremely careful here. Sexual function, quite simply, is not like your eyesight or your memory or your dexterity. It is, in many ways, more delicate and sensitive than any of these things and, in fact, sexual function can actually be damaged by inappropriate attempts to improve it.
In addition, whilst you may well benefit from improved sexual function, you would need to have some degree of dysfunction first in order for this to happen.
How will I know if I have a genuine case of Erectile Dysfunction?
If, over a period of time, you are unable to achieve an erection of sufficient quality or hold it long enough to satisfy your needs or those of your partner and you are finding this an ongoing, frustrating and even stressful situation, then you have genuine Erectile Dysfunction.
You will notice also that your partner is not happy either with the situation and that your Erectile Dysfunction is now beginning to threaten your relationship with her. On the other hand, it may even be that the problem has already ended an otherwise happy relationship.
If this happens, you may find yourself avoiding new relationships altogether fearing, or indeed knowing, that your Erectile Dysfunction will make it impossible to sustain that new relationship.
This situation, avoiding getting into new sexual relationships for fear of failure, is sometimes confused with loss of libido.
And, in certain cases men with Erectile Dysfunction sometimes seek libido-boosting treatments, like testosterone replacement therapy, when in fact what they actually need is to have their condition properly diagnosed and managed by a specialist.
New relationship avoidance and confusing this with lack of libido are both hallmark signs of genuine Erectile Dysfunction.
However, the good news is that specialist advice, guidance and treatment is available to help you find a cure, giving you back your love life and your confidence.
However, you need to be extremely careful here. Sexual function, quite simply, is not like your eyesight or your memory or your dexterity. It is, in many ways, more delicate and sensitive than any of these things and, in fact, sexual function can actually be damaged by inappropriate attempts to improve it.
In addition, whilst you may well benefit from improved sexual function, you would need to have some degree of dysfunction first in order for this to happen.
How will I know if I have a genuine case of Erectile Dysfunction?
If, over a period of time, you are unable to achieve an erection of sufficient quality or hold it long enough to satisfy your needs or those of your partner and you are finding this an ongoing, frustrating and even stressful situation, then you have genuine Erectile Dysfunction.
You will notice also that your partner is not happy either with the situation and that your Erectile Dysfunction is now beginning to threaten your relationship with her. On the other hand, it may even be that the problem has already ended an otherwise happy relationship.
If this happens, you may find yourself avoiding new relationships altogether fearing, or indeed knowing, that your Erectile Dysfunction will make it impossible to sustain that new relationship.
This situation, avoiding getting into new sexual relationships for fear of failure, is sometimes confused with loss of libido.
And, in certain cases men with Erectile Dysfunction sometimes seek libido-boosting treatments, like testosterone replacement therapy, when in fact what they actually need is to have their condition properly diagnosed and managed by a specialist.
New relationship avoidance and confusing this with lack of libido are both hallmark signs of genuine Erectile Dysfunction.
However, the good news is that specialist advice, guidance and treatment is available to help you find a cure, giving you back your love life and your confidence.
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.
Herbal "cures" can cause erectile dysfunction
For over twenty-five years now, I have been professionally involved in trying to help young men overcome their erectile dysfunction. Sometimes I am successful, sometimes not. However, you would imagine that by now I would be very familiar with all the causes of this most distressing condition. Not so, I am afraid. Only a few weeks ago, two separate but very similar incidences of erectile dysfunction have forced me to conclude that now we have a brand new cause of ED that heretofore simply did not exist. It is difficult to come up with a name for this new cause for ED but for the moment I'm going to call it Quacks Flogging Herbal Cures on the Internet Syndrome or QFHCIS for short.
A few weeks ago, both men, attending me on separate occasions, told me their different but related stories. Both stories were chillingly similar so I will give you Sean's story first to typify this new "disease" -- QFHCIS. Later I will revert to my second patient Victor, and tell you his story.
