Category Archives: Healthy Aging

abnormal-sexual

Penile anatomy and radiation therapy for men

December 9, 2016
Penile anatomy

Penile anatomy and radiation therapy for men suffering from sexual complications

Penile anatomy and radiation therapy for men: Erectile Dysfunction

Doses greater than 20 Gy (2000 rads) are frequently associated with large vessel injury meaning that, patients being treated with radiation for prostate cancer are receiving in excess of 70Gy. The wider the field of radiation, the less likely are blood vessels to recover. Given that the erection (cavernosal) artery is the only artery giving rise to erection, radiation exposure to this system may severely limit blood flow into the penis. It is therefore necessary that when you have been taken through this treatment procedure, you will need to seek medical help from the erectile dysfunction experts. And that is where doctor Dalal Akoury an experienced medical professional in this line for more than two decades now comes in. Calling her for appointment will be the starting point and upon evaluating your condition in private and confidence she will administer the correct treatment which will leave you well, comfortable and full of fulfilled sex life again. You may have not known and so it is essential to understand the penile anatomy and how it relates to the prostate gland even as you consider this type of treatment “radiation therapy”.

  • The prostate gland sits above a band of muscle (urogenital diaphragm) and it is separated from the back portion of the erectile body (crus) only by a distance of less than one centimeter.
  • The urethra (urine channel) passes between the two erectile bodies into the bladder and as it does this it is known as the bulb of the penis.
  • It is important to understand that the bulb plays little if any role in the development of or maintaining erectile firmness and it is the tissue within the true erectile bodies (corpora cavernosa), which when damaged leads to erectile dysfunction.

Penile anatomy and radiation therapy for men: Radiation in the pelvis area

Various studies have established that during 3D conformal x-ray therapy a significant dose of radiation is delivered to the back portion of the erectile bodies that is about 30% of the entire dose of radiation received by the prostate. Radiation therapy in the pelvis area of men can cause ED in 3 possible ways:

  • Arterial damage may block blood flow or damage the lining of the blood vessels that carry blood to the penis
  • Nerves in the pelvic area may become permanently damaged
  • Erectile tissue may be damaged, reducing blood flow to the penis or causing leakage of blood from erectile tissue (venous leak) during an erection

Some of the sexual side effects after radiation therapy may include the following:

  • Inability to achieve or maintain an erection (erectile dysfunction)
  • Weaker, less satisfying orgasms
  • Pain during ejaculation (although this usually goes away within weeks)
  • Dry orgasm or retrograde ejaculation (orgasm without the discharge of semen)
  • Less semen ejaculated

The technicalities and emotional pains involved when one is suffering from erectile dysfunctions must not be allowed to frustrate your relationship or your sex life. That is why doctor Dalal Akoury an expert in this discipline founded AWAREmed Health and Wellness Resource Center to help you redeem your sex life. All your concerns will be address in confidence and with utmost professionalism if only you can schedule an appointment with doctor Akoury today.

Penile anatomy and radiation therapy for men: Erectile Dysfunction

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women-sexual

Tobacco smoking effect on sexual health

December 9, 2016
Tobacco smoking effect

Tobacco smoking effect on sexual health besides causing other serious health complications

Tobacco smoking effect on sexual health: Sexual arousal adversely affected by smoking

This is not going to be the first time we are addressing issues concerning tobacco smoking effects on humanity. This is a dangerous substance in all dimensions. Previously I had mentioned that sex is one of the most human valued assets for pleasure and needs to be protected by all means. I want to make emphasis over the same even as we settle into this discussion. There are a number of elements that causes hindrances to sexual satisfaction. Tobacco smoking effects is not left out in this. And having pointed out that all the problems affecting both men and women sex life has solutions when addressed in good time by the experts at AWAREmed Health and Wellness Resource Center under the able leadership of doctor Dalal Akoury. For over two decades now, doctor Akoury has been outstanding in administering real life treatments using the new technological methods or Priapus Shot for men and the O Shot for women. It will not matter what is causing your sexual dissatisfaction whether it is tobacco smoking effects or otherwise, all that is causing your discomfort will be addressed professionally if you can call her now.

If you have been following the link by now you must have known that sexual arousal requires good blood circulation in the body for proper and sustained erection during the process of sexual intercourse, yet tobacco exerts a negative effect on blood circulation by constricting blood vessels. Several studies have been done on this and most of their findings have established that smoking has a negative impact on the arousal phase, erection and lubrication. It is primarily for this reason that tobacco is harmful for sexual health in the medium term. However, we now know that numerous substances contained within smoke may also exert a more immediate effect, leading to a significant reduction in erectile capacity after just a puff of one cigarette. Besides effects on the sexual life cigarette smoking can also negatively affect fertility, promote certain sexual diseases and lead to an early menopause.

