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Shift Work and Erectile Dysfunction

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Shift Work and Erections

Let’s face it – as men get older, there are already enough roadblocks in the way of having erections on demand. There is stress, anxiety (a pandemic), the effects of smoking or drinking – and a million other things. But if you are also putting your body through the highly demanding ordeal of shift work – it may be affecting your erections.

Men who have shift work sleep disorder could be at higher risk for erectile dysfunction (ED), according to new research. Scientists think disruptions to circadian rhythms, changes in testosterone levels, fatigue, and stress could be to blame.

Here’s what they discovered:

Shift work can be tough, especially when you’re trying to fit life around a schedule that not everyone follows. Scientists think for some men, shift work might take a toll on their sex lives, too.

A recent study in the Journal of Sexual Medicine suggests that men with shift work sleep disorder (SWSD) could be at greater risk for erectile dysfunction (ED).

People with SWSD often feel sleepy when they need to be on the ball. They might experience insomnia and fatigue. Concentration might be a challenge as well.

Researchers examined data from 754 men. Of these, 204 men worked nonstandard shift schedules (outside the 7 am to 6 pm time frame) or rotating shifts. All the men completed several questionnaires about their work schedules, erections, overall health, and depression symptoms. They also submitted blood samples for hormonal analysis and were screened for SWSD.

Among the 204 men doing shift work, 48 had SWSD.

Looking over the erectile function questionnaire results, the researchers determined that the men with SWSD had more trouble with erections than the men who did shift work but did not have SWSD. And men who worked night shifts tended to have poorer erections than men who worked during the day or evening.

What’s the connection? The authors noted that disruptions to circadian rhythms might come into play. Also, since men’s bodies produce testosterone – an important hormone for sexual function – during sleep, there might be some testosterone deficiency in men with SWSD.

There could be psychological explanations, too. SWSD can leave a person feeling fatigued and stressed, and that can lead to erection problems.

The authors recommended that doctors assess sleep and work routines in men with ED.

 

Resources

The Journal of Sexual Medicine

Rodriguez, Katherine M., MD, et al.

“Shift Work Sleep Disorder and Night Shift Work Significantly Impair Erectile Function”

(Full-text. Published: July 28, 2020)

https://www.jsm.jsexmed.org/article/S1743-6095(20)30712-8/fulltext#%20

National Sleep Foundation

“Shift Work Disorder Symptoms”

https://www.sleepfoundation.org/shift-work-disorder/symptoms

COVID-19 and Casual Sex

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Is the Coronavirus changing casual sex?

Has the COVID-19 pandemic changed casual sex encounters? A group of over 2,500 Israeli men who have sex with men answered this question in a recent study. About 40% of the men were still having casual sex. However, some had modified their activities.

We’re all social distancing right now. And that begs the question: how do you have sex in the era of COVID-19 self-isolation? Is it even safe to have sex during the pandemic?

 

First, the facts. COVID-19, the disease caused by the novel coronavirus, is spread by direct person-to-person contact or by people who are close to (within six feet) of each other—as it’s believed that the virus is expelled in respiratory droplets from a cough or sneeze, according to the Centers for Disease Control and Prevention (CDC), which you can then inhale. You can also pick it up from contaminated surfaces if you then touch your face without washing your hands properly first and therefore introduce the pathogen into your body.

 

So, yes, sex can contribute to spreading the coronavirus. You’re clearly close enough to someone when you’re naked on top of each other, and you are also probably kissing, or at least breathing heavily. (And, by the way, a team of Harvard doctors recommends that you avoid kissing and even wear a mask if you’re going to be having sex with someone with whom you are not self-quarantined.)

But let’s be clear: COVID-19 is not contracted directly from sex. “The coronavirus is a respiratory virus. It can be transmitted through your saliva and intimate contact, but it is not directly transmitted genitally,” Mark Surrey, MD, a clinical professor in the department of obstetrics and gynecology at UCLA’s David Geffen School of Medicine, tells Health. That distinction matters, because safe sex during the pandemic depends on your current relationship situation and, well, why you’re having sex in the first place.