Up to about a month ago Sean enjoyed a perfectly healthy and normal sexual relationship with his then partner of some three years. One evening he was sitting in front of his laptop ideally surfing away and looking for nothing in particular. Then, purely by chance, he came upon this website with the blue banner heading inviting him to: "GET ROCK HARD IN 3 MINUTES" and a subtitle announcing "Finally give her the all-night multiple organisms she has always yearned for!!"
Now, as I say, up to this moment there was nothing at all wrong with Sean. He got perfectly good spontaneous erections and his partner of some three years never commented or otherwise complained about their sex life together. Now however, suddenly Sean is just a little concerned. He does not get a strong erection in three minutes and he certainly cannot keep it up all-night or anything like it. He wonders to himself if in fact he could be doing a bit better. If he orders two bottles of this herbal concoction, he will get a third one free. This "free" offer is for a limited time only. Hmmmm, Sean thinks to himself.
A week later to the day, the discreet brown paper wrapped package arrives in Sean's post-box. That evening he takes one of the herbal capsules and goes to bed. He snuggles up to his partner and starts making love to her. All is going well except he is not "ROCK HARD" in the promised three minutes but perhaps he is getting there. He does not know it yet, but his mind is straying into a bad place. His mind is going up into the audience and he is now, for the very first time in his life, watching himself trying to get an erection. This is the very worst possible place he could be in. He is now looking at himself and asking questions about his own 'performance' down there on the stage. Is it big enough? Is it hard enough? Is it long enough? Will it last? Will I put it in now? On the other hand, will I wait? When are those herbal concoctions going to start working? These thoughts are blocking out the pleasurable ones usually required to produce a spontaneous erection. Sean's penis is now about as erect as an uncooked cocktail sausage.
A few nights later, just to be sure to be sure, Sean this time takes two of the Cure Erectile Dysfunction herbal capsules the "hard in three minutes" fellows. The very same thing happens -- that is in fact, nothing happens. Because Sean now has deeply entrenched erectile dysfunction, caused by performance anxiety, caused in turn by the blatant lies told on this sensationalised website. Nothing on the website beforehand warned him that this could happen. No, the website was far too busy shouting about rock hard erections in three minutes and her shuddering all-night organisms (that she has always longed for of course. I nearly forgot that bit). Tell me this much, you webmasters and search engines overseers, affiliates, manufacturers, and copywriting gurus, tell me just who is responsible for all of this around here? Moreover, who is going to pick up the pieces of Sean's now ruined life and get him sexually functioning normally again?
A few weeks ago, both men, attending me on separate occasions, told me their different but related stories. Both stories were chillingly similar so I will give you Sean's story first to typify this new "disease" -- QFHCIS. Later I will revert to my second patient Victor, and tell you his story.
Up to about a month ago Sean enjoyed a perfectly healthy and normal sexual relationship with his then partner of some three years. One evening he was sitting in front of his laptop ideally surfing away and looking for nothing in particular. Then, purely by chance, he came upon this website with the blue banner heading inviting him to: "GET ROCK HARD IN 3 MINUTES" and a subtitle announcing "Finally give her the all-night multiple organisms she has always yearned for!!"
Now, as I say, up to this moment there was nothing at all wrong with Sean. He got perfectly good spontaneous erections and his partner of some three years never commented or otherwise complained about their sex life together. Now however, suddenly Sean is just a little concerned. He does not get a strong erection in three minutes and he certainly cannot keep it up all-night or anything like it. He wonders to himself if in fact he could be doing a bit better. If he orders two bottles of this herbal concoction, he will get a third one free. This "free" offer is for a limited time only. Hmmmm, Sean thinks to himself.
