Guest guest Posted January 27, 2004 Report Share Posted January 27, 2004 Hi All & Hi Par, Par, http://www.kuruvinda.com/health_celibacy-5.shtml had some good stuff, " The brain and the sexual organs are the great rivals in using up bodily energy, and there is an antagonism between brain vigor and extreme sexual vigor, even though they may sometimes appear at different periods in the same individual. In this sense, there is no paradox in the saying of Roman Correa that potency is impotency and impotency potency, for a high degree of energy, whether in athletics or in intellect, is unfavorable to the display of energy in other directions.... " . I understand that, to conserve energy and focus, many athletes and artists refrain from sex in the run-up to important events. But I query the following: > " The masters of all the more intensely emotional arts have > frequently cultivated a high degree of chastity. This is notably > the case as regards music. One thinks of Mozart, of Beethoven, of > Schubert. At the age of twenty-five, when he had already produced > much fine work, Mozart wrote in a letter that he had never touched > a woman. " Does that mean that he had never lost Jing? IMO, no! A male does not have to " touch a woman " to ejaculate. IMO, total [life-long] chastity is beyond the reach of most mortals. Cynics say: " for the " celi " in " celibate " write " mastur " . Most surveys of male sexual practices report that from puberty to old age most men ejaculate one way or another. One survey of circa 10,000 Roman Catholic priests (theoretically celibate) showed an overall standardized mortality ratio (SMR) of 103 (above normal). Interestingly, their SMR for cancer of the prostate was 81. Other interesting findings include increased SMRs for cancer of the larynx (147), cirrhosis of the liver (147), and diabetes (182). As regards Jing depletion, as others have noted, the nutrition and general health of the man and his ejaculation frequency are the key issues; 2-3 times/week is pretty usual in healthy men. How someone could come 5 times/d over a prolonged period beats me. That takes a hell of a lot of stamina in all areas! Not only would my hair and teeth fall out, my ears ring, my eyes glaze over and senile dementia set in, but I'd be looking for that tuft of black hair growing from my palms! A Medline search for the profile (celibacy OR chastity OR “Sexual activity” OR “ejaculation frequency” OR “frequency of ejaculation” OR masturbat*) AND (longevity OR Geriatric OR “old age” OR " age at death " OR “effects on health”) gave surprisingly few hits as regards humans. There were many hits that referred to sexual activity in animals. The animal data were mixed; some showed that hypersexuality gave significant increases in longevity. Others showed the reverse, especially in insects. The data on human sexuality indicate wide variation in behaviours; some of this is determined by culture and education. Educated people tend to be more inventive and less influenced by taboos. As one would expect, sexual activity declines in old age, but does not disappear, even in elderly women. Male and female masturbation is common, not only in the absence of a sexual partner, but also in stable relationships. As the last abstract, below, says “masturbation is only a compensation” [for want of something better]. Aging Male. 2002 Dec; 5(4): 203-15. | Measurement of steroid levels in saliva in a population-based survey of lifestyle, medical conditions, marriage, sex life and hormone status in aging men: a feasibility study. | Krause W, Mueller U, Mazur A. Department of Dermatology, University Hospital and Medical School, Marburg, Germany. | Some population-based studies on male aging measure testosterone and cortisol in saliva instead of serum, but very few measure estradiol and dehydroepiandrosterone sulfate (DHEA-S), suggesting further testing is needed for reliability and comparative validity. In addition, the effects of interview stress and circadian hormone secretion need to be checked. In a pilot study on the overall sexual capacity of aging men, 48 randomly selected, healthy, heterosexual, cohabiting men aged 50-80 years, from Mannheim, Germany, and 50 from the State College, Pennsylvania, USA, were administered a standardized interview covering medical biography, present and previous life and work, marriage and emotional status. Two saliva samples were collected from each subject for measurement of testosterone, cortisol, estradiol and DHEA-S levels before and after the interview, and each subject completed a confidential self-administered questionnaire on intercourse, masturbation, orgasm, fantasies, libido and arousal. Questionnaires, hormone measurement techniques and the survey protocol had been extensively pretested. Prior to the pilot study, the kits for measuring testosterone and DHEA-S in saliva were checked for comparative validity against established measuring techniques in serum in 31 cases for testosterone and in 24 different cases for DHEA-S. These 55 cases underwent clinical diagnosis and were not otherwise involved in this study. The cases had been referred to the Andrology Unit of the University Hospital, Marburg, for reasons unrelated to this study. Given the biological differences for both steroids between their presence in blood and in saliva, a perfect correspondence between the two values was not expected and was not observed. The correlations obtained, however, support the assumption that all statistical relationships between testosterone and DHEA-S values in serum and clinical, as well as behavioral, variables reported to date may be replicated for testosterone and DHEA-S values in saliva. Publication Types: Clinical Trial Randomized Controlled Trial PMID: 12630067 [PubMed - indexed for MEDLINE]: AIDS. 1995 Dec; 9(12): 1357-65. | Sexual repertoires of heterosexuals: implications for HIV/sexually transmitted disease risk and prevention. The ACSF Group, Analyse des Comportements Sexuels en France. | Messiah A, Blin P, Fiche V. Public Health and Epidemiology Service, INSERM U292, Bicetre Hospital, Kremlin-Bicetre, France. | OBJECTIVE: To provide a quantitative and population-based analysis of sexual repertoires among heterosexuals. DESIGN: The French National Survey of Sexual Behaviour (ACSF), conducted between September 1991 and February 1992 on a representative sample of the population aged 18-69 years. METHODS: Sexual practices of the last heterosexual encounter were investigated among 4261 individuals; we measured the combinations of different practices and their correlations with age, and calculated frequencies for the main repertoires and their correlations with the interpartner relationship. RESULTS: Vaginal penetration and caressing were almost systematic, self-masturbation and anal penetration were rare, while mutual masturbation and orogenital practices had intermediate levels of occurrence. Examination of the correlations revealed (1) a very high correlation between practices which are reciprocal or symmetrical, (2) a strong association between genito-manual and genito-oral practices, (3) an association between anal penetration and fellatio, and (4) no clear correlation between any set of practices and vaginal sex or condom use. A small number of repertoires accounted for the vast majority of encounters. Younger people tended to have a more diversified repertoire. Repertoire types and diversity were strongly correlated to the pattern of interpartner relationship, independently of age. CONCLUSIONS: Reciprocity seems a standard feature of the heterosexual repertoire. The absence of a negative correlation between vaginal or anal penetration and other practices argues against promotion of the latter as substitute for the former. By contrast, the independence between condom use and any specific repertoire argues for its promotion as a universal means of protection. PMID: 8605056 [PubMed - indexed for MEDLINE]: Arch Sex Behav. 1975 Sep; 4(5): 519-28. | Dhat syndrome: a culture-bound sex neurosis of the orient. | Malhotra HK, Wig NN. | The Indian Dhat syndrome is a culture-bound symptom complex. The clinical picture includes severe anxiety and hypochondriasis. The patient is preoccupied with the excessive loss of semen by nocturnal emissions. There is a fear that semen is being lost, and mixed in urine. A study was carried out to investigate the cultural basis of the Dhat syndrome. One hundred and seven respondents from the general public were interviewed. A vignette describing an individual having nocturnal emissions was read aloud to the respondents. Attitudes toward nocturnal emission, its causes, and its management were investigated. A large segment of the general public from all socioeconomic classes believed that semen loss is harmful. Seminal fluid is considered an elixir of life both in the physical and in the mystical sense. Its preservation guarantees health, longevity, and supernatural powers. This belief is more frequent in lower socioeconomic classes. The susceptible individual reacts to the prevalent belief system and to the fears of semen loss. The symptoms usually disappear if the misconceptions about semen loss are effectively dealt with. It is expected that with increasing literacy and progress in sex knowledge the syndrome will become less common. PMID: 1191004 [PubMed - indexed for MEDLINE] Arch Sex Behav. 1981 Oct; 10(5): 399-420. | Factor affecting sexual functioning in 60-79-year-old married males. | Martin CE. | In data obtained from interviews with 60-79-year-old, married uppermiddle-class males, frequency of sexual expression proved to be independent of such factors as marital adjustment, sexual attractiveness of wives, sexual attitudes, and demographic features of the marital history. However, former levels of sexual functioning, as revealed by retrospective inquiry, appeared as highly significant correlates of current functioning in accordance with the hypothesis that males generally maintain relatively high or low rates of sexual activity throughout their lives. Of particular interest was the finding that, in the male, sexual frequency, erotic responsiveness to visual stimuli, and time comfortable without sex are closely interrelated phenomena, suggesting that all three variables are strongly commensurate with degree of motivation. Finally, those subjects found to be less than fully potent at report were also found to be virtually free of performance anxiety, feelings of sexual deprivation, and loss of self-esteem. This is consistent with lack of motivation being responsible for lower sexual functioning. PMID: 7198432 [PubMed - indexed for MEDLINE]: Arch Sex Behav. 1982 Jun; 11(3): 237-45. | Sexuality in an aged sample: cognitive determinants of masturbation. | Catania JA, White CB. | The examination of sexual activity in old age has typically meant a consideration of sexual intercourse. Masturbation has not received a rigorous investigation with respect to the elderly, despite benefits that may be associated with this form of sexual expression. The present study reports on the relationship of masturbation with locus of control, sexual status, and sexual knowledge as part of a more general but intensive study of an elderly sample. Results indicated that the best predictor of frequency of masturbation was locus of control, while sexual status and sexual knowledge contributed somewhat less to the variance explained in frequency of masturbation. Specifically, the data support the conclusion that internals masturbate more than externals, particularly internals with high sexual knowledge and persons without sexual partners may have a slight tendency to masturbate more often than those with partners. PMID: 7138298 [PubMed - indexed for MEDLINE] Arch Sex Behav. 1983 Jun; 12(3): 227-36. | The relationship between mode of female masturbation and achievement of orgasm in coitus. | Leff JJ, Israel M. | To determine the relationship between masturbatory and coital behavior, 117 middle-class female volunteers were classified into three styles of masturbatory behavior--direct, indirect, and nonmasturbators. Direct masturbation was defined as the direct digital manipulation of the clitoris or use of a vibrator. Indirect masturbation included all other methods of masturbation not defined as direct. The classification was done on the basis of responses to a questionnaire. Of the masturbators 70% reported no change in their masturbatory style from initial masturbatory experiences. No relationship was found between either ability to masturbate or masturbatory style and coital orgasmic capacity. It was also found that (a) nonmasturbators achieved orgasm in coitus via additional clitoral stimulation significantly less frequently than either direct or indirect masturbators and (b) direct masturbators have a significantly greater preference for clitoral, as opposed to vaginal, stimulation as a means of achieving orgasm. The results are interpreted within the context of possible deficiencies in the questionnaire and confounding between the ongoing psychological and biological processes occurring in sexual activity. Within these constraints, the findings support current methods of treatment for primary and secondary anorgasmia. PMID: 6882206 [PubMed - indexed for MEDLINE]: Arch Sex Behav. 1987 Feb; 16(1): 39-44. | Sexual behavior in healthy married elderly men. | Weizman R, Hart J. | Sexual behavior was evaluated in 81 men aged 60-71 years (34 men aged 60-65 years and 47 men aged 66-71 years). All subjects were married, physically healthy, and with no psychopathology or marital problems. Sexual function was evaluated by a self-report three-point rating scale. 