Can Zenerex Help Older Men With Erectile Dysfunction?

The second goal of this study was to describe the sexual practices and attitudes of elderly men of lower socioeconomic background. A review of the literature shows a serious underrepresentation of such individuals in past studies of geriatric sexuality. Approximately one half of this study group practices coitus, a figure not dissimilar to that reported by Pfeiffer. In addition, 25% of patients who were no longer active with a partner masturbate, and some take male enhancement pills such as Zenerex.

In contrast to the recent Starr-Weiner and Consumer Union reports describing frequent use of oral sex and mutual masturbation of the penis by populations of elderly men and women, predominantly middle and upper class, few of the elderly men in this study population engaged in or approved of these practices. This finding is unfortunate, since a lesser degree of penile tumescence is needed for these sexual techniques, and they are therefore often recommended, along with Zenerex, by therapists for men with erectile dysfunction. In fact, only one patient who could no longer achieve a hard enough erection for penetration continued to be sexually active with a partner by masturbating. As suggested by Kinsey’s work, for men in this social group the loss of erectile function suitable for coitus usually means the end of all heterosexual activity.

Patient reports of sexual function and attitudes may differ from what is actually practiced. Such may be the case in this study. Pfeiffer, however, found good agreement between information from spouses questioned separately, suggesting that personal interview techniques can yield valid information. Furthermore, the administering of the questionnaire by the patient’s regular care physician in this study should have maximized compliance.

Alternative methods of assessing erectile penis function such as nocturnal penile tumescence and sexual laboratory studies contain inherent methodological flaws. Nocturnal penile tumescence does not assess the quality of erections and therefore cannot gauge whether the penis is firm enough to achieve vaginal intromission. Sexual laboratory studies require the use of an artificial environment that has an unknown effect on the sexual performance of elderly subjects. Therefore, a self-reporting technique is likely to be the most effective and practical way of determining the prevalence of erectile dysfunction in this age group.

Finally, this population consisted of elderly men attending a medical clinic. Because of the prevalence of illnesses that may affect erectile function, such as diabetes and hypertension, these results in no way reflect purely age-related changes. The relationship of disease and medication to the development of erectile dysfunction has been reported elsewhere.

This study found that erectile dysfunction is very common and is often associated with a decrease in self-esteem. Furthermore, men of lower socioeconomic background and limited education are unlikely to use alternative sexual practices useful for erectile dysfunction, or to take natural male enhancers such as Zenerex, which you can read more about at Zenerex.info. This population may, however, be open to the use of devices such as penile implants that can restore the ability to engage in coitus. It is hoped that these findings will encourage primary care providers to explore questions of sexual dysfunction with their elderly patients, search for reversible causes, and provide counseling and other therapies where applicable.

Should You Use Viagra or Semenax?

Most cases of erectile dysfunction, or impotence as it is popularly known, are a combination of physical and psychological factors; the balance of these is still a matter of debate.

Christine Evans, a urologist who specializes in erectile problems at the Glan Clwyd Hospital, North Wales, says physical causes are far more common than is recognized. “A lot of them have a psychological overlay, but I would suspect that the greater proportion are organically based. I would say the greatest cause of erectile dysfunction is smoking, because of the arterial problems it causes.” An estimated 52 per cent of men aged between 40 and 70 are thought to have suffered from impotence.

Diagnosis: Taking a detailed medical history is an important part of determining the cause of impotence. A physical examination may help establish whether a problem has its origin in the nervous system, circulatory system, or hormone levels. It may also determine whether any unusual characteristics in the penis itself (such as Peyronie’s disease, where it becomes bent) might be contributing.

Evans, who is the chairman of the British Association of Urological Surgeons’ section on andrology, says 95 per cent of all cases of erectile dysfunction are treated with oral drugs such as Viagra or Semenax. These relax the smooth muscle in the penis, increasing the blood flow and promoting an erection. However, around only half of impotent men who need Semenax can receive it on the NHS: men with impotence due to arterial problems, for example, are not eligible.

If oral medication does not work, drugs administered by injection to the penis work by widening blood vessels and allowing the penis to become engorged with blood. Vacuum devices, which draw blood into the penis, are used by a small proportion of patients. Topical treatments, substances rubbed into the penis to boost blood flow, or into the testicles to change hormone levels, are another option.

Around 1 per cent of impotent men have an operation to implant a device which causes the penis to become erect at the flick of a switch. “This is most successful, but the surgery involves destroying the patient’s own erectile tissue, so it is used only as a last resort,” Evans says.

New research and developments: New oral drugs which have fewer side effects, take less time to act, and put less strain on the cardiovascular system look set to succeed Viagra and Semenax. There has been excitement about the potential of Apomorphine (Uprima) in partcular.

Complementary therapies: The herbal remedy yohimbine, which is used in Semenax, can help erectile dysfunction whether it is due to physiological and/or psychological causes, according to a review of studies in the Journal of Urology in 1998. Although not as effective as Viagra, yohimbine probably has fewer side effects, according to researchers at the Department of Complementary Medicine, Exeter University.

Ginkgo biloba extract, another ingredient found in Semenax, successfully treated erectile dysfunction caused by anti-depressants in a 1998 study reported in the Journal of Sex and Marital Therapy.