A week later to the day, the discreet brown paper wrapped package arrives in Sean's post-box. That evening he takes one of the herbal capsules and goes to bed. He snuggles up to his partner and starts making love to her. All is going well except he is not "ROCK HARD" in the promised three minutes but perhaps he is getting there. He does not know it yet, but his mind is straying into a bad place. His mind is going up into the audience and he is now, for the very first time in his life, watching himself trying to get an erection. This is the very worst possible place he could be in. He is now looking at himself and asking questions about his own 'performance' down there on the stage. Is it big enough? Is it hard enough? Is it long enough? Will it last? Will I put it in now? On the other hand, will I wait? When are those herbal concoctions going to start working? These thoughts are blocking out the pleasurable ones usually required to produce a spontaneous erection. Sean's penis is now about as erect as an uncooked cocktail sausage.
A few nights later, just to be sure to be sure, Sean this time takes two of the Cure Erectile Dysfunction herbal capsules the "hard in three minutes" fellows. The very same thing happens -- that is in fact, nothing happens. Because Sean now has deeply entrenched erectile dysfunction, caused by performance anxiety, caused in turn by the blatant lies told on this sensationalised website. Nothing on the website beforehand warned him that this could happen. No, the website was far too busy shouting about rock hard erections in three minutes and her shuddering all-night organisms (that she has always longed for of course. I nearly forgot that bit). Tell me this much, you webmasters and search engines overseers, affiliates, manufacturers, and copywriting gurus, tell me just who is responsible for all of this around here? Moreover, who is going to pick up the pieces of Sean's now ruined life and get him sexually functioning normally again?
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.
Finding a cure for my Erectile Dysfunction
You have a number of choices but they can be broadly divided into two categories of professionals:
(1) Clinical Psychologists
(2) Medical Doctors
(1) Clinical Psychologists. Clinical Psychologists are professional graduates specifically trained to talk, to listen, and to guide people suffering from a wide range of emotional and mental upset. As a rule, they offer an excellent drug-free alternative to Psychiatrics.
If you choose to consult with a Clinical Psychologist about your sexual dysfunction make sure it is one who has a specialist interest in this subject as distinct from a General Clinical Psychologist. Generalist might treat anything from aerophobia to insomnia and, while they may be excellent at their job, they may lack the subtle skills that can make all the difference when it comes to resolving your erectile dysfunction.
Be weary also of posers and charlatans operating in this area. There are hundreds of unqualified people out there offering a quick fix for erectile dysfunction through hypnotherapy or herbal remedy. Always ask about qualifications and for any scientific studies supporting their claims. If either of these seem lacking or are being obfuscated, then steer clear.
If you choose a Clinical Psychologist to help you overcome your ED then ensure that they are fully qualified, that they have many years experience, that they specialise in managing sexual dysfunctions and that they are working from an accredited professional setting such as a University based Department or Family Planning Clinic. Never be afraid to ask questions. It is your right to know exactly who to going to try and help you through this difficult and sensitive problem.
Just one final word about Clinical Psychologists treating sexual dysfunction: Whereas they undoubtedly have a great deal to offer, they are nonetheless confined to treating your erectile dysfunction without the benefit of any prescription medicine. This, in some respects, maybe admirable but some cases of erectile dysfunction simply cannot be resolved without at least some medication. You do need to bear this in mind if choosing a Clinical Psychologist.
(2) Medical Doctors. The same rules apply to Medial Doctors. If you are choosing a medical doctor to help you to resolve your erectile dysfunction then make sure that he or she has many years experience and has a specialist interest in treating sexual dysfunction. Here is a useful tip for you. Ask yourself these questions about the doctor treating your erectile dysfunction:
(a) Is the doctor treating my erectile dysfunction genuinely trying to understand my problem and diagnose the underlying cause? If the answer to this is 'no' then you may be with the wrong doctor.
(b) Is the doctor treating my ED a generalist or a specialist? If the doctor is a generalist treating all diseases then perhaps you are in the wrong place.
(c) Is the doctor dealing with my erectile problem prepared to stay with me until a solution is found, or simply throwing Viagra at the problem and hoping for the best? If the doctor seems willing to give up on you after trying a few tablets then you should definitely take your problem elsewhere.
