Natural Aphrodisiacs

Sexual Attraction

The creator of the ebook sexual attraction will guide you through the process of learning how to attract any girl you want and make her feel very sexually aroused towards you. Through the ebook, you will also understand how any girl is wired in a way that she will seek some characteristics that are very easy to get. These characteristics as you will learn are not being rich and good looking. But the ebook will show you the secret techniques for making a girl feel very attracted to you instantly. This product will work for you even if you have had a very bad experience with women, it will teach you what you were doing wrong, and what the guys who make girls attracted are doing right. You will also understand the way to make a girl fall in love you deeply even if this is just your first relationship. You will make any girl hooked on you and she will never be able to feel anything for any guy. That is because you will be doing the right things with a strategy in mind that sexual attraction ebook will teach. You only need to go through your purchase procedure and get the book instantly. It doesn't take a genius to get the file, you're only a few clicks away from attracting any girl you want instantly. Continue reading...

Sexual Attraction Summary


4.7 stars out of 12 votes

Contents: Ebook
Author: Josh
Official Website:
Price: $12.99

Access Now

My Sexual Attraction Review

Highly Recommended

The writer presents a well detailed summery of the major headings. As a professional in this field, I must say that the points shared in this manual are precise.

If you want to purchase this book, you are just a click away. Click below and buy Sexual Attraction for a reduced price without any waste of time.

Hypoactive Sexual Desire Disorder

For women, low sexual drive is the most frequently reported sexual problem. Four in 10 women state they have low sexual drive. The lack of sexual desire may not be distressing for all women, with distress prevalence ranging in studies from 23 to 61 (Lindau et al., 2007 Shifren et al., 2008). Hypoactive sexual desire disorder (HSDD) may be general (a general lack of sexual desire), situational (previously present sexual desire is now absent), acquired (beginning after a period of normal sexual function), or lifelong (persistent no or low sexual desire). The cyclic model of sexual functioning postulates that arousal, not desire, may be the initial trigger for a woman's sexual encounter. Recently, therefore, experts suggest defining HSDD as a recurrent, consistent lack of ability to experience any desire or arousal (Basson et al., 2004). A brief questionnaire can be helpful to screen patients for HSDD (see eTable 43-1 online). Female sexual desire is a complex interaction among biologic,...

Female Sexual Arousal Disorder

The DSM-IV-TR defines female sexual arousal disorder as the inability to attain or maintain a genital lubrication-swelling response during sexual activity. The American Foundation for Urologic Disease recommended division of this diagnosis into subjective, genital, and combined subtypes. It also urged recognition of persistent sexual arousal disorder characterized by spontaneous, intrusive, and unwanted genital arousal . . . unrelieved by one or more orgasms (Basson et al., 2003). With the exception of persistent sexual arousal disorder, evaluation should include assessment for hypoactive sexual desire disorder. Neurologic and vascular causes should be considered when adequate genital vasocongestion and swelling do not occur but subjective arousal and lubrication are intact. Treatment is based on the suspected cause of the sexual arousal disorder. Supplemental water-soluble lubrication may be needed. Off-label use of PDE-5 inhibitors (e.g., sildenafil) may be helpful in restoring the...

What happens if my sex drive libido is low What causes it can it be treated

Your interest in sex is governed by sex hormones, primarily testosterone, and by psychosocial factors. Low testosterone levels are associated with decreased libido. Stress, depression, or anxiety may also affect your libido. In men with erectile dysfunction, interest in sex may be diminished as a result of their inability to achieve an adequate erection. Any man with decreased libido should have his serum testosterone level checked. Normally, there is a feedback If you have decreased libido and your testosterone level is low then you may benefit from testosterone replacement therapy (see Question 76). Men with prostate cancer on LHRH agonist hormonal therapy will have a low testosterone level and may suffer from associated low libido. In these men, testosterone replacement therapy is con-traindicated, and there would need to be a conscious effort to think about sex. Similarly, individuals who are stressed or depressed may experience low libido, and if their testosterone level is...

Conflict Between Different Motivational Systems

A prominent example of a conflict between different motivational systems in the psychoanalytic context is one between what Freud (1912) referred to as love and desire which he also referred to as the affectionate and sensual currents ). Freud attributed the conflict between love and desire to the persistence of incestuous wishes so that the person one loves cannot also be the object of sexual desire. As Freud 1912 put it, W herc they love, they cannot desire and where they desire, they cannot love (p. 183). One consequence of this conflict, Freud observed is psychical impotence in men, sexual frigidity in women, and in both a failure to experience pleasure from the sexual act. Quite apart from the question of the persistence of incestuous wishes, one can understand the conflict between love and desire, between the affectionate and sensual currents, in terms of the conflicting demands made on the individual by the sexual and attachment motivational systems. Whereas sexual arousal and...

Neuroimaging of Happiness and Reward

The most consistent activation across several studies involving happiness induction is in the basal ganglia (ventral striate and putamen) (Phan et al., 2002). These include recognition of happy faces, pleasant pictures (including attractive faces), recall of happy memories, pleasant sexual arousal and competitive arousal of a successful nature (reviewed in Phan et al., 2002). In one study, transient happiness had no areas of significantly increased activity but was associated with significant and widespread reductions in cortical rCBF, especially in the right prefrontal and bilateral temporal-parietal regions (George et al., 1995).

Reciprocity Of Human Corticolimbic Activity

A third line comes from recent studies looking at voluntary suppression of emotion. Male sexual arousal has been found to produce a significant activation of the right amygdala, right anterior temporal pole (BA38), and hypothalamus, but when subjects voluntarily inhibited their sexual arousal, no significant loci of activation were noted in these structures. Instead, significant activations were present in the right medial DLPFC (BA10) and the right ACC BA32 (Beauregard et al., 2001). Similarly, healthy females induced into a sad state while watching sad film clips showed activation of subgenual cingulate, insula, amygdala, and midbrain. When instructed to suppress their sad feelings, subjects showed significant loci of activation in the right DLPFC (BA9) and the right orbitofrontal cortex (OFC) (BA11). This is consistent with the role of right DLPFC in negative mood, as pinpointed by Liotti and Mayberg (2001) as well as TMS methodologies in treating depression (see Chapter 19).

Inhibition of Gonadotropin Releasing Hormone GnRH

Numerous approaches to blocking the activity of Gn-RH, which is the key controlling hormone produced by the hypothalamic portion of the brain that ultimately leads to production of testosterone by the testes, have been examined for nearly two decades. While sperm production has been decreased, the undesirable side effects of decreased testosterone leading to decreased libido, loss of muscle mass, and alterations of male sexual characteristics have been highly problematic. Replacement testosterone has been the only solution to date of overcoming these negative effects.

Sexuality And The Passions Of The Brain Introductory Remarks

Sexual motivational systems lie at the root of some of the most intense human feelings, ranging from the eroticism and cravings of sexual arousal to the delights and disappointments of orgasm, not to mention social bondings and attachments, not to mention the ongoing dynamics of social relationships and dependencies. Sexual motivation and sexual performance are often dissociated (Everitt, 1990), as are social urges and commitments, especially in the presence of negative mood and emotional states. To better grasp how these relationships may permeate psychiatric concerns, the aim of this brief section is to provide an overview of the neural underpinnings of mammalian sexuality.

