VIAGRA ERECTION

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October 30, 2006

Men — and women — who use it rarely talk about it openly. But in the U.S., an estimated 34% of all men ages 40 to 70 — about 20 million men — suffer from some significant level of erectile dysfunction. Most of them, about 80%, never seek treatment.

That may change next year, when two chemically similar rivals to Viagra are expected to hit the market, further fueling interest in ways to treat erectile dysfunction. And new markets for the drug are on the horizon. Studies are showing that the drug not only can help some women, but may also work as a preventative, helping healthy men to stave off impotence.

So, from doctors who prescribe it and people who use it, here are the answers to the Viagra questions many people wonder about — but rarely ask.

What Happens When a Man First Takes a Viagra Pill?

Absolutely nothing. Pfizer Inc., the maker of Viagra, long has said the drug isn’t an aphrodisiac, but many men who take it still expect to feel something.

They don’t. Among several men interviewed who have used the drug, not one of them experienced any feeling or sensation after taking the pill. The nothingness is so intense that the most common reaction is a slight panic that the drug isn’t going to work.

“That was my worst fear, that it wasn’t going to do anything,” says Steve Brykman of Los Angeles, who tried Viagra once nine months ago, when he believed job and financial stresses were interfering with his sex life. After taking the pill, “there was nothing at all,” says Mr. Brykman, 33 years old. “I just felt completely normal.”

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Though you may not feel anything, things are happening in the body. As the pill moves into the bloodstream, it starts to block an enzyme called PDE-5. Blocking the enzyme eventually increases blood flow to areas where PDE-5 is most heavily concentrated — the penis, nose and skin. Diminished blood flow to the penis is the cause of most erectile-dysfunction problems.

So How Do You Get It to Start Working?

Viagra gets the blood flowing, but your brain has to be in the mood as well. “The biggest misperception is that it changes your psychology and makes you want sex,” says the editor of which claims to document the experiences of real people who take Viagra. “But if you’re sitting talking to Grandma and you pop a Viagra, unless you have issues, nothing’s going to happen.”

Viagra takes about 30 minutes to kick in. Men who don’t normally have problems, or who have only mild dysfunction, say it takes only a minor stimulus — such as the brush of a hand that wouldn’t cause arousal under normal circumstances — to trigger an erection.

For men who have serious erectile dysfunction, getting things going may still require extra effort, partly because of nervousness or embarrassment about unsuccessful past attempts at intercourse.

Because Viagra doesn’t increase desire, it’s not prescribed for men with desire disorders, such as a low sex drive. However, if the man has lost interest in sex because he has had problems with erections in the past, Viagra may help.
Then again, there’s always cialis.

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Genetic therapy for a troubled sex life

October 27, 2006

A NEW form of gene therapy could be used to treat impotence in diabetic men.

Research in the US has shown that replacing a faulty gene in rats with the equivalent of diabetes can improve their erectile function, suggesting that a similar approach might be useful in diabetic men.

About 70 per cent of diabetic men suffer from impotence at some point, and about half of them do not respond well to standard drug treatments such as Viagra. An effective gene therapy could be given as an injection, which might last about a month.

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In the study, a team led by Jesse Mills, of the University of Colorado Health Sciences Centre, in Denver, first induced diabetes-like symptoms in male rats, which developed erection problems as a result. The researchers then injected the animals’ penises with extra copies of a gene involved in the growth of a key signalling chemical that is important to erections.

Diabetic rats that were given the gene therapy showed a significant increase in erectile pressure, compared with control animals. Dr Mills is now planning to conduct human trials of the technique, which he hopes will be ready for treating patients within five years.

Dr Mills told the American Society for Reproductive Medicine conference that the gene therapy coupled with Viagra could restore 92 to 93 per cent of erectile function. He said: “We envision that diabetic men will be able to visit the clinic for an injection and for a month after they’ll be ready to go.�

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Sex: There’s life after 50

October 24, 2006

It’s rare there’s a subject where sex doesn’t figure big time.

But retirement is one of them. Sadly.

That’s in North America, anyway, where retirement seems to be all about money, money, money.

In fact, the monetary message is thrust at us endlessly via advertising and the media and has increased in momentum as the relatively wealthy and numerous Baby Boomers near retirement age.

Yet, as much as the world doesn’t seem to want to think about it — or believe it — older, retired or close-to-retired people have sex, like sex and think about sex — a lot. In fact, the truth is they’re a very sexy bunch.

Okay, so maybe not so much the Baby Boomers.

Rather than jumping between the sheets as often as possible, recent surveys indicate they’re not having much sex nowadays.

