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For those of us who could use a little libido pick-me-up, the grocery store might be a good place to start. Like many aspects of our health, our sex drive is affected by what we put into our bodies. A few drinks and a thick steak, followed by a rich chocolate dessert, may sound romantic, but it is actually a prologue to sleep--not sex. Humans have sought ways to enhance or improve their sex lives for millennia--and have never been reluctant to spend money to make themselves better lovers. The ancient Romans were said to prefer such exotic aphrodisiacs as hippo snouts and hyena eyeballs. Traditional Chinese medicine espoused the use of such rare delicacies as rhino horn. Modern lovers are no less extravagant. In 2004, for example, according to Atlanta-based health care information company NDCHealth , Americans spent about $1.4 billion to treat male sexual function disorders alone. Of that amount, Viagra rang up $997 million in sales for Pfizer or 71.2% of the total market. Among the other drugs trying to find their way into American's bedside tables and back pockets are Levitra, which is made by Bayer but marketed in the U.S. by GlaxoSmithKline and Schering-Plough and Cialis, which was jointly developed by Eli Lilly and ICOS There is a difference, of course, between helping sexual dysfunction and arousing our passions. The problem is that, these days, there are more solutions for the former than the latter. Aphrodisiacs, for the most part, have been proved to be ineffective. Named for Aphrodite, the Greek goddess of sex and beauty, these include an array of herbs, foods and other "agents" that are said to awaken and heighten sexual desire. But the 5,000-year tradition of using them is based more on folklore than real science. "There is no data and no scientific evidence," says Leonore Tiefer, clinical associate professor of psychiatry at the New York University School of Medicine. "Product pushers are very eager to capitalize on myths," she says. Most libido-enhancing products offer short term benefit at best, according to Dr. John Mulhall, Director of the Sexual Medicine Program at New York Presbyterian and associate professor of urology at the Weill Medical College of Cornell University. Mulhall, who also sits on the Nutraceuticals Committee of the Sexual Medicine Society of North America, says: "Every year we review the literature on these compounds--these nutraceuticals like nitric oxide and ginseng--and there are none that have really been shown to be more than a placebo." When it comes to sexual function, the placebo effect is probably 30% in men and around 50% in women, he says. That means there are a lot of people out there who believe a pill they are taking or a food they are eating is doing a lot of good for them sexually. In reality, their mind is doing all the work. So, besides renting The Story of O and opening a bottle of red wine, what can people do to kick start their sex life? One thing they can do is change their diet. Soy, for example, binds estrogen receptors, which helps the vaginal area remain lubricated, and combats symptoms of menopause--particularly hot flashes. Studies have shown that soy is also beneficial to the prostate, a crucial male sex organ. Chili peppers and ginger are believed to improve circulation and stimulate nerve endings, which could, in turn, improve sexual pleasure. Foods that promote weight loss also hold libido-boosting potential. "There has been very solid research showing that obesity is a risk factor for erectile dysfunction and low testosterone," says Dr. Ridwan Shabsigh, director of the New York Center for Human Sexuality and associate professor of urology at Columbia University's medical school. "Reducing weight," he says, "results in an increase of testosterone, and thus an increase in sexual function." "From an erection stand point, anything that's good for your heart is good for your penis," says Dr. Mulhall. Too much saturated fat can, over time, clog arteries and, in doing so, prevent an adequate flow of blood from reaching the genital region. This not only interferes with the ability to perform, but also with sexual pleasure. Too little fat, on the other hand, is also bad. "You need fat to produce your hormones," says Beverly Whipple, professor emeritus at Rutgers University and president of the World Association for Sexology. "Cholesterol is metabolized in the liver, and you get your testosterone and estrogen, which you need for your sex drive," she says. Olive oil, salmon and nuts are optimal sources of the "good" kinds of fats--monounsaturated and polyunsaturated. According to Dr. Judith Reichman, author of I'm Not in the Mood: What Every Woman Should Known about Improving Her Libido, medical and hormonal problems are major contributors to sexual dysfunction and a low libido--but so are too much stress, relationship difficulties and psychological issues. 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Many people assume they need to consume Alcohol to have Good Sex? For most Americans, consuming alcohol seems to be part of our cultural heritage. We drink at weddings, funerals, birthdays, and pretty much to celebrate anything and everything. We learned from a young age by watching our parents and other adults, that drinking is a sign of maturity. Many people, especially young adolescents, expect that alcohol use will lower tension and anxiety and increase sexual desire and pleasure in life (Seto & Barbaree,1995). About 1 in every 7 adults in the United States meet criteria for alcohol dependency, according to a large NIMH epidemiological study (Grant, 1977). Men are four times more likely than women to be heavy drinkers and are twice as likely to be alcohol abusing or alcohol dependant. Most males and many females find it difficult to imagine not drinking any alcohol at least on weekends and find it almost impossible to think of having sex without previously having a few drinks. These fundamental values appear to be deeply embedded in our culture. Somewhere along the line, we got the message that we need alcohol to have good sex. Does Alcohol Enhance or Hurt our Sexual