The Ten Changes Every Man Should Make After the Age of 60

1. What is the best way for men over 60 to exercise?

First, it depends on how active you are and how active you want to be. If you are just starting out, you may want to get a medical consult first. The American College Of Sports Medicine recommends 30 minutes of moderate physical activity “most” days of the week. With school, work and kids, I could only manage to exercise for about one hour three to four days a week for most of my adult life. However, in 2010 I cut my work hours back to only 20 hours a week of dentistry to make time for charity work and entrepreneurial endeavors. As a result, I am now able to exercise daily for 60 minutes and have been doing this for the last ten years. I can honestly say I am in better shape today than I was in my twenties because I have the time, knowledge and diet to maximise my results.

My personal mantra is: “You can rest when you’re dead.”

At 60 years old the main focus needs to be strength training to prevent bone and muscle loss. In addition, it is paramount to incorporate flexibility and cardiovascular activity into the mix. If you can shoot for two to three days at the gym and three to four days of cardiovascular workouts such as aerobics, swimming, walking, jogging, biking or rowing you will be set. For cardio and gym days I always start with five to ten minutes of stretching. This helps to avoid injury and strains.

I have noted that generally it is not convenient for most of us to work out with a trainer at every gym session, however, I am a big supporter of working with a trainer to make a comprehensive routine and then follow up with them every two to three months to revise the plan as your goals are reached. Make sure you incorporate the following major muscle groups: abdomen, arms, back, chest, legs and shoulders.

2. What exercise do you think we should avoid?

As we age our joints cannot tolerate the stress of excessive weight. Therefore, the healthiest way to exercise in order to avoid injury is to use lower weights with more repetitions. For each exercise I suggest doing two sets of eight to ten repetitions with a comfortable amount of weight. This will produce a leaner more “ripped” aesthetic result as well. Also, machines are preferred over free weights. The assisted movement of the machine compensates by stabilizing the weight and helps to prevent injury.

3. When is the best time to work out?

When you can! For years I went before work. Now, I go at the end of my work day. I find that my muscles are not as stiff later in the day and I get a better work out.

4. What foods should we eat more of as we get older?

In general, we should always try to eat more of the “superfoods” at every stage of life. These include: wild salmon, blueberries, broccoli, tomatoes, soy, flaxseed, oats, strawberries, cantaloupe, garlic, beans, green tea. Personally, I love to start each day with a fruit, protein, flaxseed and oats smoothie. I have been doing this for 30 years!

5. Which foods should we avoid?

I don’t eat junk food, highly processed food, fried or fatty foods. I also avoid all alcohol. It is a personal choice, not because I ever had a problem. Also, a recent study published in the Lancet rejects the notion that any drinking can be healthy.

6. Any other diet advice you can share?

Eat smart and remember that what you eat today will make you what you are tomorrow. Try to focus on three healthy meals a day and little-to-moderate snacking between meals.

7. What do you say to people who say they are too busy to exercise?

If you want to live a long and healthy life, you need to not only make exercise a priority, but part of your life. I was once asked how I got in such great shape. My reply was: “I did not get in great shape… I was an athlete as a kid and have always kept exercising my whole life.”

8. You are the author of Billion Dollar Smile. What advice would you give to older men to look more youthful?

  • Don’t smoke, it ruins your skin, lungs and will probably kill you.
  • Don’t drink in excess, it puts on excessive weight and causes a lot of other problems.
  • Don’t spend too much time in the sun without sunscreen.
  • Do keep a healthy diet, exercise, get medical and dental checks regularly and see a good dermatologist annually.

Also, a good cosmetic dermatologist may recommend Botox and possibly fillers. In extreme cases, a facelift or eyelid lift can also help. I haven’t needed those procedures yet, but am totally open to it at the right time.

9. You talk about the importance of genetics… what can we do if we have ‘bad’ genetics?

Be smart and speak to a doctor. Many times diseases such as diabetes can be controlled by diet and people with fair skin and freckles are more prone to skin cancer. Know your body and how to best protect it.

10. For people who want to be ‘more like Bill’, what one piece of advice would you offer?

Be tenacious!

 

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Number of Men Under 30 Not Having Sex Has Tripled in the Past Decade, Many Millennials Aren’t Interested in Sex

Despite it being the easiest time in history for men and women to connect through social media, dating apps, and relationship websites, Americans are having less sex. This is especially true for men, who are experiencing an alarming drought when it comes to sex. Guys, what is going on?

A sociological survey finds that the number of American men under 30 not having sex has nearly tripled between 2008 and 2018. In 2008, about 10 percent of males aged 18-30 were not having sex. In 2018, that number rose to 28 percent — the highest number since the study started in 1989. However, women don’t seem to suffer from the dry spell as much as men. In 2008, eight percent of women weren’t banging and in 2018 that number rose to 18 percent.

