Great Sex

Cybersex

Dr. Steven Lamm — Wed, 16 Jul 2008 12:55:15 +0000

With more than a billion people on line these days, it is not surprising that cybersex has become an addiction for some. Cybersex addiction may not fulfill physiologic definitions of addictions. But, make no mistake about it, it can create havoc in your life.

Potential areas of harm include: personal neglect, compulsive preoccupation with checking and clicking, depression, and marital discord. People who seek sex on the net often have real encounters. These individuals may be at greater risk for sexually transmitted diseases. A published paper in JAMA highlighted this concern noting that online seekers were more likely to have had a previous STD than offline clients. "The internet clearly has a role in solicitation of risky sex partners". Clickers need to beware.

Clues that one may have a problem with cybersex addiction include, routinely spending significant amounts of time in chat rooms with the sole purpose of finding cybersex, hiding on-line chatting from their significant other, feeling guilt or shame about online use , and masturbating while online.

It appears that men and women are using the Internet equally for "cybering". People engaging in cybersex have a tendency to underestimate the importance and effect on their lives. Marriage counselors are now recognizing the importance of including issues of cybersex during marriage counseling. One of the relevant issues being considered is, ‘does cybersex represent infidelity?'

If the cyber world is your reality, I strongly urge you to seek out professional guidance. As always I appreciate your comments.

Live Stronger.

The Difference Between Good Sex and No Sex

Dr. Steven Lamm — Mon, 14 Jul 2008 16:47:17 +0000

There are many factors that contribute to great sex but one thing that surely counts when it comes to good sex for both partners, no, it is not the size of the penis - it is the rigidity. There is a new device called the EQM that can tell you exactly how hard you are—but why is this important?

Whether a man, or his partner, considers penis size to be important or not, it is still the rigidity, or penile hardness, that makes the difference between good sex and no sex. Most young men never have to think about hardness. The sad truth is that as age advances, hardness often retreats. Why? Our lifestyles are often the culprit. The combination of bad diet and lack of exercise contributes to the onset of such diseases as type II diabetes, coronary artery disease, hypertension and more.
In my research in the field of sexual medicine i use a professional rigidometer that assists me in the evaluation of my male patients and their response to treatments.

The very first sign that such disease is present in the body - is a softer penis. Many men fail to realize the significance of this softening - and do nothing until they have full-blown erectile dysfunction. Many simply take oral drugs such as Viagra and hope for the best.

This is a shame - as ED is often inevitable when there is a lack of action. What action should you take? First of all KNOWING how hard your erection is provides a starting point. The new EQM, it stands for Erectile Quality Monitor, provides a quick and easy way to determine your hardness in micrograms. If this hardness number begins to significantly drop over time, you then have an early warning signal that a visit to your physician is in order.

The device is manufactured by a company called Fastsize llc (www.fastsize.com), and it is rapidly gaining the attention of physicians in the sexual health field. For men concerned about their state of rigidity check them out and report back.
Live Stronger.

Labiaplasty when less is more

Dr. Steven Lamm — Wed, 25 Jun 2008 17:13:01 +0000

Labiaplasty is a plastic surgery procedure that usually involves reducing the size of one or both sets of labia. These are the external folds of skin that surround the vagina but more technically the vulva. It may be performed to correct the labia following disease or injury, especially after childbirth. The procedure may be accompanied by a hoodectomy, which exposes the clitoris to increase sexual stimulation. My colleague Dr John G. Hunter a cosmetic surgeon and an expert in labiaplasty in New York City, expressed to me that many women are embarrassed by or are uncomfortable with labia that "hang out or are too meaty". He went on to say "A neat, tucked in look appears to be the cosmetic norm for women today".
Some models, dancers feel embarrassed when wearing tight clothing, because their labia are visible through their tight fitting clothing or "because their labia slip out of skimpy wearing clothing".
In May 2007, an article in the British Medical Journal blasted the "designer vagina" craze.
Some academicians', feminists, and health care providers in the U.S. and U.K are attacking the appropriateness of the many procedures now offered.
Many, on the other hand, argue that it is a women's right to have the procedure after appropriate counseling and risk assessment.
I personally agree with the above.
I welcome your comments and thoughts.
Live Stronger.

