In the US, nudity is synonymous with sex. People don’t often parade around without any clothes on, like they do in some other cultures. In fact, America has been described as the land of promiscuous Puritans. Men are especially keen to cover up when in the presence of one another. Due to this, most boys don’t get a look at a peer’s penis until around adolescence, usually while in the boy’s locker room at school. It’s here they notice others and begin to measure themselves against their peers. Those who think their penis is small, feel embarrassed and inadequate. Of course, it’s worse in the early teens when one might be bullied for such a thing. But in fact, dating and sex later on also becomes challenging. To be clear, the vast majority of men are average in size, which is considered 5.1 inches long.
Plus, women don’t focus on penetrative sex the same way men do. Even so, these men fear women outing them to their friends or others, or not wanting to date them or have sex with them. They also often hide themselves away and avoid fraternization with the opposite sex. Of course, most come to find a loving, kind, gentle partner, who doesn’t focus on their member. In fact, many such men say that they’re more worried about their penis size in a relationship than the woman they’re with. Still for some the fear, anxiety, and feelings of inadequacy and stigmatization never leave. Most times, if it isn’t a hindrance, medical doctors tell them to leave it alone. In severe cases, called micropenis, surgery or other treatments are sometimes warranted. Today, there are certain cosmetic procedures available as well. If you are preoccupied thinking you have a small penis, contact a doctor or urologist and find out if it’s true and if so, what can be done about it.
STDs are a serious threat to anyone having sex today. Most are curable. But genital herpes, which one-fifth of the world population has, is not. This is breaking out in a rash periodically, which can be itchy or painful. Luckily, there are medications to help manage it. But it’s a lifelong burden you’ll wish to avoid. So how can you do so? Wear a condom each and every time you have sex. But that’s not enough to avoid herpes. Notice what condition your partner’s genitals are in. If they seem to have a rash or something going on in the pubic or genital area, inquire about it, and refuse to have sex until you get a satisfying answer. Talk to each and every partner about STDs before having sex with them. Reveal your status to them as well. Be upfront about it. You can even vow to get tested together beforehand. Don’t make it an awkward conversation. Make it about taking care of your health and theirs.
Limit your number of partners. Does your partner have a cold sore, also known as a fever blister, on their mouth somewhere? If so, pass on oral sex. A lot of people have a few drinks on a date before having sex, to calm the nerves. Avoid this. Most people actually acquire an STD when they’re intoxicated in some manner. They become more thrill seeking and reckless, and tend not to be careful about say, putting a condom on correctly, if at all, or insisting on the use of one. If you and a partner aren’t monogamous, consider not having unprotected sex until you become so. Lastly, try to be intimate in other ways besides oral or genital to genital contact. Mutual masturbation is one option. If you’re sexually active, talk to a doctor or urologist about an STD screening, if you haven’t had one in the last 12 months or so.
Sex isn’t supposed to be like in movies or porn. How long it lasts or should last varies widely from one couple to the next. While some women for instance enjoy a long bout, others get sore quickly and want it over soon. And even though we’re likely to see online videos where men last tens of minutes, in reality, around five to seven minutes is the average duration. Still, when it doesn’t last as long as a couple thinks it should, disappointment, shame, and other negative feelings can occur and the relationship may suffer, as a result. Premature ejaculation (PE) is actually quite common. Around one-fifth of men experience it at some point. How the man or the couple feel about it however matters. It isn’t considered a medical issue unless such incidence brings on negative experiences. Unfortunately, lots of things can cause it, and emotional and psychological factors can complicate the condition.
The symptoms of PE include ejaculating with little sexual stimulation and having little to no ejaculatory control. This is followed by feelings of embarrassment, guilt, and frustration. The many may also experience a lower libido as a result. There are those men who endure it temporarily. It usually goes away on its own over the course of a few weeks or months. Others wrestle with it all their lives. Sometimes a physical problem is at fault. This can include a spinal cord issue, ED, or inflammation of the prostate gland. To diagnose PE, a patient will have to discuss their sexual history with a physician. Be sure to be as honest as possible. You never know what might lead to the cause of the problem. A physical exam might also be warranted, which may include a prostate exam. You might also need to undergo a neurological test to rule out any problems to the nervous system. If you believe you have PE, see a doctor or urologist and get it checked out.
Erectile dysfunction is exceedingly common, and not only among older men. 25% of those under age 40 experience ED, according to a 2013 report published in the Journal of Sexual Medicine. Most of the time, a medical problem is the cause. These can include some serious, even life-threatening conditions, such as diabetes or hypertension. Yet, in a minority of instances, an emotional issue is to blame. In such cases anxiety, depression, or chronic stress may be at fault. Performance anxiety is a common concern among young men, especially if they’re inexperienced. Here, psychotherapy or sex therapy may be warranted. Of course in such instances, ED drugs may not be appropriate. Some men have tried alternative therapies such as meditation or yoga. Transcendental meditation is particularly popular these days. This is where a person sits with a straight spine in the lotus position and loses themselves utterly in meditation.