Influence of testosterone on sexual behaviour in men

Sexual arousal Besides evidence from nonhuman primates and clinical case reports on effects of castration in human males (Nelson 1995), studies ofhypogonadal men on androgen replacement therapy provide convincing evidence of the essential role of androgens in some aspects of male sexual behaviour (Table 4.1). In patients with induced or spontaneous hypogonadism, pathological withdrawal as well as reintroduction of exogenous androgens affected the frequency of sexual phantasies, sexual arousal and desire, spontanenous erections during sleep and in the morning, ejaculation, sexual activities with and without a partner, and orgasms through coitus or masturbation (Bancroft 1984 1986 Carani etal. 1990a 1992 Davidson etal. 1979 Gooren 1987 Luisi and Franchi 1980 Morales et al. 1997 Salmimies et al. 1982 Schiavi et al. 1988 Skakkebaek etal. 1981). There is only limited evidence on the effects of testosterone administration to eugonadal men with or without sexual problems. In a controlled...

Influence of testosterone on sexual behaviour in women

The positive relationship between testosterone and various measures of sexual interest and behaviour is intriguing on the other hand, most studies failed to provide evidence of a peak of sexual behaviour at the time of the midcycle peak in testosterone. However, this is no argument against any testosterone-sexuality relationship in females, as an increase in testosterone does not have to produce an immediate behavioural response. For instance, the latency between androgen administration and increases in sexual desire in hypogonadal men ranges from days to several weeks. desire and phantasies was elicited, but also in sexual arousal, sexual sensation, and in coital or orgasmic frequency, and masturbation frequency (Davis and Tan 2001 Sarrel et al. 1998 Sherwin, 2002 Sherwin and Gelfand 1987 Sherwin et al. 1985 Shifren etal. 2000). Although there is converging evidence from these correlational and experimental investigations that testosterone enhances male and female sexual behaviour,...

Background The Ancient Indian Texts The Ayurvedic Texts

Ayurveda deals with life (human and animal) in all its aspects including hygiene, ethics, medical education, and rules of behavior. Dietetics, geographic pathology, and even the philosophical basis of existence are also treated. Both the Sushruta and the Caraka divide medicine into eight broad areas (1) Surgery (Salya) (2) Diseases of the Ear, Nose, Throat, and Eye (Salakya) (3) Internal Medicine (Kayachikitsa) (4) Mental Diseases (Bhutavidya) (5) Pediatrics Including Pregnancy and Its Complications (Kaumara-bhrtya) (6) Chemicals Used in Treatment (Rasa-yana) (7) Rejuvenation and (8) Aphrodisiacs (Vajikarana). The Astangahrdaya also mentions eight divisions of the Ayurveda, which are similar but not identical to the previous sections.

Bone density in men with disorders of androgen action

A clinical model of androgen effects on bone tissue is represented by the cohort of men undergoing therapeutic orchiectomy for the treatment of prostate cancer or sexual delinquency. In 12 men of the latter group, bone mineral density of the lumbar spine decreased after bilateral orchiectomy (Stepan etal. 1989). Corresponding effects were seen in men treated with surgical or chemical castration for prostate cancer as a consequence, osteoporotic fractures were significantly increased in comparison to controls (14 vs. 1 ) (Daniell 1997 2000). This has been recently confirmed by a study involving 429 men who underwent bilateral orchiectomy for treatment of prostate cancer. Fractures were ascertained from medical records and compared with expected numbers based on local incidence rates this demonstrated a three-fold increase of fractures accounted for by moderate trauma of the hip, spine and distal forearm, locations traditionally linked with osteoporosis (Melton etal. 2003). The...

New Narrative of Sexuality

As clinical practice attests, patients have sexual problems (Green 19961, but the paths to and outcomes of sexual development are multiple, not unitary (Breen 1993). Desire itself is, to put it in different language, idiomatic. What Bollas (1989) wrote ol the personal idiom altogether must hold true for sexual desire in particular a set of unique person possibilities specific to this individual and subject in its articulation to the nature of lived experience in the actual world p. 9J. These possibilities may include heterosexual object choice as a solution to the conflicts of the oedipal and pre-oedipal passages. However, they may also include sadomasochism and other practices formerly dubbed perversions as adaptive solutions to disorders of self The oedipal narrative, as classically told, is useful but is, after all, a story and only one, at that of how a person becomes heterosexual, not only of how that person becomes sexually and psychically mature. According to recent...

Nutrients to Neutralize Mucus

You've spent all this time clearing your lungs of mounds of mucus. Now you need to practice avoiding sugary foods or dairy products that often gunk them up again. Even something as simple as drinking too much fruit juice translates into ingesting sugar (fructose). Try supplementing with vitamin C, which cuts the mucus without the sugar, and coenzyme Q10, which helps get rid of toxins. Black radish, mullein, chick-weed, fenugreek, and gingko biloba are used to further clean mucus from your lungs. Consult an herbalist if you have any questions. He or she can guide you in your choices or create a custom prescription for your particular needs.

Side effects of androgen replacementablation in the aging male

Besides its effects upon normal and abnormal growth and physiology ofthe prostate, testosterone is also critical for maintenance of bone and muscle metabolism, as well as libido. For this reason, aging males who have an insufficient level of serum testosterone (i.e. hypogonadal males) suffer clinically from loss of bone and muscle mass as well as a decreased libido. Such aging hypogonadal males are candidates for exogenous testosterone replacement. Due to its growth-promoting effects on the prostate, however, such hormonal replacement therapy could enhance the

Contraceptive Devices Diaphragms

The FemCap is a silicone rubber nonhormonal intravaginal contraceptive (IVC). The smaller rim size (22 mm) is for women who have never been pregnant. The medium size (26 mm) is intended for women who have been pregnant, even for up to as little as 2 weeks with no vaginal delivery. The larger-diameter cap (30 mm) is for women who have had a full-term vaginal delivery. When in doubt of prior pregnancy, the 26-mm cap should be used. The patient places the cap over the cervix with up to tsp of 2 nonoxynol-9 spermicide used around the outside groove at least 15 minutes before sexual arousal. Placement over the cervix is critical and accomplished best while squatting. Once in place, the cap should be pushed in opposition to the cervix for at least 10 seconds to ensure firm placement against the vaginal wall, because it does not fit snug against the cervix. Additional spermicide should be placed with each act of intercourse without removing the cap. Hooking a finger under the removal strap...

Surveillance of testosterone substitution therapy

The presence and frequency of sexual thoughts and fantasies correlate with appropriate testosterone substitution, while loss of libido and sexual desire are a sign of subnormal testosterone values. Spontaneous erections such as those during sleep will not occur if testosterone replacement is inadequate however, erections due to visual erotic stimuli maybe present even with low testosterone levels. The frequency of ejaculations and sexual intercourse correlate with serum testosterone levels in the normal to subnormal range. Therefore, detailed psychological exploration or a diary on sexual activity are useful adjuncts in assessing testosterone substitution. For objective evaluation of psychosexual effects weekly questionnaires on sexual thoughts and fantasies, sexual interest and desire, satisfaction with sexuality,

Is ED a normal process of aging Is ED preventableIs it curable

Age-related changes in sexual function do occur and include a decrease in the amount of smooth muscle in the penis, which may affect erectile function. The sensitivity of the penis can also decrease with age, so that more stimulation is required for an erection. In men older than 60 years, levels of free testosterone in the bloodstream (the active form of testosterone) often decline. Chronic illnesses, which are more common in the elderly, also may decrease testosterone levels, which could affect the vascular response to sexual arousal and libido.