Threesomes are every man's fantasy

Dr. Steven Lamm — Mon, 23 Jun 2008 15:22:58 +0000

A Sexual Fantasy - Threesomes

As an expert in sexual medicine, I am occasionally asked to comment
not on performance issues but rather sexual fantasies. I actually
appeared on a comedic skit for The Daily Show, with the subject
being threesomes. Threesomes include the participation of three people
in a sexual encounter, most commonly, two women and one man, but any
combination is possible, including three adults of the same sex.

The most common are men seeking to fulfill some sexual fantasy,
especially with women who are willing to perform bisexual acts. Although less common, there are many women who are equally interested in
experiencing two men at the same time. The most common time for this
behavior is during the college years, when experimentation is more
socially acceptable. For men who have been married at an early age
and have gotten divorced, or have had limited experimentation, it's
an opportunity for them to rediscover their fantasies. I do believe
that sexual fantasies can be quite healthy in a relationship. However,
acting some of them out can be quite dangerous and detrimental to the
relationships. I do not have to emphasize the medical risks of
sexually transmitted diseases with unsafe sex practices.

Unfortunately, there are STDs which can be acquired despite the best
precaution. Acquiring herpes or HPV (the human papilloma virus)
during one of these sexual encounters would be unfortunate. I'll
explore the relationship aspect of threesomes. In general, one of
the partners, usually the male, is more enthusiastic than the other, and
some form of persuasion, or worse, coercion, is employed to convince
the other half. When love is involved in the relationship, it is not
uncommon for intense feelings of jealousy, betrayal, and anger to be
experienced by the coerced party. In addition, when bisexual acts
are expected, many individuals feel particularly vulnerable and upset.
The entire experience can become explosive, resulting in the
permanent breakup of the relationship.

Spicing up ones sex life can be done more safely by creating a fantasy threesome with your partner in the
bedroom. The risks are significantly less and the rewards probably much greater.

All that glitters is not gold.

Live stronger.

Sex and Obesity

Dr. Steven Lamm — Tue, 10 Jun 2008 14:02:21 +0000

Erectile dysfunction is clearly linked to a host of medical problems
such as diabetes, hypertension and elevated cholesterol. Patients with
significant obesity are clearly at risk for a variety of reasons,
including the aforementioned conditions as well as sleep disorders and issues
of lack of testosterone.
Gastric bypass surgery can help resolve erectile dysfunction in some men with morbid obesity. In recent reports from Boston and Philadelphia, at the recent American Urologic Association meetings the authors noted "weight loss and other risk factors that are alleviated by weight loss may be keys to restoring sexual function." It is important to note that sexual issues are profound in morbidly obese men. Previous reports have noted dramatic improvements in blood sugar control following gastric bypass.
Unfortunately obesity is our culture's form of malnutrition, with enormous consequences for the individual and our society.
Live stronger.

Smoking and Sex

Dr. Steven Lamm — Thu, 05 Jun 2008 14:38:16 +0000

Thirty million men in the United States suffer from erectile dysfunction (ED), and this number is expected to double by 2025.

Chronic smoking is a major risk factor in the development of this condition. There is no doubt that the quality of erections and degree of hardness is adversely affected by smoking. These facts are the major reason that I encourage younger men to stop smoking. Erections are more important to most men than the fear of lung cancer and heart disease.

Smoking injures the ability of blood vessels to respond to sexual stimuli. Normally blood vessels release a substance known as nitric oxide during sexual stimulation, resulting in the opening of the floodgates. Smokers release less nitric oxide and the blood vessels open less readily, resulting in a flaccid erection. It is still unknown whether nicotine or other products of cigarette smoke cause all the effects related to vascular damage.
Stop smoking.

Live stronger.

