Bike Riding and Your Sex Life

Irwin Goldstein, MD
Dr. Goldstein presented the educational lecture to a small but focused group of people for this sexual medicine information session. The following is a synopsis of his lecture.

Perineal anatomy/sexual physiology

Risk factors for erectile dysfunction include diabetes, obesity, high blood pressure and high cholesterol, all of which can lead to endothelial dysfunction. The endothelium lines all blood vessels. Injury to the endothelium affects blood flow. Conditions that can cause erectile dysfunction are the same as those which can cause endothelial dysfunction.
Endothelial injury can be random or focal. Random injury denudes the endothelium allowing cholesterol to get into the walls of blood vessels causing hardening of the arteries. Focal injury is non-denuded; it is atherosclerosis to a specific spot. Where arteries pass next to a bone, they are susceptible to focal injury of the endothelium. Arteries to the penis and clitoris pass through Alcock’s canal with one wall being bone.

Diabetes, Men, and Sex

By Anne Pappert and Chris Woolston, M.S.

Sexual dysfunction. You've seen the ads on television, you've heard the jokes, and, if you're like most men, you've tried your best to block it from your mind. But if you have diabetes, this is one touchy subject you shouldn't ignore. A full 75 percent of diabetic men have some trouble achieving or maintaining an erection long enough to have intercourse.

But diabetes doesn't have to be a deathblow to your sex life. You can protect your sexual functioning by keeping your diabetes under control. And if the condition has already started to derail your physical relationships, your doctor can help you get back on track.

How does diabetes cause sexual dysfunction?

Erections take teamwork from several parts of the body: Your brain makes you aroused, your nerves sense pleasurable feelings, and your arteries carry a flood of blood to the penis.

Medicines and Sex: Not Always a Good Mix

By Chris Woolston, M.S.

For both men and women, it takes a complicated chain of events to move from arousal to a satisfying orgasm. The mind has to stay focused, nerves have to stay sensitive, and blood has to flow to all the right places. Unfortunately, many things can break the chain -- including, perhaps, the pills in your medicine cabinet.

Medicines often work by altering blood flow and brain chemistry, so its no surprise that they can affect sexual function, and not always for the better. Medications can shut down a person's sex drive, delay orgasms, or prevent orgasms entirely. Medications are also a leading cause of erectile dysfunction in men.

If you've noticed a drop in your ability to have or enjoy sex, talk to your doctor about possible causes. Be sure to bring a list of every medication you're taking. A simple change of drugs or doses could be all it takes. But never stop taking a prescription drug or change dosages on your own. Your doctor can help you determine if a drug you're taking is the problem -- and help you switch to another medication safely.

What drugs can affect sexual function?

The Female Sexual Dysfunction Myth

Can a Little Pill Cure FSD?

Lizzie Flynn, Yahoo! Contributor Network

The Cleveland Clinic defines sexual dysfunction as "a problem during any phase of the sexual response cycle that prevents the individual or couple from experiencing satisfaction from the sexual activity". The sexual response cycle is defined as having four phases: excitement, plateau, orgasm, and resolution. What are some of the problems that can interfere with the sexual response cycle?

Busted : 8 most common sex myths

Despite the abundance of information we have in the niche of sex and everything related to it, many of us are still misguided by popular misconceptions. While it might sound a bit hilarious at first, busting such myths is critical since these can ruin your sex life. Often, people develop a skewed perception of their sexual ability based upon such irrational myths that have been peddled on for many years. Here, we try to reveal the truth behind some of the most common myths about sex.

1. Unprotected sex is fine because my penis is the personification of precision.

Are Moms Supposed to Want to Be MILFs Now?

Tracy Moore

Has anyone ever actually taken the term MILF seriously as a desirable thing? Given that it has its origins in teenage boy lust (American Pie) and porn*, where every possible type of sexual appeal clearly needs a convenient shorthand for ease of boner, it seems most of us have simply begrudgingly acknowledged the term's existence in the porn store aisle of life with a quick side eye, then plowed on, eyes facing forward lest we linger too long on the unsavory implications therein.