What is sexual dysfunction

The term sexual dysfunction broadly encompasses trouble with any component of the sexual response cycle. The sexual response cycle in men consists of sexual desire interest (libido), sexual arousal (erection), orgasm (including emission involuntary discharge of semen from the ejaculatory duct into the urethra and ejaculation), and detumescence (return of the penis to the flaccid, nonerect state). An abnormality in one component of the sexual response cycle may not affect the remainder of the components of the cycle. For example, one may still be able to climax and ejaculate without achieving a rigid erection. Common sexual dysfunctions include problems with libido, ejaculation, and orgasm. Lack of interest in sex is often called decreased libido or decreased desire. Libido is governed by psychogenic factors and involves all five senses (sight, smell, taste, touch, and hearing) as well as hormonal factors. Low libido, or hypoactive sexual desire, occurs in about 15 of men and in about...

Implicit learning accounts for the knowledge of skills

Children must also learn how to deal with hunger, thirst, sexual desire, exploratory behavior and other biological needs, which are the primary engines that generate behavior. Desires and emotions can be conceptualized as states of disequilibrium that must be resolved by an appropriate action, which is naturally the satisfaction of the specific need. Feedback mechanisms check hedonic behavior, suggesting that satiation consists in the restoration of an internal equilibrium. When the behavior results in the satisfaction of the need, it becomes reinforcing, which is to say that reinforcement promotes the learning of the satisfactory behavior. Once the behavior is learned, the animal can easily repeat it, whenever the same need arises again. The reinforcement of the learned behavior is an essential characteristic of the process, because the behavior is initially a random or automatic exploratory response. Thus, the positive reinforcement of behavior is one of the key mechanisms for...

Presence of animal tissue

For example, the ingredients of Nu Bao have been found to include human placenta, deer antler, and donkey skin, which are all potential sources of bacteria and viruses. Secondly, some constituents that are used medicinally are toxins themselves, for example the venom extracted from the skin glands of certain species of toads (Bufo marinus, Bufo alvarius) used in some Chinese aphrodisiacs. The venom contains bufotoxins, which have similar molecular structure and pharmacological effects to digoxin. These preparations can cause symptoms and clinical findings very similar to digitalis overdose and toxicity, and have led to dangerous alterations in heart rhythm and even death.

Listing Your Prodromal Signs Of Depression

Describe changes in your activity and energy levels as your depressive episodes develop (examples feeling slowed down, withdrawing from people, moving more slowly, talking more slowly, doing fewer things, having little or no sex drive, feeling fatigued, feeling tired but wired ).

What are oral therapies for ED specifically the phosphodiesterase type 5 PDE5 inhibitors

Critical to the success of all of the PDE-5 inhibitors is the need for sexual arousal (sexual stimulation) after taking the medication. That is, these medications will not cause an erection to occur without sexual stimulation. It is okay to have a glass of wine, a beer, or a mixed drink when using these therapies such limited alcohol consumption should not interfere with their effectiveness. Too much alcohol, however, may have a negative effect on erectile function, so a man should limit his alcohol intake when taking any of these medications.

Who should be considered for treatment

As to the objective signs of relative androgen deficiency, although a decrease of muscle mass and strength and a concomitant increase in central body fat and osteoporosis can most easily be objectified, they are not specific signs. Decreased libido and sexual desire, loss of memory, difficulty in concentration, forgetfulness, insomnia, irritability, depressed mood as well as decreased sense of well-being, are rather subjective feelings or impressions, less easily objectified and certainly difficult to differentiate from hormone-independent aging. Complaints of excessive sweating are not uncommon, whereas true hot flushes do occur in elderly men, although they are mainly prevalent in severe acquired hypogonadism such as under hormonal treatment for prostate cancer.

Possible benefits of androgen replacement in women

Multiple studies demonstrate clear evidence that testosterone replacement enhances sexual function in hypogonadal men. In women, there is also strong data in this regard. The best-known study demonstrating a beneficial effect of androgen replacement on sexual function in women was published in 1987 (Sherwin and Gelfand 1987). This trial, although non-randomized and unblinded, did demonstrate increased arousal, fantasy, coitus and orgasm in postmenopausal women given monthly intra-muscular testosterone enanthate (150 mg) and 10 mg of E2 valerate. However, mean serum testosterone levels noted in this study were well over 200 ng dl, at least five times the physiological range seen in naturally post-menopausal women. Accordingly, a later study reported that prolonged use of this preparation resulted in virulizing effects in a number of women (Urman et al. 1991). Oral testosterone androgenic preparations have also been assessed in terms of sexual function in postmenopausal women. A...

Disturbances of sexual functioning

One common effect of traumatic brain injury (TBI) that has received only limited investigation to date is the alteration in sexual desire and performance associated with the injury (Elliott & Biever, 1996). It is estimated that TBI affects approximately 7 million people per year throughout the world. These injuries primarily affect men, with over 25 of TBIs occurring prior to age 25 (Ducharme & Gill, 1990). Independence and sexuality are crucial developmental tasks that need to be addressed during these early adult years and TBI, with its complex and interacting sequelae, can have a seriously detrimental effect on the development and nurtur-ance of normal sexual behaviour. The cognitive, behavioural, and physical impairments as well as the hormonal changes and psychological reactions to the cognitive and other deficits can combine to result in a lethal cocktail of sexual and emotional maladaptation. Often in the rehabilitation setting, the only time when the sexuality of the...

Neurohormonal influences

It appears that androgen levels are closely linked to seminal emission and sex drive in the human male, and that there is a requirement for a certain minimal level of androgen to be available for sexual function to take place however, excess amounts of androgen above these levels has minimum effect (Segraves, 1996). In the case of the female subject, current evidence suggests the oestrogen levels are essential to maintain vaginal epithelial integrity and lubrication whereas androgen levels may be related to libido (Segraves, 1996). Hyperprolactinaemia has been associated with decreased libido in both sexes (Segraves, 1988).

Methodological issues

For example, in their study of self-reported sexual difficulties in a sample of 322 patients with TBI (193 men and 129 women), Hibbard Gordon, Flanagan, Haddad, and Labinsky (2000) noted that their TBIs reported more frequent physiological difficulties influencing sex drive (i.e., decreased energy, sex drive, ability to initiate sexual activities, or achieve orgasm) physical difficulties (i.e., problems with body positioning, movement, and sensation) and body-image difficulties (i.e., feeling attractive and comfortable having the partner view one's body during sexual activities). Yet in men with TBI and without disability the most sensitive predictor of sexual dysfunction was level of depression, whereas for women endocrine disorders were the best predictor. Due to the complex interacting forces of the organic, cognitive, and psychosocial consequences of brain injury, specific delineation of the nature of these effects can often be difficult to ascertain.