36% of the whole study population reported impotence, with no significant difference between the two age groups. About half of the total population reported regular masturbatory activity. A decline in frequency of sexual intercourse and an increase in frequency of masturbation in subjects aged 66- 71 years as compared to subjects aged 60-65 indicates that the interest in sexuality continues in elderly men although the form of sexual expression changes from active sexual intercourse to a self- pleasuring/autoerotic form. Evaluation of sexual activity in advanced age is recommended and appropriate therapy in case of sexual dysfunction should be offered to elderly men. PMID: 3579556 [PubMed - indexed for MEDLINE]: Arch Sex Behav. 1988 Apr; 17(2): 109-29. | Sexual interest and behavior in healthy 80-102-year-olds. | Bretschneider JG, McCoy NL. Department of Psychology, San Francisco State University, California 94132. | Sexual interest and behavior of 100 white men and 102 white women ranging in age from 80-102 were studied using an anonymous 117-item questionnaire. Subjects were healthy and upper middle-class, and living in residential retirement facilities; 14% of the women and 29% of the men were presently married. For both men and women, the most common activity was touching and caressing without sexual intercourse, followed by masturbation, followed by sexual intercourse. Of these activities, only touching and caressing showed a significant decline from the 80s to the 90s, with further analyses revealing a significant decline in this activity for men but not for women. Except for past enjoyment of sexual intercourse and of touching and caressing without sexual intercourse, all analyses revealed sex differences reflecting more activity and enjoyment by men. Current income and past guilt over sexual feelings showed very low but significant correlations with some frequency and enjoyment measures, and marital status, extramarital sex, and church attendance were significantly associated with continuing to perform and enjoy some sexual behaviors. Past importance of sex was significantly correlated with present frequency and enjoyment of both sexual intercourse and touching and caressing without sexual intercourse. Correlations between past and present frequency of sexual behaviors were substantial and significant for all but frequency of sexual intercourse, suggesting that current physical and social factors play an overriding role in this area. PMID: 3395224 [PubMed - indexed for MEDLINE]: Arch Sex Behav. 1996 Oct; 25(5): 473-93. | Female sexuality and historical time: a comparison of sexual biographies of German women born between 1895 and 1936. | von Sydow K. Justus-Liebig- Universitat, Klinik fur Psychosomatik und Psychotherapie, Giessen, Germany. | 91 German women ages 50 to 91 years (birth cohorts: 1895 to 1936) were interviewed in-depth about their sexual development through the life span. This article presents the results on the historical change in female sexuality during childhood, puberty, and young marriage. The sample was divided into four subgroups, according to the year of birth, which were compared to each other. In contrast to the older groups, a higher percentage of women in the younger cohorts had experience in childhood sexual play, masturbation, " real " and faked orgasm, with historical time only having a slight influence on marital sexuality and fertility experiences. Data indicate that subjects born later were not only more experienced sexually but changed intraindividually more often in sexual matters, whereas the older women mostly " conserved " the sexual morals and habits learned in youth. Subjective sexual experience of the interviewees is illustrated by quotations. Publication Types: Historical Article PMID: 8899141 [PubMed - indexed for MEDLINE] Disabil Rehabil. 1998 Sep; 20(9): 317-29. | Sexuality and sexual adjustment of patients with chronic pain. | Monga TN, Tan G, Ostermann HJ, Monga U, Grabois M. Physical Medicine and Rehabilitation Service, Veterans Affairs Medical Center, Houston, Texas 77030, USA. | PURPOSE: To describe sexual functioning and its relationship with psychological measures in chronic pain patients. METHOD: It is a self report survey with a convenience sample. Seventy consenting chronic pain patients responded to a questionnaire. Mean age was 49.9 years (range 29-74); mean pain duration was 146.7 months (range 6-624). Participants endorsed a wide variety of pain conditions. INSTRUMENTS USED: (1) Derogatis Inventory of Sexual Functioning; (2) Multidimensional Pain Inventory; (3) Center for Epidemiological Studies Depression Scale: (4) Multidimensional Health Locus of Control; (5) Hopkins Symptom Check List; (6) Vanderbilt Pain Management Inventory; (7) Coping Strategies Questionnaire. RESULTS: 66% of patients were interested in sex, 50% were satisfied with current sexual partner and 20% considered current sexual life to be adequate. Over 70% fantasized at least once a month. Only 44% experienced normal arousal during intercourse; 33% practiced masturbation and 47% were involved in sexual intercourse or oral sex at least once a month. The majority were dissatisfied with orgasmic activities. No relationship was found between pain severity, duration, frequency and sexual functioning. A relationship was found between disability status, age and several psychological variables and various domains of sexual functioning. CONCLUSIONS; Sexual problems are common in chronic pain patients. Patients who reported symptoms of depression and distress had more sexual problems. PMID: 9664190 [PubMed - indexed for MEDLINE] Disabil Rehabil. 2000 Jun 15; 22(9): 409-15. | Sexuality in persons with lower extremity amputations. | Bodenheimer C, Kerrigan AJ, Garber SL, Monga TN. Houston VAMC, TX 77030, USA. Bodenheimer,Carol_F+ | PURPOSE: There is a paucity of information regarding sexual functioning in persons with lower extremity amputations. The purpose of this study was to describe sexual and psychological functioning and health status in persons with lower extremity amputation. METHODS: Self-report surveys assessed sexual functioning (Derogatis Inventory), depression (Beck Depression Inventory, anxiety (State-Trait Anxiety Inventory), and health status (Health Status Questionnaire) in a convenience sample of 30 men with lower extremity amputations. Mean age of the participants was 57 years (range 32- 79). Mean duration since amputation was 23 months (range 3-634 months). Twenty one subjects (70%) had trans-tibial and seven subjects (23%) had trans-femoral amputations. RESULTS: A majority of subjects were experiencing problems in several domains of sexual functioning. 53% (n=16) of the subjects were engaged in sexual intercourse or oral sex at least once a month. 27% (n=8) were masturbating at least once a month. Nineteen subjects (63%) reported orgasmic problems and 67% were experiencing erectile difficulties. Despite these problems, interest in sex was high in over 90% of the subjects. There was no evidence of increased prevalence of depression or anxiety in these subjects when compared to other outpatient adult populations. CONCLUSIONS: Sexual problems were common in the subjects studied. Despite these problems, interest in sex remained high. Few investigations have been directed toward identifying the psychological and social factors that may contribute to these problems and more research with a larger population is needed in this area. PMID: 10894204 [PubMed - indexed for MEDLINE]: J Am Geriatr Soc. 1993 Apr; 41(4): 363-6. | Treatment of vasculogenic sexual dysfunction with pentoxifylline. | Korenman SG, Viosca SP. Department of Medicine, UCLA, School of Medicine 90024. | OBJECTIVE: To evaluate the use of pentoxifylline to treat impotence in men with mild to moderate penile vascular insufficiency. DESIGN: Double-blind randomized clinical trial. SETTING: Sexual Dysfunction Clinic at VA Medical Center, Sepulveda, CA. PARTICIPANTS: Convenience sample of couples. INTERVENTION: Twelve weeks of treatment with placebo or 400 mg tid of pentoxifylline. MEASUREMENTS: (1) Report of patient verified by partner as to number of coital episodes per month; (2) penile-brachial pressure index determinations. RESULTS: Pentoxifylline therapy regularly increased the PBPI in impotent men in comparison with the placebo, frequently into the normal range. Pentoxifylline therapy was particularly useful in restoring the PBPI in men with the pelvic steal syndrome; six of seven such subjects improved into the normal range. During the pentoxifylline treatment period, in contrast with the control period, nine men were able to reestablish coital function and three had no improvement. Six couples did not attempt intercourse despite a professed interest in sexual activity; however 5/6 men experienced erections during episodes of fantasy or attempts at masturbation during treatment. There were no complications of therapy. CONCLUSIONS: These promising preliminary results suggest a well tolerated alternative therapy for erectile dysfunction in patients with mild to moderate penile vascular disease. Publication Types: Clinical Trial Randomized Controlled Trial PMID: 8463520 [PubMed - indexed for MEDLINE] J Androl. 1997 Mar-Apr; 18(2): 103-6. | Testosterone and the aging male. | Tenover JL. Department of Medicine, Emory University School of Medicine, Atlanta, Georgia, USA. | The number and magnitude of studies involving testosterone-supplementation therapy in older men are limited. In addition, many studies to date have not been blinded or controlled, were reported in abstract form only, and had involved a variety of androgen-replacement regimens and outcomes measurements. Nonetheless, an overview of the data suggests there is real potential for supplementation therapy to improve bone mass and muscle mass and strength in this age group. Affects on mood, sexual function, and cognition are less clear but may be meaningful in certain men. Questions still remain, however, on the magnitude and longevity of the beneficial effects of testosterone supplementation in the older man and whether only certain subgroups of men would truly benefit from therapy. More importantly, the long-term risks of androgen therapy in this age group really are not known, especially in the areas of cardiovascular disease and prostate diseases. Presently, men who use androgen-supplementation therapy for age-related " testosterone deficiency " should consider this as a gamble. Publication Types: Review Review, Tutorial PMID: 9154502 [PubMed - indexed for MEDLINE] J Consult Clin Psychol. 1989 Feb; 57(1): 123-30. | A psychometric analysis of the sexual arousability index. | Andersen BL, Broffitt B, Karlsson JA, Turnquist DC. | The Sexual Arousability Index (SAI) assesses self-reported sexual arousal in women and was administered on four occasions to a group of normal sexually active women (n=57) and to another group undergoing surgical gynecologic treatment (n=66) that resulted in a predictable and clinical level of sexual dysfunction. These data were used for a psychometric analysis of the SAI. In terms of reliability, internal consistency estimates were in the .92-.96 range, and 4-month test- retest reliabilities ranged from .74 to .90. An evaluation of validity revealed both strengths and limitations of the SAI. The content analysis indicated that at least six domains are sampled, including seduction activities, body caressing, oral-genital and genital stimulation, intercourse, masturbation, and erotic media. To examine construct validity, we conducted a factor analysis that revealed a five-factor solution accounting for 85% of the variance. Furthermore, the factor solution was stable across groups and time, and the factors were sensitive to the occurrence of important behavior changes. The SAI, like other psychological measures, was poor in predicting a criterion, i.e., the occurrence of inhibited sexual excitement) concurrently or at the time of follow-up. PMID: 2925963 [PubMed - indexed for MEDLINE]: J Fam Pract. 