Performance? I recently heard a stand-up comedian refer to the term, “Whiskey – Dick” when describing his “friends who had drank too much and had difficulties with orgasm even while using Viagra. Shakespeare once said that excessive drinking, “provokes the desire but takes away the performance.” Alcohol reduces inhibitions and gives us a mellow feeling. It makes us more relaxed and more talkative. It can make shy people fe//el confident and bold. These effects can facilitate our sexual desires by developing our social skills. However, these positive effects are only present in the early stage of intoxication i.e. when we’ve consumed 1-2 drinks (assuming you haven’t already developed a tolerance for alcohol). Sexual Impotence On the other hand, alcohol’s negative effects on sexual performance have been widely documented. Men and women who have several drinks may find it very hard to achieve orgasm. Difficulties with achieving orgasm after alcohol consumption can be understood because alcohol dilates small blood vessels all over the body so that there is less engorgement of blood in the sexual organs. This leaves the penis flaccid or only partially erect so that sexual penetration is difficult. Women may find that they have decreased vaginal lubrication making sexual intercourse unpleasant and sometimes painful (Raff, 2006). Impotence is the constant inability of a man to maintain an erection for sexual purposes. It is estimated that impotence affects over 30 million men in the United States (NIHCS, 1992). Masters and Johnson, identified alcohol as a common factor in impotence in their monumental work on human sexual inadequacy. Alcohol damages the central nervous system and destroys brain cells, and if the damage is prolonged enough, it can result in irreversible sexual impotence even while a person is sober. Alcohol is also a factor in loss of sexual control or premature ejaculation. Even a couple of beers before sex can spoil a man's erection and ruin his ejaculatory control. Up to 80 percent of men who drink heavily are believed to have serious sexual side effects, including impotence, sterility, or loss of sexual desire. Heavy drinking over a long period of time can irreversibly destroy testicular cells, leaving men with shrunken testicles. Both sexual drive and sexual capacity can be damaged. Alcohol also suppresses testosterone levels even in social drinkers by suppressing the secretory activity of the Leydig cells (Flatto, 1990). Alcohol and High-Risk Sexual Behaviors A history of heavy alcohol use has been correlated with a lifetime tendency toward high-risk sexual behaviors, including multiple sex partners, unprotected intercourse, sex with high-risk partners (e.g., injection drug users, prostitutes), and the exchange of sex for money or drugs (Windle,M.,1997). There may be many reasons for this association. For example, alcohol can act directly on the brain to reduce inhibitions and diminish risk perception (MacDonald,T.K.,2000). However, expectations about alcohol’s effects may exert a more powerful influence on alcohol-involved sexual behavior. Studies consistently demonstrate that people who strongly believe that alcohol enhances sexual arousal and performance are more likely to practice risky sex after drinking (Cooper,M.L.,2002). Some people report deliberately using alcohol during sexual encounters to provide an excuse for socially unacceptable behavior or to reduce their conscious awareness of risk (Derman,K.H.,1998). According to McKirnan and colleagues (McKiran,D.J.,2001), this practice may be especially common among men who have sex with men. This finding is consistent with the observation that men who drink prior to or during homosexual contact are more likely than heterosexuals to engage in high-risk sexual practices (Avins,A.L.,1994). Alcohol and AIDS People with alcohol use disorders are more likely than the general population to contract HIV (human immunodeficiency virus) - the agent that causes acquired immunodeficiency syndrome (AIDS). Similarly, people with HIV are more likely to abuse alcohol at some time during their lives (Petray,N.M.,1999). Alcohol use is associated with high-risk sexual behaviors and injection drug use, two major modes of HIV transmission. What are signs of problem drinking? The primary signs of problem drinking are: Having health, legal, social, academic or financial problems as a result of drinking. For example, missing class or work because of drinking or hangovers, not be able to have fun or express oneself without drinking, fights or problems with roommates or significant others, spending excessive amounts of money on alcohol, blackouts/passing out, trips to the ER, being defensive when someone mentions your drinking, needing to drink more to achieve the same effects (tolerance), frequently drinking with the primary purpose of getting drunk, and/or repeatedly driving under the influence. These are only guidelines and each case is different. If you're concerned about your drinking or a friend's drinking, get more information! Screening for Alcohol Dependence Screening tools are available to assist counselors and therapists with diagnosing alcohol abuse and dependence such as the SMAST below. Short Michigan Alcoholism Screening Test (MAST) 1. Do you feel you are a normal drinker? (By normal we mean you drink less than or as much as most other people.) 2. Does your wife, husband, a parent, or other near relative ever worry or complain about your drinking? 3. Do you ever feel guilty about your drinking? 4. Do friends or relatives think you are a normal drinker? 5. Are you able to stop drinking when you want to? 6. Have you ever attended a meeting of Alcoholics Anonymous? 7. Has drinking ever created problems between you and your wife, husband, a parent, or other near relative? 8. Have you ever gotten into trouble at work because of drinking? 9. Have you ever neglected your obligations, your family, or your work for two of more days in a row because you were drinking? 10. Have you ever gone to anyone for help about your drinking? 11. Have you ever been in a hospital because of drinking? 