Tobacco smoking effect on sexual health: Nicotine dangers to your sexual health

The connection between long-term smoking and arousal disorders (erectile dysfunction or lubrication problems) is well known and has been demonstrated. Although it is true that sexual health problems may be caused by many things, it is important to observe smoking as a risk factor in itself, especially when an arousal problem suddenly develops. Smoking effectively poses certain risk to cardiovascular health and given that circulation problems are the main physical cause of erectile dysfunction, it then becomes very clear that nicotine and tobacco will have negative impact on the sexual health of a smoker thanks to their detrimental effects on blood supply.

The correlation between erectile problems and cardiovascular illnesses, as well as the constriction of the penal arteries, underpins the concept of the “sentinel symptom”, given that erectile dysfunction can be an early warning sign of broader cardiovascular illnesses. Erectile dysfunction can therefore appear several years before the first cardiac symptoms. The harmful effect that smoking exerts on the whole network of veins seems to depend on the dosage and on how long the person has smoked.

Tobacco smoking effect on sexual health: Sexual arousal adversely affected by smoking

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sex addiction

Radiation side effects after ED treatment

December 8, 2016
Radiation side effects

Understanding radiation side effects after ED treatment

Radiation side effects after ED treatment: How soon after radiation therapy are men likely to have ED?

Even with the most precise radiation therapy, it is important to appreciate that overtime there will be some radiation side effects along the journey. Under this treatment process, men may experience some erectile dysfunction (ED) for the first few months after treatment. Many of the sexual side effects of radiation are slow and gradual, and may take as long as six months to several years to appear. Unfortunately, radiation-induced ED is usually permanent.

There are a number of treatments available like early post-treatment evaluation and early institution of a trial of drug treatment as soon as the patient experiences any trouble with his erectile function. Besides these various therapies can also be applied:

  • First line therapy includes management of related medical conditions and psychological support combined with oral therapy.
  • Second line includes vacuum erection device therapy, penile injection therapy, and transurethral prostaglandin suppository administration.
  • Third line therapy is penile implant surgery.

Radiation side effects after ED treatment: Does anti-androgen therapy make erectile dysfunction better or worse?

Hormone treatment also known as androgen deprivation therapy or androgen suppression therapy for prostate cancer attempts to stop, block or remove the production of testosterone and all androgens to slow down or stop the progression of cancer. According to the experts at AWAREmed Health and Wellness Resource Center under the leadership of doctor Dalal Akoury MD, it is important to note that when hormone therapy is used on patients, it is common for sexual problems to occur within the first month following the beginning of therapy. And that is not all, other common sexual side effects with hormone treatment may include the following:

  • Inability to get or keep an erection (ED)
  • Difficulty climaxing
  • Orgasm without discharge of semen (dry orgasm)
  • Weaker, less satisfying orgasms

Having understood the magnitude of the side effects of prostate cancer treatment using radiation therapy, it will be very painful to jump into another health condition after struggling with prostate cancer. For the problems that may be associated with sexual dysfunction reach out for doctor Dalal Akoury for instant and professional medical attention today. You must not battle with erectile dysfunction because help is only a phone call away. Remember that the decision of doctor Dalal Akoury is an expert in the area of Healthy Aging, Regenerative, and Functional Medicine. Dr. Akoury specializes in advanced bio-identical hormone replacement and nutritional therapies. Dr. Akoury is a current member of the American Academy of Anti-Aging Medicine and the fellowship program in Anti-Aging, Regenerative, Functional and Metabolic Medicine. The creation of AWAREmed Health center is to help you get the best of treatment in confidence, timely and professionally. So waste no time and call her today for the commencement of your healing process.

Radiation side effects after ED treatment: How soon after radiation therapy are men likely to have ED?

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normal-sexuality

Poisonous nicotine effects on sexual health

December 8, 2016
Poisonous nicotine effects

Poisonous nicotine effects on sexual health and other very vital body organs can be life threatening.

Poisonous nicotine effects on sexual health: Physiology

It is important to appreciate the fact that the penis is not formed of bones and so the blood vessels in the penis are the ones that facilitate or cause an erection as a result to a build-up of blood in the spongy tissues of the reproductive organ. Should anything including the poisonous nicotine effects on sexual health, obstruct the arteries, the blood supply will not reach an optimal level thereby aggravating the problems. The constant flow of blood is so crucial that even a reduction of say 25% in blood supply is enough to affect the quality of an erection, whereas the supply in the coronary arteries must generally fall below 50% for physical symptoms of heart disease such as angina to become present. That is why the specialized literature now recognizes that erectile dysfunction in men of all ages can be a useful warning sign of latent cardiovascular problems. Furthermore, the most commonly used medication for treating erectile dysfunction (e.g. Viagra®, Cialis®, Levitra®) act by increasing the blood supply, which emphasizes the importance of good circulation as a major contributor to adequate sexual arousal. Circulation problems in women can also lead to an insufficient level of arousal like vaginal dryness.

