Posts Tagged ‘men’
Erectile Dysfunction: Michael Castleman Talks to Men
8/18/11 update: I’m bringing this older post to the top because it answers so many of the questions about erectile dysfunction that my readers are asking. Michael Castleman is also one of the experts in Naked at Our Age and I respect his knowledge and ability to convey important information simply and compassionately.
So many readers–both male and female–have been asking for information about erectile dysfunction that I asked Michael Castleman, a sex educator, counselor and journalist specializing in men’s sexuality to answer some questions. His interview starts here and continues here.
Q: Explain erectile dysfunction (ED) and why it happens.
MC: Only a small fraction of men from age 45-60 have true ED. A larger but still modest fraction of men over 60 have true ED. True ED is the inability to raise an erection despite vigorous extended hand massage of the penis. True ED is usually the result of a medical problem, either a problem with the nerves that control erection, or more likely, narrowing of the arteries that carry blood into the penis. Like the arteries of the heart, the arteries into the penis can become narrowed by atherosclerotic plaques. Causes of plaque formation: heart disease, diabetes, smoking, high blood pressure, high cholesterol, high-fat diet, sedentary lifestyle. In other words, all risk factors for heart disease are also risk factors for ED. In addition, ED can be caused or aggravated by stress and anxiety, which constrict the arteries and limit blood flow into the penis.
Q: What about men who are capable of erections, but they’re less reliable than they used to be and require more stimulation?
MC: While only a fraction of men over 45 experience true ED, just about every man experiences what sex therapists call “erection dissatisfaction” (EDis). After 45 or 50 or so, men with EDis can still raises erections, but they don’t rise as quickly as they used to. They no longer rise from fantasy alone–seeing an attractive woman or some erotic scene. Men begin to need direct penis stimulation by hand or mouth. When erections rise, they may not look/feel as firm as they were in the man’s 20s. They may also droop from minor distractions, anything from donning a condom to hearing a motorcycle roar up the street.
The good news is that EDis is a normal and natural part of aging. If older erections wilt a bit, hand massage and/or oral stimulation bring them back up again–IF the man remains relaxed and patient with himself. If the man gets stressed and anxious, this reduces the likelihood of a return to fullish erection.
Many (most?) older men are unclear on the distinction between true ED and EDis. Many mistakenly think they have ED when they experience the normal age-related erection changes of EDis. Now EDis can be disconcerting. I’ve been a sex educator for 30 years. I knew all about what happens to erections after 50. But when those changes started happening to ME, I found them unnerving. P.S. Erection medication (Viagra etc) helps treat EDis. In fact, most men who take erection drugs don’t have true ED. They have EDis.
Q: Many men fear that they can’t please a woman without an erection, or they give up on sex altogether. Is an erection necessary for sex?
MC: Of course not. As you know, women’s pleasure organ is the clitoris. Many women prefer cunnilingus to intercourse. Surveys show that only 25% of women are reliably orgasmic from intercourse, no matter how vigorous or how long it lasts. So women know that an erection and vaginal insertion are not necessary or sufficient for sexual pleasure and orgasm. But many men DON’T know this.
Q: How did men’s sexual education skip that important concept that women’s orgasms are based on clitoral stimulation, and that most women don’t need penis-in-vagina penetration for their pleasure?
Most men get most of their sex ed from pornography. Porn is totally penis-centered. Porn actors have monster cocks, which makes normally endowed men feel they’re “too small.” Mainstream porn includes a bit of massage and cunnilingus, but it’s mostly about sucking and fucking, so that’s what men come to believe sex is all about.
I’ve spent my life as a sex educator and counselor trying to persuade men that they’ll have better sex and get better reviews from women if they ditch their preoccupation with their penis and focus instead on leisurely, playful, whole-body, massage-based sensuality. But compared with porn, which is viewed overwhelmingly by men and is by far men’s #1 source of sex ed, the combined voices of every sex expert on earth amount to a little whisper in the hurricane of porn porn porn.
Here’s where I plug my book, Great Sex. Its message to men: If you want great sex, if you want women to sing your praises as a lover, stop trying to imitate porn. In fact, do the opposite of what you see in porn. Not only will she be happier, you will be, too. You’ll enjoy sex more and have fewer sex problems–more cooperative erection and better ejaculatory control.
Michael Castleman, M.A., is the author of twelve books, including Great Sex
: The Man’s Guide to the Secrets of Whole-Body Sensuality and Sexual Solutions: For Men and the Women Who Love Them. From 1991-95, he answered the sex questions submitted to the Playboy Advisor. Visit his website about sex after midlife, http://www.greatsexafter40.com//.
