Monday, December 29, 2008

Intimacy with Impotence or Hungry

Intimacy with Impotence: The Couple's Guide to Better Sex after Prostate Disease

Author: Ralph Alterowitz

Erectile dysfunction is a frequent consequence of prostate cancer and other prostate disease treatments. Though unwelcome and embarrassing, it doesn't have to end a couple's sex life. Both informative and practical, Intimacy with Impotence gives couples cause for hope. It discusses impotence in lay terms, provides information on the commercial therapies and medications both available and being researched now, and gives practical advice about lovemaking-from getting in the mood to commonsense suggestions to erection-less satisfaction. Written with complete honesty and compassion by a prostate cancer survivor and his wife, this is the essential resource for couples trying to reestablish intimacy and sex in the face of impotence.

Oncology Nursing Forum</I>

"Excellent...an easy-to-read, candid book that could offer a great deal of understanding and help to couples experiencing erectile dysfunction."

Library Journal

Cancer survivor Alterowitz and his wife, Barbara, have revamped their The Lovin' Ain't Over: The Couple's Guide to Better Sex After Prostate Disease. As in the original edition, the authors rely on a team of researchers and medical/psychological consultants. Suitable for older and/or conservative couples, their well-organized text has no slang or graphics and cautious discussion of noncoital activities. The message: impotence offers an opportunity to revive intimacy through more sensual, romantic sex. The text focuses on FAQs regarding prostate surgery and impotence; learning to have satisfying, sensual sex; and devices, pharmaceuticals, and other products to enhance erections (e.g., combination and off-label drug therapies, herbal products, and dietary supplements). "Key Points" sections help orient readers, and the appendixes of treatments, manufacturers, resources, and reading matter are very good. But more about sex toys and outercourse techniques (e.g., sharing masturbation) could have been included. For public libraries, to be complemented by Virginia and Keith Laken's Making Love Again, which emphasizes psychological issues.-Martha Cornog, Philadelphia Copyright 2004 Reed Business Information.