They’re too exhausted — burned out earning money for retirement? Or maybe too numbed on the sofa watching television.

But although the Boomers’ libido and, presumably, other parts may be flagging, there’s actually no medical reason why most people, male and female, can’t be sexy and sexual for most of their life.

And most mid- and late-life folk are. After all, the biggest growing demographic of singles looking for a relationship these days is the 50 plus group. And they’re not just wanting to hold hands.

But sexuality in later life is, of course, dependent on health and functionality. And one of the most common afflictions of the aging male population is impotence (it’s estimated that 52% of men over 40 worldwide suffer from erection problems). This has made pills, such as Viagra, household names. But the pills, (I call them Lazarus pills, ’cos they raise the dead), have brought with them a new set of problems for older people, especially retirees.

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It’s true they enable many men who’ve had long term erection problems, to perform again. Which is a joy for them. But in late life this can sometimes pose difficulties for their long-term partners.

Having your guy bound home one day clutching a bottle of pills and announcing, (after many years of abstinence), that you’re both going to go “at it� like bunnies, can be a disturbing and disruptive element to a woman’s retirement vision.

In fact, divorce lawyers state a relatively new phenomenon is the Viagra Divorce. It’s where the female partner refuses to renew sexual activity and the male decides he wants a divorce so he can be free to find someone who will agree.

But although this may be a new phenomenon with latelife lovers, once they scamper out there newly single, they appear to be unaware there’s other sexual hazards to consider. Rampant STDs Doctors report sexually transmitted diseases among older folk, and even senior citizens living in retirement communities, is running rampant.

A news story on local6.com states that a gynecologist at The Villages retirement community near Orlando, Fla., says she treats more cases of herpes and HPV (human papilloma virus) in the community than she ever did in the city of Miami.

Dr. Wilfred Steinberg, a gynecologist at St. Michael’s Hospital in Toronto, says the surge in older folk contracting STDs is a growing but relatively new trend, due to the fact, he says, that many of them just aren’t “street smart� about STDs.

“They’ve often come out of long-term, mutually monogamous relationships and have never had to face these issues before.�

But whatever the sexual minefield awaiting them when they become single, for many of retirement age, single or attached, sex is as important as ever.

Good for them.

So, with a bunch of street smarts, a bottle of pills and the fact we’re living longer and healthier, retirement is beginning to look a load of sexy fun!

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Erectile Dysfunction Drugs Being Dropped by Medicare Drug Plans

October 19, 2006

Seniors finding Viagra, Cialis and Levitra have disappeared

October 17, 2006 – Senior citizens checking out the new Medicare drug plans for 2007 have found, what for many, is disturbing news. Erectile dysfunction, which primarily plagues senior men, is dropping off the Medicare radar and many – probably most - of the plans will not cover the treatment drugs for this condition in 2007. Viagra, Cialis and Levitra are drugs seniors are just not finding on the formularies.

Senior Citizens Pay More for Drugs Because Congress Refuses to Allow Medicare to Negotiate Like VA

Consumer Union finds seniors in donut hole can do better shopping around for best price

October 12, 2006 – Consumers Union released a report this week highlighting a study that found senior citizens who have fallen into the Medicare Part D “donut hole” can get better prices shopping around than through their Medicare drug plan. The headline was “Floridians in Medicare Donut Hole Can Get Better Drug Prices.” What the headline should have been, however, is “All Senior Citizens Paying Big Drug Price Because Medicare Does Not Negotiate Prices Like Veterans Administration.” Read more…

Medicare Releases 2007 Drug Plans Available in Each State

Links below will take readers to their state plans available for enrollment Nov. 15

September 29, 2006 – The Medicare drug programs available for 2007 in each state were released today by the Centers for Medicare and Medicaid Services. Check the link in the sidebar on this page to find the information for your state. Open enrollment begins November 15. Those satisfied with their current plans do not have to take any action but CMS says in 2007 there are new options with lowers costs and more comprehensive coverage. Read more…

Read more on Medicare Drug Program or Medicare

This news break came in a story by Mary Jo Feldstein in the St. Louis Post-Dispatch, who writes, “Most Medicare prescription drug plans will stop covering Viagra and other erectile dysfunction medications next year.”

In older men, ED usually has a physical cause, such as disease, injury, or side effects of drugs, according to the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK). Any disorder that causes injury to the nerves or impairs blood flow in the penis has the potential to cause ED.

The American Urological Association agrees, saying, “By far, the most important cause of the development of ED is the presence of illnesses like high blood pressure, diabetes mellitus, high cholesterol levels and cardiovascular disease.