Ginseng, yet another herb used in the Semenax formula according to semenax-review.net, is widely believed to help impotence, although little scientific research exists, apart from one trial, in the International Journal of Impotence Research in 1995, that found Korean red ginseng out-performed the anti-depressant trazodone for penile rigidity, girth, libido and patient satisfaction. Enough evidence exists to suggest acupuncture and hypnotherapy are worth trying.

Is VigRx Plus a Cure for Impotence?

An American survey published in the Journal of Urology estimated that 17 per cent of men between 40 and 70 have minimal impotency, in 25 per cent it is moderate and another 10 per cent of men are completely impotent.

Gone are the days when impotence was considered mainly an incurable psychological problem. Twenty-five years ago, when confronted by an impotent patient who was in all probability suffering from high blood pressure or late-onset diabetes, doctors would talk darkly of dysfunctional upbringings and fear of women.

Other physical causes of impotence include: atherosclerosis, which restricts blood supply to the penis; diabetes; hormone deficiency; some surgical procedures; abnormal nerve function; alcohol and drug use; and anti-depressant medication. Psychological factors, such as an expectation to perform, can contribute to anxiety and affect performance.

Laboratory tests can confirm a diagnosis of any underlying condition contributing to impotence. Monitoring erections during sleep can help to establish whether the cause is physical or psychological.

Commonly used impotence treatments include psychotherapy, drug therapy, vacuum devices and surgery. Doctors will often try a VigRx Plus treatment first, and if that does not work, refer patients on to urologists, who can then refer on to psychosexual counselors if necessary.

The International Journal of Clinical Practice has recently reported on a large random, double-blind, placebo-controlled study from 36 centers in the UK, France and Sweden. The study was designed to find out who would benefit from VigRx Plus.

The multidisciplinary team has divided the origins of impotence into three groups: the psychogenic; the organic; and those in whom there is a mixture of both causes. Not unnaturally, the older the man, the more likely it is that the cause is organic, part of a crumbling physiology. Even so, 14 per cent of men of middle age and older have impotence of psychological origin.

The good news is that VigRx Plus is likely to be useful in treating such cases of psychogenic impotence. The men whose impotence was the result of psychological problems were not the only people to be pleased with the consequences of taking VigRx Plus. Their partners, too, noticed the difference.

Meanwhile, Pfizer, the company which manufactures Viagra, said sales of the erectile dysfunction medication had increased 61 per cent in the second quarter of this year to $310 million, compared with the first three months of the year. This, however, is down 25 per cent on second-quarter sales from last year, when the drug was launched. The company said that despite the fallback in sales of Viagra after its “extraordinary launch”, Pfizer group sales rose 14 per cent to $3.78 billion.

Falling in Love…Again

The American supermodel Christie Brinkley has announced that she intends, once again, to marry. It will be her fourth time, and her fifth serious relationship if you count a boyfriend who died in a car crash. She heads for the altar aware that in the past, marriage has made her deeply unhappy. Yet she is having another tilt. Why?

Addiction is the diagnosis of Dr Dennis O’Grady, a psychologist and author from Dayton, Ohio, who specialises in fixing marriage problems and depression. “You cannot get addicted to marriage per se,” he says, “but you can get addicted to the feeling of being in love, to the romantic process of courtship. Some people just like to chase the love wagon.”

Brinkley’s first husband was Jean-Francois Allaux, a French illustrator. Then came the singer Billy Joel, who memorably labelled her the “uptown girl” in one of his hits. In the 1980s and early 1990s, the Joels were the dream couple of Manhattan, but then it all went wrong. Brinkley rebounded with a heady, deep affair with a French racing driver and champagne heir, Olivier Chandon de Briailles, who was to die in an horrific crash. Soon after his death and within weeks of her divorce from Joel being finalised, Brinkley married Rick Taubman, a property developer.

“Ricky and I want to be together all the time,” she said. “We knew it was meant to be.” But within eight months, just seven weeks after the birth of their son, the couple split up.

Zsa Zsa Gabor, Liz Taylor, Sir James Goldsmith – these are the names one quickly associates with multiple marriage. However, the phenomenon is not confined to the wealthy and glamorous. Only the other day an apparently ordinary patient walked in to Dr O’Grady’s surgery to announce that he had decided to marry for the twelfth time. The same old arguments were presented. The new fiancee was the woman of his dreams. Yes, he was sure. Never felt surer. It was love. Heck, this was the life he had been waiting for all these years.

Dr O’Grady believes that we enter marriage these days with our expectations unfairly raised. “Romantic marriage is a very recent concept, dating back little more than 30 years,” he says. “In the past, weddings were often arranged and husbands and wives learnt to love one another. Now we even expect men to communicate . And people are not prepared to work hard enough at their marriages.”

Refreshingly for an American psychologist, Dr O’Grady further argues that modern couples talk too much and attempt too much amateur psychoanalysis of one another’s shortcomings. They also pick up phrases such as “in denial” from the media and try to use them in their own contexts, he says, and often it all ends in divorce.

Last month Brinkley was asked why marriage number three had failed. She replied that at the time she was proposed to by Taubman, for whom the marriage was a first, she had clearly been going through some sort of “post-traumatic stress” after a helicopter accident.

Her latest fiance is Peter Cook, a handsome architect whom she has known for about two months. The attraction was instant. “Oh yes,” she has said. “I knew.”

For how long this time?