 

For many of us, the COVID-19 pandemic has changed how we interact with others, professionally, socially, and even sexually.

A new study from Israel describes how COVID-19 has impacted men who have sex with men (MSM) in that country.

Researchers surveyed over 2,500 MSM in March and April 2020, when the Israeli government had declared a state of emergency and put social distancing rules into place. For example, people were not supposed to go more than 100 meters (about 328 feet) from their homes. They were also advised to keep 2 meters (roughly 6 feet) from people outside their household.

During this time, almost 40% of the men surveyed said they did were still having casual sex encounters. In this group, about 72% said they had fewer partners than they did before the pandemic. Many said they were less likely to kiss their partners or engage in anal or oral sex. They were more likely to use condoms or pre-exposure prophylaxis (PrEP) – medication that may prevent HIV transmission.

More participants perceived COVID-19 to be a bigger threat than HIV, the researchers reported.

They added that loneliness and the lack of emotional support and intimacy could be driving MSM to have casual sex during the pandemic.

“Social isolation defeated the fear of COVID-19,” one participant said.

 

Learn more about COVID-19 and sex with these links:

Sex and COVID-19

Semen Might Contain Coronavirus

Men and COVID-19: Are Androgens a Clue?

Impact of COVID-19 on Relationships: What Isn’t Being Talked About

Resources

Centers for Disease Control and Prevention

“PrEP”

(Page last reviewed: September 18, 2020)

https://www.cdc.gov/hiv/basics/prep.html

The Journal of Sexual Medicine

Shilo, Guy, PhD and Zohar Mor, MD, MHA, MPH

“COVID-19 and the Changes in the Sexual Behavior of Men Who Have Sex With Men: Results of an Online Survey”

(Full-text. Published: August 10, 2020)

https://www.jsm.jsexmed.org/article/S1743-6095(20)30836-5/fulltext

Boost Low Testosterone with Exercise

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Exercise might be the best way to fight ‘Low T’

Regular exercise might lower a man’s risk for low testosterone.

Scientists report that men who get over 1,000 MET minutes of physical activity each week are less likely to develop testosterone deficiency. (MET stands for “metabolic equivalent.”)

The Physical Activity Guidelines Advisory Committee (PAGAC) recommends that most people exercise for 500 to 1,000 MET minutes weekly.

Scientists may have found a link between the amount of exercise a man gets and his testosterone levels.

What is Testosterone?

Testosterone is the male sex hormone that is made in the testicles. Testosterone hormone levels are important to normal male sexual development and functions.

During puberty (in the teen years), testosterone helps boys develop male features like body and facial hair, deeper voice, and muscle strength. Men need testosterone to make sperm. Testosterone levels generally decrease with age, so older men tend to have low blood testosterone levels.

What is Low Testosterone?

Some men have low testosterone levels. This is called testosterone deficiency (TD) or often referred to as Low Testosterone (Low-T).

The American Urology Association (AUA) identifies low blood testosterone (Low-T) as less than 300 nanograms per deciliter (ng/dL) on two tests obtained in the morning. Several symptoms or conditions may accompany TD:

  • Low sex drive
  • Fatigue
  • Reduced lean muscle mass
  • Irritability
  • Erectile dysfunction
  • Depression
  • There are many other possible reasons for these symptoms, such as: opioid use, some congenital conditions (medical conditions you are born with), loss of or harm to the testicles, diabetes, and obesity (being overweight). See your doctor if you have any of these symptoms.

Exercise might help combat Low T.

Men who exercise more might be at reduced risk for testosterone deficiency, researchers reported last May at the American Urological Association’s 2020 Virtual Experience press conference.

Low testosterone can be a serious health issue for men. When levels of this hormone decline, they might feel weak, moody, and fatigued. They might also start having trouble with erections and low sexual desire.

The study included data from 7,597 men between the ages of 18 and 80. All of the men were participants in the National Health and Nutrition Examination Survey (NHANES) between 2011 and 2016. NHANES is a series of studies that focuses on the health of people in the United States.