1990 Aug; 31(2): 162-6. | Sexual function and practice in elderly men of lower socioeconomic status. | Cogen R, Steinman W. Division of Geriatrics, Albert Einstein Medical Center, Philadelpha, PA 19141. | Normal aging plus certain prevalent diseases are believed to render many elderly men impotent. Recent studies have suggested that educated middle-class and upper-class elderly men continue sexual activity, despite erectile dysfunction, by employing alternative practices such as mutual masturbation and oral sex. Few elderly men of lower socioeconomic background have been included in these studies, however. Using physician-administered interviews, 87 men attending an urban Veterans Administration geriatric clinic were studied to determine (1) the prevalence of erectile dysfunction, and (2) the sexual practices and attitudes of this group. Of the 87 men, 28% reported complete loss of erectile function, while 31% had frequent difficulties achieving vaginal intromission. Unlike economically advantaged groups, only 29% used mutual masturbation and 16% used oral sex. Attitudes toward these practices were negative. With one exception, men unable to perform coitus ceased all heterosexual activities. PMID: 2380679 [PubMed - indexed for MEDLINE]: J Gerontol Nurs. 1999 Apr; 25(4): 30-9. | Comparison of caregivers', residents', and community-dwelling spouses' opinions about expressing sexuality in an institutional setting. | Gibson MC, Bol N, Woodbury MG, Beaton C, Janke C. Veterans Care Program, Parkwood Hospital, London, Ontario, Canada. | Opinions regarding the appropriateness of elderly residents' sexual behaviors in a chronic care hospital and how to respond to inappropriate behaviors were surveyed. Study participation was open to all staff (N=1,205), eligible residents (N=182) and community-dwelling spouses (N=103). Participation rates were 40% (residents), 42% (spouses), 34% (nursing staff), 50% (allied health staff), and 22% (support staff). Staff completed the questionnaire independently, while residents and spouses were offered self-completion or a structured interview. Almost all selected the interview. Residents and spouses were less tolerant than staff of residents' masturbating, engaging in sexual relationships, viewing sexual materials, and making sexual approaches to staff. Privacy was the primary determinant of appropriateness for behaviors for all groups. Staff and spouses were more likely to endorse counseling when behaviors were perceived as inappropriate than residents. Nurses endorsed counseling less frequently than allied health professionals and support staff. Nurses were more likely to have been approached sexually by a resident. Differences of opinion are interpreted in terms of cohort influences on values and contextual influences on behavior. PMID: 10426032 [PubMed - indexed for MEDLINE]: J Psychosom Res. 1994 Oct; 38(7): 759-62. | Post-vasectomy erectile dysfunction. | Buchholz NP, Weuste R, Mattarelli G, Woessmer B, Langewitz W. Clinic of Urology, University Hospital (Kantonsspital), Basel, Switzerland. | We investigated two groups of men with regard to vasectomy acceptance, and subsequent erectile dysfunction. Group I was a group of 45 men chosen at random from 254 vasectomized patients. Group II was a group of 18 men who, out of 180 patients treated for erectile dysfunction, attributed their dysfunction to previous vasectomy. We analysed the social background, motivation for vasectomy and postoperative changes of sexual life or behaviour of the partners. The partnership constellation, particularly the role of a predominant female partner seems to be an important feature for vasectomy acceptance. Low acceptance might cause erectile dysfunction. PIP: Of 180 patients treated for erectile dysfunction in 1989-91 in Basel, Switzerland, 25 had previously undergone vasectomy. 18 of these latter individuals volunteered to be interviewed about their social background, motivation for vasectomy, and postoperative changes of sex life or partner behavior. All of these men attributed their sexual dysfunction to previous vasectomy. Somatic erectile dysfunction was, however, clinically excluded, thereby making the dysfunction of these men psychological in origin. For comparison, a group of 45 randomly chosen vasectomized men underwent the same psychosexual evaluation in the attempt to find a possible relationship between vasectomy and subsequent erectile dysfunction. The men were chosen from 254 vasectomized patients over the period 1986-90. The 45 controls comprise group one, while the 18 men who attribute their erectile dysfunction to previous vasectomy comprise group two. The mean age at time of vasectomy in group one was 39.1 years in the range of 23-59 years, while the mean age in group two at the time of vasectomy was 56.4 years in the range of 42-71 years. Vasectomy dated back on average 18.8 years. 98% of all patients interviewed were married or living in a steady partnership. 18% of patients in group one and 11% of patients in group two found the operation to be traumatic, while 13% of patients in group one and 17% of patients in group two reported fears of demascularization; these differences were not significant. It was significant, however, that 22% of patients in group two had the decision to undergo vasectomy imposed upon them by their partner. 4% of patients in group one and 22% of patients in group two reported a reduced libido within the first two postoperative years. Less frequent or weaker erections were reported by 2% of patients in group one and 27% of patients in group two. Decreased frequency of orgasm was reported by none of the patients in group one, but by 28% of the patients in group two. Ejaculation quality and orgasm by masturbation remained unchanged in all cases. Decreased sexual activity in the partner was reported by 7% of patients in group one and 33% of patients in group two. 4% of patients in group one and 28% of group two believed there was a connection between previous vasectomy and their own erectile dysfunction. In all patients with erectile dysfunction this occurred within two years of the vasectomy. 4% of patients in group one and 39% of patients in group two had changed their partners within the follow-up time. Generally, a patient's psychosocial environment is most important for the acceptance of vasectomy. A good acceptance of vasectomy is usually found among men living in traditional partnerships with a predominating male. Men in partnerships where the female predominates and where the female may have demanded that the male undergo vasectomy, however, may have difficulty later accepting and coping with such imposed decisions on reproduction. Patients requesting vasectomy should always be asked systematically about their motivation and the manner in which the decision was reached. A prospective study is underway to determine the characteristics of men who are predisposed to become sexually dysfunctional. PMID: 7877130 [PubMed - indexed for MEDLINE] Nippon Ishigaku Zasshi. 2002 Jun; 48(2): 205-17. | [A study of the sexual art of having intercourse with several young virgins in traditional Chinese medicine] [Article in Japanese] | Yan S. | The emergency treatments for the damage and bleeding of the vagina, and the sharp pubic pain of young virgins which were caused occurred by the sexual art, were recorded in traditional medicine books, such as the " Ji yan fang " and others. It is a fact that in ancient China some people used the sexual art of having intercourse with several young virgins at the same time in order to increase their health and keep perpetual youth and longevity. The famous traditional general-medical book, " qian jin yao fang " recommended that method to rich persons too. It is supposed that the beginning of the sexual art of having intercourse with several young virgins traces back to the times of Emperor Hanwu , but it seems to have disappeared from the historical stage in the Song period. On the other hand, the criticisms from the traditional medicine books and the secret languages of internal alchemy used for the Taoist sacred books show that the sexual art of having intercourse with several young virgins was still going on behind the scene in the Ming and Qing periods. Even if we consider the historical changes of ethics and mortality, we now cannot but criticize this behavior of abusing juveniles for the sexual art. Publication Types: Historical Article PMID: 12398073 [PubMed - indexed for MEDLINE Obstet Gynecol. 1996 Jul; 88(1): 65-70. | Psychologic profiles of and sexual function in women with vulvar vestibulitis and their partners. | Van Lankveld JJ, Weijenborg PT, ter Kuile MM. University Hospital of Leiden, The Netherlands. | OBJECTIVE: To compare psychologic profiles of women with vulvar vestibulitis and their partners with a normal population, and to identify sexual dysfunction in women and their partners. METHODS: Forty-three women with vulvar vestibulitis and 38 partners, recruited from a gynecology outpatient clinic, completed the Symptom Check List- 90, the Short Dutch Version of the Minnesota Multiphasic Personality Inventory, the Maudsley Marital Questionnaire, and the Questionnaire for Screening Sexual Dysfunctions. RESULTS: The women with vulvar vestibulitis scored significantly higher on the somatization and shyness subscales than a normal population. They didn't differ in respect to their current level of psychologic distress, extraversion, risk of psychopathology, and marital satisfaction. Their partners had significantly lower scores for psychopathology than a normal population. They didn't differ from a normal population in respect to their level of psychologic distress, extraversion, shyness, somatization, and marital satisfaction. Women with vulvar vestibulitis reported more frequent problems and higher distress with genital pain, lubrication, sexual arousal, and negative emotions in the sexual interaction with the partner. During masturbation, however, they reported less frequent problems and distress. The partners of these women reported nearly no problems or distress in either sexual situation. CONCLUSION: Women with vulvar vestibulitis and their partners seem in general to be psychologically healthy, although vulvar vestibulitis may be associated with a situationally defined sexual dysfunction for the women. PMID: 8684765 [PubMed - indexed for MEDLINE]: Prev Med. 1988 May; 17(3): 335-43. | Retrospective cohort mortality study of Roman Catholic priests. | Kaplan SD. SRI International, Menlo Park, California 94025. | In order to test the hypothesis that Roman Catholic priests are at low risk for prostatic cancer because of their celibacy, a cohort of 10,026 men who were active or retired diocesan (parish) Roman Catholic priests in the United States on January 1, 1949 were followed until death, leaving the priesthood, or January 1, 1978. The overall standardized mortality ratio (SMR) was 103 and the SMR for cancer of the prostate was 81. Other interesting findings include increased SMRs for cancer of the larynx (147), cirrhosis of the liver (147), and diabetes (182) and decreased SMRs for lung cancer (59), emphysema (26), and suicide (13). PMID: 3405988 [PubMed - indexed for MEDLINE Scand J Urol Nephrol Suppl. 1983; 77: 1-37. | Some effects of orchiectomy, oestrogen treatment and radiation therapy in patients with prostatic carcinoma. | Tomic R. | In patients treated for prostatic carcinoma with oestrogen, orchiectomy or external radiation, serum concentrations of testosterone, LH, FSH, prolactin, TeBG and oestradiol-17 beta as well as changes in sexual behaviour and mental mood were studied. Oestrogen treatment as well as orchiectomy reduced serum testosterone concentration to similar values. Neither totally nor subcapsularly orchiectomized patients responded to HCG stimulation. The free testosterone was 68% lower in oestrogen treated than in orchiectomized patients, probably due to a high TeBG concentration induced by oestrogens. patients oestrogen treated for less than 3 years and in whom the treatment had been withdrawn had normal serum testosterone and LH at follow-up. In contrast, low serum testosterone concentration and normal LH were found after oestrogen cessation in patients oestrogen treated for more than 3 years indicating reduced Leydig cell, and/or hypothalamic-hypophyseal function. In patients oestrogen treated for more than 3 years the serum testosterone concentration neither increased after oestrogen cessation nor decreased after orchiectomy. Absorbed testes doses during radiation treatment were measured from a few to more than 10 Gy but were reduced by about 50% if the gonads were protected by lead shields during anterior and posterior treatment sessions. Radiation may affect gonadal function as decreased serum testosterone concentration and increased LH, FSH were found after treatment. Sexual function was altered after oestrogen, orchiectomy and radiation treatment. Sexual activity and capability were distinctly better maintained after radiation than after orchiectomy or oestrogen treatment. 67% of the patients had coitus or masturbated after radiation treatment, all experiencing orgasm. Patients on oestrogen treatment or after orchiectomy had coitus/masturbation less often (17% in both groups). They also experienced orgasm less often (8% and 17% respectively). The group of patients on oestrogen treatment had a higher average score for depression than those treated with orchiectomy or radiation treatment. PMID: 6426040 [PubMed - indexed for MEDLINE]: SIECUS Rep. 1981 Nov; 10(2): 7-8. | Sex through the ages in China. | Gross A. | PIP: This brief article summarizes some of the Chinese sexual customs as revealed by Van Gulik, Needham, Levy, the author, and others. Chinese sexology is related to medicine, philosophy, and cosmology, all of which form a unified view of the universe. Cosmologically, the Chinese view human life as between the sun ( " Ying " /man) and the earth ( " Yin " /women). Energy particles from the sun continually enter the fingers, pass through arms, head, and body, and exit via the toes, while energy from the earth enter through the toes and exits through the fingers. Illness occurs if there is an imbalance in this system; if either flow stops death ensues. Chinese medicine corrects the energy flow of the sun and earth by means of needles, heat, gymnastics, massage, and sexual practices. Sexual practices, affect this energy exchange by special techniques for relieving physical complaints and ultra-orgasmic practices, sometimes termed " coitus reservatus. " Chinese reason that if either man or woman achieve orgasm, then considerable energy can be produced over a longer duration, perhaps increasing one's health and longevity. These beliefs flourished from the Han Dynasty (202 B.C.