Mechanism of Erection

Erection is a complex process that begins with impulses of sexual arousal at the brain centers of sexual excitement. The impulses travel along nerves from the brain to the penis, where they cause secretion of a substance called nitric oxide. Nitric oxide sends signals that cause dilatation of blood vessels and increase blood flow to the penis. It is estimated that during the early stages of erection, the blood flow in the penis increases 2,000 percent to 4,000 percent. This increase in blood flow, along with the relaxation of the smooth muscles of the penis, causes the penis to increase in length and diameter (engorgement). The veins that normally drain the blood away from the penis are closed during erection. Any disturbance in the whole chain of events can contribute to erectile dysfunction.

Prevalence and incidence of disturbances of sexual functioning

Walker and Jablon (1961) report that in a large sample of World War II veterans with head injury (739 men) the vast majority (87 ) had no complaint about their sexual functioning subsequent to the injury. Eight percent complained of impotence or reduced libido, four reported an increase in sexual desire, and 14 reported other problems regarding their sexual appetites. The frontally injured subjects tended to have more sexual complaints than individuals injured in other brain regions. At the 25-year follow-up (Walker, 1972), an unspecified number of wives complained of diminution of sexual functioning in their spouses and wondered whether anything might be done to enhance his sexual interest (p. 8). De Morsier and Gronek (1971) found that 47 of their 49 male patients reported impotence following TBI, and only two of their male patients reported increased sexual desire there was no mention of decreased sexual desire. noted postconcussive symptoms that endured for a minimum of six months...

Today he presents to the clinic with bone pain and a serum PSA of 67 ngmL 67 mcglX

The combination of estramustine (280 mg three times a day, days 1-5) and do-cetaxel 60 mg m on day 2 every 3 weeks also improves survival in hormone-refractory metastatic prostate cancer.50 Estramustine causes a decrease in testosterone and a corresponding increase in estrogen therefore, the adverse effects of estramustine include an increase in thromboembolic events, gynecomastia, and decreased libido

Lesion location and mechanism of sexual dysfunction

Griffith, Cole, and Cole (1990) propose that diffuse frontal injury with the involvement of the neural and endocrine systems is responsible for diminished sex drive. Garden (1991) proposes that medial temporal lesions account for hypersexuality whereas bilateral temporal lesions with lesions of the limbic system cause hypo-sexuality. Zasler (1998) contends that the frontal temporal areas, adjacent to the limbic structures of the right hemisphere, are responsible for arousal and sexual function. Lundberg (1992) concurs with Zasler and emphasises the contribution of the basal hypothalamus and the adjacent areas of the temporal lobe in regulating sexual desire. Rosenbaum and Hoggs (1989) note a drastic reduction in sexual relations, but no clear-cut relationship with locus of injury while Sandel et al. (1996) noted that most of their group were not experiencing major sexual dysfunction and not surprisingly observed that there was no relationship between sexual functioning and indices of...

Contract For Preventing Mania

Together they developed a list of his prodromal symptoms, which included mild irritability, mistrustfulness, standing too close to people and talking too loud, a sudden disinterest in his job, an increase in his sex drive, and a subjective feeling of mental clarity. They made a distinction between these early warning signs and signs of his full-blown manias, such as feeling elated or expansive, socially inappropriate outbursts of anger, spending excessively and impulsively, grandiose beliefs about his musical talents, severe loss of sleep, and a firm denial that anything was wrong. They also agreed on the environmental circumstances associated with his escalations an excessive workload, family arguments, and financial problems.

Antiandrogens Bicalutamide Flutamide and Nilutamide

Flashes, gynecomastia, and decreased libido. Flutamide tends to be associated with more diarrhea and requires three-times-daily administration, whereas bicalutamide is dosed once daily. Nilutamide may cause interstitial pneumonia and is associated with the visual disturbance of delayed adaptation to darkness. Initially, luteinizing hormone-releasing hormone (LHRH) agonists increase levels of leutinizing hormone and follicle-stimulating hormone, but testosterone and estrogen levels are decreased because of continuous negative-feedback inhibition. Major side effects are testicular atrophy, decreased libido, gynecomastia, and hot flashes. Leuprolide is well absorbed, with a terminal half-life of 2.9 hours, whereas goserelin has a terminal half-life of 4.9 hours. Goserelin is injected as a pellet under the skin, so subcutaneous injection of lidocaine prior to administration helps to decrease the pain associated with goserelin administration. Numerous dosage forms are available for...

Growth Hormone Hypersecretion Museuloskeletal Increas

Other Arthralgias, slight kyphosis, visceromegaly, reproductive problems (women amenorrhea, galactorrhea, anovulatory problems men decreased libido, hypogonadism), hyperprolactinemia, adenomatous polyps and colon cancer, esophageal and gastric cancer, parathyroid and pancreatic islet cell adenomas (MEN-I syndrome)

Adult testosterone levels

Many aspects of sexual behaviour in the normal male are testosterone-dependent. With pathologically low serum testosterone levels a significant decrease in the frequency of sexual fantasies, sexual arousal and desire, spontaneous nocturnal or morning erections, ejaculations, sexual activity with and without a partner has been observed and also successfully treated with androgen replacement. Even among eugonadal men, some evidence for a positive relationship of endogenous testosterone with sexual behaviour has been found. This gave rise to the supposition that abnormally high androgen levels in men might elicit rape or other types of sexual aggression.

Superficial Perineal Space

Perineal Membrane

CRURA OF THE PENIS Each crus of the penis is composed of erectile tissue that is continuous with the paired corpus cavernosa of the penis. Erectile tissue consists of large, cavernous venous sinusoids (spaces like those found in a sponge) that normally are somewhat void of blood. However, during sexual arousal, the corpus cavernosa fill with blood, causing the penis to become erect (Figure 13-1B and C).

The Autoerotic Factor In Religion

Even when there is absolute physical suppression on the sexual side, it seems probable that thereby a greater intensity of spiritual fervor is caused. Many eminent thinkers seem to have been without sexual desire. Already, however, in a rudimentary form appeared contrary tendencies strictly speaking they were not contrary, but related, tendencies . Beneath the mystic passion which concealed it sexual desire was sometimes felt. At sixteen she experienced emotions which she could not master, when thinking of a priest who, she said, loved her. In spite of all remorse she would have been willing to have relations with him. Notwithstanding these passing weaknesses, the idea of purity always possessed her. The nuns, however, were concerned about her exaltation. She was sent away from the convent, became discouraged, and took a place as a servant, but her fervor continued. Her confessor inspired her with great affection she sends him tender letters. She would be willing to have relations...