12. Have you ever been arrested for drunken driving, driving while intoxicated, or driving under the influence of alcoholic beverages? 13. Have you ever been arrested, even for a few hours, because of other drunken behavior? Individuals that answer – Yes to three or more questions indicate probable alcoholism, two yes answers indicate probable alcoholism, and fewer than two yes answers indicate that alcoholism is not likely (Selzer, M., Winokur, A. & Van Rooijen, C.; 1975). Note: If after reading the above, you started rationalizing to yourself, “Well, I can stop drinking anytime I want to, but I usually stop when I run out of money.” (As my old graduate professor use to say) STOP BULL-SH#%ting yourself and go see a certified alcohol counselor. Co-morbidity & Alcohol Dependence Alcohol abuse and dependence are among the most destructive of the psychiatric disorders (Volpicelli, 2001). Addictions such as alcohol dependence and other addictions as a rule do not develop in isolation. Over 37 % of alcohol abusers suffer from at least one coexisting addiction and/ or mental disorder (Rovner, 1990). Individuals can shift from one addiction to another or sustain multiple addictions at different times. The National Co-morbidity Survey (NCS) that sampled the entire U.S. population in 1994, found that among non-institutionalized American male and female adolescents and adults (ages 15-54), roughly 50% had a diagnosable Axis I mental disorder at some time in their lives. This survey’s results indicated that 35% of males will at some time in their lives have abused substances to the point of qualifying for a mental disorder diagnosis, and nearly 25% of women will have qualified for a serious mood disorder (mostly major depression). A significant finding of note from the NCS study was the widespread occurrence of co-morbidity among diagnosed disorders. It specifically found that 56% of the respondents with a history of at least one disorder also had two or more additional disorders. These persons with a history of three or more co-morbid disorders were estimated to be one-sixth of the U.S. population, or some 43 million people (Kessler, 1994). Poor Prognosis We have come to realize today more than any other time in history that the treatment of lifestyle diseases and addictions such as alcoholism are often a difficult and frustrating task for all concerned. Repeated failures abound with all of the addictions, even with utilizing the most effective treatment strategies. But why do 47% of patients treated in private treatment programs (for example) relapse within the first year following treatment (Gorski,T., 2001)? Have addiction specialists become conditioned to accept failure as the norm? There are many reasons for this poor prognosis. Some would proclaim that addictions are psychosomatically- induced and maintained in a semi-balanced force field of driving and restraining multidimensional forces. Others would say that failures are due simply to a lack of self-motivation or will power. Most would agree that lifestyle behavioral addictions are serious health risks that deserve our attention, but could it possibly be that patients with multiple addictions are being under diagnosed (with a single dependence) simply due to a lack of diagnostic tools and resources that are incapable of resolving the complexity of assessing and treating a patient with multiple addictions? New Proposed Diagnosis Since successful treatment outcomes are dependent on thorough assessments, accurate diagnoses, and comprehensive individualized treatment planning, it is no wonder that repeated rehabilitation failures and low success rates are the norm instead of the exception in the addictions field. Treatment clinics need to have a treatment planning system and referral network that is equipped to thoroughly assess multiple addictions and mental health disorders and related treatment needs and comprehensively provide education/ awareness, prevention strategy groups, and/ or specific addictions treatment services for individuals diagnosed with multiple addictions. Written treatment goals and objectives should be specified for each separate addiction and dimension of an individuals’ life, and the desired performance outcome or completion criteria should be specifically stated, behaviorally based (a visible activity), and measurable. To assist with resolving this problem a multidimensional diagnosis of “Poly-behavioral Addiction,” is proposed for more accurate diagnosis leading to more effective treatment planning. This diagnosis encompasses the broadest category of addictive disorders that would include an individual manifesting a combination of alcohol and substance abuse addictions, and other obsessively-compulsive behavioral addictive behavioral patterns to pathological gambling, religion, and/ or sex / pornography, etc.). Behavioral addictions are just as damaging - psychologically and socially as alcohol and drug abuse. They are comparative to other life-style diseases such as diabetes, hypertension, and heart disease in their behavioral manifestations, their etiologies, and their resistance to treatments. They are progressive disorders that involve obsessive thinking and compulsive behaviors. They are also characterized by a preoccupation with a continuous or periodic loss of control, and continuous irrational behavior in spite of adverse consequences. Poly-behavioral addiction would be described as a state of periodic or chronic physical, mental, emotional, cultural, sexual and/ or spiritual/ religious intoxication. These various types of intoxication are produced by repeated obsessive thoughts and compulsive practices involved in pathological relationships to any mood-altering substance, person, organization, belief system, and/ or activity. The individual has an overpowering desire, need or compulsion with the presence of a tendency to intensify their adherence to these practices, and evidence of phenomena of tolerance, abstinence and withdrawal, in which there is always physical and/ or psychic dependence on the effects of this pathological relationship. In addition, there is a 12 - month period in which an individual is pathologically involved with three or more behavioral and/ or substance use addictions simultaneously, but the criteria are not met for dependence for any one addiction in particular (Slobodzien, J., 2005). In essence, Poly-behavioral addiction is the synergistically integrated chronic dependence on multiple physiologically addictive substances and behaviors (e.g., using/ abusing substances - nicotine, alcohol, & drugs, and/or acting impulsively or obsessively compulsive in regards to gambling, food binging, sex, and/ or religion, etc.) simultaneously. New Proposed Theory The Addictions Recovery Measurement System’s (ARMS) theory is a nonlinear, dynamical, non-hierarchical model that focuses on interactions between multiple risk factors and situational determinants similar to catastrophe and chaos theories in predicting and explaining addictive behaviors and relapse. Multiple influences trigger and operate within high-risk situations and influence the global multidimensional functioning of an individual. The process of relapse incorporates the interaction between background factors (e.g., family history, social support, years of possible dependence, and co-morbid psychopathology), physiological states (e.g., physical withdrawal), cognitive processes (e.g., self-efficacy, cravings, motivation, the abstinence violation effect, outcome expectancies), and coping skills (Brownell et al., 1986; Marlatt & Gordon, 1985). To put it simply, small changes in an individual’s behavior can result in large qualitative changes at the global level and patterns at the global level of a system emerge solely from numerous little interactions. The ARMS hypothesis purports that there is a multidimensional synergistically negative resistance that individual’s develop to any one form of treatment to a single dimension of their lives, because the effects of an individual’s addiction have dynamically interacted multi-dimensionally. Having the primary focus on one dimension is insufficient. Traditionally, addiction treatment programs have failed to accommodate for the multidimensional synergistically negative effects of an individual having multiple addictions, (e.g. nicotine, alcohol, and obesity, etc.). Behavioral addictions interact negatively with each other and with strategies to improve overall functioning. They tend to encourage the use of tobacco, alcohol and other drugs, help increase violence, decrease functional capacity, and promote social isolation. Most treatment theories today involve assessing other dimensions to identify dual diagnosis or co-morbidity diagnoses, or to assess contributing factors that may play a role in the individual’s primary addiction. The ARMS’ theory proclaims that a multidimensional treatment plan must be devised addressing the possible multiple addictions identified for each one of an individual’s life dimensions in addition to developing specific goals and objectives for each dimension. The ARMS acknowledges the complexity and unpredictable nature of lifestyle addictions following the commitment of an individual to accept assistance with changing their lifestyles. The Stages of Change model (Prochaska & DiClemente, 1984) is supported as a model of motivation, incorporating five stages of readiness to change: pre-contemplation, contemplation, preparation, action, and maintenance. The ARMS theory supports the constructs of self-efficacy and social networking as outcome predictors of future behavior across a wide variety of lifestyle risk factors (Bandura, 1977). The Relapse Prevention cognitive-behavioral approach (Marlatt, 1985) with the goal of identifying and preventing high-risk situations for relapse is also supported within the ARMS theory. Conclusions Considering the wide range of alcohol abuse and sexual behaviors in our world today, one should always take into account an individual’s ethnic, cultural, religious, and social background prior to making any clinical judgments, and it would be wise to not over-pathologize in this area of Dependency. However, since successful treatment outcomes are dependent on thorough assessments, accurate diagnoses, and comprehensive individualized treatment planning - poly-behavioral addiction needs to be identified to effectively treat the complexity of multiple behavioral and substance addictions. Since chronic lifestyle diseases and disorders such as diabetes, hypertension, alcoholism, drug and behavioral addictions cannot be cured, but only managed - how should we effectively manage poly-behavioral addiction? The Addiction Recovery Measurement System (ARMS) is proposed utilizing a multidimensional integrative assessment, treatment planning, treatment progress, and treatment outcome measurement tracking system that facilitates rapid and accurate recognition and evaluation of an individual’s comprehensive life-functioning progress dimensions. The ARMS hypothesis purports that there is a multidimensional synergistically negative resistance that individual’s develop to any one form of treatment to a single dimension of their lives, because the effects of an individual’s addiction have dynamically interacted multi-dimensionally. Having the primary focus on one dimension is insufficient. Traditionally, addiction treatment programs have failed to accommodate for the multidimensional synergistically negative effects of an individual having multiple addictions, (e.g. nicotine, alcohol, and obesity, etc.). Behavioral addictions interact negatively with each other and with strategies to improve overall functioning. They tend to encourage the use of tobacco, alcohol and other drugs, help increase violence, decrease functional capacity, and promote social isolation. Most treatment theories today involve assessing other dimensions to identify dual diagnosis or co-morbidity diagnoses, or to assess contributing factors that may play a role in the individual’s primary addiction. The ARMS’ theory proclaims that a multidimensional treatment plan must be devised addressing the possible multiple addictions identified for each one of an individual’s life dimensions in addition to developing specific goals and objectives for each dimension. Partnerships and coordination among all service providers, government departments, and health insurance organizations in providing treatment programs are a necessity in addressing the multi-task solution to Alcohol Abuse and Poly-behavioral addictions. I encourage you to support the addiction programs in America, and hope that the (ARMS) resources can assist you to personally fight the War on poly-behavioral addiction. References Avins, A.L.; Woods, W.J.; Lindan, C.P.; et al. HIV infection and risk behaviors among heterosexuals in alcohol treatment programs. JAMA 271(7):515–518, 1994. Boscarino, J.A.; Avins, A.L.; Woods, W.J.; et al. Alcohol-related risk factors associated with HIV infection among patients entering alcoholism treatment: Implications for prevention. Journal of Studies on Alcohol 56(6):642–653, 1995. Cooper, M.L. Alcohol use and risky sexual behavior among college students and youth: Evaluating the evidence. Journal of Studies on Alcohol (Suppl. 