-220 A.D.) until the close of the Ming Dynasty (1368-1644 A.D.). Practices during this period were to encourage orgasms for men and women with age, health, seasonal factors, and the need for heirs as variables in the practices. For example, in a Sui Dynasty (589-608 A.D.) sex manual, once a day is right for a healthy male of 30, while once every 5-10 days is proper for a 50 year old man. However, these techniques took time to learn and even " perversions " developed. Excesses encouraged the belief that sexual expression should be limited. The Confucionists during the Ching Dynasty (1644-1912) saw ultra-orgasmic exercises as a threat to government and encouraged its end. Ultra-orgasmic techniques may be used today at the village level and are inseparable from the Chinese language and literature. Male homosexuality and lesbianism were accepted in the past. The enforced foot-binding of women lasted a 1000 years only to end in this century. PMID: 12337666 [PubMed - indexed for MEDLINE] Sports Med. 1990 Jun; 9(6): 330-43. | The sexual response as exercise. A brief review and theoretical proposal. | Butt DS. Department of Psychology, University of British Columbia, Vancouver, Canada. | The sexual response is a form of exercise which has strong biological and evolutionary components. Few studies have focused upon sexual behaviour as exercise and the reasons for this are considered. Current information and leads for future study come from animal research. Some historical precursors to modern sex researchers did more to mislead than to advance knowledge but Kinsey and Masters & Johnson set the stage for modern knowledge and applications. There are parallels between the orgasmic response and exercise. Physiological bases of the sexual response help to explain individual differences in sexual behaviour and the well-being that often accompanies states of passionate love, addiction and exercise. Studies suggest that sexual activity is associated with well-being and longevity, yet many health and exercise professionals fail to take account of sexual activity in advancing exercise programmes and executing studies; that is, the so-called Ostrich Effect persists. Investigators need to separate the passionate love stage of relationships which are biologically based and last 3-4 years from the later stages of long term committed partnerships in which sexual activity continues as a form of exercise, competence expression and fun. Publication Types: Review Review, Tutorial PMID: 2192423 [PubMed - indexed for MEDLINE] Ther Umsch. 1994 Feb; 51(2): 93-7. | [Male and female sexuality-- differences according to sex and age Article in German] | Kockott G. Psychiatrische Klinik der Technischen Universitat, Munchen. | Sexual physiology, sexual behaviour and attitude to sexuality vary according to sex and age. The sexual reaction cycle is very uniform in men, but much more variable in women; at a more advanced age the reactions of this cycle are delayed in both sexes. While hormones have been proved to influence male sexuality, their influence on female sexuality has not been clarified. Sexual appetite changes with age. It reaches a climax earlier in men than women, but also declines more in men with increasing age. In the last three decades the number of women who masturbate has increased considerably. The difference between the sexes as far as attitude to sexuality is concerned is particularly evident in those with sexual difficulties: men usually see their problems in an isolated way as a purely physical disorder, whereas women are usually aware of the connection between their sexual problems and personal, partner or work problems. PMID: 8128393 [PubMed - indexed for MEDLINE] Ugeskr Laeger. 2002 Oct 7; 164(41): 4819-23. | [The sexual life of 60-year-old Danish men Article in Danish] | Eplov LF, Weigner T, Solstad K Center for Sygdomsforebyggelse, Kobenhavns Amt. Falgaard | INTRODUCTION: The sexuality of men is influenced by many factors, and there are changes throughout life. In a literature search only 35 fairly representative cross-sectional studies of elderly men were found. There is no population study of elderly Danish men's sexuality. The aim of our study was to describe the sexual life of a group of 60-year-old men from the Copenhagen area. MATERIAL AND METHODS: The material is a random sample of 66 men from a cohort found to be fairly representative of 60-year-old men in the County of Copenhagen. The men were interviewed using structured guidelines, which also included open questions. RESULTS: Around half of the men felt sexual desire once a week or more. Around one third had had fewer than four sexual partners throughout their lives, and six per cent did not have a partner at the time of the interview. >50% had intercourse once a month or more. 66% masturbated. One tenth had erection problems. Two thirds were satisfied with their sexual life. DISCUSSION: This study reveals a large variation in the sexual life of elderly Danish men. PMID: 12407893 [PubMed - indexed for MEDLINE]: Z Arztl Fortbild Qualitatssich. 2000 Apr; 94(3): 223-9. | [sexuality of older women. The effect of menopause, other physical and social and partner related factors Article in German] | von Sydow K. Universitat Giessen, Klinik fur Psychosomatik und Psychotherapie. k_v_sydow | Research on female sexuality in middle and old age (50-90 years) is reviewed. The descriptive results of the studies published up to now are summarized according to the dimensions of sexual activity (e.g. intercourse, tenderness, masturbation) and interest. The influence of various factors on female sexuality in middle and old age is critically discussed, namely health/body (health; general changes in sexual reactions; menopause), society (population structure; " double standard of aging " ; historical-biographical influences) and couple relationship. Altogether, female sexuality is highly variable. The most prevalent psychosexual problems of older women are not the classic medical complaints (e.g. dyspareunia, insufficient lubrication) but a lack of tenderness and of sexual contact. The effect of the hormonal changes of the menopause is smaller than the effect of psychological, society- and partner-related factors. The so-called " HRT " does not have significant effects on most sexual dimensions. Publication Types: Review Review, Tutorial PMID: 10802898 [PubMed - indexed for MEDLINE] Z Gerontol. 1992 Mar-Apr; 25(2): 105-12. | [Female sexuality in middle and advanced adulthood Article in German] von Sydow K. Universitat Munchen. | A study of female sexuality based on 91 interviews with women aged 50 to 91 years (birth-cohorts: 1895 to 1936) is presented. 53% of the interview-partners in this study are sexually active (intercourse: 34%; masturbation: 30%; lesbian sexuality: 1%). 65% report sexual interest. During the past year 58% of the women experienced sexual dreams, 43% sexual fantasies. 26% of the interview-partners had never experienced orgasm. Several age- and cohort-differences are reported. Quotations illustrate the variability of female sexual experiences. PMID: 1609538 [PubMed - indexed for MEDLINE]: | Zentralbl Gynakol. 2002 Aug-Sep; 124(8-9): 400-5. | [sexual activity in old age-problem-oriented counselling from the psychiatric point of view Article in German] | Hirsch RD. Abteilung fur Gerontopsychiatrie und Gerontopsychiatrisches Zentrum, Rheinische Kliniken Bonn. r.d.hirsch | Empirical investigations often report sexual activity in old age. Society's negative stereotype of the aging person, however, results in the topic being socially taboo and prejudiced. Active sexual intercourse gets less frequent in advancing age, but masturbation and sexual fantasies still prevail. In higher age groups men are seemingly more active than women. Persons living in constant partnerships are more active than persons living on their own. There is a significant shift from sexual intercourse to tenderness, confidence, and satisfying relations. There are numerous physical, psychological, and social factors influencing sex life in old age. Important physiological alterations and their consequences are to be observed in advancing age. Multiple diseases, drugs, and objective and subjective (e.g. anxiety disorders) after-effects of operations often result in reducing or totally giving up sexual activities. If a doctor has hints pointing to sex problems these ought to be talked about without any prejudice and with an intention of looking for possible solutions. Frequently these problems are indicative of psychological or functional disorders which may respond to a treatment by competent counselor or psychotherapist. Publication Types: Review Review, Tutorial PMID: 12655468 [PubMed - indexed for MEDLINE] ZFA. 1987 Jul-Aug; 42(4): 207-9. | [Partnership relations, sexuality and sexual behavior in elderly females and males after age 55. Partnership relations, sexuality and sexual reactions Article in German] | Weissbach-Rieger A. | Women and men can have a cultivated sexual experience till a high age. The presume therefore is a sexual active life. Sexual reactions are decelerated in the elderly. The fulfillment of sexual wishes depends on the individual healthy and social situation. Masturbation is only a compensation. PMID: 3630220 [PubMed - indexed for MEDLINE]: Best regards, Email: < WORK : Teagasc Research Management, Sandymount Ave., Dublin 4, Ireland Mobile: 353-; [in the Republic: 0] HOME : 1 Esker Lawns, Lucan, Dublin, Ireland Tel : 353-; [in the Republic: 0] WWW : http://homepage.eircom.net/~progers/searchap.htm Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 29, 2004 Report Share Posted January 29, 2004 Just had a thought. Or a question leading to an idea. How many body actions take assimilated protein and discharge it????? Only one that I am aware of. In other threads we talk about ramped nutritional deficiency being the norm and then we have this male bodily function of ejaculating a mixture of highly desirable nutrients. Let's look at only one nutrient that is wasted, Arginine. Semen is very high in Arginine among other important compounds. Let's see what it does,,,,,(Swiped from the interenet) The amino acid, arginine, has several roles in the body, such as assisting in wound healing, helping remove excess ammonia from the body, stimulating immune function, and promoting secretion of several hormones, including glucagon, insulin, and growth hormone. Arginine’s effect on increasing protein synthesis improves wound healing. Arginine is also a precursor to nitric oxide, which the body uses to keep blood vessels dilated, allowing the heart to receive adequate oxygen. Researchers have begun to use arginine in people with angina and congestive heart failure. Preliminary evidence suggests that arginine may help regulate cholesterol levels. Arginine also appears to act as a natural blood thinner by reducing platelet aggregation. Chris again, Wouldn't it be logical that since it is difficult to actually absorb nutrients and there is only one process of the body that wastes such high quality proteins, and one of the proteins that is sacrificed at the highest level plays a role in so many key aspects of health, that if a person were to excrete a lot of this material, they would age quicker. At first glance, it looks like a long term nutritional deficiency may be at play here. Comments? Chris Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 30, 2004 Report Share Posted January 30, 2004 Hi All, I thought this might be relevant to the current discussion on jing and longevity. U.S. Department of Health and Human ServicesNATIONAL INSTITUTES OF HEALTHNIH NewsNational Institute on Aging (NIA)http://www.nia.nih.gov/EMBARGOED BY JOURNALMonday, January 26, 20034:00 p.m. ETCONTACT:Doug Dollemore301-496-1752Weekend Only: 301-980-8307dollemod FREE TESTOSTERONE LEVELS LINKED TO ALZHEIMER'S DISEASEIN OLDER MENOlder men with lower levels of free, or unbound,testosterone circulating in their bloodstreams could be athigher risk of developing Alzheimer's disease (AD) thantheir peers, according to research conducted byinvestigators at the National Institute on Aging (NIA), oneof the National Institutes of Health, and others*. Thisprospective observational study is believed to be the firstto associate low circulating blood levels of freetestosterone with AD years before diagnosis.The study appears in the January 27, 2004 issue of thejournal " Neurology " . " Our finding that low free testosterone might be associatedwith an increased risk of developing of AD is a stepforward in helping to understand the possible effects ofsex hormones on the aging brain and other parts of thebody, " said Susan Resnick, Ph.D., an investigator in theNIA's Laboratory of Personality and Cognition andcorresponding author of the study.Dr. Resnick, however, cautions that much more research isneeded before scientists can establish a causalrelationship between low testosterone and AD. " Even if arelationship between AD and levels of free testosterone inthe bloodstream is confirmed, we are very far away fromknowing if hormonal therapy or any other intervention couldsafely prevent AD, " she said.Dr. Resnick, Scott Moffat, Ph.D., and their colleaguesevaluated the testosterone levels of 574 men, ages 32 to87, who participated in the Baltimore Longitudinal Study ofAging (BLSA)**. The investigators examined free and totaltestosterone levels -- measured over an average of 19 years-- in relationship to subsequent diagnosis of AD. Based onphysical, neurological and neuropsychological exams, 54 ofthe 574 men were diagnosed with AD.The research team found that for every 50 percent increasein the free testosterone index in the bloodstream, therewas about a 26 percent decrease in the risk of developingAD. Although overall free testosterone levels fell overtime, these levels dropped more precipitously in those menwho later developed AD. In fact, at the end of the study,men who were diagnosed with AD, on average, had about halfthe levels of circulating free testosterone as men whodidn't develop the disease. In some cases, the drop-offs infree testosterone levels associated with AD were detectedup to a decade before diagnosis.Previously, Dr. Resnick and her colleagues found that oldermen with high