Poisonous nicotine effects on sexual health: Smoking cigarette effects on erection

Among the innumerable active ingredients in tobacco, nicotine, carbon monoxide and certain free radicals are responsible for the constriction of blood vessels with a more immediate effect this has been well demonstrated by several studies in the recent past. An occasional cigarette can therefore lead to a significant decrease in erectile performance, for instance an increase of over 20% compared to a non-smoker!

The risk factor of tobacco

The high instance of smokers among sufferers of erectile dysfunction, significantly higher than in the general population (40% compared to 28%), clearly points to a straightforward correlation between tobacco and erection problems. Epidemiological studies suggest that smokers may be twice as likely to develop erection problems as non-smokers. The risk is obviously higher if we take into account the risks posed by other smoking-related conditions such as diabetes.

Poisonous nicotine effects on sexual health: Tobacco harmful effects on sexual health

As it has been established in many studies, tobacco leads to an impaired arousal phase among men and women. However, the negative effects of tobacco are not limited to arousal and erection problems. Smoking can also affect fertility, effectively decreasing it among both male and female smokers and it can also cause problems during pregnancy. The anti-estrogen effect of smoking tends to bring the menopause several years e.g. 10 years upfront.

Finally considering that cigarette smoking is also very addictive, it will be very important that the effects of cigarette smoking are sexual health is not only addressed at that level but also as an addiction problem. We are privilege that doctor Dalal Akoury is a professional in both conditions and had had a very good track record in her treatment undertakings for the past twenty years of practice. For those wishing to stop smoking and regain a functional and fulfilling sex life calling doctor Akoury will be the starting point.

It should also be noted that although sexual health problems do not generally affect life expectancy, they are more common than people think and considerably affect the overall health of an individual. Individuals suffering from such should consider reaching out for doctor Akoury who will up on evaluating their individual situations and condition will be able to subject them to proper medical treatment. Doctor Akoury founded AWAREmed Health and Wellness Resource Center a health institution with a resounding track record of success in professionalism in their understaking.

Poisonous nicotine effects on sexual health: Physiology

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Sexting

Understanding male sexual problems

December 8, 2016
Understanding male sexual problems

Understanding male sexual problems with a view of getting proper diagnosis

Understanding male sexual problems: What are male sexual problems?

If there is anything which is really affecting men’s self-esteem in today’s generation then it must be things to do with their sexuality. This is further compounded by the stigma and embarrassment associated with it that makes men to shy away from discussing their sex life with health care providers for help. Our main focus in this article is going to the understanding male sexual problems with a view of placing the kind of frustrations men go through while experiencing this condition. The truth is that problems relating to sexual functioning are common and are affecting more than half of all couples at some time. Even though sexual dysfunction rarely threatens the general physical health, it can take a heavy psychological toll, bringing on depression, anxiety, and debilitating feelings of inadequacy. Many sexual problems are actually symptoms of other serious life threatening disorders and should be assessed and evaluated by a health care provider in good time. Therefore the major categories of sexual dysfunction in men may include:

Understanding male sexual problems: Erectile dysfunction

Erectile dysfunction (ED) is a condition which is also known as impotence, it is the inability to get and maintain an erection that is adequate for satisfactory sexual intercourse. ED is a very common condition, particularly in older men. Currently it is estimated that half of all men between the ages of 40 and 70 will have it to some degree, therefore why does erectile dysfunction happen? ED can have a range of causes which can be both physical and mental (psychological).

Physical causes include:

  • Narrowing of the blood vessels going to the penis – commonly associated with high blood pressure (hypertension), high cholesterol or diabetes
  • Hormonal problems
  • Surgery or injury

Psychological causes of ED include:

  • Anxiety
  • Depression
  • Relationship problems

Understanding male sexual problems: Male orgasmic disorders

This is the male in inability to reach orgasm (climax) with a partner or the inability to achieve orgasm without lengthy sexual contact or the inability to have an orgasm during intercourse. In some cases, orgasm can be achieved only through masturbation or oral sex. Male orgasmic disorder is the interruption or lack of orgasm after sexual stimulation that should ordinarily cause one to occur. While there may be physical causes to this sexual dysfunction, therapy and counseling are recommended as part of an overall treatment program for male orgasmic disorder.

The first thing to realize about male orgasmic disorder is that there is a clear distinction between ejaculation and orgasm. Ejaculation is more of the body’s physical functions releasing semen while an orgasm is more about involuntary muscle spasms and letting go the emotional side of the orgasm. For some men, achieving orgasm during normal sexual stimulation is a problem. The causes of this disorder vary, but most suffer from similar symptoms. Because this type of problem can be embarrassing to talk about, it is important that the patient doctor confidentiality is maintained and this you can be guaranteed of at AWAREmed Health and Wellness Resource Center under Doctor Akoury’s care. It is important to note that there are many different aspects to male orgasmic disorder that need to be dealt with in order to overcome the problem and calling on doctor Akoury for an appoint will help you understand all that you may not know about your sex life. While at her office you will be treated professionally and with high standard of confidence thereby eliminating any reason of embarrassment.

Understanding male sexual problems: What are male sexual problems?

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