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treat

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ED relief

Treatment for men unable to have an erection took a great leap forward when the first oral erectile dysfunction (ED) medication, Viagra (sildenafil), was introduced in 1998. But there have been strides recently in a host of other ED treatments, ranging from over-the-counter pumps to surgical implants and suppositories.

Diagnosing your own ED is not a good idea, however. If you have trouble getting an erection, it’s important to see a doctor before pursuing any sort of treatment. There could be a medical explanation for your condition, and your health and sexual history may come into play.

1. Pills

Viagra, Cialis (tadalafil), and Levitra (vardenafil) fight erectile dysfunction by relaxing smooth muscle in the penis, a process that increases blood flow and enables an erection.

The effectiveness of these phosphodiesterase type 5 (PDE-5) inhibitors is well documented. “ED drugs are 70% effective in allowing the penis to achieve hardness for sexual activity,” says Irwin Goldstein, MD, director of San Diego Sexual Medicine and the editor in chief of The Journal of Sexual Medicine.

And the pills are generally considered safe. Side effects can include headaches, sinus congestion, indigestion, and blue vision, but all are usually mild. “They’re some of the safer drugs on the planet,” says Dr. Goldstein.

If you’re on ED drugs, don’t take nitrates—such as nitroglycerine pills for chest pain or the recreational drugs known as “poppers.” The combination can lower blood pressure to dangerous levels and can even cause a heart attack.

2. Injections

If oral medications don’t work, a doctor might recommend injecting medication directly into the base or the side of the penis with a tiny needle or inserting a suppository into the urethra.

The injectable drug alprostadil is a synthetic version of prostaglandin E1, a hormone-like substance that functions similarly to ED pills. Some injections mix alprostadil with other medications—such as the vasodilator papaverine and the alpha-blocker phentolamine—to increase its effectiveness.

Your doctor can teach you to perform the injections yourself at home.

3. Suppositories

For guys who prefer not to inject themselves or have a fear of needles, a suppository called MUSE—containing the drug alprostadil—is also available, though it is not considered as effective as the shots. “The injection is a direct delivery of medication to the penis, while the suppository is inserted into the urethra and when it is absorbed, it loses some of its strength,” says Ridwan Shabsigh, MD, director of the division of urology at Maimonides Medical Center and professor of clinical urology at Columbia University in New York City.

Both methods have the same primary complaint: Men using injections or MUSE often say they take away from the spontaneity of sex because it takes time to prepare and administer the medications.

4. Pumps

Penis vacuum pumps get a good laugh in the Austin Powers films, but they happen to be quite effective at increasing blood flow to the penis and they’re available over-the-counter at relatively low cost.

The process of pumping air out of the tube pulls blood into the erectile tissue. To stay erect after removing the tube, it’s a good idea to slip a constriction ring over the base of the penis.

5. Constriction rings

“Cock rings” worn around the base of the penis can slow down the speed at which blood leaves the penis. While constriction rings won’t increase blood flow into the penis, they can prolong an erection once one is achieved (using a vacuum pump, for instance).

Rings should not be used for more than 30 minutes and should be removed immediately if you experience cold, numbness, or pain in the genital area.

6. Implants

The technology of penile implants is improving all the time. “They rival implants in other parts of the body, like the pacemaker,” says Dr. Shabsigh.

There are two types of implants.

Inflatable implants (one is pictured here) are cylinders that are implanted in the erection chambers of the penis and inflated by a hydraulic pump implanted in the scrotum. (The round shape at the top of this illustration is a reservoir for feeding saline solution through the pump.)

Malleable implants are semi-rigid, bendable rods that are implanted into the penis, which can then be manipulated manually into an erect or flaccid position.

7. Surgery

Vascular surgery is rarely performed but may be a last resort for some men. “There are some patients who can benefit from vascular surgery, but the number is less than 1% of men who have ED,” says Dr. Shabsigh. “It’s the equivalent to a coronary artery bypass and there are only a handful of surgeons in the country who do it.”

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Don’t have time for intensive skin care? You can still pamper yourself by acing the basics. Good skin care and healthy lifestyle choices can help delay the natural aging process and prevent various skin problems. Get started with these five no-nonsense tips.
1. Protect yourself from the sun

One of the most important ways to take care of your skin is to protect it from the sun. A lifetime of sun exposure can cause wrinkles, age spots and other skin problems — as well as increase the risk of skin cancer.

For the most complete sun protection:

Use sunscreen. Use a broad-spectrum sunscreen with an SPF of at least 15. Apply sunscreen generously, and reapply every two hours — or more often if you’re swimming or perspiring.
Seek shade. Avoid the sun between 10 a.m. and 2 p.m., when the sun’s rays are strongest.
Wear protective clothing. Cover your skin with tightly woven long-sleeved shirts, long pants and wide-brimmed hats. Also consider laundry additives, which give clothing an additional layer of ultraviolet protection for a certain number of washings, or special sun-protective clothing — which is specifically designed to block ultraviolet rays.

2. Don’t smoke

Smoking makes your skin look older and contributes to wrinkles. Smoking narrows the tiny blood vessels in the outermost layers of skin, which decreases blood flow. This depletes the skin of oxygen and nutrients that are important to skin health.

Smoking also damages collagen and elastin — the fibers that give your skin strength and elasticity. In addition, the repetitive facial expressions you make when smoking — such as pursing your lips when inhaling and squinting your eyes to keep out smoke — can contribute to wrinkles.

If you smoke, the best way to protect your skin is to quit. Ask your doctor for tips or treatments to help you stop smoking.