14):101–117, 2002. Dermen, K.H.; Cooper, M.L.; and Agocha, V.B. Sex-related alcohol expectancies as moderators of the relationship between alcohol use and risky sex in adolescents. Journal of Studies on Alcohol 59(1):71–77, 1998. Dermen, K.H., and Cooper, M.L. Inhibition conflict and alcohol expectancy as moderators of alcohol’s relationship to condom use. Experimental and Clinical Psychopharmacology 8(2):198–206, 2000. Fromme, K.; D’Amico, E.; and Katz, E.C. Intoxicated sexual risk taking: An expectancy or cognitive impairment explanation? Journal of Studies on Alcohol 60(1):54–63, 1999. George, W.H.; Stoner, S.A.; Norris, J.; et al. Alcohol expectancies and sexuality: A self-fulfilling prophecy analysis of dyadic perceptions and behavior. Journal of Studies on Alcohol 61(1):168–176, 2000. Grant, B. F.: Prevalence and correlates of alcohol use and DSM-IV alcohol dependence in the United States: Results of the National Longitudinal Alcohol Epidemiologic Survey. J. Stud. Alcoh., 58(5), 464-73., 1977. MacDonald, T.K.; MacDonald, G.; Zanna, M.P.; and Fong, G.T. Alcohol, sexual arousal, and intentions to use condoms in young men: Applying alcohol myopia theory to risky sexual behavior. Health Psychology 19(3):290–298, 2000. Malow, R.M.; Dévieux, J.G.; Jennings, T.; et al. Substance-abusing adolescents at varying levels of HIV risk: Psychosocial characteristics, drug use, and sexual behavior. Journal of Substance Abuse 13:103–117, 2001. Maslow, C.B.; Friedman, S.R.; Perlis, T.E.; et al. Changes in HIV seroprevalence and related behaviors among male injection drug users who do and do not have sex with men: New York City, 1990–1999. American Journal of Public Health 92(3):382–384, 2002. McKirnan, D.J.; Vanable, P.A.; Ostrow, D.G.; and Hope, B. Expectancies of sexual “escape” and sexual risk among drug and alcohol-involved gay and bisexual men. Journal of Substance Abuse 13(1–2):137–154, 2001. Petry, N.M. Alcohol use in HIV patients: What we don’t know may hurt us. International Journal of STD and AIDS 10(9):561–570, 1999. Purcell, D.W.; Parsons, J.T.; Halkitis, P.N.; et al. Substance use and sexual transmission risk behavior of HIV-positive men who have sex with men. Journal of Substance Abuse 13(1–2):185–200, 2001. Rovner, S.; Dramatic overlap of addiction, mental illness. Washington Post Health, 14-15. 1990. Selzer, M., Winokur, A. & Van Rooijen, C.; A self-administered Short Michigan Alcoholism Screening Test. Journal of Studies on Alcohol, 36, 117-126, 1975. Seto, M. C. & Barbaree, H. E.; The role of alcohol in sexual aggression. Clin. Psych. Rew. 15 (6), 545-66, 1995. Stall, R.; McKusick, L.; Wiley, J.; et al. Alcohol and drug use during sexual activity and compliance with safe sex guidelines for AIDS: The AIDS Behavioral Research Project. Health Education Quarterly 13(4):359–371, 1986. Volpicelli, J. R.; Alcohol abuse and alcoholism: An overview. J. Clin. Psychiat., 62, 4-10, 2001. pnis enlargement picture penis enlargement forum penile enlargment product does vig rx work free penis elargement pills penis enlagement surgeries natural penis elargement pills free penis enlagement video penis enlargement before and after photo

"My girlfriend dumped me because she says I 'wasn't there' when we made love. She's not the first to say this. I know something's wrong. Can hypnotherapy help me?" Your sexual dysfunction means you engage in sex more as an observer than as a participant. You hold yourself back from entering a trance state; you have difficulty "letting go." There are several ways in which a qualified hypnotherapist can help you to conquer this problem. Before using hypnosis it is essential that you receive competent medical advice. Hypnotherapy will have a particular focus depending on whether the problem is organic or psychological. Organic sexual problems require medical intervention. Hypnotherapy may be used as an adjunct, for instance, in helping you to heal faster after an operation. More frequently, sexual difficulties treated by a hypnotherapist concern psychological issues. Since the process deals with your mind all sexual activity during hypnotherapy takes place only in your imagination. What you learn through hypnotherapy is practiced privately elsewhere. Hypnotherapy may be used to heighten your sensual involvement and to help you to be fully present while engaging in sex. A common, effective use of hypnotherapy is to lower your anxiety. The anticipation of failure (particularly for men anxious about their ability to have or to maintain an erection) brings on anxious feelings. These in turn bring about the failure. Hypnotherapy ends this vicious circle and replaces the anticipation of failure with the certainty of success and confidence. Traditional sex therapy methods are more readily accepted by you when in hypnosis because the conscious, judgmental, analytical part of your mind is temporarily set aside. Your subconscious then absorbs the new, positive messages you've asked the hypnotherapist to create. Precisely because hypnosis taps into the autonomic nervous system, a person can use it to improve or alter functions that normally happen without conscious control, e.g., a man's erection. Charles, a 27-years-old former sailor and currently an electrician, consulted a hypnotherapist because