The men answered questions about their physical activity and had their testosterone levels measured.

Physical activity was evaluated based on the recommendations of the Physical Activity Guidelines Advisory Committee (PAGAC). Activity was categorized according to metabolic equivalents (METs). The amount of energy a person exerts while at rest is valued at one MET. Brisk walking equals about 5 METs. Running at 7 mph is about 11.5 METs.

The PAGAC recommends that most Americans spend between 500 and 1,000 MET minutes on exercise each week.

The men in the study were divided into three groups depending on their activity level. About 9% of them got the recommended amount of exercise. Almost 59% exceeded the recommended amount, and 32% got less than the recommended amount.

Overall, 29% of the men had low testosterone levels.

After further analysis, the authors found that men who got more exercise than recommended had a “significantly decreased likelihood” of low testosterone compared to men who did not get recommended amounts.

More research is needed, the scientists said, as the results need to be confirmed. However, they added that “these data provide a basis for counseling patients regarding the positive association between exercise and [testosterone levels].”

 

Testosterone Resources

Healthline.com

Roland, James

“What Exactly Are METs, and What Should You Know About Them?”

(October 21, 2019)

https://www.healthline.com/health/what-are-mets#calculation

The Journal of Urology

Fantus, Richard, et al.

“The Association Between Exercise and Serum Testosterone Among Men in the United States”

(Abstract PD25-03. Presented May 15, 2020 at the American Urological Association’s 2020 Virtual Experience press conference)

https://www.auajournals.org/doi/10.1097/JU.0000000000000882.03

Renal and Urology News

Charnow, Jody

“Testosterone Levels Falling in Young Men”

(May 17, 2020)

https://www.renalandurologynews.com/home/conference-highlights/american-urological-association-annual-meeting/aua-2020-virtual-experience/testosterone-levels-declining-young-males/

Urology Times

Kahl, Kristie L.

“Exceeding exercise guidelines may reduce likelihood of low T in men”

(May 27, 2020)

https://www.urologytimes.com/view/exceeding-recommended-exercise-guidelines-may-lower-t-men

Tips for Great Outdoor Sex

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Fun Tips for Outdoor Sex.

First off, we have to state that we’re not advocating breaking any of your local decency laws. Please find out what your local laws are regarding this type of frisky outdoor adventures! But, if you’re going to do it anyway – here are some tips for some great extra-curricular fun in the outdoors.

Before we discuss those challenges, let’s start with some basics. Good sex is safe sex. That means both partners consenting before any sexual activity takes place. Using condoms and dental dams during every sexual act. Knowing your partner’s sexual history and holding off on sex if one of you has a sexually transmitted infection (STI) or thinks you might have been exposed.

This summer, safe sex is even more important. SARS-CoV-2 (also called the coronavirus) – the virus that causes COVID-19 – has been spiking in North America, and even communities that are slowing down the spread need to be careful. For that reason, experts advise limiting the number of sex partners you have, avoiding casual sex, and having sex only with a committed partner you live with. (See more tips for safe sex during the pandemic here.)

Sex in the great outdoors

Thinking about sex al fresco? Before you start anything, make sure you know about local, state, provincial, and national lewdness and nudity laws. Be willing to accept the consequences if you are caught.

Once you’ve established that, consider where your encounter will take place.

Sex in the water

Have you and your partner fantasized about having sex in the ocean or in a pool, lake, river, or stream? Summer is a great time to try that, but keep these points in mind:

Bring a silicone lubricant. It’s reasonable to think the water would make the vagina wet enough, but that’s not the case. Water actually washes away a woman’s natural lubricant. A silicone lubricant should do the trick. (If you’re having anal sex, you should use a lubricant no matter where sex takes place.)
Be careful with condoms. Put your condom on before entering the water, and make sure it fits properly. If it doesn’t, it might fill with water like a balloon. You might want to hold it in place during sex to keep it from slipping. If you’re using latex condoms, avoid chlorinated water. (Not sure if you’re using condoms correctly? See this list of common errors.)
Watch your surroundings, especially if it’s dark. If you’re having sex in an unfamiliar setting, try to find a stable surface way from rocks or broken glass. If you’re in a pool, take care not to slip on the bottom.
Sex on the beach