3. Treat your skin gently

Daily cleansing and shaving can take a toll on your skin. To keep it gentle:

Limit bath time. Hot water and long showers or baths remove oils from your skin. Limit your bath or shower time, and use warm — rather than hot — water.
Avoid strong soaps. Strong soaps and detergents can strip oil from your skin. Instead, choose mild cleansers.
Shave carefully. To protect and lubricate your skin, apply shaving cream, lotion or gel before shaving. For the closest shave, use a clean, sharp razor. Shave in the direction the hair grows, not against it.
Pat dry. After washing or bathing, gently pat or blot your skin dry with a towel so that some moisture remains on your skin.
Moisturize dry skin. If your skin is dry, use a moisturizer that fits your skin type. For daily use, consider a moisturizer that contains SPF.

4. Eat a healthy diet

A healthy diet can help you look and feel your best. Eat plenty of fruits, vegetables, whole grains and lean proteins. The association between diet and acne isn’t clear — but some research suggests that a diet rich in vitamin C and low in unhealthy fats and processed or refined carbohydrates might promote younger looking skin.
5. Manage stress

Uncontrolled stress can make your skin more sensitive and trigger acne breakouts and other skin problems. To encourage healthy skin — and a healthy state of mind — take steps to manage your stress. Set reasonable limits, scale back your to-do list and make time to do the things you enjoy. The results might be more dramatic than you expect.

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Sometimes, the way many people treat the hairs on their bodies can make your jaws to drop. Those who believe in shaving off any hair that appears on any part of the body apart from the head, would do anything to get rid of body hairs.

From shaving to waxing, laser hair removal and what not, the idea, as far as such people are concerned, is that only the head deserves to be hairy.

For such people, maintaining the pubic hair is a bore. They simply can’t stand the sight of a hairy front side! As such, they regularly shave it clean, making it bald, as it were.

Well, while cosmetologists may not see anything wrong in getting rid of unwanted body hairs, including those in the pubic region, physicians are saying that the pubic hair has reasons for being there and that it amounts to plain misadventure when you shave clean your privates.

While both men and women engage in assaulting their pubic hair, the fact remains that women have more tendency to shave off their nether regions than men are won’t to.

Beyond cosmetics

Consultant Gynaecologist, Dr. Dominic Emeka, says in fairness to women, their biological make-up makes the shaving of pubic hair sometimes inevitable.

He says, “Take, for instance, when a woman wants to deliver a baby, her physician might advise her to shave a few days before her Expected Day of Delivery or C-Section, as the case may be.”

Emeka says there are reasons for that.

“When a woman shaves a few days to delivery, it makes the pubic area clean and neat. And, if the delivery is going to be by C-Section, of course, she will have to be shaved so that the surgeon can make incisions and do his/her job without any hindrance that the presence of pubic hair would constitute,” the physician explains.

He notes that in a situation where the surgeon has to do an episiotomy for a woman during delivery, pubic hair will be the last thing the doctor wants to contend with, hence the need to shave before coming to labour room.

“Shaving the pubic hair in this regard will reduce the possibility of mother-to-child infection, which can happen if the hair around the birth canal is not shaved clean before childbirth,” Emeka counsels.

He says, however, that in order to avoid irritation that sometimes accompanies shaving, it is better to do it two days before delivery. “This will also reduce the possibility of infection,” the doctor enthuses.

Apart from childbirth, Bello says, anyone — man or woman — who needs to undergo surgical procedures whereby the surgeon needs to gain access into the interior of the body via the pubic area, then the pubic hair must be shaved off.

Beyond these reasons, the physician says, it is good for us to leave our pubic hairs because they have reasons for growing in that part of the body.

He says the fact that the hairs grow back each time they are shaved indicates their usefulness in the human biology.

Reasons for pubic hair

Physicians are of the opinion that the number one reason we have pubic hair is to prevent us from contacting infection.

General Practitioner, Dr. Idayat Bello, says without the pubic hair in place, skins will rub against each other, possibly leading to infection.

“If someone is obese, for instance, s/he will have flabby stomach, which will probably drool over the pubic region, especially when seated.

“If such an individual shaves off the pubic hair, the stomach will regularly drool over the pubic area, creating a friction that may lead to infection,” Bello warns.

She adds that since the hairs around the pubic are sensitive, shaving them off may affect the skin membrane and make them susceptible to sexually transmitted infections.

Indeed, experts say that the pubic hair acts as a ‘shield.’ “It absorbs moisture and drains it away from areas being covered by the hair.

“When you shave off the hair in this region, it makes the surrounding skin to be more susceptible to sexually transmitted infections such as herpes and genital warts,” experts say.

Bello warns that pubic hair removal can also result in invisible cuts to the skin (medically known as epidermal abrasion) and ingrown hairs.

She adds that shaving your pubic hair can predispose you to staphylococcus, which may make you to develop boils, abscesses and inflammations.

“These illnesses may likely necessitate hospital visits, hence the need to avoid the triggers,” Bello counsels.

For men, physicians say, shaving the down below could lead to penile injuries, especially if a razor is used; while a pair of scissors could injure the balls. Those who opt for the more sophisticated hot wax have also been known to sustain injuries of emergency proportion.

Again, physicians say, pubic hair prevents likely friction during sexual intercourse. “Friction may result when skin rubs against each other vigorously during sex. When this happens, it can result in skin abrasion or, sometimes, rashes. To avoid this, let your pubic hair be,” Bello pleads.

The bottom line: Pubic hairs attest to the fact that you are an adult. They are the secondary characteristics that announce your adulthood. This being the case, let them be if there are no health reasons to warrant shaving them off.

PUNCH.