LIIRII agonist medical castrations or surgical aie equivalent

The most common adverse effects reported with LHRH agonist therapy include a disease flare-up during the first week of therapy, hot flashes, erectile impotence, decreased libido, and injection-site reactions.26 The disease flare-up is caused by an initial induction of LH and FSH by the LHRH agonist, leading to an initial phase of increased testosterone production, and manifests clinically as either increased bone pain or increased urinary symptoms.26 This flare reaction usually resolves after 2 weeks and has a similar onset and duration pattern for the depot LHRH products.39,40 Initiating an antiandrogen prior to the administration of the LHRH agonist and continuing for 2 to 4 weeks is a frequently employed strategy to minimize this initial tumor flare.27

Ascites In Pathophysiology In Book

Portal Vein Anatomy

Changes in steroid hormone production, as well as changes in the conversion and handling of steroids are also prominent features of cirrhosis. These changes can result in decreased libido, gynecomastia (development of breast tissue in men), testicular atrophy, and features of feminization in male patients. Another deleterious effect of changes in sex hormone metabolism is the development of spider angiomata (nevi). Spider angiomata are vascular lesions found mainly on the trunk. The lesion has a central arteriole (body) surrounded by radiating legs. When blanched, the lesions fill from the center body outward toward the legs. Spider angiomata are not specific to cirrhosis, but the number and size do correlate with disease severity, and their presence relates to risk of variceal hemorrhage.12

What are some of the side effects of hormonal therapy and how are they treated

LHRH analogues and antagonists have side effects that may affect your quality of life over the short and long term (Table 9). Some of the side effects related to these medications, such as hot flashes, erectile dysfunction, anemia, and osteoporosis, can be treated. Erectile dysfunction occurs in about 80 of men taking LHRH analogues and antagonists and is associated with decreased libido (sexual desire). The widely prescribed drug silde-nafil (Viagra) as well as the other oral therapies for erectile dysfunction, vardenafil (Levitra) and tadalafil (Cialis) are effective in most of these men if they had normal erectile function before starting hormone therapy. Unfortunately, there is no medication to restore libido.

Impulse Control Disorders in Parkinson s Disease

There have been very few studies that examine the impact of PD on sexual functioning in women with PD. What little evidence that exists suggests that women with PD often experience a decline in sexual desire and a reduced ability to experience orgasm during sex. Sex can be uncomfortable due to lack of lubrication and desire. For women with PD who have experienced menopause, the decline in sexual interest may be due to both menopause and to PD.

Ironically it is the anorexia that cloaks you with a kind of invisibility the 44essence of your personality becomes

Since sex is a form of communication, and since anorexia alters how you communicate all aspects of your self, physically intimate experiences are often transformed from occasionally awkward to frightening. Many anorexics report completely losing their sexual feelings and sex drive. This may be a result of hormonal deficiencies but also may be due to a psychological walling-off of emotions, a profound lack of trust in interpersonal relationships, a fear of being naked, a literal fear of being touched and of touching someone else. Sexual dysfunction is a complicated and serious side-effect of this disorder.

Sexual Experiences Following Treatment for Penile Cancer

Was 52 years, and all had been sexually active prior to surgical treatment. All had a minimum residual penile stump length of at least 2.5 cm following surgery and the median time from surgery was 23.5 months. Patients were asked to retrospectively assess their sexual function before surgery and to then assess their function at the time of interview. Significant reductions in erectile function, orgasmic function, sexual desire, and intercourse satisfaction were identified. These two studies, taken together have led to a view that the more radical the penile surgery, the greater the effect on sexual function, with even partial penectomy having significant adverse effects. The traditional view that surgery for penile cancer requires a 2-cm tumor-free margin in all cases has been challenged.8,9 Recently a more conservative approach using treatment modalities such as laser therapy, brachytherapy, or by conservative surgery such as glans resurfacing or glansectomy has been advocated.9...

H6 Prevalence of testosterone deficiency in patients with erectile dysfunction

More recently, endocrine screening of 1022 men with erectile dysfunction detected serum concentrations of testosterone 3 ng ml in 8.0 of men. However, 40 of these patients had normal serum levels at repeated determination (Buvat and Lemaire 1997). Pituitary tumors were discovered in two men with low testosterone. Determination of testosterone only in cases of low sexual desire or abnormal physical examination would have overlooked 40 of men with low testosterone, and 37 of men subsequently improving during testosterone substitution therapy (Buvat and Lemaire 1997). The largest study involving 3547 men with erectile dysfunction revealed a prevalence of testosterone deficiency (serum concentration less than 2.8 ng ml) of 18.7 (Bodie etal. 2003).

Multiple Pattern ejaculations number

It is usual for males to exhibit a period of reduced sexual arousal once orgasm has occurred this is the post-ejaculatory refractory period. Dewsbury pointed out that whereas males of some species cease to copulate for extended periods, others are capable of mating again and of having a second ejaculation within 60 min. Yet this criterion, which results in the division of eight potential copulatory patterns into sixteen, is highly problematic. Among the primates, for example, Dewsbury and Pierce (1989) could identify only four species, out of thirty-three considered, which were not capable of multiple ejaculations. Even these four examples are contentious, however, and in two cases (Otolemur crassicaudatus and Cerco-pithecus (Chlorocebus) aethiops) it is likely that ejaculation can occur more than once per hour (Dixson 1998a). The problem is that almost all primate species which have been studied adequately are capable of ejaculating more than once per hour, at least when they are...

What are the 5alpha reductase inhibitors

What are the side effects of 5-alpha reductase inhibitors Side effects found in the first year of 5-alpha reductase inhibitor use include decreased sexual drive (libido), increased ejaculatory dysfunction (such as smaller amount of semen ejaculated), difficulty getting an erection, breast tenderness or enlargement. One large study demonstrated that after a year of treatment, finasteride resulted in the same level of decreased sex drive and inability to get an erection as placebo. Ejaculatory dysfunction was higher with finasteride than with placebo.

Electromagnetic Therapies

By the eleventh and twelfth centuries, lodestones were thought to have curative powers and were used to treat gout, arthritis, baldness and other ailments, as described by medieval writers. Scholars of the time also believed that magnets could cause and cure melancholy. Aphrodisiac powers were attributed to lodestones probably because of their magnetic ability to attract.

Clinical studies with finasteride in men with androgenetic alopecia

In studies of finasteride 1 mg in young men with AGA, side-effects related to finasteride treatment were confined to transient impairment of sexual function (decreased libido, erectile dysfunction, and decreased ejaculate volume) in a small number of men. In aggregate, in studies in younger men, 3.8 of patients receiving finasteride compared to 2.1 receiving placebo reported these side-effects, yielding a treatment group difference of 2 (US Product Circular for Propecia 2002). In the two-year placebo-controlled study of finasteride 1 mg in older men with AGA, more patients reported side-effects related to sexual function in each treatment group, as expected 8.7 for finasteride and 5.1 for placebo, yielding a treatment group difference of 3.6 (Whiting etal. 2003). Few patients discontinued the studies because of these side-effects, and the incidence of reported side-effects declined with continued treatment.

Exchange Relationshipspostmarital Depression And Divorce Culture

Sexual desire disorders have also been increasing at a very rapid rate over the past two decades.35 The most common disorder is classified as hypoactive sexual desire disorder, a deficiency or total absence of sexual urges, which currently affects over 20 percent of the adult population. Different causes have been suggested, such as fear of loss of control, fear of pregnancy, depression, and a history of sexual trauma. Of these factors, depression is the only one that could account for the sharp increases in sexual desire disorders, but we probably need to go beyond depression as a causal agent and to look at the shifting focus of our desires. Passion that normally would be directed to the social realm is drained off as culture imbues members with the type of desire, including sexual desire, that does not promote self-transcendence or human interest.