Lots of couples fantasize about making love while the ocean rolls in around them. Or maybe you want to hide away in some sand dunes for your tryst. If you’re on the beach, remember to:

Stay on a towel or blanket. Sand in the genitals, such as between a woman’s labia, can be quite uncomfortable. Make sure you wash thoroughly afterward.
Use sunscreen. Parts of your body that aren’t frequently exposed to the sun can be especially vulnerable to the sun’s rays. Make sure you have sunscreen available. You might even incorporate it into your foreplay.

Sex in the woods

Thinking about ducking behind a rock for some pleasure during a hike? This is another time to bring a towel or blanket and watch your footing. But there are some other considerations to make in the woods:

Use insect repellant. Bug spray is not particularly romantic, but your bodies could be fodder for mosquitoes, black flies, and other insects waiting for a snack. On a similar note, make sure there are no nests of insects (such as bees, ants, hornets, or wasps) in the area, especially in logs or in the ground.
Watch for other animals. If your location is especially remote, think about what other creatures you might be sharing your space with, especially if you’ve brought food with you.

Sex in hot weather

Maybe you and your partner are perfectly happy to stay inside. If you don’t have air conditioning, sex could become uncomfortable as body temperatures rise. Some couples cool off by (carefully) having sex in the shower. Others experiment with ice cubes. You might also try putting your sheets in the freezer for a while beforehand or having sex on a cool surface, like a tiled floor.

Don’t get caught!

Part of the excitement of having sex outside is the danger of getting caught or being seen. It feels naughty and brazen. But the reality of getting caught is the opposite of sexy, especially if it’s by a child who happens upon you and yells, “Mommy! What are they doing?!” while pointing at you from five feet away. Don’t be that couple. Gross.

Speaking of getting busted, don’t get busted. Unless being arrested for lewd conduct is on your sexual bucket list, know the laws in your city, state, and even the whole country. In general, stay away from public schools, pools, parks, and any place a cop can pull up on you faster than you can pull up your pants.

Even if no one calls the cops, your activities could end up on the internet, which might be worse than getting arrested, depending who you ask.

 

It’s Sex – Just Enjoy!

When it comes to summertime sex, you can let your imagination go. You can plan something elaborate in advance or see where your desires take you more spontaneously. Be safe, but have fun!

Severe Erectile Dysfunction Increases Cardiovascular Risk

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Cardiovascular Risk Greater in Men with Severe ED

Erectile dysfunction (ED) is a risk factor for cardiovascular disease. And now scientists say the severity of a man’s ED might tell us more about that risk.

Cardiovascular disease affects the heart and blood vessels.

After analyzing data from 108 men with ED, researchers determined that those with severe cases had a 34% higher risk for developing cardiovascular disease or high blood pressure within the next 10 years. Men with mild or moderate ED were at 5% higher risk. More research is needed, the authors said. But the findings might help doctors monitor cardiovascular health in men with ED. (The study was published online in April in the Journal of Sexual Medicine)

Men with severe erectile dysfunction (ED) are more likely to develop cardiovascular disease or high blood pressure in ten years than men with milder cases, according to a new study.

Cardiovascular disease affects the heart and blood vessels. Examples of cardiovascular issues include heart attack, coronary artery disease, angina, arrythmias, aortic aneurysm, stroke, transient ischemic attacks, and congestive heart failure.

High blood pressure (hypertension) occurs when the force of blood flow against artery walls is stronger than it should be.

Scientists have long studied the relationship between ED and cardiovascular diseases. In fact, ED is considered a risk factor for cardiovascular disease. In this study, researchers wanted to learn more about the connection.

They collected data from 108 men (median age 51) who had been treated for ED at one clinic between 2005 and 2011. When the study started, none of the men had cardiovascular disease or high blood pressure.