“These processes, acting over time, can lead to a degeneration of the penile blood vessels, leading to restriction of blood inflow through the arteries and also to leakage of blood through the veins during erection.”

Incidence increases with age: About 5 percent of 40-year-old men and between 15 and 25 percent of 65-year-old men experience ED. But it is not an inevitable part of aging, the NIDDK says. It is more likely the result of other illnesses that frequently strike senior citizens.

ED is treatable at any age, and awareness of this fact has been growing, states NIDDK. More men have been seeking help and returning to normal sexual activity because of improved, successful treatments for ED.

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But, despite the need for relief by millions of senior men suffering with this condition, the drugs are coming off the formulary list of the Medicare drug plans.

Several insurers who run the drug plans said they supported the change, according to the Post-Disptach. Dr. Charles Willey, chief executive of Essence Inc. of Creve Coeur, one of the insurers, said paying for the medications was not the best use of the nation’s limited health care dollars.

“We have to decide what our priorities are,” said Willey, whose Medicare Advantage plan offers drug, physician and hospital coverage under one benefit, according to the newspaper.

All plans are not dropping the drugs. The Post-Disptach says UnitedHealthcare Corp., for example, has one Medicare plan that covers the drugs but its others do not.

The newspaper article says Medicare will continue to cover the drugs if they’re used to treat other conditions, such as pulmonary hypertension, for which they’ve been approved.

There was opposition in the first year of the Medicare drug program to adding the ED drugs to the coverage. Much of the opposition was based on the cost. The Congressional Budget Office estimated coverage of the drugs would cost Medicare almost $2 billion over 10 years. The American Urological Association and drug manufacturers encouraged the inclusion of the drugs.

The Department of Veterans Affairs, which covers erectile-dysfunction medications, negotiates discounts on drugs, a tactic Congress has denied Medicare, and they have achieved discounts of up to 50 percent for the ED pills, which usually cost $9 to $11 each.

Many are concerned that the lack of access to these drugs may lead men to dangerous solutions. The American Cancer Society points out that “men and women seeking help for a sexual problem often go to someone who is not really a health care professional. Sexual problems are so common and upsetting that many will try unproven remedies or cures.

“Although there is no evidence that any of the following can cure a sexual problem, they are often said to be cures: potency pills (such as “poppersâ€? or “Spanish flyâ€?), oysters, “exercisersâ€? that fit inside a woman’s vagina, hypnotism by someone not trained as a mental health professional, or visits to an independent “sexual surrogate.â€? Pursuing such treatments not only wastes your time and money but can sometimes be harmful.”

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The Big O: Toys for boys

October 16, 2006

Many a gay man has that special drawer or toy box where he keeps his sexual paraphernalia. Of course, the most common items found are condoms and lube. But what other gadgets are guys using in the playroom? Let’s take an inventory of the most frequently found gay sexcessories:

The cock ring

The cock ring is a ring, strap or string placed tightly around the base of the penis or the balls to restrict blood flow. It’s intended to help keep the penis hard and engorged, although some guys just like the look or feel of wearing one. The ring can be placed around the penis and balls, just the penis, or just the testicles.

* The single-strap cock ring is a flat leather strap with several snaps or Velcro. It’s adjustable and easy to snap off. Some men shave at the base to avoid the strap getting tangled and pulling the pubic hair.
* Non-adjustable rings are made of aluminum or stretch rubber and come in various gauges and sizes. The penis needs to be flaccid to put this style of cock ring on or to take it off.
* Careful with metal cock rings — the cocksucker can bust his lip on it!
* Wearing one too tight for an extended period of time may cause damage to the blood vessels at the base of the penis.
* Not recommended for men with diabetes or nerve disease.
* With the advent of erection drugs like Viagra, cock rings have become less popular.

The dildo

A dildo is a penis-shaped object commonly used for anal stimulation and penetration. They are often made of vinyl or rubber, but there are all sorts of dildos out there; different colors and skin tones; celebrity models; and different textures, from vein-covered to smooth.

* Beginners should try a smaller size first.
* Use plenty of lube.
* Using condoms on dildos makes it much easier to keep them clean. For safer-sex reasons, dildos should not be shared.
* Most guys tend to use their hands to hold and maneuver the dildo, rather than a harness.
* When used solo, a dildo with a handle or a suction cup can be useful.

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The butt plug

An anal plug, or “butt plug,” is similar to a dildo, but differs in that it is typically shorter and designed to stay in the ass for a while. They are usually shaped like a triangle plug with a wide base to prevent them from slipping up or shooting out.