levels of circulating free testosterone havebetter visual and verbal memory and perform spatial tasksmore adeptly than their peers. " It is quite possible that circulating free testosteronehas a broad range of influences on the aging brain, " Dr.Resnick said. " The effects of some of these influences --such as the role of testosterone in the development ofcertain types of memory loss and AD -- are just beginningto be explored. " In men, testosterone is produced in the testes, thereproductive glands that also produce sperm. As men age,their testes often produce somewhat less testosterone thanthey did during adolescence and early adulthood, whenproduction of this hormone peaks. Within the body,testosterone tends to bind with sex hormone bindingglobulin (SHBG). But some testosterone remains freelycirculating in the bloodstream. Unlike the SHBG-bound formof the hormone, free testosterone can circulate into thebrain and affect nerve cells. In this study, only reducedlevels of free testosterone were associated with AD, Dr.Resnick said.Other BLSA studies suggest that many men older than 70 havelow levels of free testosterone compared to younger men.But while prescription testosterone replacement therapy isavailable, it may not be advisable for most older menbecause many effects of hormone therapy remain unclear. Itis not yet known, for instance, if testosterone replacementincreases the risk of prostate cancer, the second leadingcause of cancer death among men. In addition, studiessuggest that in some men testosterone therapy might triggerexcessive red blood cell production. This side effect canthicken blood and increase a man's risk of stroke. " We still have much to learn, " Dr. Resnick said. " Fornow, testosterone therapy should not be considered anoption for older men seeking to reduce their risk ofAlzheimer's disease or to improve their memory andcognitive performance in general. " A multi-disciplinary panel, led by the Institute ofMedicine (IOM) and supported by the National Institute onAging (NIA) and the National Cancer Institute, recentlyevaluated the pros and cons of conducting clinical trialsof testosterone replacement therapy in older men to answermany of the lingering questions about the effects of thishormone in the aging body. The NIA is considering the IOMrecommendations very carefully and likely will act on therecommendations to begin small-scale clinical trials todetermine the efficacy of testosterone in treatingsymptomatic older men with low testosterone levels. Untilcarefully designed and monitored clinical trials areconducted, the risks and benefits of testosterone therapyfor most men who do not have extreme deficiencies of thehormone will remain largely unknown.AD is an irreversible disorder of the brain, robbing thosewho have it of memory, and eventually, overall mental andphysical function, leading to death. For more informationon AD research, two new publications are available from theNIA: " 2001-2002 Alzheimer's Disease Progress Report andAlzheimer's Disease: Unraveling the Mystery " , whichincludes a CD-Rom animation of what happens to the brain inAD. These publications may be viewed at NIA's AD-dedicatedwebsite www.alzheimers.org, the Institute's Alzheimer'sDisease Education and Referral (ADEAR) Center, or bycalling ADEAR at 1-800-438-4380.The NIA, one of 27 Institutes and Centers that constitutethe National Institutes of Health, leads Federal efforts tosupport and conduct basic, clinical, epidemiological, andsocial research on aging and the special needs of olderpeople. For more information about the NIA, visit thewebsite at http://www.nia.nih.gov/.Marc R. Blackman, M.D., collaborated on this study while atJohns Hopkins University in Baltimore. He is currentlyclinical director at the NIH's National Center forComplementary and Alternative Medicine. Several otherresearchers, now at Wayne State University in Detroit, theUniversity of California, Irvine, and the Kronos LongevityResearch Institute in Phoenix, contributed to this studywhile they were at the NIA.** Launched in 1958, the BLSA is America's longest runningscientific examination of human aging. Volunteers receivecomprehensive medical, physiological and neuropsychologicalevaluations every two years at the NIA Gerontology ResearchCenter in Baltimore. The BLSA has measured testosteronelevels in its male participants since 1963.##To (or ) from this list, go tohttp://list.nih.gov/cgi-bin/wa?SUBED1=hhspress & A=1 < wrote: Hi All & Hi Par, Par, http://www.kuruvinda.com/health_celibacy-5.shtml had some good stuff, " The brain and the sexual organs are the great rivals in using up bodily energy, and there is an antagonism between brain vigor and extreme sexual vigor, even though they may sometimes appear at different periods in the same individual. In this sense, there is no paradox in the saying of Roman Correa that potency is impotency and impotency potency, for a high degree of energy, whether in athletics or in intellect, is unfavorable to the display of energy in other directions.... " . I understand that, to conserve energy and focus, many athletes and artists refrain from sex in the run-up to important events. But I query the following: > " The masters of all the more intensely emotional arts have > frequently cultivated a high degree of chastity. This is notably > the case as regards music. One thinks of Mozart, of Beethoven, of > Schubert. At the age of twenty-five, when he had already produced > much fine work, Mozart wrote in a letter that he had never touched > a woman. " Does that mean that he had never lost Jing? IMO, no! A male does not have to " touch a woman " to ejaculate. IMO, total [life-long] chastity is beyond the reach of most mortals. Cynics say: " for the " celi " in " celibate " write " mastur " . Most surveys of male sexual practices report that from puberty to old age most men ejaculate one way or another. One survey of circa 10,000 Roman Catholic priests (theoretically celibate) showed an overall standardized mortality ratio (SMR) of 103 (above normal). Interestingly, their SMR for cancer of the prostate was 81. Other interesting findings include increased SMRs for cancer of the larynx (147), cirrhosis of the liver (147), and diabetes (182). As regards Jing depletion, as others have noted, the nutrition and general health of the man and his ejaculation frequency are the key issues; 2-3 times/week is pretty usual in healthy men. How someone could come 5 times/d over a prolonged period beats me. That takes a hell of a lot of stamina in all areas! Not only would my hair and teeth fall out, my ears ring, my eyes glaze over and senile dementia set in, but I'd be looking for that tuft of black hair growing from my palms! A Medline search for the profile (celibacy OR chastity OR “Sexual activity” OR “ejaculation frequency” OR “frequency of ejaculation” OR masturbat*) AND (longevity OR Geriatric OR “old age” OR " age at death " OR “effects on health”) gave surprisingly few hits as regards humans. There were many hits that referred to sexual activity in animals. The animal data were mixed; some showed that hypersexuality gave significant increases in longevity. Others showed the reverse, especially in insects. The data on human sexuality indicate wide variation in behaviours; some of this is determined by culture and education. Educated people tend to be more inventive and less influenced by taboos. As one would expect, sexual activity declines in old age, but does not disappear, even in elderly women. Male and female masturbation is common, not only in the absence of a sexual partner, but also in stable relationships. As the last abstract, below, says “masturbation is only a compensation” [for want of something better]. Aging Male. 2002 Dec; 5(4): 203-15. | Measurement of steroid levels in saliva in a population-based survey of lifestyle, medical conditions, marriage, sex life and hormone status in aging men: a feasibility study. | Krause W, Mueller U, Mazur A. Department of Dermatology, University Hospital and Medical School, Marburg, Germany. | Some population-based studies on male aging measure testosterone and cortisol in saliva instead of serum, but very few measure estradiol and dehydroepiandrosterone sulfate (DHEA-S), suggesting further testing is needed for reliability and comparative validity. In addition, the effects of interview stress and circadian hormone secretion need to be checked. In a pilot study on the overall sexual capacity of aging men, 48 randomly selected, healthy, heterosexual, cohabiting men aged 50-80 years, from Mannheim, Germany, and 50 from the State College, Pennsylvania, USA, were administered a standardized interview covering medical biography, present and previous life and work, marriage and emotional status. Two saliva samples were collected from each subject for measurement of testosterone, cortisol, estradiol and DHEA-S levels before and after the interview, and each subject completed a confidential self-administered questionnaire on intercourse, masturbation, orgasm, fantasies, libido and arousal. Questionnaires, hormone measurement techniques and the survey protocol had been extensively pretested. Prior to the pilot study, the kits for measuring testosterone and DHEA-S in saliva were checked for comparative validity against established measuring techniques in serum in 31 cases for testosterone and in 24 different cases for DHEA-S. These 55 cases underwent clinical diagnosis and were not otherwise involved in this study. The cases had been referred to the Andrology Unit of the University Hospital, Marburg, for reasons unrelated to this study. Given the biological differences for both steroids between their presence in blood and in saliva, a perfect correspondence between the two values was not expected and was not observed. The correlations obtained, however, support the assumption that all statistical relationships between testosterone and DHEA-S values in serum and clinical, as well as behavioral, variables reported to date may be replicated for testosterone and DHEA-S values in saliva. Publication Types: Clinical Trial Randomized Controlled Trial PMID: 12630067 [PubMed - indexed for MEDLINE]: AIDS. 1995 Dec; 9(12): 1357-65. | Sexual repertoires of heterosexuals: implications for HIV/sexually transmitted disease risk and prevention. The ACSF Group, Analyse des Comportements Sexuels en France. | Messiah A, Blin P, Fiche V. Public Health and Epidemiology Service, INSERM U292, Bicetre Hospital, Kremlin-Bicetre, France. | OBJECTIVE: To provide a quantitative and population-based analysis of sexual repertoires among heterosexuals. DESIGN: The French National Survey of Sexual Behaviour (ACSF), conducted between September 1991 and February 1992 on a representative sample of the population aged 18-69 years. METHODS: Sexual practices of the last heterosexual encounter were investigated among 4261 individuals; we measured the combinations of different practices and their correlations with age, and calculated frequencies for the main repertoires and their correlations with the interpartner relationship. RESULTS: Vaginal penetration and caressing were almost systematic, self-masturbation and anal penetration were rare, while mutual masturbation and orogenital practices had intermediate levels of occurrence. Examination of the correlations revealed (1) a very high correlation between practices which are reciprocal or symmetrical, (2) a strong association between genito-manual and genito-oral practices, (3) an association between anal penetration and fellatio, and (4) no clear correlation between any set of practices and vaginal sex or condom use. A small number of repertoires accounted for the vast majority of encounters. Younger people tended to have a more diversified repertoire. Repertoire types and diversity were strongly correlated to the pattern of interpartner relationship, independently of age. CONCLUSIONS: Reciprocity seems a standard feature of the heterosexual repertoire. The absence of a negative correlation between vaginal or anal penetration and other practices argues against promotion of the latter as substitute for the former. By contrast, the independence between condom use and any specific repertoire argues for its promotion as a universal means of protection. PMID: 8605056 [PubMed - indexed for MEDLINE]: Arch Sex Behav. 1975 Sep; 4(5): 519-28. | Dhat syndrome: a culture-bound sex neurosis of the orient. | Malhotra HK, Wig NN. | The Indian Dhat syndrome is a culture-bound symptom complex. The clinical picture includes severe anxiety and hypochondriasis. The patient is preoccupied with the excessive loss of semen by nocturnal emissions. There is a fear that semen is being lost, and mixed in urine. A study was carried out to investigate the cultural basis of the Dhat syndrome. One hundred and seven respondents from the general public were interviewed. A vignette describing an individual having nocturnal emissions was read aloud to the respondents. Attitudes toward nocturnal emission, its causes, and its management were investigated. A large segment of the general public from all socioeconomic classes believed that semen loss is harmful. Seminal fluid is considered an elixir of life both in the physical and in the mystical sense. Its preservation guarantees health, longevity, and supernatural powers. This belief is more frequent in lower socioeconomic classes. The susceptible individual reacts to the prevalent belief system and to the fears of semen loss. The symptoms usually disappear if the misconceptions about semen loss are effectively dealt with. It is expected that with increasing literacy and progress in sex knowledge the syndrome will become less common. PMID: 1191004 [PubMed - indexed for MEDLINE] Arch Sex Behav. 