Viagra “not a sack of cement installer”
I’m writing the chapter about cancer and sexuality for my new book, Naked at Our Age: Talking Out Loud about Senior Sex. The stories people sent me about reclaiming their sexuality after cancer treatment fill me with admiration. I looked back at some older posts on this blog that deal with sex & cancer, and decided to bring back this one from 2006. With the prevalence of Viagra use, I think BillyBob’s experience and his thoughts about it are important. – Joan
BillyBob, age 62, has told some of his story previously as a comment here. He recently sent me an email detailing an experience that he wants to share — and he makes an important point:
I started dating a lady I have known for a year, mostly through phone conversations. I knew that she likes sex. Last weekend we went for dinner. After dinner she wanted to go back to my place for a while.
Well, as it turned out, it was the most embarrassing time I have ever had, all because of a misconception some woman have about impotency.
I took a Viagra after we got back to the motel hoping it worked fast! It did its normal thing and got me sexually aroused but not 100%. She knew I had to take it because of the prostate cancer killing my prostate.
Here is where the misconception comes in. It seems that women who do not know about Viagra seem to think if you take it you just get ramrodding hard, and they do not need to do any stimulation. Well that’s just plain wrong. Men still need stimulation along with the Viagra. The drug is not a sack of cement installer.
And I was not about to masturbate myself in order to get it hard. Not in the presence of a woman.
So as it turned out she turned me off instead of on. What a bummer. It was so disappointing. I had looked forward to our meeting for some time. And the possibility of finally enjoying good sex with some one that likes sex.
All a woman needs to know about the drug is that you do things as normally, using stimulation together. So please tell your readers what my experience was.
BillyBob, thank you for sharing this experience. Viagra helps when there’s a physical cause for lack of erection, as you know, but it doesn’t increase libido, or substitute for all those other crucial components of good sex that you (and I, and probably everyone reading this) crave — touching, kissing, bonding, stimulating each other physically and emotionally, enjoying each other’s pleasure as well as our own.
It sounds like most of this experience was missing for you. What a bummer, I agree. I’m sorry you didn’t feel you could communicate your needs and desires to your partner — I don’t know, maybe she would have been happy to help you get aroused if she had understood. It’s hard to understand why she didn’t seem interested in stimulating you just as part of the sex play (with or without Viagra), since that’s a good part of the fun of sex.
I know you were too embarrassed to masturbate in front of her when she didn’t help arouse you, but as a woman, I find it very pleasurable and exciting to watch a man stimulate himself. I don’t know if your partner would have reacted this way, but I’ll bet she would have.
If you see a future or at least a repeat date with this woman, I hope you’ll communicate candidly with her before you get to “the act.” And please continue to write.
Thank you again, BillyBob.
— Joan
Is there a Mr. Mean in your life? Interview with Jed Diamond
For more than 40 years, therapist Jed Diamond‘s personal and professional life has revolved around helping men and the women who love them. In his new book, Mr. Mean: Saving Your Relationship from the Irritable Male Syndrome
, he offers advice for women bewildered by a male partner’s irritability, anger, and withdrawal. He explains the reasons, the dynamics, and what she can do to help.
Irritable Male Syndrome (IMS), in Jed’s words, is “a state of hypersensitivity, anxiety, frustration, and anger that occurs in males and is associated with biochemical changes, hormonal fluctuations, stress, and loss of male identity.” Men with IMS will often take out their frustration and anger on their partners.
I interviewed Jed Diamond about IMS and how it might affect you and your relationship:
JP: You talk about IMS as starting in midlife. How does it progress through the senior years if steps aren’t taken to change it?
JD: Although IMS can occur at any age. It is most prevalent at midlife. The four main causes include: Hormonal fluctuations, changes in brain chemistry, increased stress, and confusion about male identity and roles. I recommend, for instance, that all men have their hormone levels checked throughout their lives, but particulalry as they reach mid-life. For many men, drops in levels of testosterone or other hormone imbalances can cause real problems with sexuality and health. With these issues are not addressed at mid-life, men become grumpier, more irritable, withdrawn, frustrated, and angry as they age.
JP: Describe Mr. Mean.
JD: I use the term “Mr. Mean” to describe men who have not dealt effectively with Irritable Male Syndrome. These men are often driven by aggression, either expressed directely, or more often suppressed. As a result they often seem: Grumpy, angry, gloomy, impatient, tense, hostile, lonely, and stressed. They don’t seem comfortable in their own skin. They may drink too much, become consumed with their work, or escape in other ways.
JP: How is Mr. Mean’s partner reacting to this?
JD: She often feels like she is “walking on egg shells.” She doesn’t know how he will react. Sometimes he is easy going, loving, and tender. But he may also fly off the handle and react with anger. Or he may simply withdraw into hostile silence. She may go out of her way to be kind and understanding, but she is confused about what is going on with him. It may seem like she is living with a partner who can change from Dr. Jekyll to Mr. Hyde. Without help and support, she can feel increasingly alone and hopeless.
JP: How does IMS affect the couple’s sex life, especially in the senior years?