Anecdotally, some practitioners say that the practice gives them rock hard erections. In younger men, oftentimes high levels of adrenaline or cortisol in the system due to anxiety or stress, stifle the oxygen to certain areas of the body, decreasing blood flow, especially to the penis. With a lowered blood flow comes less of a chance of being able to perform. So of course, helping a man to relax can also restore his capability, if the cause is psychological. There haven’t been many studies unfortunately, linking meditation with increased erectile performance. One such study was conducted at New York University in 1977. After meditating for just 15 minutes, volunteers were found to be able to achieve strong, healthy erections. Unfortunately, this study only included nine men. A far larger sample would be needed to indicate that meditation had such an impressive impact. Then again, it can’t hurt to try it. There’s no negative side effects to speak of. Just be sure you get checked out by a doctor or urologist, first to rule out a physical cause.
Few methods are as effective as a barrier method. Of them, the condom is top dog. Used correctly, condoms are good at preventing unwanted pregnancy and STDs. The latter is particularly important, as these infections are at elevated levels and the trend is still moving upward. Despite all of this, only one-third of Americans are using condoms today when they have sex, according to a recent report from the CDC’s National Center for Health Statistics. In long-term, monogamous relationships, many couples are turning toward hormonal birth control to avoid pregnancy. It may be a more effective way. But it doesn’t do anything to prevent the spread of STDs. For this report, researchers combed through data from the U.S. National Survey of Family Growth, for the years 2011-2015. They compared these with findings from the same survey from 2002 and again for the period covering 2006-2012. Respondents included both men and women, ages 15 to 44.
11,300 women and over 9,300 men took part in the 2011-2015 survey. Around 24% of the former and 34% of the latter reported condom use the last time they had sex. With men, use actually increased four percent. Another 25% of women and 33% of men said they combined condoms with another method, generally a hormonal one. Among those who did rely on condoms, 56% of men and 60% of women claimed it was their only recourse. Although condom usage is pretty small overall, there were some positive findings. Their sales haven’t gone down over recent years. If anything, it’s up slightly. Still, researchers would like to see it much higher, particularly for younger people who are the most susceptible to sexually transmitted infections. Researchers believe more education and a renewed public health campaign could increase condom usage. Besides protecting yourself, periodic testing is also recommended. If it’s been over 12 months since your last screening, see a doctor or urologist and get checked out.
STDs are exploding at epidemic levels in industrialized nations around the world. The US is among them. These diseases are at exceptionally high levels. Cuts to local and state programs, an uptick in intravenous drug use, changing sexual mores, the rise of dating apps, and a relaxed attitude toward infections—now that HIV is manageable, have created a perfect storm, making this new paradigm possible. One suggestion is to use internet or app-based STD testing. It offers a lot of advantages. Those who feel stigmatized could get tested more discreetly, for instance. It may also help those who are busy and refuse to take a day or afternoon off to get tested and instead, do so on their own time. Some experts are calling it the way all medical testing will be done in the future. But such tests in today’s world leave us with a lot of questions.
There are many start-ups out there looking to elbow their way into the market. But there are no guarantees. Right now, there are two different business models for such testing, the subscription-based model and the one-time testing model. But a recent NPR investigation found that not all of these companies were timely in replying to tests or even customer inquiries. One problem is that there is little FDA regulation in this sphere as it stands today. Legislation and regulation has to catch up with this small but growing market. The CDC so far supports online STD testing with the caveat that the buyer should beware and do their homework, before typing in their credit card number. Also consider what you should be tested for and what you don’t have to worry about. These can vary depending on one’s lifestyle, sexual orientation, and more. Your best bet if you want full coverage, is to see a doctor or urologist annually and get tested.
Condomania gets a lot of online sales. That means data, including on size. How’s that? Well, the purveyor of prophylactics ranked the sizes of the condoms men purchased in each US state. They recently put out a list of states in penis size from the data, running from largest to smallest. North Dakota is the big winner. Who would guess this enormous, sparsely populated, upper-Midwest state would gain such a lofty position. Mississippi meanwhile was the big loser overall. The second through ninth largest are as follows in order: Rhode Island, South Dakota, Washington DC, Massachusetts, Ohio, Arizona, Alabama, New York, and South Carolina. As for the smallest, behind Mississippi was Hawaii, Arkansas, Wyoming, North Carolina, Alaska, Missouri, West Virginia, Indiana, Texas, and Kentucky. Of course, scientists and journalists point out that the data is skewed. Rural men are overly represented, for one thing. That’s because in the city and the suburbs, it’s easy to pop right down to your local pharmacy and pick up a pack, while in rural America, it may be easier to just order condoms online and wait for them in the mail. In more closely packed settings, there’s no need to wait.