he was too fearful to have sex with his wife. They'd been married three years and had had sexual difficulties since the birth of their daughter eight months previously. Charles was afraid he'd been embarrassed once again if he tried to make love. "Kim laughed at me the first time and now she just gives me a look of disgust." Why? Because he couldn't maintain an erection. Charles felt humiliated and frustrated; he worried that he'd never again have satisfactory sex with his wife. His dream of fathering a son seemed unattainable. He told the hypnotherapist that he had no problem masturbating when alone. This was a likely indicator that Charles' problem was psychological, not organic. As was Charles' report that he always had a firm erection when having sex with the occasional housewife in whose home he was doing electrical work. To be on the safe side, the hypnotherapist advised Charles to be examined by a medical specialist to be absolutely sure there was no organic cause for his ED. The doctor confirmed that Charles' trouble was "100 per cent psychogenic," meaning that for some emotional or psychological reason, he could not maintain an erection. Of course, the more Charles tried, and the more he worried, the more flaccid was his penis. The hypnotherapist explained to Charles that hypnosis could be used to uncover the cause of his trouble, or to tackle the symptom, or both. Charles, being the impatient type, and of course eager to end his humiliating experiences, opted for the "quick fix." Over the course of three sessions of hypnotherapy, Charles relived successful love-making episodes from his younger years as a Navy "stud." Then the therapist used a melding technique to encourage Charles to see himself (in his imagination, while hypnotized) from now on once again enjoying a full, firm erection well beyond the time needed to satisfy his partner. Positive suggestions were also made by the hypnotherapist to Charles about his prowess, his confidence and his desirability to his wife. For three months Charles and Kim had a wonderful sex life. Then he lost an erection just as foreplay had become hot and heavy. Kim, hurt and disappointed, reacted with sarcasm. All Charles' fears and anxieties rushed back. He returned to the hypnotherapist. This time Charles agreed to investigate the cause of his impotence. The hypnotherapist used various approaches -- age regression, age progression (in which the "future" Charles was to explain how he'd conquered the problem) analogue symbolic imagery -- but nothing worked. In a subsequent session, with Charles relaxed in hypnosis, the therapist told Charles he'd have a dream. His subconscious would provide this dream as a way, either directly or symbolically, to explain the origin of his impotence. Three nights later Charles dreamed he was outside a factory. It was night time and the factory loomed dark and mysterious. Charles felt a strong urge to scale the steel fence that surrounded the factory. Then he tried to find away in. All the doors were shut and padlocked. A security guard ("very scary, because he had my face," said Charles) told him to go away. But Charles persisted in his eagerness to enter the factory. He ran from the guard, to the back of the building. Here was the loading dock. Charles saw a bulldozer there. He jumped into its cab and began to operate the controls. The guard reappeared, feebly told Charles to get off the property, to go to his own place. In the distance, Charles could see a stately castle which he somehow knew belonged to him. But his only interest was in the dark factory. The guard shrugged. Charles started up the bulldozer and charged the heavy machine toward the small back door of the factory. As the bulldozer began to rumble forward, Charles awoke -- with a massive erection. The dream puzzled Charles. But it enlightened the therapist. To him it revealed that Charles was in the grip of the Madonna/Whore complex. This is the attitude that divides women into "good" and "bad." Thus, a man's wife and especially mother, are "good." Prostitutes, other men's wives and and women of ethnic groups other than the man's own, are "bad." "Bad" women are exciting; "good" women are boring. Sex is forbidden with "good" women but possible with the "bad." A man with this complex may have sex with his wife occasionally, or until she becomes a mother, or while a post-hypnotic suggestion lasts. But his heart is not in it. Neither is his penis. However, with a "bad" woman he has no commitment, no respect. She is there to be used. His conscience (the security guard) barely bothers him about penetrating the stranger (the dark factory) but, perversely, does prevent him enjoying "his" woman (the castle). When Charles heard this explanation, he nodded in agreement. This was indeed his view. And that of his father, uncle and most of his friends. He had no serious interest in changing this outlook, especially since Kim had announced she was pregnant. The hypnotherapist's suggestion that Charles and Kim seek marriage counselling fell on deaf ears. A lawyer we shall call Mathilde did seek help from a psychotherapist. She had told the referring doctor that she rarely had an orgasm. The truth was that Mathilde never had an orgasm -- with her husband. She'd been faking it for years. But she had climaxed with previous boyfriends. Also during a two-night stand a few months ago. Mathilde had been a speaker at a lawyers' convention a thousand miles from home. There she met Roger, a brooding electrical engineer who had been trouble-shooting the hotel's elevators. "He was not particularly good-looking but he had these soft grey eyes," Mathilde confided to the therapist. She smiled. "He was brutal in bed." Mathilde was mildly surprised to find herself telling the male therapist details she had not felt comfortable confiding to her female doctor. There was no question of her wanting to leave the marriage. She loved her husband, had a marvellous life. All that was missing ws the joy of orgasm. It was something she yearned for. Until she met Roger the lack of orgasms with her husband had not bothered her much. Mathilde had become used to pretending -- and to satisfying