Hypoandrogenism of senescence and sexual activity

Several authors reported differences in parameters of sexual desire or activity according to endogenous serum testosterone levels (Davidson et al. 1983 Schiavi etal. 1988 1990 Tsitouras etal. 1982 Udry etal. 1985), but there is a broad overlap of serum testosterone levels in sexually less or more active elderly men in these studies. Moreover, other studies failed to find an association between androgen levels and the perception of sexual functioning (Perry etal. 2001 T'Sjoen etal. 2003) (see also Chapters 4 and 11). Although potency and nocturnal penile tumescence (NPT) require adequate testosterone levels and although several studies show that hormonal alterations might play some role in 6 to 45 of cases (Morley 1986), most frequently the cause of impotence in elderly males is non-hormonal.

Altered Sexuality Syndromes

Altered sexuality may take many forms. The loss of libido is the most common form and can present as inhibited excitement or orgasm. Hypoactive sexual desire may be due to a number of psychiatric, medical, and neurological disorders. Typically, the cause is functional and the condition occurs in the presence of anxiety or depression. Hyposexuality associated with hypergraphia, hyper-religiosity, irritability, and elation comprise the main features of the Gastaut-Geschwind syndrome. This syndrome has been described as an interictal syndrome in patients with epilepsy of temporal lobe origin. These patients may also demonstrate viscosity, which refers to a stickiness of thought processes and an interpersonal adhesiveness, and circumstantiality, which is manifest as a difficulty in terminating conversations.

Impact of Infertility on the Patient

Infertility is one of several important developmental crises of adult life. The impact of infertility on a woman can be severe. The influence of the higher nervous system on ovulation is well known but only partially understood. When a woman is told that she is infertile, she may be shocked and distressed about the loss of an important function of her body. This psychologic injury lasts for variable amounts of time. Often the woman feels defective or inadequate. This extends to her interactions with others, in addition to her sexual function. Her attitude toward her job may change her work productivity may decline. There is a significant decrease in sexual desire. Depression, loss of libido, and concern over whether conception will ever occur combine to make sex a less pleasurable activity and decrease the possibility of normal ovulation. A period of mourning and frustration usually occurs.

Classification And Clinical Presentation

These tumors do not secrete active hormones, and therefore signs of hormone excess are absent. Prolactin levels may be mildly elevated because of the stalk effect, resulting from loss of tonic inhibition from the hypothalamus caused by compression or distortion of the pituitary stalk. Varying degrees of hypopituitarism may also be seen, and a full panel of hormone levels should be drawn. Signs of hormone insufficiency include decreased libido, fatigue, weakness, and hypothyroidism. It is essential to draw thyroid hormone levels in addition to thyroid-stimulating hormone (TSH) levels, because the patient with hypothyroidism of pituitary etiology will likely have a low TSH. Prolactin-secreting tumors are the most common pituitary adenoma, responsible for approximately 27 of pituitary tumors.5 They occur more often in women by nearly 2 1, but autopsy studies reveal an almost equal prevalence of pro-lactinomas in both sexes. Prolactinomas often cause amenor-rhea or galactorrhea and...

Selection of Medication

Check for drug interactions in patients receiving complex polypharmacy regimens, because drug-drug interactions are constantly being updated and changing. For example, fluoxetine is a potent 2D6 inhibitor that can triple TCA and phenytoin levels or increase the anticoagulation associated with warfarin. Fluoxetine also has the longest half-life of any SSRI its active metabolite norfluoxetine has a half-life of 10 days. SSRIs have sexual side effects (decreased libido, delayed orgasm or anorgasmia) and GI side effects (nausea, diarrhea) (see Table 47-4). GI side effects likely will remit over time, but sexual effects typically do not attenuate and may require treatment with other agents, such as a phosphodiesterase inhibitor (e.g., sildenafil), or choosing an antidepressant less likely to cause sexual side effects. Gastrointestinal side effects (nausea, diarrhea, heartburn) sexual dysfunction (decreased libido, delayed orgasm) headache insomnia somnolence

Turn On Your Acu Points Shut Off the Ringer

The two most common oriental diagnoses of tinnitus that I see are rising liver and gallbladder fire, and kidney deficiency. Rising liver and gallbladder fire is characterized by sudden onset of a loud noise, emotional stress, headache, irritability, a bitter taste in the mouth, constipation, dizziness, reddish face, and thirst. Deficient kidney tinnitus comes on gradually with low, intermittent sounds, poor memory, blurred vision, sore back and knees, and reduced sexual desire or performance.

Side Effects of Antidepressants

Most likely to cause these side effects but TCAs, MAOIs, venlafaxine, lithium, and carbamazepine can also cause them. SSRIs, MAOIs, and venlafaxine are more prone to causing anorgasmia and decreased libido while TCAs are the most likely to cause difficulty maintaining erection.

Urine Formation In A Nephron

Puberty is the period during which sexual characteristics develop and sexual organs mature. In boys, puberty usually begins between the ages of about 12 and 15 and lasts for 3-4 years. The pituitary gland, at the base of the brain, starts to secrete hormones that stimulate the testes to produce the male sex hormone testosterone. This hormone stimulates changes such as enlargement of the genitals and the growth of body hair, and, later, sperm production and increased sex drive.

Sexual Urges Regrets and Remedies

The different gender identities of the brain, engraved during fetal development, are activated by maturing gonadal steroid secretions during puberty. To have a male brain means many things. The enlarged SDN-POA nuclei of males promotes male-typical sexual urges via the activational effects of T, and experimental damage to those brain areas diminishes male sexual behavior more than that of females. In contrast, female receptivity is dependent much more on circuits within the ventromedial hypothalamus, which are sensitized by E and progesterone (Pfaff, 1999), which are not essential for male sexuality. Of course, there are many other brain areas, including prominently the bed nucleus of the stria terminalis (BNST) and corticomedial amygdala, along with many neurochemistries, that contribute to the flow of sexual arousal. To some degree both males and females contain circuitry that is more typical of the other gender. For instance, administration of T into adult females can rapidly...

Ego Psychology

With various offshoots, dissenters, and rivals, the codification of clinical practice and of the rules followed by psychoanalysis' growing number of practitioners was of concern to Freud. As the field gained new adherents, the importance of clarifying it both as a theory and as an organization became increasingly important. In spite of a difficult beginning, Berlin soon bccame the center of a flourishing psychoanalytic community, with Karl Abraham, who had left the Burgholzli in Zurich for Berlin, at its center. Karen Homey, Helene Deutsch, and Melanie Klein trained there, and all three were analyzed a second analysis for Klein) by Abraham, who had developed some ideas about the female libido that these three analysands would each, in different ways, challenge and modify. Sandor Rado and Franz Alexander arrived in 1921. Some of the basic precepts of analytic training, including the training analysis, the supervision, and the seminars, had been established in Berlin by 1930. The two...

Clinical History

In one eye or in the optic nerve should be considered. Painful monocular visual loss is characteristic of an inflammatory or demyelinating optic neuropathy. With binocular visual loss, a lesion of both eyes or optic nerves, or of the chiasm, tract, radiations, or occipital lobe should be investigated. Associated neurological deficits, such as motor or sensory abnormalities, also assist in localization and often indicate a hemispheric abnormality. Medical conditions should always be investigated in the review of systems. Hypertension and diabetes, for instance, predispose the patient to vascular disease, and a history of coronary artery disease should alert the examiner to the possibility of carotid artery insufficiency as well. Visual loss accompanied by endocrine symptoms, such as those consistent with hypopituitarism (e.g., amenorrhea, decreased libido, impotence) or pituitary hypersecretion (e.g., galactorrhea, acromegaly), suggests a chiasmal disorder.