Stunning chart: the share of men under 30 who aren’t having sex has nearly tripled in the past decade https://www.washingtonpost.com/business/2019/03/29/share-americans-not-having-sex-has-reached-record-high/?utm_term=.50d764f2c767

The number of male virgins has exploded in the past decade, skyrocketing from eight percent in 2008 to 27 percent in 2018.

Final datapoint: the share of young men reporting no female sex partners since they turned 18 — a rough a proxy for virginity — more than tripled since 2008. I say rough proxy bc 1) some had sex in their teens and 2) some exclusively have male partners.

This eye-opening data comes from the General Social Survey, “biennial, nationally representative survey that has been conducted by NORC at the University of Chicago since 1972 to monitor societal change and study the growing complexity of American society.”

Before you blame married people for the lack of sex in this study, they are actually having more sex. Married people are having more sex than they’ve had in the last 20 years according to the study. In 2018, only 11 percent of married people didn’t get it in compared to 34 percent of single Americans.

I see a lot of jokes along these lines BUT: married people are way more likely to have sex. For instance only 11 percent of the married didn’t have sex last year, compared to 34 percent of the unmarried https://twitter.com/elverkonge/status/1111610419200827393

Older Gen Z members and millennials are being-outf*cked by every other age group under 60-years-old and it’s not even close.

Oh also: 18-30 year olds are nearly *twice* as likely to report past-year celibacy as 50-somethings, which is frankly amazing https://www.washingtonpost.com/business/2019/03/29/share-americans-not-having-sex-has-reached-record-high/?utm_term=.9a0df62d8d52

Overall, there were 23 percent of American adults who were celibate in 2018. A good deal of that lack of the old in-and-out was due to the increase of the 60+ population from 18 percent in 1996 to 26 percent in 2018. About 50 percent of old folks don’t engage in sexual intercourse.

 

Those numbers are helping drive a big shift in American sex-having habits: the number not getting laid is at a record high. Conversely, the number reporting sex weekly or more is on the decline. https://www.washingtonpost.com/business/2019/03/29/share-americans-not-having-sex-has-reached-record-high/?utm_term=.50d764f2c767

So what’s up with this worrying dry spell? Incels? Is it the Mee Too movement? Is it Post-Trump Traumatic Sex Disorder? Access to spank movies at any times and anywhere?

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Tales of Rock – 5 Respected Musicians Who Were Actually Terrible People

Some musicians just have a freakish amount of talent. Most of us learn at a young age that we are not those people. The realization probably came as soon as you were old enough to read social cues and you tried showing off your amazing talents to anyone except your pet. (Daisy is a very good dog, but maybe not a very good judge of musical ability.) Those who do have that freakish amount of talent are the singer-songwriters, the people who can play any instrument they pick up, the ones who get lost in the music of their own making whether they’re in the studio or on stage. There’s something almost magical about listening to a true musical genius, and they’ve definitely earned our respect. But it’s easy to forget that behind all that music is a very ordinary person, and sometimes, that ordinary person is a terrible human being.

1. Johnny Cash’s troubles with women

5 Respected musicians who were actually terrible people

There’s a lot of dark stuff in Johnny Cash’s life, but let’s talk about just how horrible he was to women. Vivian Cash’s book I Walked the Line: My Life with Johnny was a heartbreaking tell-all detailing how she continued loving her husband even through the drugs and the affair with his more famous second partner, June Carter Cash. It was Vivian who gave him four daughters, raised them, and who stuck with him through the worst of the arrests and the accidental forest fires (via USA Today), but Johnny gave all the credit to June.

Behind closed doors, June Carter didn’t actually have it any easier, in spite of the storybook romance performed in the public eye. Biographer Robert Hilburn (via Esquire) says he was stunned when he found out Cash had cheated on her when she was pregnant with son John Carter. There were more than a few women, but the one that had to hurt the most was June’s own sister, Anita. John Carter has also gone on record talking about his parents’ less-than-perfect marriage, and has said (via Reuters) his mother’s drug addictions and descent into paranoia came from a near-constant fear he was cheating yet again. That fear spread to their son, who grew up well aware that his family could fall apart at any time because his father couldn’t stay faithful.

2. Chuck Berry’s icky past

5 Respected musicians who were actually terrible people

Chuck Berry was a legend who helped shape rock and roll, and when he died in 2017, The New Yorker described him as “a proud and difficult man” who “was also a genius.” He also once punched Keith Richards in the mouth for touching his guitar while they were getting together to organize Berry’s 60th birthday party. That’s the attitude that got him into all kinds of trouble, and Berry even had a name for those incidents: his “naughties.”

It started when, as a teenager, he did three years in a reform school for stealing cars and a bit of armed robbery. Fast-forward to 1962, when Berry was 36 years old. He was tossed in the clink for violating the Mann Act, a law that prohibits taking a woman across state lines with “immoral” intentions. Oh, and the girl was 14. He served 20 months of the three years he was originally sentenced to (via NPR), getting out because they appealed after the judge made racist comments.