The researchers assessed the men’s overall health and asked them to complete a questionnaire called the International Index of Erectile Function (IIEF). This tool helped determine how severe the men’s ED was. At the beginning, 40% of the men were diagnosed with severe ED.

The men had follow-up appointments every six months for about seven or eight years.

Overall, the men had a 15% higher estimated risk for developing cardiovascular disease or high blood pressure during the next 10 years. However, this figure changed based on ED severity. Estimated risk was 5% for men with mild or moderate ED. For men with severe cases, the risk was 34%.

ED severity was linked to higher risk for shorter time spans, too. For example, men with mild to moderate ED were at 5% higher risk for developing cardiovascular disease within seven years. The figure for men with severe ED was 19%.

The authors called for further research, noting that their study focused on men from just one medical center. There was also no comparison group of men without ED, they added.

However, the results could help doctors determine which men should be watched for cardiovascular symptoms after an ED diagnosis.

“This will give physicians proper tools to offer more personalized and tailored medical assessment in terms of prevention and screening strategies to patients presenting with ED as their primary complaint,” they wrote.

Resources

The Journal of Sexual Medicine

Pozzi, Edoardo, MD, et al.
“Longitudinal Risk of Developing Cardiovascular Diseases in Patients With Erectile Dysfunction—Which Patients Deserve More Attention?”
(Article in Press. Published: April 24, 2020)
https://www.jsm.jsexmed.org/article/S1743-6095(20)30179-X/fulltext

Cancer Treatment and Male Fertility in Young Men

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Childhood Cancer and Fertility Options for Young Men

Many men who survived childhood cancer would like to start families of their own, but cancer treatment can take a toll on their fertility.

Fortunately, they may have options. The journal Current Opinion in Urology recently published a review of fertility preservation studies, focusing on male childhood cancer survivors. Adolescents and young adults may bank their sperm before cancer treatment. The cells can then be frozen and stored for in vitro fertilization (IVF) later. Options for prepubescent boys are more limited. Scientists are experimenting with the preservation of testicular tissue before cancer treatment.

More childhood cancer patients are surviving into adulthood nowadays, and many of those patients would like to start families. Scientists have been exploring ways to preserve fertility before cancer treatment starts.

A recent paper in Current Opinion in Urology discusses some of the options for boys. Some methods are available now, while others are in the experimental stages.

Dr. Richard N. Yu of Boston Children’s Hospital examined articles published between January 2017 and April 2019 for this review.

Doctors and families should discuss fertility preservation before treatment begins, as sperm cells can be damaged during therapy, Dr. Yu said.

Sperm preservation is an option.

 

For adolescents and young adults, sperm banking is the “gold standard” option. Sperm cells may be collected through masturbation or removed from testicular tissue in a sperm extraction procedure. Testicular biopsy and electro-ejaculation (ejaculation with the help of electrical stimulation) are other methods.

Once the sperm is obtained, it can be cryopreserved – carefully frozen and stored so that the cells can be used to create embryos at a later time.

Options for boys who have not yet reached puberty are more limited. For these patients, testicular tissue or cells may be removed in a biopsy procedure and be cryopreserved. This surgery might be combined with other cancer-treating surgeries.

However, preserving testicular tissue from prepubertal boys is still in the experimental stages, and there have been no clinical studies on its effectiveness in humans. But some animal studies have had encouraging results. For example, scientists have collected testicular tissue from prepubertal rhesus macaques (a type of monkey that is anatomically similar to humans), frozen it for later use, fertilized egg cells, and created a healthy baby monkey.

Further research is needed in this area, Dr. Yu noted. He added that there can be ethical concerns with this type of preservation and that the advantages and disadvantages must be carefully considered.

For more information about cancer and fertility, please see these links:

Preserving Sex Life and Fertility for Cancer Patients

Sex and Fertility Issues May Continue Two Years After Testicular Cancer Diagnosis

Pre-Treatment Sex and Fertility Counseling

Fertility Options for Men with Cancer

Resources

Current Opinion in Urology via Medscape

Yu, Richard N.