Key thinkerstheories

Freud believed gender identity is acquired through identification with the same-sex parent. According to Freud, boys develop an Oedipal complex by which they experience sexual desire for their mother but because they fear that their father will find out about this and castrate them, they instead try to identify with their father to avoid discovery. Thus, resolution of the Oedipus conflict, in part, involves gender identity, adopted from the example set by the father. For girls identification with the mother derives from a similar process but instead of the fear of castration girls experience the Electra complex, identifying with the mother for fear of her finding out that she actually feels penis envy towards the father. Thus, these identification processes in the phallic stage of development (3-6 years) play a major role in the development of gender stereotypes.

Standardized Testing

Deviant sexual arousal has been noted as an important factor in sexual offender risk assessment. In a meta-analysis of more than 20,000 offenders, Hanson and Bussiere (1998) noted that pedophilic preference on phallo-metric testing was one of the most important factors in predicting recidivism (r 0.32). This result was confirmed in another meta-analysis of nearly 30,000 offenders (Hanson and Morton-Bourgon 2005). The Sex Offender Risk Appraisal Guide includes deviant arousal as a predictor of future recidivism (Quinsey et al. 2005). These results also have face validity. If a person is aroused by children, his risk of offending against a child is higher than if he is not aroused by children. Similar results have been obtained with regard to sexual arousal by violence (Hanson and Morton-Bourgon 2005). Abel and colleagues (1998) noted that results have reliability similar to that of PPG, but the method does not use nude photos of children, making it preferable in some circumstances....


Snakes, heal dog-bites, and bruises raw garlic was given to asthmatics fresh garlic and coriander in wine was a purgative and an aphrodisiac Juniper mixed with honey and beer was used orally to encourage defecation and origanum was boiled with hyssop for a sick ear (Manniche, 1989).

Sexual Function

Most men and women who had been sexually active will experience dysfunction after a stroke.121 Sexual desire often persists. Subtle premorbid problems associated with diabetes, cardiovascular medications, and vascular disease can be exacerbated by poststroke neural dysfunction, decreased mobility, pain, and new medications. These can produce impotence, which is also an age-related disorder that increases to over 25 in men after age 65 years. Some patients benefit from eliminating or switching drugs, particularly cardiovascular, antispasticity, and antidepressant types. The patient and his her partner can be encouraged to explore different sexual techniques. However, clinical factors may play less of a role than maladjustments related to psychologic and in-terpersonel difficulties.122 Counseling is especially important, for example, for those who lose self-esteem or fear rejection, because the partner is now a caretaker.

History And Overview

Individual cases of lead poisoning were reported as early as 200 bc. However, it was not until the twentieth century that industrialization and modernization resulted in a need for medical evaluation and treatment of health effects caused by exposure to harmful chemicals. To meet this need, a new medical specialty was developed called occupational and environmental medicine. Unfortunately, the number of physicians in this specialty is too few to treat the number of patients requiring evaluation and treatment. Even in academic and workplace settings that offer this expertise, neurological input is paramount because many of the health effects due to chemical exposure are related to the central and peripheral nervous systems. Whereas some health effects such as pulmonary distress and gastrointestinal symptoms are noticed easily by the affected individual, some nervous system effects may be unrecognized. Acute, high-level exposure to a toxicant often results in clearly identifiable signs...

Mixed Solvents

Chronic low-level exposure is generally seen in industrial settings. In these cases, development of symptoms is insidious. Headaches are the most commonly reported symptom. Characteristically, these begin shortly after arriving at work and disappear at night, on weekends, and during vacations when patients are not in the vicinity of the organic solvents. Other complaints include irritability, personality changes, depression, memory loss, poor attention or concentration, sleep difficulties, decreased libido, and pain and numbness starting in the feet and then progressing to the hands (peripheral neuropathy). Neurobehavioral findings are most notable in activities demanding manual dexterity, executive or motor functioning, and olfaction. y


Use This aphrodisiac dilates blood vessels of the skin and mucus membranes (including those of the sexual organs). It is a monoamine oxidase inhibitor, which means that you should strictly avoid nasal decongestants, foods containing tyramine (such as liver, cheese, and red wine), and certain diet aids containing phenylpropanolamine. The drug should not be taken by anyone suffering from hypotension (low blood pressure), Dosage Usually administered in 5.4 mg doses, it is available as a prescription drug in many combinations with other so-called sexual stimulants such as strychnine, thyroid, and methyltestosterone.

Cortical structures

The frontal lobes have been consistently implicated in the alteration in sexual function in numerous studies. Injury to the orbital region of the frontal lobes may produce disinhibited and sexually inappropriate behaviour. This behaviour may be only verbal in nature and lack any true sexual arousal or may be associated with true arousal associated with increased promiscuity (Horn & Zasler, 1990). This latter effect is much rarer and, in either case, there may be difficulties with erection and emission (Freemon & Nevis, 1969).

Sexual Difficulties

Hormone insufficiency can affect not only the physiology of sex but the psychology as well sexual desire or libido. Adequate hormone replacement with estrogen is often all that is needed. If estrogen alone does not improve your libido, then your doctor may prescribe a combination of estrogen and an androgen such as testosterone. There is one combination medication, called Estratest, that is approved for this specific use. Or, with your doctor's instructions, a compounding pharmacist can make up a combination of estrogen and testosterone in capsule form for you to take orally or as a vaginal suppository. Soon testosterone-containing patches may be approved to increase libido in postmenopausal women. If taking replacement hormones is not an option for you, or if these measures do not help to increase sexual desire, then take a close look at your relationship and stresses in your life for clues about changes you can make that may result in your being more receptive and...

Social Networking

Many have noted the Internet's value for enhancing social communication and connecting people who suffer from alienation or discrimination in their offline lives. However, the formation of identity groups and communities online may also lead to an increase in social capital and empowerment among people with extremist and harmful beliefs. For example, street gangs have begun using social networking sites such as Facebook and YouTube to recruit new members, often at very young ages (Vazquez 2008). The Internet's versatility for social networking has been exploited by extremist religious groups (e.g., terrorist organizations and the Heaven's Gate cult), hate groups (e.g., neo-Nazi social communities online), and individuals with deviant sexual desires, such as pedophilia (Durkin and Bryant 1999). Commenting on self-disclosure in cyberspace, Ben-Ze'ev makes the following observation considered as immoral, such as hate and sexual desire, are likely to be more prevalent and more intense in...

Intense Affects

Intense physician feelings elicited through patient interactions may include hate, fury, or frustration toward a patient (Groves, 1978 Strous et al., 2006). Alternatively, the physician may have strong feelings of love, sexual arousal, or wanting to rescue the patient or provide exceptionally good medical care. These may alternate with other wishes to avoid the patient, terminate the relationship, or transfer the patient to a colleague. In extreme cases, intense feelings aroused in a physician can become a focal point for leading the physician into boundary violations with a patient. These are extremely damaging to both parties and violate the tenets of professional behavior.