Let’s not forget about the 1989 accusations, either. That’s when law enforcement raided his property and found a few weapons, some pot, and videotapes of women in what they thought was the privacy of bathrooms and changing rooms of his properties. The official suit, says Riverfront Times, accused him of filming women in compromising positions for “entertainment and gratification.” Berry’s camp eventually settled, but that seriously tarnishes any legacy.

3. Lead Belly’s penchant for violence

5 Respected musicians who were actually terrible people

Lead Belly died in 1949, and if you don’t remember him, you should at least be glad groups like Creedence Clearwater Revival and artists like Bob Dylan didn’t forget him. Even George Harrison once said, “No Lead Belly, no Beatles.” You know the songs he recorded, too — like “The Midnight Special” and “Goodnight Irene” (via The Telegraph).

Huddie Ledbetter was born in 1888, and he picked up the name Lead Belly in prison. He did several stretches in jail, starting with 30 days on a chain gang in 1915 for getting in a particularly violent fight. Two years later he was arrested again, this time for killing his cousin’s husband and nearly killing another. He was pardoned in 1925 but went back in jail in 1930, this time for stabbing and what Black History Now says was “assault with intent to murder.” It was during this stint he was discovered by a pair of musicologists who were recording songs for the Smithsonian, and Lead Belly recorded hundreds for them. The rest of his life was a combination of performing at venues of all sizes across the country, and more time in jail. There was another stabbing incident in 1939, assault in 1940 … you get the picture. He was diagnosed with Lou Gehrig’s disease only months before he died from it, and he left behind an incredible legacy. And some dead people.

4. Elvis’s underage flings

5 Respected musicians who were actually terrible people

It’s impossible to describe the effect Elvis had on music history, so let’s get right to the dirt. He was 21 when he became ridiculously famous with the success of “Heartbreak Hotel,” and after that, all bets were off when it came to how far he was going to go. Along with the fame and fortune came the admiration of countless women, but according to biographer Joel Williamson (via Broadly), there was a particular type of woman Elvis liked: the really, really young ones.

The right age to be an Elvis girl was 14, and when the 22-year-old megastar went on those early tours he took along a little group of 14-year-olds. Williamson says he was a huge fan of tickling and wrestling, along with everything else short of actual intercourse. Future wife Priscilla was 14 when they met (he was 24), and just what went on behind closed doors is debated. What’s not debated is that he lost interest in her after Lisa Marie was born, and went on to court another 14-year-old named Reeca Smith.

There was a bit of violence in Elvis, too. Years later, he was engaged to a 21-year-old who claimed he once pulled out a gun and put a bullet in the headboard of the bed she was sleeping in, saying it was “an attention getter.” The Guardian says in between those major relationships there were a ton of others, many with underage girls who preferably had tiny, tiny feet.

5. Frank Sinatra’s destructive temper

5 Respected musicians who were actually terrible people

Frank Sinatra was iconic on stage, but there was a lot of shady stuff that happened off-stage. Let’s talk about one part of that: his temper. According to The Telegraph, it was so bad that one of his wives once described him as a sort of Jekyll-and-Hyde character, and there’s a whole list of physical altercations he was involved in. First, the ones where someone got seriously hurt.

He punched a reporter in 1948, eventually settling the assault and battery charges filed against him. He was staying at the Beverly Hills Hotel when he threw a phone at a random businessman who was also there, and cracked the man’s skull. He nearly killed his then-wife Ava Gardner by throwing a champagne bottle at her so hard it cracked the bathroom sink.

Sinatra destroyed an insane amount of stuff, too, usually in fits of rage. He took a knife to a Norman Rockwell painting and shredded it, threw a malfunctioning TV out a window at Sands Hotel in Las Vegas, and smashed a car radio when The Doors’ “Light My Fire” came on. GQ says some of the stuff that met an untimely end under his boot was pretty priceless, too, like the Ming vase he destroyed at a Hong Kong hotel after someone missed a lighting cue. That’s what happens when you get too used to having things your way.

 

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The #1 Thing That Turns Off a Guy on a Date

Stop directing all your pre-date energy to your looks.

A friend of mine almost canceled a date with a guy because she woke up with a zit. She came over to my apartment freaking out: “How big is it? Is it all you can see when you look at me? Should I make up an excuse to cancel?”

If you’re like many women who follow dating advice, the number one thing you focus on before a date is what you look like. What should I wear? Should I have my hair up? Down? Half up? Would wearing heals be sexy or look too high maintenance?

But all that effort may be best spent elsewhere, because, more than likely, what you look like isn’t going to be the “make it or break it” factor of whether or not a guy likes you.

Think about it: if he was attracted enough to be going on a date with you in the first place, it’s not your looks that are in question as he’s getting to know you. And part of learning how to get a guy to like you is understanding that!