(d) Is the doctor treating my erectile dysfunction well known as a specialist in managing this problem? If the answer to this is 'no' then maybe you should be looking elsewhere.
SUMMARY
In finding a professional to help you overcome your erectile dysfunction, you may choose either a Clinical Psychologist or a Medial Doctor.
If you decide to consult a Clinical Psychologist then:
(a) Ensure that they specialise in treating sexual dysfunctions and are not just a general Clinical Psychologist.
(b) Ensure that they practise from a credible setting.
(c) Remember that they will not be in a position to prescribe any mediation.
(d) Realise that, while they may be excellent at treating ED related to anxiety, this maybe the totality of their skills.
(e) Understand that a Clinical Psychologist may be very limited as to their diagnostic abilities.
If you decide to consult a Medical Doctor then:
(a) Make sure you are talking to a specialist in treating sexual dysfunction, not just to a General Practitioner dabbling in this area.
(b) Ask yourself is the doctor genuinely trying to diagnose the underlying cause of your problem.
(c) Enquire if the physician can offer the whole range of ED treatments including Testosterone Replacement Therapy and painless penis injection where appropriate.
(d) Ensure that the doctor is prepared to stay working on your problem until a solution is found that you find satisfactory.
(1) Clinical Psychologists
(2) Medical Doctors
(1) Clinical Psychologists. Clinical Psychologists are professional graduates specifically trained to talk, to listen, and to guide people suffering from a wide range of emotional and mental upset. As a rule, they offer an excellent drug-free alternative to Psychiatrics.
If you choose to consult with a Clinical Psychologist about your sexual dysfunction make sure it is one who has a specialist interest in this subject as distinct from a General Clinical Psychologist. Generalist might treat anything from aerophobia to insomnia and, while they may be excellent at their job, they may lack the subtle skills that can make all the difference when it comes to resolving your erectile dysfunction.
Be weary also of posers and charlatans operating in this area. There are hundreds of unqualified people out there offering a quick fix for erectile dysfunction through hypnotherapy or herbal remedy. Always ask about qualifications and for any scientific studies supporting their claims. If either of these seem lacking or are being obfuscated, then steer clear.
If you choose a Clinical Psychologist to help you overcome your ED then ensure that they are fully qualified, that they have many years experience, that they specialise in managing sexual dysfunctions and that they are working from an accredited professional setting such as a University based Department or Family Planning Clinic. Never be afraid to ask questions. It is your right to know exactly who to going to try and help you through this difficult and sensitive problem.
Just one final word about Clinical Psychologists treating sexual dysfunction: Whereas they undoubtedly have a great deal to offer, they are nonetheless confined to treating your erectile dysfunction without the benefit of any prescription medicine. This, in some respects, maybe admirable but some cases of erectile dysfunction simply cannot be resolved without at least some medication. You do need to bear this in mind if choosing a Clinical Psychologist.
(2) Medical Doctors. The same rules apply to Medial Doctors. If you are choosing a medical doctor to help you to resolve your erectile dysfunction then make sure that he or she has many years experience and has a specialist interest in treating sexual dysfunction. Here is a useful tip for you. Ask yourself these questions about the doctor treating your erectile dysfunction:
(a) Is the doctor treating my erectile dysfunction genuinely trying to understand my problem and diagnose the underlying cause? If the answer to this is 'no' then you may be with the wrong doctor.
(b) Is the doctor treating my ED a generalist or a specialist? If the doctor is a generalist treating all diseases then perhaps you are in the wrong place.
(c) Is the doctor dealing with my erectile problem prepared to stay with me until a solution is found, or simply throwing Viagra at the problem and hoping for the best? If the doctor seems willing to give up on you after trying a few tablets then you should definitely take your problem elsewhere.
(d) Is the doctor treating my erectile dysfunction well known as a specialist in managing this problem? If the answer to this is 'no' then maybe you should be looking elsewhere.
SUMMARY
In finding a professional to help you overcome your erectile dysfunction, you may choose either a Clinical Psychologist or a Medial Doctor.