At least, that's what I thought. I mean, sure, I've seen women wearing MILF T-shirts, and I've heard men and women alike use the term without a trace of sarcasm, and I'm sure they are nice, lovely people. But people who take their pop culture cues from horny dudes are not usually the people I look to for signs of a significant linguistic shift in the culture, proof that now we have embraced the term as one of our own. That would take a lobotomy more convincing argument. But lo and behold, someone has helmed the steam locomotive of Making the Term MILF Desirable, and has done so with (allegedly) the most feminist (if not entrepreneurial) of intentions: a diet book. Fine, I'll bite:

8 Secrets from Behind-the-Scenes of a Porn Shoot

It will come as no surprise to most to hear that not everything you see in an adult movie is as it seems. But what really happens behind the scenes on the set of a porn movie?

The Frisky / By Susannah Breslin

As a wise porn star once said, “Porn is all smoke and mirrors.” Same as Hollywood, the adult movie industry in the San Fernando Valley is in the business of figuring out what Americans’ dreams are and delivering their fantasies back to them in cinematic form. It will come as no surprise to most to hear that not everything you see in an adult movie is as it seems. But what really happens behind the scenes on the set of a porn movie?

1. Marathon Sex

It’s not uncommon, especially on the sets of bigger budget adult movies, for performers, male and female, to have sex for two hours at a time. That may be one thing if you’re Tantric sex freaks doing it in the privacy of your own home, but try hanging off the side of a fire truck going at it in the midday sun while a crew of 20 looks on. No cake walk for the ladies, surely, but guys who can keep it up for that long must be phallic Olympians.

2. Condoms? Mostly, No.

Does his secret stash mean that he's gay?

I’ve been with my partner for 12 years and but there has been no ­intimacy between us for most of that time
By Coleen Nolan

Dear Coleen,

I’ve been with my partner for 12 years and, this may shock you, but there has been no ­intimacy between us for most of that time. I can count on my hands the times it has happened.

'Honey Sex': Israeli Health Ministry Warns Against Dangerous, Sweet Erotic Stimulant

Posted: 04/ 2/2012 4:35 pm   

For anyone having too sweet a new year, consider yourself warned.

The Israeli Health Ministry is cautioning citizens against a new erotic stimulant known as "Honey Sex."

Thailand to sell generic Viagra drug

AFP News

Thailand has approved an affordable generic version of the anti-impotence drug Viagra to go on sale next week, as the country looks to combat rampant counterfeit production, officials said Wednesday.

The Thai diamond-shaped little blue pill, which resembles the original produced by US pharmaceutical giant Pfizer, is called "Sidegra" and will be available on prescription across the country on October 1.

Priced at 25 baht (80 US cents) per pill, Thailand's Food and Drug Administration (FDA) said it will be ten times cheaper than full-price Viagra.

When can using erectile pills like Viagra be unwise?

Dr. Ruth, Westheimer, PhD, Sex Therapist:

When a man has the permission to use Viagra, so he uses it, he now has an erection from the floor to the ceiling.

He comes home, he tells his wife, hop into bed. He hasn't done the dishes in three days, he hasn't bought flowers, he hasn't taken her out for dinner, and then if there's a sports event on television, he hasn't talked to her in three days, so all of the women that I talked to know what that wife is going to tell him what to do with that erection. 

First there has to be a relationship, and then if there is a problem, go and see if you can take one of those fantastic pharmaceutical breakthroughs, but then you have to bring in your spouse to discuss it, not just to come home with an erection. It has to be part of that relationship.

Magic Power Coffee: Potentially Dangerous—Not Magical

Consumers should not use an instant coffee being sold online as a dietary supplement for sexual enhancement, warns the Food and Drug Administration (FDA).