Instead, on your first few dates he’s thinking: Do we have things to talk about? Do I enjoy spending time with her? Do I think she’s intelligent? Does she seem cool? Would she fit into my life? He’s probably not thinking, “Oh… she was just a little hotter last time I saw her.” Hard to believe, but it’s the truth.

How do I know? Because I traveled around the country and interviewed over 1,000 guys about sex, love, and dating for my book Are All Guys A**holes?. Here is what they said when I asked them: “What things turn you off on a date?”

  • 34 percent bad conversation
  • 16 percent bad manners
  • 35 percent bad personality/attitude
  • 14 percent other

The things you talk about on a date are a guy’s chance to get to know who you are. So it’s not all that surprising that bad conversation was one of the top complaints guys listed. Bad conversation includes girls who talk too little, too much, only talk about themselves, or divulge way too much. (Usually, what guys considered “too much” was talking about ex-boyfriends, ex-hookups, or your deepest emotional drama.)

Guys also didn’t enjoy talking to a girl who seemed to have no sense of what was going on in the world and could only talk about superficial things (i.e., celebrity gossip). All in all, they wanted the date conversation to flow like a “tennis match” with both parties contributing, and asking about each other.

 

When we think about guys, we tend to conjure up images of beer guzzling, burping, farting, or a whole host of other “uncivilized” traits. So it might surprise you to see “bad manners” on a list of dating turn-offs.

But they’re not talking about using the wrong fork, putting your elbows on the table, or using the word “sucks.” The bad manners that turn guys off include being rude to the wait staff, checking your phone, just expecting a guy to pay, and not saying thank you when he does.

Although the definition of a “bad personality or attitude” will vary from one guy to another, many guys complained about girls who were braggy, materialistic, had no sense of humor, or seemed dumb.

The “other” category included getting too drunk, smoking, and general incompatibilities. Some guys in this category mentioned physical things, but what may be surprising is that those physical things almost always had to do with your mouth.

Bad breath, dirty teeth, and chewing with your mouth open were all things that turned guys off! Ironically, with all the time that we may spend getting ready for a date, probably the best investment is a good toothbrush and some mouthwash.

When a guy takes you out on a date, he’s looking for the full package! He already knows what you look like. (Even if it’s a blind date, there was likely some pre-meet-up Facebook stalking.)

Sure, you want to look nice, but don’t be overly stressed about it. Maybe you’re not having a good hair day, but don’t let that ruin your mood on the date, because it’s your mood that a guy is going to be paying attention to. What you look like on a date just isn’t as important as you might imagine!

Knowing this, when my friend tried to cancel her date because of a zit, I told her she was ridiculous, and that the act of canceling would do way more to turn him off than a blemish on her face. And besides, the zit wasn’t actually that big, and restaurants are dark.

 

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How Women Think Verses How Men Think

How Women in Relationships Think

We women process information externally. If we are worried about something we want to get it out into the open. We don’t believe in letting it fester inside until it grows in magnitude. Get it out there and be done with it, or get it out there and go on and on and on about it. I prefer the first.

Men become terrified when women want to talk. They don’t know how the conversation is going to go, how they will process the information and what if they don’t handle it right?

It doesn’t even mean women want you guys to fix anything most of the time. They just want to get it out there because they are thinking about it. It’s in their heads and they want to either vent or just make you feel as bad! Sorry, that’s a huge generalisation but it’s a fact in some cases.

Day to Day Relationship Woes

Men switch off. They aren’t listening when you tell him how the queue was ridiculously long int he supermarket, how one of your friends was a pain in the ass that day, how you’re sick of him parking in the middle of the drive so that you have to use the horn to get him to come out and move his car because you can’t get in…..

Men process information differently to women and they don’t express things as women do.

How Men Think in Relationships

Men do think, sometimes just as deeply as us women, but not quite so much! They are fearful of sharing deeper thoughts with the woman in their lives. They don’t get the emotional way women sometimes react to big conversations about the relationship. They want to ask ‘why are you so emotional?’ only they don’t, for fear of a really hard slap. Men process their feelings internally rather than externally. They deal with it or don’t deal with it. They just don’t want to have to have a big talk or make it into a huge issue. It’s how they are programmed. It’s not their fault.

It’s a scientific fact, yes scientific no less. Women are far more likely to behave in an emotional way than men when it comes to relationship talks. Higher levels of testosterone is associated with lower sensitivity to negativity. So for example, say a man was show lots of negative images, the same as the woman, they would be far less sensitive to them and they would be far less likely to have an emotional response. That’s not just my opinion, it’s a fact.

What Men Think About Dating

Men work on assumption far more than women. If a guy approaches a woman and she’s a little shy she might come across as disinterested and he’s likely to walk away before the conversation even gets going. He’s assumed her nervousness to be disinterest. He doesn’t try hard enough to get some real conversation going and he misses out on what might have been something wonderful. He doesn’t pay attention to her body language. He misses vital clues that she is actually interested.