If you decide to consult a Clinical Psychologist then:
(a) Ensure that they specialise in treating sexual dysfunctions and are not just a general Clinical Psychologist.
(b) Ensure that they practise from a credible setting.
(c) Remember that they will not be in a position to prescribe any mediation.
(d) Realise that, while they may be excellent at treating ED related to anxiety, this maybe the totality of their skills.
(e) Understand that a Clinical Psychologist may be very limited as to their diagnostic abilities.
If you decide to consult a Medical Doctor then:
(a) Make sure you are talking to a specialist in treating sexual dysfunction, not just to a General Practitioner dabbling in this area.
(b) Ask yourself is the doctor genuinely trying to diagnose the underlying cause of your problem.
(c) Enquire if the physician can offer the whole range of ED treatments including Testosterone Replacement Therapy and painless penis injection where appropriate.
(d) Ensure that the doctor is prepared to stay working on your problem until a solution is found that you find satisfactory.
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.
Saturday, February 5, 2011
Treatment for Erectile Dysfunction
Treatment for Erectile Dysfunction
There is a simple rule of thumb that we in the "Curing Erectile Dysfunction" business use and it is this: Between the ages of 20 and 45 years 70% of erectile dysfunction or Impotence will have a psychogenic cause; while between the ages 60 years and upwards 70% of ED will be have a physiological cause. Or if you want to simplify this even further you could say that most Erectile Dysfunction in younger men is caused by anxiety about their performance while most ED in older men is caused by physical factors like hardening or their arteries (arteriosclerosis) or lowering of their testosterone levels - the so-called Testosterone Deficiency Syndrome.
In any case, suffice here to make this point: There is a huge difference between the type of ED that young men get and the type of Impotence that the older man gets. Therefore, logically, the same treatment will not work for both groups and that is why self-medication with online medication for Erectile Dysfunction is often a waste of money and never a good idea.
If I were asked to describe the typical older man, coming to my clinic or visiting my website seeking help with solving his ED problem, it would go like this:
(a) He would be aged between 65 and 75 years old.
(b) He often would be in a second or new relationship.
(c) He would be taking prescription medication for medical conditions not necessarily related to his ED.
(d) He would have tried Viagra or some other ED medication and been disappointed with the results.
(e) He may have a history of prostate problems or prostate surgery like TURP.
(f) He may well also have coronary artery disease and/or type 2 diabetes.
Obviously, such an individual needs specialist management if he is ever to enjoy a meaningful sexual relationship again. Space here does not allow me go into any great detail beyond making two observations: Simply throwing Viagra or Cialis or Levitra at a man like that described above is bad medicine and is destine to have disappointing results.
And secondly, there is now a growing body of clinical evidence that low testosterone levels can play a major contributory role in causing Erectile Dysfunction in older men. Therefore, when appropriate, Testosterone Replacement Therapy or TRT can play a significant part in restoring satisfactory sexual function. Often, when conventional ED medications fail to bring about resolution, the addition of TRT can make all the difference.
There is a simple rule of thumb that we in the "Curing Erectile Dysfunction" business use and it is this: Between the ages of 20 and 45 years 70% of erectile dysfunction or Impotence will have a psychogenic cause; while between the ages 60 years and upwards 70% of ED will be have a physiological cause. Or if you want to simplify this even further you could say that most Erectile Dysfunction in younger men is caused by anxiety about their performance while most ED in older men is caused by physical factors like hardening or their arteries (arteriosclerosis) or lowering of their testosterone levels - the so-called Testosterone Deficiency Syndrome.
In any case, suffice here to make this point: There is a huge difference between the type of ED that young men get and the type of Impotence that the older man gets. Therefore, logically, the same treatment will not work for both groups and that is why self-medication with online medication for Erectile Dysfunction is often a waste of money and never a good idea.
If I were asked to describe the typical older man, coming to my clinic or visiting my website seeking help with solving his ED problem, it would go like this:
(a) He would be aged between 65 and 75 years old.