1981 Oct; 10(5): 399-420. | Factor affecting sexual functioning in 60-79-year-old married males. | Martin CE. | In data obtained from interviews with 60-79-year-old, married uppermiddle-class males, frequency of sexual expression proved to be independent of such factors as marital adjustment, sexual attractiveness of wives, sexual attitudes, and demographic features of the marital history. However, former levels of sexual functioning, as revealed by retrospective inquiry, appeared as highly significant correlates of current functioning in accordance with the hypothesis that males generally maintain relatively high or low rates of sexual activity throughout their lives. Of particular interest was the finding that, in the male, sexual frequency, erotic responsiveness to visual stimuli, and time comfortable without sex are closely interrelated phenomena, suggesting that all three variables are strongly commensurate with degree of motivation. Finally, those subjects found to be less than fully potent at report were also found to be virtually free of performance anxiety, feelings of sexual deprivation, and loss of self-esteem. This is consistent with lack of motivation being responsible for lower sexual functioning. PMID: 7198432 [PubMed - indexed for MEDLINE]: Arch Sex Behav. 1982 Jun; 11(3): 237-45. | Sexuality in an aged sample: cognitive determinants of masturbation. | Catania JA, White CB. | The examination of sexual activity in old age has typically meant a consideration of sexual intercourse. Masturbation has not received a rigorous investigation with respect to the elderly, despite benefits that may be associated with this form of sexual expression. The present study reports on the relationship of masturbation with locus of control, sexual status, and sexual knowledge as part of a more general but intensive study of an elderly sample. Results indicated that the best predictor of frequency of masturbation was locus of control, while sexual status and sexual knowledge contributed somewhat less to the variance explained in frequency of masturbation. Specifically, the data support the conclusion that internals masturbate more than externals, particularly internals with high sexual knowledge and persons without sexual partners may have a slight tendency to masturbate more often than those with partners. PMID: 7138298 [PubMed - indexed for MEDLINE] Arch Sex Behav. 1983 Jun; 12(3): 227-36. | The relationship between mode of female masturbation and achievement of orgasm in coitus. | Leff JJ, Israel M. | To determine the relationship between masturbatory and coital behavior, 117 middle-class female volunteers were classified into three styles of masturbatory behavior--direct, indirect, and nonmasturbators. Direct masturbation was defined as the direct digital manipulation of the clitoris or use of a vibrator. Indirect masturbation included all other methods of masturbation not defined as direct. The classification was done on the basis of responses to a questionnaire. Of the masturbators 70% reported no change in their masturbatory style from initial masturbatory experiences. No relationship was found between either ability to masturbate or masturbatory style and coital orgasmic capacity. It was also found that (a) nonmasturbators achieved orgasm in coitus via additional clitoral stimulation significantly less frequently than either direct or indirect masturbators and (b) direct masturbators have a significantly greater preference for clitoral, as opposed to vaginal, stimulation as a means of achieving orgasm. The results are interpreted within the context of possible deficiencies in the questionnaire and confounding between the ongoing psychological and biological processes occurring in sexual activity. Within these constraints, the findings support current methods of treatment for primary and secondary anorgasmia. PMID: 6882206 [PubMed - indexed for MEDLINE]: Arch Sex Behav. 1987 Feb; 16(1): 39-44. | Sexual behavior in healthy married elderly men. | Weizman R, Hart J. | Sexual behavior was evaluated in 81 men aged 60-71 years (34 men aged 60-65 years and 47 men aged 66-71 years). All subjects were married, physically healthy, and with no psychopathology or marital problems. Sexual function was evaluated by a self-report three-point rating scale. 36% of the whole study population reported impotence, with no significant difference between the two age groups. About half of the total population reported regular masturbatory activity. A decline in frequency of sexual intercourse and an increase in frequency of masturbation in subjects aged 66- 71 years as compared to subjects aged 60-65 indicates that the interest in sexuality continues in elderly men although the form of sexual expression changes from active sexual intercourse to a self- pleasuring/autoerotic form. Evaluation of sexual activity in advanced age is recommended and appropriate therapy in case of sexual dysfunction should be offered to elderly men. PMID: 3579556 [PubMed - indexed for MEDLINE]: Arch Sex Behav. 1988 Apr; 17(2): 109-29. | Sexual interest and behavior in healthy 80-102-year-olds. | Bretschneider JG, McCoy NL. Department of Psychology, San Francisco State University, California 94132. | Sexual interest and behavior of 100 white men and 102 white women ranging in age from 80-102 were studied using an anonymous 117-item questionnaire. Subjects were healthy and upper middle-class, and living in residential retirement facilities; 14% of the women and 29% of the men were presently married. For both men and women, the most common activity was touching and caressing without sexual intercourse, followed by masturbation, followed by sexual intercourse. Of these activities, only touching and caressing showed a significant decline from the 80s to the 90s, with further analyses revealing a significant decline in this activity for men but not for women. Except for past enjoyment of sexual intercourse and of touching and caressing without sexual intercourse, all analyses revealed sex differences reflecting more activity and enjoyment by men. Current income and past guilt over sexual feelings showed very low but significant correlations with some frequency and enjoyment measures, and marital status, extramarital sex, and church attendance were significantly associated with continuing to perform and enjoy some sexual behaviors. Past importance of sex was significantly correlated with present frequency and enjoyment of both sexual intercourse and touching and caressing without sexual intercourse. Correlations between past and present frequency of sexual behaviors were substantial and significant for all but frequency of sexual intercourse, suggesting that current physical and social factors play an overriding role in this area. PMID: 3395224 [PubMed - indexed for MEDLINE]: Arch Sex Behav. 1996 Oct; 25(5): 473-93. | Female sexuality and historical time: a comparison of sexual biographies of German women born between 1895 and 1936. | von Sydow K. Justus-Liebig- Universitat, Klinik fur Psychosomatik und Psychotherapie, Giessen, Germany. | 91 German women ages 50 to 91 years (birth cohorts: 1895 to 1936) were interviewed in-depth about their sexual development through the life span. This article presents the results on the historical change in female sexuality during childhood, puberty, and young marriage. The sample was divided into four subgroups, according to the year of birth, which were compared to each other. In contrast to the older groups, a higher percentage of women in the younger cohorts had experience in childhood sexual play, masturbation, " real " and faked orgasm, with historical time only having a slight influence on marital sexuality and fertility experiences. Data indicate that subjects born later were not only more experienced sexually but changed intraindividually more often in sexual matters, whereas the older women mostly " conserved " the sexual morals and habits learned in youth. Subjective sexual experience of the interviewees is illustrated by quotations. Publication Types: Historical Article PMID: 8899141 [PubMed - indexed for MEDLINE] Disabil Rehabil. 1998 Sep; 20(9): 317-29. | Sexuality and sexual adjustment of patients with chronic pain. | Monga TN, Tan G, Ostermann HJ, Monga U, Grabois M. Physical Medicine and Rehabilitation Service, Veterans Affairs Medical Center, Houston, Texas 77030, USA. | PURPOSE: To describe sexual functioning and its relationship with psychological measures in chronic pain patients. METHOD: It is a self report survey with a convenience sample. Seventy consenting chronic pain patients responded to a questionnaire. Mean age was 49.9 years (range 29-74); mean pain duration was 146.7 months (range 6-624). Participants endorsed a wide variety of pain conditions. INSTRUMENTS USED: (1) Derogatis Inventory of Sexual Functioning; (2) Multidimensional Pain Inventory; (3) Center for Epidemiological Studies Depression Scale: (4) Multidimensional Health Locus of Control; (5) Hopkins Symptom Check List; (6) Vanderbilt Pain Management Inventory; (7) Coping Strategies Questionnaire. RESULTS: 66% of patients were interested in sex, 50% were satisfied with current sexual partner and 20% considered current sexual life to be adequate. Over 70% fantasized at least once a month. Only 44% experienced normal arousal during intercourse; 33% practiced masturbation and 47% were involved in sexual intercourse or oral sex at least once a month. The majority were dissatisfied with orgasmic activities. No relationship was found between pain severity, duration, frequency and sexual functioning. A relationship was found between disability status, age and several psychological variables and various domains of sexual functioning. CONCLUSIONS; Sexual problems are common in chronic pain patients. Patients who reported symptoms of depression and distress had more sexual problems. PMID: 9664190 [PubMed - indexed for MEDLINE] Disabil Rehabil. 2000 Jun 15; 22(9): 409-15. | Sexuality in persons with lower extremity amputations. | Bodenheimer C, Kerrigan AJ, Garber SL, Monga TN. Houston VAMC, TX 77030, USA. Bodenheimer,Carol_F+ | PURPOSE: There is a paucity of information regarding sexual functioning in persons with lower extremity amputations. The purpose of this study was to describe sexual and psychological functioning and health status in persons with lower extremity amputation. METHODS: Self-report surveys assessed sexual functioning (Derogatis Inventory), depression (Beck Depression Inventory, anxiety (State-Trait Anxiety Inventory), and health status (Health Status Questionnaire) in a convenience sample of 30 men with lower extremity amputations. Mean age of the participants was 57 years (range 32- 79). Mean duration since amputation was 23 months (range 3-634 months). Twenty one subjects (70%) had trans-tibial and seven subjects (23%) had trans-femoral amputations. RESULTS: A majority of subjects were experiencing problems in several domains of sexual functioning. 53% (n=16) of the subjects were engaged in sexual intercourse or oral sex at least once a month. 27% (n=8) were masturbating at least once a month. Nineteen subjects (63%) reported orgasmic problems and 67% were experiencing erectile difficulties. Despite these problems, interest in sex was high in over 90% of the subjects. There was no evidence of increased prevalence of depression or anxiety in these subjects when compared to other outpatient adult populations. CONCLUSIONS: Sexual problems were common in the subjects studied. Despite these problems, interest in sex remained high. Few investigations have been directed toward identifying the psychological and social factors that may contribute to these problems and more research with a larger population is needed in this area. PMID: 10894204 [PubMed - indexed for MEDLINE]: J Am Geriatr Soc. 1993 Apr; 41(4): 363-6. | Treatment of vasculogenic sexual dysfunction with pentoxifylline. | Korenman SG, Viosca SP. Department of Medicine, UCLA, School of Medicine 90024. | OBJECTIVE: To evaluate the use of pentoxifylline to treat impotence in men with mild to moderate penile vascular insufficiency. DESIGN: Double-blind randomized clinical trial. SETTING: Sexual Dysfunction Clinic at VA Medical Center, Sepulveda, CA. PARTICIPANTS: Convenience sample of couples. INTERVENTION: Twelve weeks of treatment with placebo or 400 mg tid of pentoxifylline. MEASUREMENTS: (1) Report of patient verified by partner as to number of coital episodes per month; (2) penile-brachial pressure index determinations. RESULTS: Pentoxifylline therapy regularly increased the PBPI in impotent men in comparison with the placebo, frequently into the normal range. Pentoxifylline therapy was particularly useful in restoring the PBPI in men with the pelvic steal syndrome; six of seven such subjects improved into the normal range. During the pentoxifylline treatment period, in contrast with the control period, nine men were able to reestablish coital function and three had no improvement. Six couples did not attempt intercourse despite a professed interest in sexual activity; however 5/6 men experienced erections during episodes of fantasy or attempts at masturbation during treatment. There were no complications of therapy. CONCLUSIONS: These promising preliminary results suggest a well tolerated alternative therapy for erectile dysfunction in patients with mild to moderate penile vascular disease. Publication Types: Clinical Trial Randomized Controlled Trial PMID: 8463520 [PubMed - indexed for MEDLINE] J Androl. 