Men look at other women. It’s just the way they are built. They can’t help it and so what? Women get all insecure and hung about about their man appreciating another woman’s beauty. They think it says something about their relationship but it doesn’t necessarily mean that. I have never had an issue with a man looking at a beautiful woman when she enters the room. The difference between the sexes is that we try hard not to look at a gorgeous man. We don’t want him to know we find him attractive. That’s because we are more sensitive than men. Testosterone takes over and they don’t think before they look. Think about it this way, do you want to sleep with the gorgeous man? Probably not. You just appreciate his gorgeousness! The same for guys. Looking doesn’t mean cheating.

Men Don’t Care if Your Hair is Flat

Men don’t care if your hair didn’t go right, if you skin is dry, if you have a spot….they probably haven’t even noticed. Men just don’t see that stuff. They are with you because they like you, they are attracted to you and a bad hair day is not going to make a jot of difference.

Men don’t generally care about cellulite either by the way. Men like curves, they like a bigger ass and they probably don’t care if you don’t possess a pair of 34dd’s.

Women get hung up on the little things. Men don’t see the little things.

Both men and women have insecurities. The thing is, men get frustrated when they find us hugely attractive and we can’t see it.

She’s So Into Me

It’s been proved that men are blind to no sexual interest from a woman. If you show a little interest in them as a person they take this as great she’s into me. I can vouch for this fact. I have been polite and chatted to guys. That’s me. I find people interesting, I might even think he’s cute from time to time. But I am not going to do anything about it and I have not (in my opinion) done anything to make him think I am into him. Regardless, he goes on to make it obvious he likes me in that way and then goes on to suggest a hook up. What?

Actually in research, it has been shown that men that go around thinking that all women want them actually do have more opportunities to get them into bed. I was quite surprised at this fact because I was thinking the opposite would be true. It’s all to do with evolution it seems.

Women, on the other end of the spectrum, have evolved to under-perceive sexual interest.

Don’t Judge

So let’s stop judging each other and making things up in our heads. Okay so us women are a little more sensitive than you guys, but does that really matter? You can see now that it’s all evolution’s fault.

Get on with living together, dating and having fun. Stop trying to work each other out and accept good times for what they are. Detach from what you perceive to be negative and let it be.

 

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Sildenafil Citrate

Viagra Makes History

Viagra (sildenafil) is one of the most widely-known prescription drug names on the U.S. market. Often dubbed “the little blue pill”, Viagra (sildenafil) was the first phosphodiesterase 5 (PDE5) inhibitor approved to treat erectile dysfunction (ED). ED is a common sexual problem for men and its frequency increases with age.

It is estimated roughly 30 million men in the U.S. and over 100 million men worldwide suffer from ED. A large U.S. survey determined about 50 percent of men 40 to 70 years of age experience some degree of ED.

 

The Unexpected Discovery of Viagra

The discovery that sildenafil could lead to an erection was an unplanned event. The sildenafil compound was originally developed by Pfizer for the treatment of hypertension (high blood pressure) and angina pectoris (chest pain due to heart disease). During the heart clinical trials, researchers discovered that the drug was more effective at inducing erections than treating angina. Pfizer realized ED was an unmet medical need and a major opportunity for financial gain.

In 1998, the FDA approved Viagra, the first oral treatment for erectile dysfunction, under a priority review.

 

Quick Success: The FDA-Approval of Viagra

At the time of its approval, Viagra had the fastest initial sales growth following its launch of any prescription product, reaching 2008 sales of close to $2 billion. Pfizer promoted Viagra and ED awareness via direct-to-consumer (DTC) advertising, which prompted men to seek medical advice and a prescription from their doctors.

For many men, the stigma and embarrassment of talking to their doctor about ED has declined since the introduction of Viagra and other PDE5 inhibitors.

 

The Impact of Erectile Dysfunction (ED)

ED, or the inability to achieve and maintain an erect penis for sexual function, can lead to performance anxiety, a negative impact on self-esteem and personal relationships, and even clinical depression.

In a survey published in BMJ, 62 percent of men reported a decline in self esteem, 29 percent reported a negative effect on a relationship, and 21 percent reported that their relationship had ceased due to ED. For many men, the inability to perform adequately during sex directly affects their feelings of masculinity.

 

What Causes ED?

Age alone is not a risk factor for ED, but underlying health issues such as diabetes, high blood pressure, obesity, high cholesterol, chronic alcohol or drug abuse, certain medications, and injuries can lead to impotence. Any condition that may restrict blood flow to veins over time, like smoking, can lead to ED.

Medical conditions like Parkinson’s disease or Peyronie’s disease (scar tissue build-up in the penis) may cause ED. Mental health issues can take their toll, too–depression or stress can result in loss of libido. Erection failures may occur repeatedly in men who experience performance anxiety due to ED.