(b) He often would be in a second or new relationship.
(c) He would be taking prescription medication for medical conditions not necessarily related to his ED.
(d) He would have tried Viagra or some other ED medication and been disappointed with the results.
(e) He may have a history of prostate problems or prostate surgery like TURP.
(f) He may well also have coronary artery disease and/or type 2 diabetes.
Obviously, such an individual needs specialist management if he is ever to enjoy a meaningful sexual relationship again. Space here does not allow me go into any great detail beyond making two observations: Simply throwing Viagra or Cialis or Levitra at a man like that described above is bad medicine and is destine to have disappointing results.
And secondly, there is now a growing body of clinical evidence that low testosterone levels can play a major contributory role in causing Erectile Dysfunction in older men. Therefore, when appropriate, Testosterone Replacement Therapy or TRT can play a significant part in restoring satisfactory sexual function. Often, when conventional ED medications fail to bring about resolution, the addition of TRT can make all the difference.
| Dr Andrew Rynne http://www.doctorrynne.com Medical Specialist in treating Erectile Dysfunction. Website contains an ebook and unique online medical consultation facility. Get your free mini-consultation now! |
Erectile Dysfunction
Nothing works for my Erectile Dysfunction; am I now stuck with this condition for life?
Quite simply, the answer to this is an unequivocal no. In today's world, with a wide range of treatment methods available, no one should ever feel that there is no solution for their own particular type of Erectile Dysfunction. In younger men, it can sometimes be that their performance anxiety is so entrenched that even large doses of Viagra, Cialis or Levitra will not provide a cure.
However, for these men there are sex strategies that they can adopt that, with a bit of practice, can yield very satisfactory results. Where this is not possible, there are other, lesser-known medications that will bring about a satisfactory erection no matter how anxious they may be.
The situation can be very similar in older men. For example, in post-prostatectomy cases, Viagra and similar drugs will seldom work. However, these men also can benefit from alternative medications in the form of gels or via painless injections.
This also applies to men with spinal cord damage, advanced Multiple Sclerosis, Parkinson's disease, stroke or coronary artery disease.
The main message here is that despite your natural and, completely understandable concerns, there is always a solution and all that is required is the right specialist with a dedication and a willingness to help you find the right one for you.
This is critical however. You must fully understand your own erectile dysfunction and what is causing it and this is where a specialist professional comes in. You need to have the exact cause of your unique ED pinpointed and only a doctor with a specialist interest and training in this subject can do that for you. Understanding your own erection problems is part of the cure and diagnosing the cause is central to proper treatment.
Quite simply, the answer to this is an unequivocal no. In today's world, with a wide range of treatment methods available, no one should ever feel that there is no solution for their own particular type of Erectile Dysfunction. In younger men, it can sometimes be that their performance anxiety is so entrenched that even large doses of Viagra, Cialis or Levitra will not provide a cure.
However, for these men there are sex strategies that they can adopt that, with a bit of practice, can yield very satisfactory results. Where this is not possible, there are other, lesser-known medications that will bring about a satisfactory erection no matter how anxious they may be.
The situation can be very similar in older men. For example, in post-prostatectomy cases, Viagra and similar drugs will seldom work. However, these men also can benefit from alternative medications in the form of gels or via painless injections.
This also applies to men with spinal cord damage, advanced Multiple Sclerosis, Parkinson's disease, stroke or coronary artery disease.
The main message here is that despite your natural and, completely understandable concerns, there is always a solution and all that is required is the right specialist with a dedication and a willingness to help you find the right one for you.
This is critical however. You must fully understand your own erectile dysfunction and what is causing it and this is where a specialist professional comes in. You need to have the exact cause of your unique ED pinpointed and only a doctor with a specialist interest and training in this subject can do that for you. Understanding your own erection problems is part of the cure and diagnosing the cause is central to proper treatment.
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. |
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.
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
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
Subscribe to:
Posts (Atom)