“Fertility Preservation in the Pediatric Cancer Patient”

(Full-text. September 2019)

https://www.medscape.com/viewarticle/919213

Can Coronavirus spread through Semen?

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COVID-19 Virus Found in Semen

Chinese researchers have discovered SARS-CoV-2 (the virus that causes COVID-19) in semen samples. Researchers collected the samples from 38 men who were treated for COVID-19 earlier this year. They found that 16% of the samples contained the virus.

The virus that causes COVID-19 (SARS-CoV-2), has been discovered in men’s semen, according to a new report in JAMA Network Open.

Chinese researchers analyzed semen samples of 38 men who were treated for COVID-19 in January and February of this year.

The semen of 6 patients (16%) tested positive for the virus. Of these, 4 men were in the acute (quickly developing) phase of the illness, and 2 were recovering.

“Abstinence or condom use might be considered as preventive means for these patients,” the authors wrote.

They acknowledged that the study included a small number of participants and covered a short time frame. They recommended additional research.

“If it could be proved that SARS-CoV-2 can be transmitted sexually in future studies, sexual transmission might be a critical part of the prevention of transmission, especially considering the fact that SARS-CoV-2 was detected in the semen of recovering payments,” the authors added.

The coronavirus has been found in stool, saliva, urine, and the gastrointestinal tract, they noted.

COVID-19 – Another good reason to practice safe sex.

The fact that Coronavirus can exist in semen – and spread through semen – might come as a surprise to a lot of men. This should be yet another reason to practice safe sex if you’re not in a committed relationship.

While COVID-19 research is ongoing, there is still a lot that officials don’t know yet. Experts advise that people continue to wash their hands, wear face masks as recommended, and practice social distancing measures.

People should also be careful with sex. The virus can be spread through kissing and by touching infected surfaces, such as skin, bedding, and sex toys. Limiting your number of sex partners and using condoms and dental dams during every sex act might reduce your risk.

Learn more about sex and COVID-19 here.

Resources

CNN.com

Fox, Maggie

“Coronavirus found in men’s semen”

(Updated: May 11, 2020)

https://www.cnn.com/2020/05/07/health/coronavirus-semen-china-health/index.html

JAMA Network Open

Li, Diangeng, PhD, et al.

“Clinical Characteristics and Results of Semen Tests Among Men With Coronavirus Disease 2019”

(Research Letter. May 7, 2020)

https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2765654

Medscape Medical News

McCall, Becky

“SARS-CoV-2 in Semen of COVID-19 Patients?”

(May 7, 2020)

https://www.medscape.com/viewarticle/930127

PeyRonie’s Disease and CCH Injections

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Peyronie’s Disease – What can you do?

Men with Peyronie’s disease have several treatment options available, including traction devices to surgery. Over the years, injections of a substance called clostridium histolyticum (CCH) have become more popular. However, not all men respond well to this therapy, according to new research in the Journal of Sexual Medicine. The study involved with 67 men with Peyronie’s disease who had received CCH injections before coming to the researchers’ clinic. All of the men were having sexual difficulties. Almost half eventually had surgery. The researchers discovered that CCH didn’t appear as effective for men with severe penile curvature or deformities.

For men with Peyronie’s disease, treatment with collagenase clostridium histolyticum (CCH) has become more popular over the years. However, some men respond better to this therapy than others, a situation that prompted a recent Journal of Sexual Medicine study.

What is Peyronie’s?

One of the most common characteristics of Peyronie’s disease is a distinct curve that develops when the penis is erect. This curve is caused by areas of hardened scar tissue (plaques) that form just beneath the surface of the skin. In some cases, the plaques become calcified, hardening further.

With plaques present, the penis becomes less flexible, forming a curve. For some men, the penis takes on an hourglass shape or a “hinge” effect. Sexual intercourse can become quite difficult, and many men experience pain.

In addition to CCH injection therapy, Peyronie’s disease can be treated in several ways, including medications, traction (a device that straightens the penis), and surgery.