 

Which Medications Cause ED?

Many medications have impotence or sexual dysfunction listed as a side effect. A medication review should be performed by a health care provider to determine if any prescription drug treatment may be contributing to symptoms. Medications such as antidepressants, blood pressure drugs, certain antihistamines, antipsychotics, drugs used for benign prostatic hypertrophy (BPH), and anti-HIV drugs may lead to ED.

If you regularly experience sexual function or ED problems, contact your doctor for evaluation and treatment.

 

Just the Basic Facts: How Viagra Works

Viagra works in response to sexual stimulation to increase the blood flow to the penis leading to an erection. Viagra does not result in an erection without sexual stimulation. When a man is aroused, muscles in the penis relax to allow this greater blood flow. Viagra helps to elevate the levels of a substance that causes the tissues to relax.

Viagra and other PDE5 inhibitors like Cialis, Levitra, Stendra and Staxyn treat ED, but do not directly increase a man’s sexual desire. However, knowing that one can perform better in bed may indirectly boost libido.

 

What’s the Safest Way to Take Viagra?

Viagra (sildenafil) is taken by mouth usually as a 25 or 50 milligram (mg) tablet one hour before sexual activity. However, Viagra may be taken within a range of one-half hour to four hours before sex. The dose may be adjusted based on doctor recommendations, but it should not exceed 100 mg per dose or be taken more than once per day. A physician will prescribe your specific dose.

Have your pharmacist check for drug interactions, too. Men who use nitrates (such as nitroglycerin or isosorbide) should never use Viagra or other PDE5 inhibitors (Cialis, Levitra, Stenda, or Staxyn) due to severe, possibly fatal hypotension (low blood pressure).

 

Does Viagra Have Side Effects?

In general, the most common side effects with PDE5 inhibitors like Viagra are mild and short-lived. Headache, flushing, heartburn, vision problems, nausea, and dizziness may occur. Report a sudden hearing or vision loss to your healthcare provider immediately. An erection lasting more then 4 hours (priapism) is a rare event, but if it occurs get emergency treatment.

Be sure to review Viagra drug interactions and precautions with your healthcare provider prior to use. Your dose of Viagra may need to be adjusted based on other drugs you may be taking.

 

Other Options for Erectile Dysfunction

The simplicity of taking an oral tablet for ED has revolutionized ED treatment. However, PDE5 inhibitors may not work in about 30 percent of men. It is important for men to know that there are other options are available for ED. Penile self-injection (Caverject), transurethral suppositories (MUSE), vacuum-assisted erection devices, and surgical penile prostheses are solutions that were used prior to Viagra, and are still available today.

These options may be useful for some; however, for many men they can be complicated, painful, and more expensive. Be sure to talk to your doctor about all options.

 

What is Low T?

Media advertising has dramatically, and sometimes sensationally, increased the awareness of “Low-T” or low blood testosterone (also called androgen deficiency). Typically, a man’s testosterone level is considered low if it’s below 300 nanograms/deciliter. Men with low blood testosterone levels may suffer from a lower sex drive, erectile dysfunction (ED), brittle bones (osteoporosis), low muscle mass and higher fat accumulation. However, a recent study noted that testosterone therapy is not an appropriate therapy to treat ED without other symptoms of low T.

Testosterone therapy, whether it be by injection, gel, skin patch, spray or lozenge is the usual treatment to raise testosterone levels, but this is not always done in men over 60 years. Experts have stated that testosterone replacement could increase the risk of heart attacks and strokes in some men. Plus, older men who take testosterone replacements will need to have regular prostate cancer screening tests.

 

Viagra: But at What Cost?

Many insurance companies will not pay for Viagra anymore. This may be one reason why consumers turn to Internet purchase. But much of the advertised Viagra on the Internet is counterfeit, and may even contain dangerous and toxic drugs. To help combat the counterfeit market, Pfizer now offers online Viagra prescription orders and home delivery through licensed pharmacies. Just check put their website at Viagra.com or call Call 1-888-4-VIAGRA (1-888-484-2472).

Another option is to talk to your doctor about using the generic form of Revatio (sildenafil), approved for pulmonary hypertension. It’s the same drug that’s in Viagra, just at a slight lower dose. Just like Viagra, you’ll need a prescription, but the cost savings are significant. Generic Viagra isn’t expected to hit the US market until December 2017.

 

Counterfeit Viagra: A Dangerous Practice

Viagra has become the victim of Internet fraud due to its rapid success and famous name. According to Pfizer, 80 percent of the top 22 Internet sites that came up in search results for the phrase “buy Viagra” were selling counterfeit pills.

Products sold as “natural” or “herbal” Viagra claim to enhance performance; however, these illegal products have not undergone FDA review or approval. Fraudulent Viagra products contain unknown chemical ingredients that may pose a serious health risk.