* Butt plugs are useful for training the sphincter muscles to relax and can often be used to warm up the ass for deeper penetration.
* Some are designed to specifically stimulate the prostate.
* One interesting variation is the butt plug with long hair attached to the base for use in human pony play or other animal-fantasy role-play. (Now that’s another whole article!)

Nipple clamps

A nipple clamp is a clamp used to stimulate the nipples by applying varying degrees of pressure. The main purpose is to provide constant, intense nipple stimulation. They are often used in certain BDSM activities.

* Any device that can be used to apply direct pressure can be used as a nipple clamp, such as a regular clothespin or an alligator clip.
* Sometimes weights may be hung from the clamps to increase the force on the nipples. This also discourages the clamped person from moving suddenly (for example, while being spanked).
* Tweezer clamps consist of two short lengths of metal and have a small ring used to adjust the tension.
* The clover or “butterfly” clamp has the ability to provide increasing tension if pulled on. If a cord is tied from the clamp to a fixed place, the wearer of the clamps cannot move away because the clamps will tighten as they try to move.
* Use of nipple clamps also helps to enlarge the nipples and with regular use the nipples will become more protruding and often will increase in sensitivity. Use of nipple clamps is one way to increase the mind-nipple connection.

Handcuffs

After nipple clamps, the most basic BDSM toys that gay guys tend to use are handcuffs. A handcuff is a type of restraint, typically used to immobilize the wrists together. Handcuffs are a type of bondage toy whose effect tends to be psychological as well as physical. One guy has gained more control or power, and the other has surrendered some — creating dominant-submissive roles.

* Handcuffs come in all sorts of style and size; metal ones may have fur or velour for a soft restraint
* Often used to restrict the arms to the bedposts or above the head, or wrists bound together behind the back or in the front
* Rope, cloth, and leather are also often used to tie up the wrists. SportCuffs lined with neoprene have a quick-release Velcro closure and protective padding around the wrist
* Silk ties can be difficult to remove quickly, especially if moist. Keep a pair of scissors handy.
* Make sure the activity is consensual and that there is trust in the dynamic.
* Bones and ligaments in the joints are delicate — so be careful not to use weight or tight strictures
* Make sure not to cut off the circulation; always check the hand to see if circulation is in the fingers

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Life on Ramsay Street

October 11, 2006

He’s a former professional footballer, a Michelin-starred chef, a bestselling cookbook creator, a television celebrity and the author of a just-released autobiography, Humble Pie. But what’s made Gordon Ramsay really famous - the reason that people adore watching him - is his foul mouth. Ramsay is a one-man, plate-hurling, swearing machine.

Only, what’s coming down the phone line from London ahead of his Australian promotional tour is polite, even charming. He says the quality of Australian produce excites him and that he’s worried that, if he ever stayed here too long, he wouldn’t be able to leave.

Well, what about the restaurant he’s opening in New York in November? The New York Times has already expressed doubts as to whether Ramsay can bring anything new to the city, surely a provocative statement.

But no, Ramsay sounds humble and thoughtful when he says, “New York is a huge one, the biggest opening of my career. But I’m not going out with an arrogant stance.” He adds that success in the Big Apple will come from attention to detail and a “very clean and clinical distillation of pure flavours”.

Ramsay says he takes his inspiration from French chef Alain Ducasse, who runs numerous award-winning restaurants worldwide. So after he’s conquered New York, a Ramsay restaurant will open in Florida, then Los Angeles, Prague, Amsterdam and Dublin. What about Australia? No, he says, no plans for that.

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His global ambitions come on top of nine London restaurants, consultancies in Dubai and Tokyo, TV series in both Britain and the US and regular newspaper columns.

As well as Humble Pie, Ramsay has just released his 10th cookbook, Sunday Lunch. He’s also been signed up for an episode of The Simpsons, though he won’t be drawn on what he’s teaching Homer to cook. If this isn’t enough, there’s also the Gordon Ramsay collection of white china from Royal Doulton, which apparently brings “the fine dining experience of Gordon Ramsay restaurants to the home tabletop” - for as little as $277 for two-place settings.

This isn’t cooking, this is empire building. Ramsay’s 40th birthday is next month, how’s he going to have a proper mid-life crisis, with all this going on?

“Well I won’t be needing any f—ing Botox,” he says. “By the time I reach 40, I’ll look my age for the first time in my life,” he continues, referring to his deeply lined face. “I don’t have any guilt, I’m not riddled with any form of shame and I’m focused. I push myself to the absolute limit and get excited under pressure, so I hope I can have my mid-life crisis at 82 when I need to take Viagra because I no longer get a hard-on naturally.” He pauses.