herself in secret. The therapist faced two dilemmas: i) perhaps, despite Mathilde's conscious denials, there was some problem between her and her husband ii) the therapist usually worked with couples, not individuals, on such sexual challenges. He decided that, given the husband was not present and would be unlikely to come to future sessions, he would work with Mathilde, and he would use hypnotherapy. If the outcome was successful, there would be no need to explore possible conflicts between husband and wife. First the therapist explained a little about hypnosis and how it could help Mathilde. Her first session was devoted to her simply relaxing into hypnosis, and becoming familiar with how safe and peaceful it felt. In Mathilde's second and third sessions of hypnosis the therapist suggested Mathilde silently relive an earlier experience of orgasm. In her mind she was to take particular note of the physical and emotional feelings which allowed her to climax. When the orgasm in her imagination was over she would open her eyes, though remain in hypnosis. Then the therapist pointed out, and Mathilde confirmed, that she had been internally very relaxed just prior to making love. And that during foreplay and intercourse, she became "lost" in the pleasure. The therapist asked Mathilde to again close her eyes and this time to imagine herself in bed with her husband. Again she could relive the details silently, no need to tell the therapist anything, except when the imagined lovemaking was over. When Mathilde compared the earlier experience with how she felt when making love with her husband she immediately noticed her tension. "I am not relaxed and I don't get lost in the act." Sometimes she thought about cases she was working on and at other times she focused on making sure her husband was satisfied. In the next part of the session the therapist first gave Mathilde suggestions that she could allow herself to relax with her husband, that she could allow herself to climax with him. The therapist again waited silently while Mathilde played the scene through in her mind. When she signalled (with a broad smile) that the scene had reached a successful end, the therapist closed the session with positive suggestions about Mathilde allowing herself to be relaxed, focused on pleasure and allowed to climax when making love with her husband. And so it was. * * * Hypnotherapy has also been used successfully to overcome other sexual problems such as overlubrication, exhibitionism, and to uncover the reason a client became a transvestite. Before seeking help with a sexual difficulty it is important to be sure it really is a problem. For example, a man may go to a therapist because he believes he suffers from premature ejaculation. But if the man is married to a woman who dislikes sex, indeed "wants it over with as soon as possible," that's exactly what is happening, so where's the problem? Twenty-five years old Eugene's problem was real enough: he could not become erect. A handsome, single, bus driver, Eugene had had several medical examinations; all the doctors had concluded there was no medical cause for his impotence. At first, hypnotherapy did not help Eugene. He became more and more despondent about his failure, scared to date and unable to sleep at night. The hypnotherapist had used approaches one or more of which usually resolve psychogenic impotence: > positive suggestions > aversive therapy > satisfying imagery > arm rigidity But nothing worked. The hypnotherapist finally decided to enlist the guidance of Eugene's subsconscious through finger signalling and direct relay of images in response to questions. (With finger signalling -- also known as an ideodynamic technique -- a hypnotized person allows the subconscious to answer questions with predesignated fingers that represent "Yes," "No," "Don't Know," and "Not yet ready to answer"). This approach proved fruitful, although at first puzzling. Hypnotherapist: "I'm going to ask your subconscious some questions. There's no need for you to think about the questions or the answers. Simply allow your subconscious to respond through the fingers it has selected. You will probably feel a tingling begin in the finger that the subsconscious selects. Then it will lift as though of its own accord. Now, I'd like to ask your subconscious if there is a purpose served by Eugene's impotence?" [This question is often answered "yes" and subsequently leads to an explanation such as a desire to punish self or partner for some reason]. [Fimger responses are indicated with ( )]. Eugene: (No). H: "Does the cause of the problem lie in Eugene's past?" E: (Yes). [This response steered the hypnotherapist along the wrong path. He took no account of the literalness with which the subconscious absorbs information. Consequently, the hypnotherapist understood the "Yes" response to mean that there was a specific event, a trauma or a message, that began Eugene's impotence. As was later revealed, the "cause in the past" referred, not to a particular event, but to an ongoing process.] H: "Did the cause happen before Eugene was 20?" E: (Yes). H: "Did the cause happen before Eugene was 15?" E: (Yes). H: "Before 10?" E: (No). [Now the hypnotherapist, who erroneously assumes some single event happened, switches from finger responses to image responses]. H: "Okay. I'm going to ask the subconscious to present to your mind an image that is somehow connected to the problem we're dealing with." E: "I'm in a shop. I don't know how old I am but a man picks me up. I'm very scared. He holds me to him. Someone else comes in and tells the man to put me down." [The hypnotherapist thinks that it is possible something happened in the shop to subsequently cause Eugene to become impotent. However, further questioning reveals that Eugene sees little more than he has already reported. There appears to be no abuse, no negative messages (such as "You'll never be a man.") The session is drawing to a close so the therapist reverts to ideomatic questioning. He decided to check the medical verdicts]. H: "Does the problem have any medical basis to it?" E: [Long pause]. (No). H: "Is there something physical that