 

Will Viagra Be Approved For Women?

More than 50 million women experience some type of sexual dysfunction. Studies looking at Viagra in women have theorized that sildenafil could increase genital blood flow and boost arousal. However, most studies have found a limited beneficial effect of Viagra for women. Lack of sex drive in a woman is a complicated process, often magnified by stress, hormonal changes, or lack of intimacy.

However, medications to help boost libido in women are becoming available. Addyi (flibanserin) was approved in August 2015 to treat low sex drive — generalized hypoactive sexual desire disorder (HSDD) in pre-menopausal women. Osphena (ospemifene), as well as Intrarosa (prasterone) are available for vaginal dryness and dyspareunia (painful intercourse) that can interfere with sex in menopausal women.

 

When Where There Be a Generic Viagra?

At least one generic PDE5 inhibitor will be available in December 2017, when sildenafil (generic Viagra) becomes available from Teva Pharmaceuticals. However, Teva will be the only manufacturer distributing generic Viagra until 2020, and it’s generic price is not yet known. Other generic PDE5 inhibitors should be on the market around this same time, in 2017 or 2018, when Levitra and Cialis are projected to lose patent.

In 2015, many insurance companies stopped covering payments for several PDE5 inhibitors, but there still may be at least one on their formulary, so check with your insurance directly to determine price.

 

 

Thank you for reading my blog. Please read, like, comment, and most of all follow Phicklephilly. I publish every day.

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Six Things Every Man Who Dates Transgender Women Needs To Know

We’ve brought in a guest writer to address this subject. I’d like to invite more people from the LGBT community to guest post on phicklephilly.

Dear Boyfriends,

This is a love letter to each and every one of you.

This is a letter to let you know that I still think about everything we did and will do together, everything we’ve talked about, every fight we had, and every tender moment we’re going to share.

This is a letter to P, who was always gentle. It’s a letter to M, so curious and kind, if occasionally thoughtless. To S – with whom the sex was freaking unbelievable. To J, always punning and making me laugh; and to E, who is always truthful.

This is a letter to all the men, both cisgender and transgender, who have ever loved me, and to all the men I will ever love.

I want you to know that you change my life and give me strength – even when things between us were/are hard. I want you to know that I see you, I appreciate you, even when I am challenging you to treat women like me – trans women and women of color – better than men in this society are taught to.

I know that being a man who is dating a trans woman (who is outspoken and only sometimes passes) is not always an easy thing. Let’s also take as a given the fact that being a trans woman who is outspoken and only sometimes passes is pretty much never easy thing.

Both of these things are true because of the transmisogyny that still runs rampant in our society and the communities we live in. And while this discrimination and hatred is mainly leveled toward girls like me, I know that some of it is reflected onto you as well.

This is something that is so, so hard to talk about. It’s something has remained unspoken, yet incredibly real, between us, as it does between so many trans women and the men they date.

Part of the difficulty, I know, is that you may not want to admit that being attracted to, going out with, and having sex with trans women comes with intense social stigma.

Another part is that trans feminists like myself believe that any discussion of transmisogyny must center around trans women ourselves. I don’t agree with Laverne Cox (for once in my life) when she says that men who date trans women “are probably more stigmatized than trans women.”

Because that is blatantly untrue.

Men who date trans women are not murdered regularly the way that we are. You don’t experience employment and housing discrimination or exclusion from social spaces in the way that we do.

But neither can I pretend that you live your life totally free from the violence and humiliation that a transmisogynistic culture attaches to my body – a body that you have touched and held and become associated with.

And as much as we may wish that things were different, you and I know that there are so many walls that lie in the way of our loving each other. These barriers have caused us to question ourselves, and our relationships.

Often, we fought about them. Sometimes, we broke up because of them.

You shouldn’t have to learn how to fight transphobia and shaming in order to be with me. I shouldn’t have to teach you how. But the truth is, this is world that often necessitates both.

Whether I like it or not, I am in this fight to the end. I have to be.

You, however, have a choice: your privilege allows you to choose whether you want to walk away from the struggle that is loving trans women, or stay fighting with us.

And if you should choose the latter – and I hope you do – then there are a few things I need you to know about shame, loving trans women, and loving yourself.

1. Dating Me Doesn’t Change Your Sexual Orientation

A huge amount of the stigma around straight men who date trans women is actually based in homophobia. Straight men who are attracted to us are called “f*ggots” and “h*mos,” and may have their heterosexuality called into question.

The implication here being that trans women aren’t really women, so if a man dates us, that means he’s gay.

Conversely, gay men often shy away from dating us – even if they want to – because they “aren’t supposed to be into women.”

And most anyone who dates trans women is at least occasionally subjected to the notion that they’re “into freaky stuff.”

Freaky stuff meaning, of course, women like me.