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A legal teazer

October 10, 2006

Many readers will know that the Appeal Committee of the ASA last week ruled that all but one of Teazers’ billboards were acceptable (Teazers is apparently some sort of strip joint – like we’ve never been!) The billboards which were deemed acceptable contained:
# A picture of a guava which apparently looked like buttocks (hope you’re not reading this over breakfast!);

# A picture of a kitten which was apparently meant to bring to mind that word which children once used to describe young cats, but is now only used by dumb foreigners, usually in a sentence like “My, but you have a wonderful little p….�;

# An oyster which apparently resembled (no we don’t even want to go there, and we’re certainly never eating oysters again!);

# A picture of a pole dancer (apparently a different profession from a pole vaulter) with the words “always in pole position�;

# A picture of a sartorially challenged lady with the words “not your average lounge� and “girls that stop traffic.�

The one billboard which wasn’t acceptable featured a photo of a bikini-clad lady with her hands in her pants apparently attending to an itch, a perception confirmed by the presence of the words “itching for action�. In a country where smut is often mistaken for humour, and a Joburg construction company proudly uses the phrase “Another great erection by…� on its site billboards, it’s pretty average stuff.

A not inconsiderable 23 people (mostly of the female persuasion judging by the names) objected to the billboards. They said that the billboards were irresponsible, offensive, stereotypical and demeaning to women, harmful to children, distracting to husbands (sorry, we made the last one up!). In a remarkably brief ruling, the Appeal Committee said that the Constitution is the supreme law of the country and that the ASA code must be interpreted to promote the spirit of the Constitution. Although every right given is subject to limitation, the limitation must be reasonable and justifiable in an open and democratic society. In this case, the right in question was of course freedom of expression, a right which includes commercial advertising.

We actually agree with the ruling, but it’s a great pity that the Committee didn’t go into this matter in more detail, because it really is quite difficult to extract much from it. It dealt with the offensiveness objection absurdly quickly – it simply said that the issue cannot depend on the views of a particular individual or a particular section of the community, but it must rather be looked at objectively by the hypothetical reasonable person who is neither hyper-critical nor over-sensitive. So, in a flash, 23 perfectly nice and sane people were declared unreasonable.

The Committee spent slightly more time on the gender stereotyping issue, but if you were to ask us to explain the reasoning we’d struggle. It was something to the effect that no-one was forced to appear in the ads, the ads weren’t intended to lower the dignity of the models, therefore they weren’t demeaning to women… no sorry, can’t do it!

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Insofar as harm to children was concerned, the Committee seemed to say that if there were in fact any children who could make the connection between the oyster and that other thing, they’d be way beyond saving anyway – another way, perhaps, of saying ours are all grown up now so who cares! An issue which did seem to grab the Committee’s attention was the fact that Teazers operates a legal business – the inference being that if the business is legal it must be OK to advertise it. We sincerely hope that this reasoning isn’t taken to its logical conclusion.

Viagra’s a perfectly legal product, but if we ever see a billboard featuring a photo of a buck-naked old codger beaming with pride and saying “Look Agnes it works�, we’ll be the first at the ASA.

The Committee did acknowledge that billboards pose a particular problem in that, unlike late night TV ads, you can’t really decide not to look at them. The Committee went on to say, however, that it has no particular power to prohibit advertising on billboards, something which it feels should perhaps be looked at when the Code is next reviewed. And it’s right about the problems posed by billboards! Anyone who owns a young child and has ever had the misfortune to drive past one of those huge LITTLE HOLLAND billboards in Joburg will know that it invariably leads to a conversation which goes something like this:

Child: What’s Little Holland?
Parent: It’s um, er, um… it’s a little country in Europe.
Child: Well it must be jolly hot there, the ladies wear very few clothes

Which leads us on to the point of this newsletter – is there still any scope for an offensiveness objection? A few months ago, in the Virgin Mobile ‘Heaven’ matter, the ASA ruled that it’s OK to offend religious sensitivities (although we still maintain that the result might have been different had a religion, less meek and mild than Christianity, been involved). It’s now held that it’s acceptable to offend those of a somewhat prudish disposition. So exactly who must be offended before something is offensive? And how many people need to complain before it becomes a general issue? And if it is just about impossible to fall foul of the offensiveness section, should it not be removed from the ASA Code altogether when it’s next reviewed.

Leave issues like this up to the ordinary courts, and let the ASA concentrate on what most people think it’s there for anyway – consumer protection issues like misleading ads. Just a thought!

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