Table of Contents:
Forewordix
Prefacexi
Acknowledgmentsxiii
List of Contributorsxv
Introductionxvii
1Impotence: An Opportunity to Revive Intimacy1
Key Points1
Reality Hits2
From Relationship RUT to CREST5
Breaking the Erectile Dysfunction Mindset6
Back to the Subject of Sex: Happiness Is an Erection--or Is It?7
Mindset10
2Facts about Impotence11
Key Points11
Causes of Erectile Dysfunction12
Sexuality, Impotence, and Age13
What Is a "Normal" Sex Life?13
It's Over--or Is It?14
Trollope Works for Me15
The Effects of Prostate Cancer Treatment: What's the Truth?17
Am I the only one with a problem?17
Is nerve sparing or nerve grafting surgery a miracle treatment?18
Is potency known immediately after surgery?19
Will my penis be shorter after radical prostatectomy surgery? If it is, can I still have intercourse?19
Do I need testosterone injections to increase my desire or treat my erection problems?20
Does hormone treatment destroy desire and potency?20
Can sex stimulate cancer? Can I transmit cancer to my partner through sex?20
Will my partner have any effects from my radiation treatment for prostate cancer during intercourse?21
What are the effects of treatment for benign prostatic hyperplasia (BPH)?21
General Questions and Answers about Impotence21
Do I need an erection to have an orgasm?21
Can my partner have an orgasm if I don't have an erection?22
Does satisfaction require having an orgasm?22
If one medication, such as Viagra, does not work for me, will another one work?22
3Talking with Your Partner23
Key Points23
Elephants Bite25
Planning for Talking29
Improving the Quality of the Relationship29
Step 1Are you in a RUT?30
Step 2What would you like?30
Step 3Make arrangements30
Step 4Have a heart-to-heart talk31
Step 5Do it!32
Step 6Review33
Two Effective Approaches to Handling Differences34
Sex and the Single Man35
4Reviving Loving37
Key Points37
Relearning Loving39
Creating a Loving Environment41
Increasing Desire43
Pleasing a Woman45
Loving Is a Partnering Activity, Not a Solo Sport46
Learning about Your Own--and Your Partner's--Anatomy47
Be Creative in Your Love Life48
Making Things Romantic50
Early Bird Special Sex51
The Partner's Role52
Take Time54
Just Do It: Make Love54
5Sensual Sex57
Key Points57
A Sensual Encounter58
What Sensual Sex Is All About61
Getting in the Mood61
Getting Prepared63
Sensual Arousal65
Kissing65
Touching66
Touchpoints67
Giving and Receiving71
Penile Massage71
Oral Sex71
Massage72
Visualization and Sexual Fantasy73
Special Techniques to Assist in Sex with Impotence75
Using gravity75
Massaging the penis75
Partial penetration76
Female orgasms with a limp penis76
The Self-Renewing Relationship77
6Getting into Shape for Sex79
Key Points79
Eating Right81
Exercising82
Physical activity and routines84
Pelvic floor exercises86
7Talking with Your Doctor89
Key Points89
Understanding the Doctor's Situation90
Preparing for a Visit to Discuss Sexual Dysfunction Issues91
Writing down your questions91
Making the appointment93
Getting the Most from the Meeting94
How to Be Sure the Doctor or Other Professional Is Truly Listening96
8Commercial Therapies and Medications97
Key Points97
Is There a One-Size-Fits-All Treatment?98
Treatments: What Works for You?99
Understand the psychological side effects of treatment100
Understand what anxiety can do101
The importance of a conservative approach102
Why so much information?103
Pill Splitting106
Interpreting Clinical Trial Results106
The List of Treatments108
Penile rehabilitation109
Oral medications113
Topical medications: penile creams and gels127
Intraurethral medication131
Penile injection (intracavernosal injection)135
New medications in development144
Devices147
Penile splints and supports147
Vacuum therapy systems147
Penile implants158
Surgery162
Neural therapies162
Nerve sparing surgery162
Nerve grafting surgery165
Neural regeneration167
Penile vascular surgery167
New target areas for erectile dysfunction research169
9Nonapproved and Off Label Treatments173
Key Points173
Combination Therapies175
Combination therapies using sildenafil (Viagra)175
Sildenafil (Viagra) and doxazosin (Cardura)175
Sildenafil (Viagra) and apomorphine (Ixense and Uprima, in Europe, Latin America, and Asia only)175
Sildenafil (Viagra) and a tension ring176
Sildenafil (Viagra) and a vacuum erection device176
Sildenafil (Viagra) and intraurethral prostaglandin E-1 (MUSE)176
Sildenafil (Viagra) and intracavernosal injection (Caverject)176
Combination therapies using yohimbine hydrochloride177
Yohimbine and L-arginine glutamate177
Yohimbine and Naltrexone177
Off Label Drug Usage178
Dopamine receptor agonists178
Herbal Products and Dietary Supplements178
Ginkgo180
L-arginine181
Kava181
Korean Red Ginseng182
10Putting It All Together183
Romeo and Juliet183
Napoleon and Josephine184
Bill and Jill186
Appendix ATreatments for Erectile Dysfunction189
Table A-1.Medications190
Table A-2.Devices191
Table A-3.Combination Therapies192
Table A-4.Non-FDA-Approved Therapies193
Table A-5.New Medications in Development194
Appendix BManufacturers of Erectile Dysfunction Products195
Appendix CResources201
Appendix DReferences and Further Reading205
Books205
Scientific and technical papers208
Index213

Look this: The Commanding Heights or Confessions of an Economic Hit Man

Hungry: Lessons Learned on the Journey From Fat to Thin

Author: Allen Zadoff

Weight loss advice, laughter, and inspiration from the delicious, caloric, yet uncomfortably large life experiences of a formerly fat man.

Allen Zadoff spent years reasoning that a big, healthy man should have a big, healthy appetite and that his rapidly increasing girth was no more than a regular guy thing.

At 350 pounds, however, it became clear that what had started as a little weight problem was destroying his life. Desperate to find a new way of living that would carry him into thin and beyond, Zadoff began to focus less on what he ate, and more on the physical and emotional underpinnings of what he came to understand as a disease. The pounds melted away, and so began the adventure of a lifetime.

Following Zadoff's incredible journey both up and down the scale, Hungry blends his personal story with surprising strategies for weight loss success; it is as laugh-out-loud funny as it is inspirational.

Los Angeles Times

There's no shortage of books on how to lose weight. Hungry is not that sort of book. It's about the importance of understanding the emotional sources of hunger, about how much more effective that understanding is than any diet could ever be, about the myths we create about our bodies that must be debunked. Its gentle, non-preachy, funny and forgiving tone is uncommonly appealing.



1 comment:

  1. People keep talking about all these male enhancements and impotency cures but have you read anything on the products? Have you even read an Ixense review?

    ReplyDelete