Adrenal Disorders

Clinical Features and Associated Disorders. The clinical features of adrenal insufficiency are influenced by the site of dysfunction, because PAI affects all of the adrenocortical hormones, whereas SAI only affects glucocorticoids. Thus, hyperpigmentation, salt craving, and hyperkalemia are unique to patients with PAI. Patients with adrenal insufficiency may present acutely or as a chronic condition. Acute adrenal insufficiency is a medical emergency (so-called addisonian crisis) characterized by mental status changes, fever, hypotension, volume depletion, arthralgias, myalgias, and abdominal pain that may mimic an acute abdomen. yi Chronic adrenal insufficiency may present more insidiously with fatigue, weakness, GI symptoms, amenorrhea, decreased libido, salt craving, arthralgias, and hypoglycemic symptoms. Neurological manifestations can include confusion, apathy, depression, psychosis, paranoia, and myalgias, as well as hypoglycemic symptoms. 102 In addition, a past medical...

The Road to Truth

It has been proposed that despite these limited capacities, men might engage in prudent allocation of sperm numbers in the ejaculate, and that this might be adaptive in terms of human sperm competition (Pound et al. 2006). Prudent allocation of sperm has been demonstrated in domestic fowl, for example, in which cockerels ejaculate greater numbers of sperm if paired with a new hen (the 'Coolidge effect') or one with a larger comb on the head (females with larger combs have greater reproductive success Pizzari et al. 2003). Some experiments have shown that men also ejaculate larger numbers of sperm under particular circumstances. This occurs, for example, if men are separated from their partners for long periods (Baker and Bellis 1989), or if stimulation is heightened during prolonged bouts of masturbation (Pound et al. 2002). It is not the experimental results which I find problematic in these studies, so much as the interpretation that these effects must necessarily reflect...

Sexual Subjectivity

If the oedipal narrative historically organizes and creates sex and gender, the new narrative generates the question of sexual self-states. Sexuality itself is no longer taken for granted as a self-evident drive, affect, or set of behaviors. Sexual desire is no longer a unisex model of tension, discharge, relief. Not only must femininity as well as masculinity, homosexuality as well as heterosexuality and biscxuality, be taken into account when it comes to desire. There may be as many sorts of desire as there are individuals who desire (Chodorow 19941 individual sexuality, manifesting as compromise formation Chodorow 2003), comprises linked, interacting elements that are universally occurring but idiosyncratically combined. Finally, desire itself changes throughout life, to extend a point insisted on by the classical narrative. Recent work (e.g , Dimen 1999 Laplanche 1976 Stein 1998 Stoller 1979) has begun to address the dilemmas of sexual experience. Freud, we have seen, found the...

External Genitalia

Labia Majora Matlab

The junction of the labia minora folds. The clitoris consists of erectile tissue that is continuous with two crura (corpora cavernosa), and a glans. The clitoris, which is richly innervated with sensory nerve endings sensitive to touch, become engorged with blood and erect with blood during tactile stimulation, contributing to sexual arousal in the female. The female urinary and reproductive tracts are completely separate, with neither running through the clitoris. In contrast, the urethra in the male carries both urine and semen and courses through the penis.

Dopamine and Food

Figure 6-1 Brain dopamine (DA) systems. Three major systems contribute to sexual arousal and desire, including the mesolimbic and mesocortical DA system. This system has DA-containing cell bodies in the ventral tegmental area (VTA) with terminals in the nucleus accumbens (NAcc) (and other limbic regions) and medial prefrontal cortex (mPFC), respectively. Other DA systems shown include the diencephalic system and the nigrostriatal system. The tuberoinfundibular DA system controls hormone release from the anterior pituitary gland. These systems control attention and motivation related to sexual and feeding stimuli and are also involved in the regulation of mood and emotions, attention, motivation, reward and reinforcement, and the actions of cocaine. SN substantia nigra mPOA medial preoptic area. (From Figure 3 from Pfaus, James G., Reviews Pathways of Sexual Desire, Journal of Sexual Medicine, Copyright 2009. Reprinted with permission of John Wiley & Sons, Inc.) Figure 6-1 Brain...


It is common to experience a temporary lack of sexual desire or inability to perform sexually (see Low sex drive in men, p.250, and Low sex drive in women, p.272). Such problems are often due to stress or emotional difficulties, or to the use of alcohol, recreational drugs, or certain medications. Disorders such as diabetes mellitus can cause longer-term sexual problems. It is important to discuss concerns with your partner. Talk to your doctor if the problem is persistent.


It has long been recognized that androgens play a critical role in human male sexual behaviour. Prepubescent boys do not engage in sexual activity outside the context of play. After puberty, when the testes begin to secrete androgens, sex drive and the motivation to seek sexual contact become powerful and are overtly expressed. Sexual performance and copulatory ability increase as well. The general pattern of age-dependent rise and decline of androgen levels in men corresponds to average levels of male sexual activity throughout the cycle of life. When blood levels of testosterone, especially non SHBG-bound testosterone, diminish as men age, this mirrors their usually declining sexual interest and potency (Davidson etal. 1983). These observations suggest, but do not prove, that male sexual behaviour is influenced by androgens. Less obvious and difficult to infer from everyday observation is the role of testosterone in female sexual behaviour. Physiological testosterone levels in...

Nonmotor Symptoms

As the autonomic system is disturbed in patients with PD, orthostatic hypotension and GI, urinary, sexual, and dermatologic symptoms are common. Patients with orthostatic hypotension may experience dizziness, lightheadedness, fainting upon standing, or fall-related injuries. GI symptoms include constipation and dysphagia due to a slowing of the automatic pattern of contraction and relaxation of the throat muscles. These swallowing difficulties may lead to weight loss, sialorrhea, and aspiration. Genitourinary symptoms include urinary incontinence, urgency, and frequency related to over activity of the bladder emptying reflex. Symptoms may be worse at night, causing nocturia. Sexual dysfunction includes decreased libido, erectile dysfunction, and delayed ejaculation. Skin symptoms include sweating and intolerance to heat and cold.6-8,11,12

S ex and S exuality

A woman's sexual desire depends on both psychological and physiological components. Physiologically, testosterone is a key hormone that influences sexual drive, and the amount of circulating testosterone affects sexual responses. Both the ovaries and the adrenal glands produce testosterone. The ovaries produce about half of all the testosterone made in a woman's body. Removal of the ovaries, therefore, lowers a woman's total testosterone level and can lead to alterations in sexual drive for some women. Even when the ovaries are not removed, the surgical procedure involved in removing the uterus may sometimes cause changes in the blood flow to the ovaries, which can lead to reduced hormonal production, including decreases in testosterone production. So even women who still have their ovaries may notice a difference in their sexual desire. Another way pelvic surgery can adversely affect sexual desire is by making you afraid that intercourse will hurt or will injure you in some way. Your...

Inorganic Lead

Currently, acute lead encephalopathy due to industrial lead exposure is rare. Symptoms generally include delirium, combative irrational behavior, and seizures. Early signs of lead exposure include sleep disturbances, decreased libido, increased distractibility, increased irritability, and mental status changes marked by psychomotor slowing and memory dysfunction.

Where To Download Sexual Attraction

You can safely download your risk free copy of Sexual Attraction from the special discount link below.

Download Now