Sexual perversions

Dr. Steven Lamm — Tue, 03 Jun 2008 16:23:11 +0000

Paraphilias are a class of sexual disorders with arousal in response
to sexual objects or stimuli not associated with normal behavior
patterns. The essential feature of paraphillias is intense sexual
urges in response to nonhuman objects, the suffering or humiliation of
oneself or others, or children or non-consenting persons. There are at
least eight different observed paraphilias with some patients
experiencing more than one type.

Pedophilia, voyeurism, and exhibitionism are the most commonly
observed paraphiliac behaviors. Fetishism is a paraphilia in which intense sexual urges involve/focus on the use of nonliving objects. Common
fetishistic objects include female underwear, rubber, plastic, or
leather garments, shoes and boots, and bodily items/products? such as hair, odors, or feces. The disorder is more common in males than in
females. In future blogs I will investigate more fully these and other
paraphilias. I welcome your comments.

Live stronger.

Low testosterone is trouble

Dr. Steven Lamm — Tue, 20 May 2008 17:11:40 +0000

More than 40 percent of men 45 and older have low testosterone levels. Testosterone is far more than a male sex hormone. There's no question men with extremely low testosterone-also known as hypogonadism-have decreased interest in sex and decreased sexual performance-but low testosterone levels have much broader implications. Testosterone is also important for mood stability, muscle growth, bone density and body fat levels.

Men with untreated hypogonadism tend to be more depressed, angry, and fatigued than their healthy peers. Any man over 40 with symptoms of depression or fatigue-with or without sexual concerns-should get his testosterone level measured. The best time to have this blood test is first thing in the morning. Testosterone in the body can be supplemented though testosterone replacement therapy, in the form of a gel applied daily or an injection every two to four weeks. A new, long-acting injection is awaiting approval in the United States.

Live stronger.

Acrobatic Sex

Dr. Steven Lamm — Mon, 05 May 2008 18:56:38 +0000

Snap Crackle And Pop

There are some sounds you never want to hear while having sex.
Snap, crackle and pop accompanied by pain in the penis is a sure indicator that you may have fractured the penis. Admittedly the penis is not a bone but with vigorous sex, especially accompanied by blunt trauma the connective tissue surrounding the penis can rupture. The penis can accidentally hit the pelvic bone during vigorous sex tearing the connective tissue. As a result of sex in the shower the partner can slip resulting in a downward force on the erect penis fracturing the penis as well. A fractured penis requires immediate medical attention to preserve sexual function and avoid injury to the urethra (the tube through which urine flows). The mechanism by which the penis ruptures can be so embarrassing that it delays medical treatment. Unfortunately with alcohol or illicit drugs couples may not realize that acrobatic sex can be more risky than previously realized. Handle your penis with kid gloves.
Live stronger

Hardness Matters

Dr. Steven Lamm — Fri, 02 May 2008 18:29:24 +0000

How often are your erections hard enough to penetrate and were you able to maintain your hardness after you penetrated your partner, are critical questions necessary for most men ,to fully enjoy their sexual experience. Most men do not appreciate the subtle changes in the quality of their erections over time. Erectile dysfunction does not occur overnight, unless you have fractured your penis, which, I will discuss in a future blog. As a result of aging and lifestyle men have decreased blood flow and increased connective tissue in their penis resulting in decreased hardness. In a worldwide study, men said that erection hardness is very important to having a good sexual experience. More than 50% of men are not fully satisfied with the hardness of their erections. In a survey of 600 men currently taking oral medication for ED identified "Enables me to have hard erections" as the most valuable attribute of ED therapy.
The Erection HARDNESS Score was developed in 1998 as a tool to rate degree of erection hardness.
Grade 1 penis is larger but not hard
Grade 2 Penis is hard but not hard enough for penetration
Grade 3 Penis is hard enough for penetration but not completely hard
Grade 4 Penis is completely hard and fully rigid .

Women clearly can clearly sense the hardness of the penis and believe hard is good harder is better.
Next week I will share with all of you what needs to be done to maintain a hard erection. I welcome your comments

Live stronger