In this study, the researchers looked into some of the reasons men might not have success with CCH.

They analyzed information from 67 men with Peyronie’s disease who were patients at their clinic between October 2014 and October 2019. All of the men had received CCH treatments by other urologists before visiting the study clinic, but were having problems with sexual function.

The men had had Peyronie’s disease for an average of 28 months and their average curvature was 69 degrees. (For over 60%, the curve was greater than 60 degrees.) Over 75% of the men had “indent, narrowing, or hourglass” deformities, and about 39% had a hinge effect or instability. Thirty-nine percent of the men had calcifications.

Almost half of the men went on to have surgery. These patients had a greater average curvature than the rest of the group (83 degrees) and were more likely to have hinge deformities.

Overall, the researchers concluded that “patients presenting with persistent bother after CCH treatment had a relatively severe mean curvature of nearly 70 degrees and high rates of narrowing/indentation deformity and calcification.”

The findings may help doctors who counsel men with Peyronie’s disease who are considering CCH injections, the authors said.

The analysis was one of several SMSNA posters that explored treatments for Peyronie’s disease, which is characterized by a curving of the penis, caused by fibrous scar tissue that can make erections painful, and even prevent intercourse when the bend is significant.

“We only treat men with significant bother from the condition, or if they can’t have sex or if sex causes their partner pain,” urologist Tobias Kohler, MD, also of the Mayo Clinic, told MedPage Today.

An expensive option for  Peyronie’s Disease.

In 2013, CCH injections became the first FDA-approved drug treatment for Peyronie’s, indicated for men with palpable plaque and curvature of at least 30 degrees. The treatment costs around $4,000 per injection, with a standard therapeutic course involving eight total injections.

The treatment’s cost has been controversial in urology. Trost, who is now at the Male Fertility and Peyronie’s Clinic in Orem, Utah, suggested that the cost of the medical treatment favorably compares with surgery when surgical complications and rehospitalizations are factored into the equation.

 

RESOURCES

 

See more recent news about Peyronie’s disease:

Study: More Men Than Women Bothered by Peyronie’s Disease

Medication and Traction Help Men with Peyronie’s Disease

Peyronie’s Disease: More Men Receiving CCH Injections

Men With Both Peyronie’s Disease and Erectile Dysfunction Have Surgical Options

Resources

Johns Hopkins School of Medicine

“Peyronie’s disease”

https://urology.jhu.edu/peyronie/

The Journal of Sexual Medicine

Bajic, Petar, MD, et al.

“Characteristics of Men With Peyronie’s Disease and Collagenase Clostridium Histolyticum Treatment Failure: Predictors of Surgical Intervention and Outcomes”

(Full-text. Published online: February 29, 2020)

https://www.jsm.jsexmed.org/article/S1743-6095(20)30067-9/fulltext?dgcid=raven_jbs_aip_email

 

How Long Women Need to Reach Orgasm

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how long do women need to reach orgasm

How Long Do Women Need To Orgasm?

Have you ever wondered how long it takes the average woman to reach orgasm? Researchers might have an answer, or at least a partial one.

A new study suggests that women reach orgasm in about 13 minutes, on average, during penis-in-vagina intercourse. The findings are based on stopwatch data from 645 heterosexual, monogamous female participants, the researchers said.

In a new Journal of Sexual Medicine study, researchers report that for women in heterosexual, monogamous relationships, the average time between sexual arousal and orgasm is 13.41 minutes.

The figure applies to penis-in-vagina intercourse only.

How Long Is Normal?

birth control for menAccording to Jessica O’Reilly, PhD, host of the @SexWithDrJess Podcast, worrying about how long it takes you to orgasm can take you further out of the moment, and really isn’t necessary.

“When it comes to sex, averages are mostly useless, because individual variation and experience are highly varied,” O’Reilly says. “Just as the average time it takes to run a mile varies from person to person, the average time to orgasm also varies greatly.”