The product, Magic Power Coffee, contains a potentially dangerous ingredient. The product is sold in a two-serving box as well as in a carton that contains six two-serving boxes.

FDA’s lab analysis determined that Magic Power Coffee contains a chemical similar to the active ingredient in the prescription drug Viagra to treat erectile dysfunction. The chemical may interact with prescription drugs known as nitrates, including nitroglycerin, and cause dangerously low blood pressure.

Although Magic Power Coffee is labeled as an “all natural dietary supplement,” it can cause serious harm. Sexual enhancement products that claim to work as well as prescription products are likely to expose consumers to unpredictable risks and the potential for injury or even death.

Public Notification: “Hard Ten Days” Contains Undeclared Drug Ingredient

[2-18-2012] The Food and Drug Administration (FDA) is advising consumers not to purchase or use “Hard Ten Days,” a product for sexual enhancement sold on various websites.  FDA laboratory analysis confirmed that “Hard Ten Days” contains sildenafil, the active ingredient in Viagra, an FDA approved prescription drug for Erectile Dysfunction (ED).  


Sildenafil may interact with nitrates found in some prescription drugs such as nitroglycerin and may lower blood pressure to dangerous levels.  Men with diabetes, high blood pressure, high cholesterol or heart disease often take nitrates.

Consumers should stop using this product immediately and throw it away.  Consumers who have experienced any negative side effects should consult a health care professional as soon as possible. (See label)

Public Notification: “Man King” Contains Undeclared Drug Ingredient

[2-18-2012] The Food and Drug Administration (FDA) is advising consumers not to purchase or use “Man King,” a product for sexual enhancement sold on various websites.  


FDA laboratory analysis confirmed that “Man King” contains sildenafil, the active ingredient in Viagra, an FDA approved prescription drug for Erectile Dysfunction (ED).  Sildenafil may interact with nitrates found in some prescription drugs such as nitroglycerin and may lower blood pressure to dangerous levels.  Men with diabetes, high blood pressure, high cholesterol or heart disease often take nitrates.

Consumers should stop using this product immediately and throw it away.  Consumers who have experienced any negative side effects should consult a health care professional as soon as possible. (See Label)

Public Notification: Rock Hard Extreme and Passion Coffee Contain Undeclared Drug Ingredient

[12/30/2010] The Food and Drug Administration (FDA) is advising consumers not to purchase or use Rock Hard Extreme and Passion Coffee, products promoted and sold as dietary supplements for sexual enhancement. 


These products are promoted and sold on various websites, such as www.drivetotalenergy.com,  and possibly in some retail stores.

FDA laboratory analysis confirmed that Rock Hard Extreme and Passion Coffee contain the undeclared ingredient sulfoaildenafil. Sulfoaildenafil is structurally similar to sildenafil, the active ingredient in Viagra, an FDA approved prescription drug for Erectile Dysfunction (ED). 

Caution about Sexual Enhancement Products

FDA Consumer Corner

You can easily find them on the internet - products sold as "dietary supplements" to enhance sexual performance or treat erectile dysfunction. Many of these products are said to be "all natural" alternatives to prescription drugs. That might make you think they're harmless. But they may not be.


FDA has found that many of these supposedly "all natural" products actually contain ingredients that aren't on the label, and these ingredients could lead to serious and even fatal effects.


An FDA investigation of a number of these sexual enhancement supplements found that a third of them actually contained the same or similar ingredients to the class of prescription drugs that includes Viagra (sildenafil citrate), Cialis (tadalafil) and Levitra (vardenafil HCl.

Stiff Nights - product contains undeclared drug ingredient

Audience: Consumers, Pharmacists

[Posted 11/05/2009] FDA notified consumers that Stiff Nights, a product sold as a dietary supplement, contains sulfoaildenafil, a chemical similar to sildenafil, the active ingredient in Viagra. 