JD: A good sex life rests on the foundation of safety and trust. If a person can act like Mr. Wonderful on one occassion and Mr. Mean on another, its difficult to feel secure or intimate. Without intimacy, sex either becomes more of a duty than a joy, or it occurs less and less often and the relationship suffers. Without the hormonal intensity of youth, sex relies even more on caring, trust, and intimacy. Irritable Male Syndrome can undermines that trust.
JP: How does the woman typically react when this change happens in their sexual relationship?
JD: Most women I counsel feel very confused. They don’t understand what is going on with their partner. He may often blame her for things he feels she isn’t doing right. She often feels “battered” by his stormy reactions. He may be very demanding sexually or he may totally ignore her. He often feels like she is riding a roller-coaster that is in danger of going off the rails. She often is desperate to reclaim the calm she may have rememebered and to get back to the joy and intimacy they may have had in the past. If the couple can talk about what is going on, there are many things they can do together to reclaim the good feelings that may have gotten lost.
JP: Give us some tips for talking about sex when this is going on.
JD: Before a couple can talk easily about sex, they have to feel a level of trust. If the trust is being undermined by IMS, that needs to be dealt with first. If hormone levels are out of balance, they need to be brought back in line. Hormone replacement therapy can be considered, but men can also benefit from changes in diet, exercise, changes in mind-set. Often men at this age need to reclaim their vision of who they are and what they have to contribute in the world. Women often support each other in finding the generative qualities of aging. Men need to learn to do that as well.
JP: Many of my readers are single at age 50-80+ and are dating. Are single Mr. Means out there dating? If so, at what point in a new relationship does IMS start showing itself?
JD: For some, we can see the following kinds of traits very quickly. The man is often annoyed, touchy, jealous, irritable, and negative. For others, he may give the appreance of being easy-going and upbeat, but the IMS qualities come out later. Other men are genuinely joyous, but there may be new changes that can trigger IMS symptoms. His hormone levels may drop too low. His diet may be bad and he may put on extra weight. He may not be exercising. There may be physical and emotional losses that may be difficult to deal with. The key for the man, and for those who care about him, is to learn about the positive things that can be done to stay healthy and joyous throughout our lives. We are given the gift of these years. We want to use them wisely and well.
===
Jed Diamond, PhD, author of Mr. Mean: Saving Your Relationship from the Irritable Male Syndrome
Sex Toys for Older Men
We agreed that this information is too important to keep it under wraps until Naked at Our Age comes out in Spring 2011, so we’re rushing it out to those of you who can use it. “Sex Toys for Older Men” was published first in Good Vibrations Magazine, then here, with Charlie’s permission.
Sex Toys for Older Men
By Dr. Charlie Glickman
We’ve been getting some inquiries lately about sex toys for older men. I think it’s great when guys start exploring their sex toy options, and there are plenty to choose from.
One of the most common questions I hear from older men is “can a cock ring make my erection harder?” And the answer is “sort of.” Cock rings work by trapping blood in the penis, so they sometimes make one’s erection firmer or a bit larger while wearing it. Many men like the squeezing sensation that cock rings provide and they can also make orgasms more intense. Some men find that rings make them take longer to orgasm and others find that the extra sensations make it happen sooner, so you’ll need to experiment. Cock rings can be worn during solo sex or with a partner- if you want to use it during penetrative sex, you may need to move the snaps to the side so they don’t irritate your partner. And it’s worth noting that if you’re concerned about erection difficulties, it’s worth getting checked out by a sex-positive doctor first. With some medical conditions, cock rings can actually cause damage! Please read our info and safety tips here.
Sleeves are another great way to explore different ways to play, on your own or with a partner. If you tried one years ago and were disappointed, you should know that the technology has improved a lot. Some are pre-lubricated and disposable (great for traveling), others are high-tech with inner workings that are designed for maximum pleasure. There are silicone models, which are easy to clean, and elastomer versions, which are less expensive. Using a sleeve with a partner is a great way to add a little fun, especially when health issues or other concerns limit the kinds of sex they can do. Plus, it can be lots of fun for partners to watch you pleasure yourself and put on a show for them.
Let’s not forget how much fun prostate play can be! While some men have concerns about anal play, I always point out that where your nerve endings are has nothing to do with sexual orientation. And lots of guys have discovered that prostate massage feels great and can even help an reduce the size of an enlarged prostate. We have lots of prostate toys like the Aneros, the Naughty Boy, and the Pro Touch. If you’re curious, check out our info in exploring anal play and prostate play basics.
Although some folks have the idea that sex toys are just for women, I think it’s great when men let go of that and discover how many options they have. After all, that opens up plenty of new possibilities for you to experience pleasure, so don’t hold yourself back. You may be surprised at how much you enjoy them.
– Charlie Glickman, PhD, is the Education Program Manager at Good Vibrations . He offers workshops and classes on a wide range of sexuality topics including sex-positivity, sex & shame, sexual diversity and practices.