Though it can be hard in the moment to not be self conscious about the time it takes to orgasm, remembering that there is no “right” length of time is key. The more you relax into the moment, the more likely you are to have an orgasm. Also, it’s important to remember that orgasming doesn’t always have to be the goal. Sex can still be pleasurable, even without orgasming.

“Sex isn’t a race,” O’Reilly says. “You don’t get a prize (or extra pleasure) for reaching orgasm faster than your partner or your friends. And the length of time it takes to reach orgasm can vary with your mood, sleep patterns, health, menstrual cycle, level of arousal and what you’re doing physically to produce orgasm. For example, for many of us, if your partner is thrusting a penis or strap-on in and out of our vaginas, it will take longer to orgasm than if we’re rubbing or vibrating against the clitoris on the outside.”

New Research on the Female Orgasm

In the study, 645 women (average age 31) from 20 countries used stopwatches to measure their time to orgasm over an eight-week period. None of the women had medical conditions that could affect their sexual function, such as diabetes, high blood pressure, or mental health issues.

During the study period, the women had intercourse an average of 9 times. Seventeen percent of the women said they didn’t reach orgasm at all.

Of the remaining group, about 31% said they reach orgasm just through penile-vagina intercourse. But 69% said they needed more stimulation in addition to intercourse (like kissing or oral sex) to climax. Some said that different sexual positions affected their ability to reach orgasm.

It’s important to note that the study did not include non-heterosexual women or activities outside of penile-vaginal intercourse that can still lead to orgasm.

Of course, all women are different. If it takes you or your partner longer than 13 minutes to reach orgasm, don’t worry. If you are satisfied with your sexual relationship, that is what matters.

However, if you are unsatisfied with sex, talk to your partner about changes you might make. Your doctor may also be able to help.

 

Conclusion

male birth control options

Being kind to yourself and communicating your body’s needs to your partner can really be helpful if the end goal is to have an orgasm. Let them know what you need to get there, and they’ll take the time you need to make it happen.

“One study published in the Journal of Sexual Medicine, found that the average time to orgasm for women was 14 minutes for partnered sex and 8 minutes during masturbation,” O’Reilly says. “It’s our partners (or what we’re going with our partners) that slows us down. And of course, slowing down isn’t a bad thing. Some people find that when they slow down and take their time, they enjoy higher arousal and more powerful orgasms once they do arrive.”

 

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Medical Resources

BusinessTech.co.za

“A male birth control pill has just passed human safety tests”

(March 26, 2019)

https://businesstech.co.za/news/lifestyle/307016/a-male-birth-control-pill-has-passed-human-safety-tests/

The Endocrine Society

“Second potential male birth control pill passes human safety tests”

(March 25, 2019)

https://www.endocrine.org/news-and-advocacy/news-room/2019/endo-2019–second-potential-male-birth-control-pill-passes-human-safety-tests

The Journal of Clinical Endocrinology and Metabolism

Thirumalai, Arthi

“Effects of 28 Days of Oral Dimethandrolone Undecanoate in Healthy Men: A Prototype Male Pill”

(Full-text. Published: September 24, 2018)

https://academic.oup.com/jcem/article/104/2/423/5105935

TechnologyNetworks.com

Lansdowne, Laura Elizabeth

“Developing a Male Birth Control Pill”

(June 10, 2019)

https://www.technologynetworks.com/drug-discovery/articles/male-birth-control-development-of-a-hormonal-contraceptive-pill-320339

UT Southwestern Medical Center

Bakare, Tolulope, MD

“‘The pill’ for guys: Male birth control option passes safety tests”

(April 30, 2019)

https://utswmed.org/medblog/pill-guys-male-birth-control-option-passes-safety-tests/

Fish Oil For Male Fertility

by

Fish Oil Might Improve Testicular Function

Is fish oil good for the testicles? It might be, according a recent study in JAMA Network Open. 

Researchers studied the testicular health of almost 1,700 young Danish men. They discovered that men who took fish oil supplements had larger testicles and ejaculated more semen than men who didn’t. Fish oil might also boost fertility, the authors noted.

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