Sulfoaildenafil may interact with prescription drugs known as nitrates, including nitroglycerin, and cause dangerously low blood pressure. The product is distributed on Internet sites and at retail stores by Impulsaria LLC of Grand Rapids, Michigan. It is sold in bottles containing 6, 12, or 30 red capsules or in blister packs containing one or two capsules. 

The FDA advises consumers who have experienced any adverse events from sexual enhancement products to consult a health care professional. 


Any adverse events that may be related to use should be reported to the FDA's MedWatch Safety Information and Adverse Event Reporting Program online [at www.fda.gov/MedWatch/report.htm], by phone 1-800-332-1088, or by returning the postage-paid FDA form 3500 [which may be downloaded from the MedWatch "Download Forms" page] by mail [to address on the pre-addressed form] or fax [1-800-FDA-0178].

[11/05/2009 - News Release - FDA]
[11/05/2009 - Hidden Risks of Erectile Dysfunction "Treatments" Sold Online - FDA Consumer Updates]

http://www.fda.gov/Safety/MedWatch/SafetyInformation/SafetyAlertsforHumanMedicalProducts/ucm189300.htm

Young men using Viagra for fun may be more likely to develop ED

AFP Relax – Mon, Jul 23, 2012 


Young men who use drugs like Viagra and Cialis recreationally may be more likely to develop a psychological dependence on them, making erections without medication difficult, according to a new study.

"Among young, healthy men who used ED medicines recreationally, the more frequent ED medicine use was associated with lower confidence in achieving and maintaining erections, which in turn was associated with lower erectile function," lead study author Christopher Harte, a postdoctoral fellow at the VA Boston Healthcare System in the US, told WebMD.

For his study, Harte looked at data of more than 1,200 men whose average age was around 22. In the study, 72 were recreational users, reporting no diagnosis of ED from a doctor, while 1,111 didn't use ED drugs. Twenty-four were prescribed the drugs by their doctors for medical conditions. Men responded to an online survey about their erectile function, orgasms, sexual desire, and whether or not they used ED drugs and how often. They also reported their levels of confidence in their ability to get and maintain an erection.

Do You Understand Female Sexual Desire?

Will women want to enhance their sexuality - just like men?

by Pamela Madsen in Shameless Woman

I have been working with a major news outlet on the issue of female sexual desire. The talking heads call this "low sexual libido" - and we have been trying to get women to step forward and talk about it. No one wants to. Not a big surprise - would you want to step forward as a person with "low sexual libido"? Geez with the men they had to switch out erectile dysfunction with "ED".

I would rather call it "Desire Untapped". Now - that is language I can wrap my libido around - because that was what I once was. A woman who didn't understand my own sexual desire. I knew that I had it - but it felt more like a simmering pot - close to boil - but not quite. And I wanted to boil - as so many of us do. I wanted to feel like those women look in "Sex in The City" - but I wasn't them. I would never be them - I was a mid life Riverdale housewife - and fertility advocate. I had to find my own way - and I did. But along the way - I learned a lot about how women tick.

Is Viagra From God Or the Devil?

Question: I've never used Viagra and don't need to, but I realize that I have an underlying resistance to any drug used for sexual performance. What is your opinion of these kinds of drugs?

Answer: I think your apprehension to drugs is a very common feeling among Christians. If you don't need them, praise God and don't take any! For me, they are like any other medication you would take from a doctor.

I have talked with Christians from all over the country who think medication whether for depression, anxiety or headaches are all of the devil and a "real" Christian wouldn't take them. For me, the answer is simple and it points to the characters of God and the devil.

We know the devil comes to destroy, kill and steal, right? We also know that God has come to give us abundant life. So I ask you, who would produce this medicine? Would the devil, who hates you and desires for you to feel every headache, depression, anxiety and erectile issue, want you healthy, happy and to have a great love life? I truly doubt that he would want to alleviate any of your pain in life.