Another issue is that the data used doesn’t include those men who engage in condomless sex. Of course, men have a lot of anxiety surrounding penis size. Though unreliable, this list is bound not only to be a topic of conversation but debate over what role penis size plays. Most men will tell you that it matters. In confidence, some may even admit that they fear being too small. Most women on the other hand, say it’s not so important. Average feels just fine, they say. This was recently determined as 5.1 inches long. Many women find too big uncomfortable and too small isn’t good either. But surprisingly few guys are too small. If you’re concerned over your penis size and can’t come to terms with it, address the issue with a medical professional, either a doctor or an urologist, and find out what your options are.
Most men dream about slaying it in the bedroom and leaving their lover begging for more, or bragging to all her friends about it the next day. For those who finish by mere petting, before even penetrating her, the episode quickly ends in disaster and hurt feelings. Though a man may live with such a situation all his life, he should know that he doesn’t have to. There are plenty of treatment options available. The first step is to remain calm and gain some insight. Premature ejaculation (PE) is exceedingly common. One-third of men experience it regularly, according to some studies. It’s not only common among young men just starting their sexual career, but among the middle-aged as well. Certain age-related changes may bring it on in some cases. Although there can be a physical cause, it may also be emotional, or a side effect of a certain medication. Sometimes ones psychology can worsen the situation, say if he has performance anxiety.
Fortunately, there are many options to help one overcome PE. But treatment must fit the cause. Generally speaking, there are two kinds of PE one may have. One is due to a problem you are having at this point in time, situational PE. The other is lifelong. If you’ve had normal sex in the past and this is something new, it’s probably the former. Depending upon which you experience may lend insight into the right treatment option. There are certain exercises a man can perform, numbing condoms or topical ointments, psychological techniques, medications, and more. Dapoxetine is one such drug. This is an antidepressant which may help delay orgasm. Sometimes, some men have another problem such as ED which causes PE. What works for one patient won’t necessarily work for another, since PE is varying in its causes. That’s why it’s important to have a physician help you hunt down the cause, and determine the proper treatment. If you’re struggling, seek out a doctor or urologist for help.
Vice.com is trying to build itself into a media empire. The site has in recent years launched several TV series and partnered with HBO to provide fresh offerings targeted toward the internet generation, who has been jettisoning traditional TV for online options for some time. One of their latest series Profiles By Vice, which looks at interesting people who have lives, jobs, or experiences that deviate from the norm. In the episode entitled, “ResERECTION: The Penis Implant,” Miami urologist Dr. Paul Perito jokes that he’d never be invited to parents day at his children’s school, because of what he does. It obviously wouldn’t be appropriate to show a bunch of pictures of penises in that setting. He says he specializes in sexual medicine, in particular performing surgery for overcoming erectile dysfunction. This is for severe forms of ED. Though it’s estimated that 30 million men in the US have the condition, most have the mild to moderate variety, treatable with medication or other, less invasive methods.
In some instances however, such treatments won’t produce results. If this is the case, an implant becomes an appealing option. In fact, with an upswing in ED cases, implants are actually becoming more popular. Dr. Perito says a penile prosthesis is the way to go in such instances. The vast majority suffer no ill effects from the surgery or its aftermath, and most men are generally happy with the results. The infection rate is small, two to three percent. Dr. Perito says the anxiety, frustration, and mortification surrounding the problem limits men. It makes them take a long time to come to grips with ED and finding the right solution. Many don’t know that there are other options besides pills or the penis pump. Yet, without taking part in intercourse, men can actually lose penile length over time. Dr. Perito says a man will lose one inch for every year he has ED. According to Dr. Perito, not only is an implant effective in severe cases, in many instances insurance companies cover it. If you believe you have ED, make an appointment with a doctor or urologist.
ED drug prescriptions have ballooned both in the US and worldwide, since Viagra’s introduction to the market in 1998. One of the reasons is, men feel less stigmatized about ED than they did in the past. Rather than a personal failing, they’re seeing it as it is, as a medical condition. Even so, a slim minority of men thought statistically to have ED, actually make it into a physician’s office. We’ve made great progress. But the stigma lives on. Feelings of inadequacy or emasculation are what keep them from picking up a phone and making an appointment. A good way to go about it is to discuss the issue with your partner first. Usually, men in our culture don’t feel right opening up to one another, unless perhaps it’s a family member, say a brother or a father. Even then, they feel squeamish. Usually, their partner is the one person they feel comfortable opening up to.
Of course, there are a lot of websites out there offering ED drugs discreetly. These are of ill repute. Oftentimes, whatever they are selling isn’t actually effective and it might even be dangerous. Other suppliers put illegal ED drugs in there. The truth is, you never know what you’re getting. For most men and their partners, overcoming the condition is a real game changer. It significantly increases their quality of life and of their relationship. But a man struggling with persistent ED can never reach the light at the end of the tunnel, unless he is willing to make that journey himself. That means being proud of who he is, regardless of the struggle he faces, and talking straight with his partner and a trusted physician. No one outside of these two need know. It can be considered private and any discussion with a doctor is naturally, confidential. Yet, those first few steps are crucial for getting the ED sufferer the attention and support he needs. If you think you have ED, talk to a doctor or urologist and find out more.