1997 Mar-Apr; 18(2): 103-6. | Testosterone and the aging male. | Tenover JL. Department of Medicine, Emory University School of Medicine, Atlanta, Georgia, USA. | The number and magnitude of studies involving testosterone-supplementation therapy in older men are limited. In addition, many studies to date have not been blinded or controlled, were reported in abstract form only, and had involved a variety of androgen-replacement regimens and outcomes measurements. Nonetheless, an overview of the data suggests there is real potential for supplementation therapy to improve bone mass and muscle mass and strength in this age group. Affects on mood, sexual function, and cognition are less clear but may be meaningful in certain men. Questions still remain, however, on the magnitude and longevity of the beneficial effects of testosterone supplementation in the older man and whether only certain subgroups of men would truly benefit from therapy. More importantly, the long-term risks of androgen therapy in this age group really are not known, especially in the areas of cardiovascular disease and prostate diseases. Presently, men who use androgen-supplementation therapy for age-related " testosterone deficiency " should consider this as a gamble. Publication Types: Review Review, Tutorial PMID: 9154502 [PubMed - indexed for MEDLINE] J Consult Clin Psychol. 1989 Feb; 57(1): 123-30. | A psychometric analysis of the sexual arousability index. | Andersen BL, Broffitt B, Karlsson JA, Turnquist DC. | The Sexual Arousability Index (SAI) assesses self-reported sexual arousal in women and was administered on four occasions to a group of normal sexually active women (n=57) and to another group undergoing surgical gynecologic treatment (n=66) that resulted in a predictable and clinical level of sexual dysfunction. These data were used for a psychometric analysis of the SAI. In terms of reliability, internal consistency estimates were in the .92-.96 range, and 4-month test- retest reliabilities ranged from .74 to .90. An evaluation of validity revealed both strengths and limitations of the SAI. The content analysis indicated that at least six domains are sampled, including seduction activities, body caressing, oral-genital and genital stimulation, intercourse, masturbation, and erotic media. To examine construct validity, we conducted a factor analysis that revealed a five-factor solution accounting for 85% of the variance. Furthermore, the factor solution was stable across groups and time, and the factors were sensitive to the occurrence of important behavior changes. The SAI, like other psychological measures, was poor in predicting a criterion, i.e., the occurrence of inhibited sexual excitement) concurrently or at the time of follow-up. PMID: 2925963 [PubMed - indexed for MEDLINE]: J Fam Pract. 1990 Aug; 31(2): 162-6. | Sexual function and practice in elderly men of lower socioeconomic status. | Cogen R, Steinman W. Division of Geriatrics, Albert Einstein Medical Center, Philadelpha, PA 19141. | Normal aging plus certain prevalent diseases are believed to render many elderly men impotent. Recent studies have suggested that educated middle-class and upper-class elderly men continue sexual activity, despite erectile dysfunction, by employing alternative practices such as mutual masturbation and oral sex. Few elderly men of lower socioeconomic background have been included in these studies, however. Using physician-administered interviews, 87 men attending an urban Veterans Administration geriatric clinic were studied to determine (1) the prevalence of erectile dysfunction, and (2) the sexual practices and attitudes of this group. Of the 87 men, 28% reported complete loss of erectile function, while 31% had frequent difficulties achieving vaginal intromission. Unlike economically advantaged groups, only 29% used mutual masturbation and 16% used oral sex. Attitudes toward these practices were negative. With one exception, men unable to perform coitus ceased all heterosexual activities. PMID: 2380679 [PubMed - indexed for MEDLINE]: J Gerontol Nurs. 1999 Apr; 25(4): 30-9. | Comparison of caregivers', residents', and community-dwelling spouses' opinions about expressing sexuality in an institutional setting. | Gibson MC, Bol N, Woodbury MG, Beaton C, Janke C. Veterans Care Program, Parkwood Hospital, London, Ontario, Canada. | Opinions regarding the appropriateness of elderly residents' sexual behaviors in a chronic care hospital and how to respond to inappropriate behaviors were surveyed. Study participation was open to all staff (N=1,205), eligible residents (N=182) and community-dwelling spouses (N=103). Participation rates were 40% (residents), 42% (spouses), 34% (nursing staff), 50% (allied health staff), and 22% (support staff). Staff completed the questionnaire independently, while residents and spouses were offered self-completion or a structured interview. Almost all selected the interview. Residents and spouses were less tolerant than staff of residents' masturbating, engaging in sexual relationships, viewing sexual materials, and making sexual approaches to staff. Privacy was the primary determinant of appropriateness for behaviors for all groups. Staff and spouses were more likely to endorse counseling when behaviors were perceived as inappropriate than residents. Nurses endorsed counseling less frequently than allied health professionals and support staff. Nurses were more likely to have been approached sexually by a resident. Differences of opinion are interpreted in terms of cohort influences on values and contextual influences on behavior. PMID: 10426032 [PubMed - indexed for MEDLINE]: J Psychosom Res. 1994 Oct; 38(7): 759-62. | Post-vasectomy erectile dysfunction. | Buchholz NP, Weuste R, Mattarelli G, Woessmer B, Langewitz W. Clinic of Urology, University Hospital (Kantonsspital), Basel, Switzerland. | We investigated two groups of men with regard to vasectomy acceptance, and subsequent erectile dysfunction. Group I was a group of 45 men chosen at random from 254 vasectomized patients. Group II was a group of 18 men who, out of 180 patients treated for erectile dysfunction, attributed their dysfunction to previous vasectomy. We analysed the social background, motivation for vasectomy and postoperative changes of sexual life or behaviour of the partners. The partnership constellation, particularly the role of a predominant female partner seems to be an important feature for vasectomy acceptance. Low acceptance might cause erectile dysfunction. PIP: Of 180 patients treated for erectile dysfunction in 1989-91 in Basel, Switzerland, 25 had previously undergone vasectomy. 18 of these latter individuals volunteered to be interviewed about their social background, motivation for vasectomy, and postoperative changes of sex life or partner behavior. All of these men attributed their sexual dysfunction to previous vasectomy. Somatic erectile dysfunction was, however, clinically excluded, thereby making the dysfunction of these men psychological in origin. For comparison, a group of 45 randomly chosen vasectomized men underwent the same psychosexual evaluation in the attempt to find a possible relationship between vasectomy and subsequent erectile dysfunction. The men were chosen from 254 vasectomized patients over the period 1986-90. The 45 controls comprise group one, while the 18 men who attribute their erectile dysfunction to previous vasectomy comprise group two. The mean age at time of vasectomy in group one was 39.1 years in the range of 23-59 years, while the mean age in group two at the time of vasectomy was 56.4 years in the range of 42-71 years. Vasectomy dated back on average 18.8 years. 98% of all patients interviewed were married or living in a steady partnership. 18% of patients in group one and 11% of patients in group two found the operation to be traumatic, while 13% of patients in group one and 17% of patients in group two reported fears of demascularization; these differences were not significant. It was significant, however, that 22% of patients in group two had the decision to undergo vasectomy imposed upon them by their partner. 4% of patients in group one and 22% of patients in group two reported a reduced libido within the first two postoperative years. Less frequent or weaker erections were reported by 2% of patients in group one and 27% of patients in group two. Decreased frequency of orgasm was reported by none of the patients in group one, but by 28% of the patients in group two. Ejaculation quality and orgasm by masturbation remained unchanged in all cases. Decreased sexual activity in the partner was reported by 7% of patients in group one and 33% of patients in group two. 4% of patients in group one and 28% of group two believed there was a connection between previous vasectomy and their own erectile dysfunction. In all patients with erectile dysfunction this occurred within two years of the vasectomy. 4% of patients in group one and 39% of patients in group two had changed their partners within the follow-up time. Generally, a patient's psychosocial environment is most important for the acceptance of vasectomy. A good acceptance of vasectomy is usually found among men living in traditional partnerships with a predominating male. Men in partnerships where the female predominates and where the female may have demanded that the male undergo vasectomy, however, may have difficulty later accepting and coping with such imposed decisions on reproduction. Patients requesting vasectomy should always be asked systematically about their motivation and the manner in which the decision was reached. A prospective study is underway to determine the characteristics of men who are predisposed to become sexually dysfunctional. PMID: 7877130 [PubMed - indexed for MEDLINE] Nippon Ishigaku Zasshi. 2002 Jun; 48(2): 205-17. | [A study of the sexual art of having intercourse with several young virgins in traditional Chinese medicine] [Article in Japanese] | Yan S. | The emergency treatments for the damage and bleeding of the vagina, and the sharp pubic pain of young virgins which were caused occurred by the sexual art, were recorded in traditional medicine books, such as the " Ji yan fang " and others. It is a fact that in ancient China some people used the sexual art of having intercourse with several young virgins at the same time in order to increase their health and keep perpetual youth and longevity. The famous traditional general-medical book, " qian jin yao fang " recommended that method to rich persons too. It is supposed that the beginning of the sexual art of having intercourse with several young virgins traces back to the times of Emperor Hanwu , but it seems to have disappeared from the historical stage in the Song period. On the other hand, the criticisms from the traditional medicine books and the secret languages of internal alchemy used for the Taoist sacred books show that the sexual art of having intercourse with several young virgins was still going on behind the scene in the Ming and Qing periods. Even if we consider the historical changes of ethics and mortality, we now cannot but criticize this behavior of abusing juveniles for the sexual art. Publication Types: Historical Article PMID: 12398073 [PubMed - indexed for MEDLINE Obstet Gynecol. 1996 Jul; 88(1): 65-70. | Psychologic profiles of and sexual function in women with vulvar vestibulitis and their partners. | Van Lankveld JJ, Weijenborg PT, ter Kuile MM. University Hospital of Leiden, The Netherlands. | OBJECTIVE: To compare psychologic profiles of women with vulvar vestibulitis and their partners with a normal population, and to identify sexual dysfunction in women and their partners. METHODS: Forty-three women with vulvar vestibulitis and 38 partners, recruited from a gynecology outpatient clinic, completed the Symptom Check List- 90, the Short Dutch Version of the Minnesota Multiphasic Personality Inventory, the Maudsley Marital Questionnaire, and the Questionnaire for Screening Sexual Dysfunctions. RESULTS: The women with vulvar vestibulitis scored significantly higher on the somatization and shyness subscales than a normal population. They didn't differ in respect to their current level of psychologic distress, extraversion, risk of psychopathology, and marital satisfaction. Their partners had significantly lower scores for psychopathology than a normal population. They didn't differ from a normal population in respect to their level of psychologic distress, extraversion, shyness, somatization, and marital satisfaction. Women with vulvar vestibulitis reported more frequent problems and higher distress with genital pain, lubrication, sexual arousal, and negative emotions in the sexual interaction with the partner. During masturbation, however, they reported less frequent problems and distress. The partners of these women reported nearly no problems or distress in either sexual situation. CONCLUSION: Women with vulvar vestibulitis and their partners seem in general to be psychologically healthy, although vulvar vestibulitis may be associated with a situationally defined sexual dysfunction for the women. PMID: 8684765 [PubMed - indexed for MEDLINE]: Prev Med. 1988 May; 17(3): 335-43. | Retrospective cohort mortality study of Roman Catholic priests. | Kaplan SD. SRI International, Menlo Park, California 94025. | In order to test the hypothesis that Roman Catholic priests are at low risk for prostatic cancer because of their celibacy, a cohort of 10,026 men who were active or retired diocesan (parish) Roman Catholic priests in the United States on January 1, 1949 were followed until death, leaving the priesthood, or January 1, 1978. The overall standardized mortality ratio (SMR) was 103 and the SMR for cancer of the prostate was 81. Other interesting findings include increased SMRs for cancer of the larynx (147), cirrhosis of the liver (147), and diabetes (182) and decreased SMRs for lung cancer (59), emphysema (26), and suicide (13). PMID: 3405988 [PubMed - indexed for MEDLINE Scand J Urol Nephrol Suppl. 