would help?" E: (No). H: "Is there something missing in Eugene's diet, or something he should not be eating or drinking?" E: (Don't know/don't want to answer yet). [Eugene snaps out of hypnosis, much to his own surprise. In previous sessions for other problems Eugene had enjoyed hypnosis so much he had been reluctant to emerge. He puts himself back into hypnosis]. H: "Okay. Our time is nearly up. I want to thank your subconscious for its help. I'm now asking it to provide you with a dream that will give you a strong indication on how to solve the problem that brought you here." [Eugene once again snaps out of hypnosis]. H: "Wow. We're clearly close to something significant, otherwise you wouldn't come out so suddenly." E: "I don't understand why. But while you were talking about me having a dream something floated into my mind: smoking." H: [Incredulous]. "You smoke!" E: "Yes, a lot." H: "There you are. That's what your subconscious was telling us: the cause of your impotence is smoking! Have you stopped before?" E: "Yes. For a while." H: "And did you have erections okay then?" E: [Thinks back]. "Yes, I did. I did." [And the shop? Why did the subconscious throw that memory into Eugene's mind? Perhaps because the shop sold cigarettes.] Copyright (c) 2005 Bryan M. 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Are you shying away from women just because you are coping with erectile dysfunction? Is erectile dysfunction or dysfunction erectile impotence, stressing you out? Erectile dysfunction is not a recent ailment. It has existed since ages. Yet it’s only now that people have become more aware about it. Erectile dysfunction is more of an emotional problem than a physical problem for men. Erectile dysfunction is most commonly referred to as ED. In simple terms means the repeated inability of men to get or maintain erection throughout the intercourse to attain sexual fulfillment. Erection requires a precise sequence of events, and when any sequence is disrupted it leads to dysfunction. Erectile dysfunction usually occurs due to damage of nerves, arteries or smooth muscles. Defective lifestyle pattern such as smoking, obesity, excessive consumption of liquor, avoidance of physical activity can also contribute to ED. Sensory or mental stimulus or both initiates erection. The brain and local nerves send impulses which lead the muscles of the corpora cavernosa to loosen up, permitting blood to flow in and seal the spaces. The blood generates pressure in the corpora cavernosa, in turn expanding the penis. The tunica albuginea helps lock in blood in the corpora cavernosa, thus sustaining erection. Erectile dysfunction symptoms can be enumerated as: • Inability to have erection while masturbation or while having sex with your partner • Inability to maintain erection firm enough for sexual intercourse • Inability to maintain an erection long enough for sexual intercourse. Physiological factors such as vascular disease, diabetes and many more are main causes of erectile dysfunction. Apart from physiological factors, psychological factors such as stress, anxiety, guilt can also lead to erectile dysfunction. In fact psychological factors amplify the physical factors. As per the studies ED generally occurs among men above or in the age group of 40-65. Never the less, it should not be considered as an inevitable part of aging. ED can be treated at any age. With the advancement of medical science, medications have evolved in order to treat erectile dysfunction effectively. Though, these medications may vary from individual to individual. The market is flooded with a gamut erectile dysfunction drugs such as Cialis, Viagra, Levitra. These drugs work on the same principle, to increase the blood flow into the penis and thus sexually stimulate men and causing an erection. The best part is that all these drugs are FDA approved oral prescription. A prior consultation with a doctor recommended. magna rx results review vimax natural penis enlargement pills natural penis enlarement exercise manual penis enhancement natural penile enlargement exercise penis enlagement pill pro solution vimax penis enlargement surgery picture herbal natural penis enargement penis enlargement before and after photo

Body contact for two minutes doesn’t mean to have sex. It is a natural urge and unless one is fully satisfied, the act remains uncompleted. Unable to provide sexual satisfaction to your partner shows that you are immature about sex. Having discussed the subject with numerous men and women about sex, it has been found that the first image that came to their mind is two people engaged in a hot and passionate contact for a prolonged time. Apart from touching and fondling each other your partner seeks a long time intimacy during the act and for this a perfect penile erection is a must. So if you are not experiencing a prolonged erection during a sexual act become serious about it. You may be suffering from some sexual dysfunction. But thanks to today’s medical science for Levitra a perfect medicine for treating sexual dysfunction effectively. It is a medicine especially formulated for the treatment of defective penile erection. It comes in 2.5mg, 5mg 10mg and 20mg tablets. FDA trails have proved it to be a perfect treatment for erectile dysfunction found in men. Levitra increases the blood flow into the penis. The active substance Verdenafil HCL in Levitra works by stimulating the nerves present in the penis by blocking the PDE-5 enzyme that control the blood flow into the penis. Clinical trails have found that most men have been able to resume their sexual life successfully after its first use. It is generally taken about an hour before sex for it begins to show its power between 30 -60 mins of its intake. A dose a day is enough to give a full and prolonged erection throughout a sexual activity. Remember, Levitra is not an aphrodisiac i.e. a substance to give to give sexual arousal all the time. Though clinical trails have recorded some side affects like headache, constipation and stuffy or runny nose but are found to be tolerated and reversible. However, visiting a doctor is recommended for the perfect dose and its usage.