1983; 77: 1-37. | Some effects of orchiectomy, oestrogen treatment and radiation therapy in patients with prostatic carcinoma. | Tomic R. | In patients treated for prostatic carcinoma with oestrogen, orchiectomy or external radiation, serum concentrations of testosterone, LH, FSH, prolactin, TeBG and oestradiol-17 beta as well as changes in sexual behaviour and mental mood were studied. Oestrogen treatment as well as orchiectomy reduced serum testosterone concentration to similar values. Neither totally nor subcapsularly orchiectomized patients responded to HCG stimulation. The free testosterone was 68% lower in oestrogen treated than in orchiectomized patients, probably due to a high TeBG concentration induced by oestrogens. patients oestrogen treated for less than 3 years and in whom the treatment had been withdrawn had normal serum testosterone and LH at follow-up. In contrast, low serum testosterone concentration and normal LH were found after oestrogen cessation in patients oestrogen treated for more than 3 years indicating reduced Leydig cell, and/or hypothalamic-hypophyseal function. In patients oestrogen treated for more than 3 years the serum testosterone concentration neither increased after oestrogen cessation nor decreased after orchiectomy. Absorbed testes doses during radiation treatment were measured from a few to more than 10 Gy but were reduced by about 50% if the gonads were protected by lead shields during anterior and posterior treatment sessions. Radiation may affect gonadal function as decreased serum testosterone concentration and increased LH, FSH were found after treatment. Sexual function was altered after oestrogen, orchiectomy and radiation treatment. Sexual activity and capability were distinctly better maintained after radiation than after orchiectomy or oestrogen treatment. 67% of the patients had coitus or masturbated after radiation treatment, all experiencing orgasm. Patients on oestrogen treatment or after orchiectomy had coitus/masturbation less often (17% in both groups). They also experienced orgasm less often (8% and 17% respectively). The group of patients on oestrogen treatment had a higher average score for depression than those treated with orchiectomy or radiation treatment. PMID: 6426040 [PubMed - indexed for MEDLINE]: SIECUS Rep. 1981 Nov; 10(2): 7-8. | Sex through the ages in China. | Gross A. | PIP: This brief article summarizes some of the Chinese sexual customs as revealed by Van Gulik, Needham, Levy, the author, and others. Chinese sexology is related to medicine, philosophy, and cosmology, all of which form a unified view of the universe. Cosmologically, the Chinese view human life as between the sun ( " Ying " /man) and the earth ( " Yin " /women). Energy particles from the sun continually enter the fingers, pass through arms, head, and body, and exit via the toes, while energy from the earth enter through the toes and exits through the fingers. Illness occurs if there is an imbalance in this system; if either flow stops death ensues. Chinese medicine corrects the energy flow of the sun and earth by means of needles, heat, gymnastics, massage, and sexual practices. Sexual practices, affect this energy exchange by special techniques for relieving physical complaints and ultra-orgasmic practices, sometimes termed " coitus reservatus. " Chinese reason that if either man or woman achieve orgasm, then considerable energy can be produced over a longer duration, perhaps increasing one's health and longevity. These beliefs flourished from the Han Dynasty (202 B.C.-220 A.D.) until the close of the Ming Dynasty (1368-1644 A.D.). Practices during this period were to encourage orgasms for men and women with age, health, seasonal factors, and the need for heirs as variables in the practices. For example, in a Sui Dynasty (589-608 A.D.) sex manual, once a day is right for a healthy male of 30, while once every 5-10 days is proper for a 50 year old man. However, these techniques took time to learn and even " perversions " developed. Excesses encouraged the belief that sexual expression should be limited. The Confucionists during the Ching Dynasty (1644-1912) saw ultra-orgasmic exercises as a threat to government and encouraged its end. Ultra-orgasmic techniques may be used today at the village level and are inseparable from the Chinese language and literature. Male homosexuality and lesbianism were accepted in the past. The enforced foot-binding of women lasted a 1000 years only to end in this century. PMID: 12337666 [PubMed - indexed for MEDLINE] Sports Med. 1990 Jun; 9(6): 330-43. | The sexual response as exercise. A brief review and theoretical proposal. | Butt DS. Department of Psychology, University of British Columbia, Vancouver, Canada. | The sexual response is a form of exercise which has strong biological and evolutionary components. Few studies have focused upon sexual behaviour as exercise and the reasons for this are considered. Current information and leads for future study come from animal research. Some historical precursors to modern sex researchers did more to mislead than to advance knowledge but Kinsey and Masters & Johnson set the stage for modern knowledge and applications. There are parallels between the orgasmic response and exercise. Physiological bases of the sexual response help to explain individual differences in sexual behaviour and the well-being that often accompanies states of passionate love, addiction and exercise. Studies suggest that sexual activity is associated with well-being and longevity, yet many health and exercise professionals fail to take account of sexual activity in advancing exercise programmes and executing studies; that is, the so-called Ostrich Effect persists. Investigators need to separate the passionate love stage of relationships which are biologically based and last 3-4 years from the later stages of long term committed partnerships in which sexual activity continues as a form of exercise, competence expression and fun. Publication Types: Review Review, Tutorial PMID: 2192423 [PubMed - indexed for MEDLINE] Ther Umsch. 1994 Feb; 51(2): 93-7. | [Male and female sexuality-- differences according to sex and age Article in German] | Kockott G. Psychiatrische Klinik der Technischen Universitat, Munchen. | Sexual physiology, sexual behaviour and attitude to sexuality vary according to sex and age. The sexual reaction cycle is very uniform in men, but much more variable in women; at a more advanced age the reactions of this cycle are delayed in both sexes. While hormones have been proved to influence male sexuality, their influence on female sexuality has not been clarified. Sexual appetite changes with age. It reaches a climax earlier in men than women, but also declines more in men with increasing age. In the last three decades the number of women who masturbate has increased considerably. The difference between the sexes as far as attitude to sexuality is concerned is particularly evident in those with sexual difficulties: men usually see their problems in an isolated way as a purely physical disorder, whereas women are usually aware of the connection between their sexual problems and personal, partner or work problems. PMID: 8128393 [PubMed - indexed for MEDLINE] Ugeskr Laeger. 2002 Oct 7; 164(41): 4819-23. | [The sexual life of 60-year-old Danish men Article in Danish] | Eplov LF, Weigner T, Solstad K Center for Sygdomsforebyggelse, Kobenhavns Amt. Falgaard | INTRODUCTION: The sexuality of men is influenced by many factors, and there are changes throughout life. In a literature search only 35 fairly representative cross-sectional studies of elderly men were found. There is no population study of elderly Danish men's sexuality. The aim of our study was to describe the sexual life of a group of 60-year-old men from the Copenhagen area. MATERIAL AND METHODS: The material is a random sample of 66 men from a cohort found to be fairly representative of 60-year-old men in the County of Copenhagen. The men were interviewed using structured guidelines, which also included open questions. RESULTS: Around half of the men felt sexual desire once a week or more. Around one third had had fewer than four sexual partners throughout their lives, and six per cent did not have a partner at the time of the interview. >50% had intercourse once a month or more. 66% masturbated. One tenth had erection problems. Two thirds were satisfied with their sexual life. DISCUSSION: This study reveals a large variation in the sexual life of elderly Danish men. PMID: 12407893 [PubMed - indexed for MEDLINE]: Z Arztl Fortbild Qualitatssich. 2000 Apr; 94(3): 223-9. | [sexuality of older women. The effect of menopause, other physical and social and partner related factors Article in German] | von Sydow K. Universitat Giessen, Klinik fur Psychosomatik und Psychotherapie. k_v_sydow | Research on female sexuality in middle and old age (50-90 years) is reviewed. The descriptive results of the studies published up to now are summarized according to the dimensions of sexual activity (e.g. intercourse, tenderness, masturbation) and interest. The influence of various factors on female sexuality in middle and old age is critically discussed, namely health/body (health; general changes in sexual reactions; menopause), society (population structure; " double standard of aging " ; historical-biographical influences) and couple relationship. Altogether, female sexuality is highly variable. The most prevalent psychosexual problems of older women are not the classic medical complaints (e.g. dyspareunia, insufficient lubrication) but a lack of tenderness and of sexual contact. The effect of the hormonal changes of the menopause is smaller than the effect of psychological, society- and partner-related factors. The so-called " HRT " does not have significant effects on most sexual dimensions. Publication Types: Review Review, Tutorial PMID: 10802898 [PubMed - indexed for MEDLINE] Z Gerontol. 1992 Mar-Apr; 25(2): 105-12. | [Female sexuality in middle and advanced adulthood Article in German] von Sydow K. Universitat Munchen. | A study of female sexuality based on 91 interviews with women aged 50 to 91 years (birth-cohorts: 1895 to 1936) is presented. 53% of the interview-partners in this study are sexually active (intercourse: 34%; masturbation: 30%; lesbian sexuality: 1%). 65% report sexual interest. During the past year 58% of the women experienced sexual dreams, 43% sexual fantasies. 26% of the interview-partners had never experienced orgasm. Several age- and cohort-differences are reported. Quotations illustrate the variability of female sexual experiences. PMID: 1609538 [PubMed - indexed for MEDLINE]: | Zentralbl Gynakol. 2002 Aug-Sep; 124(8-9): 400-5. | [sexual activity in old age-problem-oriented counselling from the psychiatric point of view Article in German] | Hirsch RD. Abteilung fur Gerontopsychiatrie und Gerontopsychiatrisches Zentrum, Rheinische Kliniken Bonn. r.d.hirsch | Empirical investigations often report sexual activity in old age. Society's negative stereotype of the aging person, however, results in the topic being socially taboo and prejudiced. Active sexual intercourse gets less frequent in advancing age, but masturbation and sexual fantasies still prevail. In higher age groups men are seemingly more active than women. Persons living in constant partnerships are more active than persons living on their own. There is a significant shift from sexual intercourse to tenderness, confidence, and satisfying relations. There are numerous physical, psychological, and social factors influencing sex life in old age. Important physiological alterations and their consequences are to be observed in advancing age. Multiple diseases, drugs, and objective and subjective (e.g. anxiety disorders) after-effects of operations often result in reducing or totally giving up sexual activities. If a doctor has hints pointing to sex problems these ought to be talked about without any prejudice and with an intention of looking for possible solutions. Frequently these problems are indicative of psychological or functional disorders which may respond to a treatment by competent counselor or psychotherapist. Publication Types: Review Review, Tutorial PMID: 12655468 [PubMed - indexed for MEDLINE] ZFA. 1987 Jul-Aug; 42(4): 207-9. | [Partnership relations, sexuality and sexual behavior in elderly females and males after age 55. Partnership relations, sexuality and sexual reactions Article in German] | Weissbach-Rieger A. | Women and men can have a cultivated sexual experience till a high age. The presume therefore is a sexual active life. Sexual reactions are decelerated in the elderly. The fulfillment of sexual wishes depends on the individual healthy and social situation. Masturbation is only a compensation. PMID: 3630220 [PubMed - indexed for MEDLINE]: Best regards, Email: < WORK : Teagasc Research Management, Sandymount Ave., Dublin 4, Ireland Mobile: 353-; [in the Republic: 0] HOME : 1 Esker Lawns, Lucan, Dublin, Ireland Tel : 353-; [in the Republic: 0] WWW : http://homepage.eircom.net/~progers/searchap.htm Chinese Herbal Medicine offers various professional services, including board approved continuing education classes, an annual conference and a free discussion forum in Chinese Herbal Medicine. Quote Link to comment Share on other sites More sharing options...
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