Past, present, and future boyfriends, I need to tell you something: If you identify as straight, then you can date trans women. If you are bisexual, you can date trans women. If you are gay, pansexual, omnisexual, or asexual, you can date trans women, and it doesn’t change your identity one little bit unless you want it to, because you know what?

You and only you get to decide how to define your sexual orientation.

2. Dating Me Doesn’t Make You ‘Abnormal’

I sometimes meet men who believe (or have been told) that their being attracted to trans women is a form of mental illness. Some of you are, or have been, those men.

Most often, you have absorbed this message from the media: How many Hollywood comedies feature jokes where a straight man finds out that he’s been dating or having sex with a trans woman and flat-out vomits? How many tabloid stories proclaim that a male celebrity has been caught with a trans woman as though this were shocking, sensational news?

More rarely, though still frighteningly often, they have been explicitly told this by a religious/spiritual leader or a health professional.

The implication here is that trans women are so repulsive that you would have to be “crazy” to want to be with us – which bears a striking resemblance to the idea that a person must be mentally ill if they identify with a gender different from the one they were assigned at birth.

But neither my body nor your attraction to it is disgusting or sensational or ill. My body is beautiful, and so is your love. If we are abnormal, that means only that our relationship is different from the one prescribed to us by society.

And there is nothing repulsive about that.

3. Dating Me Doesn’t Make You Less of a Man

As men who are attracted to trans women, you already know that one of most intense forms of transphobia that you will experience is an attack against your own gender identity.

Ignorant people – mostly other men – may insult your masculinity, questioning your ability to attract “real women,” and insult that ways that you have sex.

 

Cis men are not alone in this – trans men, too, are affected by the backlash that comes from dating trans women.

What you have to understand is that these attacks come from a place of fear. You, me, and our relationships are all very frightening to men whose sense of confidence and power come from reinforcing patriarchy.

The existence of romance and sexuality between a man and a transwoman is a challenge to the invisible rule stating that in order to be a “real” man, you have to “win” a cisgender woman’s companionship and sexually dominate her body.

It forces all men to question their belief in the foundations of their identity and privilege.

Remember this: Their masculinity is weak, because it relies on the subjugation of other’s bodies in order to exist. Yours is, or will be, strong, because it is learning how to stand on its own.

4. Having Sex with Me Isn’t a Fetish (Or It Shouldn’t Be)

Conventional straight couples have many love stories written about them: the prince and princess, the beauty and the beast, the hero and the damsel in distress. You and I have only one: the “tranny-chaser” and the “she-male/chick-with-a-dick.”

This story reduces us and the entirety of our relationships to nothing more than a tired old sex joke, a pornographic trope, an offensive cliché.

As trans activist/author/scientist Julia Serano writes, “People automatically presume that any person who is attracted to, or has sex with, a trans person must automatically have some kind of ‘fetish.’”

It’s true, of course, that there are some men who fetishize trans women – who want us only to fuel transmisogynist sex fantasies. I come across them all the time on OKCupid.

But you and I are much more than that. Our relationships have been deeper and more complex than any cliché could ever hope to contain.

And no amount of ridiculous jokes can ever take that from us.

5. You Don’t Have to Pity Me to Love Me

You may hear from people trying to patronize or subtly insult you that you’re “such a good person” for bearing through the difficulties of dating a trans woman.

It’s possible that you’ve received backhanded compliments on how progressive you are, since you’re willing to put up with the burden of my gender identity.

This is insulting to you and me. I am not something you have to pity in order to love. You’re not doing charity work by going out with or sleeping with me.

Our relationship is not defined by the judgments of others, or even by the violence that I – and by extension, you – experience in the world.

It’s true that you, as men, have privileges and power that I don’t. It’s true that this is something that comes between us from time to time.

But real relationships – like ours – are dynamic and transforming, constantly opening up into new dimensions. At our best, I learn from you and you, from me. We fight, we hurt each other, we heal, we grow. We leave and come back together and leave once again.

 

It isn’t your job to “save” me from transphobia. I’m doing that already.

The only person you need to save is yourself.

6. Loving Me Doesn’t Define You

Transphobia is greedy. It wants to swallow everyone and everything.

Because of this, whenever people talk about me, they usually refer to me in terms of my gender identity. I’m not a writer or a therapist or an artist. I’m “that Asian trans woman.”

And when we are dating and people talk about you, they may refer to you “that guy who’s into trans woman.”

It’s easy to be consumed by thoughts about the ignorance and hatred of the society that surrounds us.

How can we not be anxious and angry, when your families get uncomfortable when they find out who your partner is, when your friends snicker at us behind your back, when we have to be wary of violence when we go out at night?

But just as I am more than a trans woman, you are more than someone who loves trans women.

It’s your right and responsibility to decide what that means to you, what it means for your identities as men, and how you will explain (or refuse to explain) it to the people around you.

Choices like this are never easy.

But in the process of making them, you just might find a whole new truth about who you are.

This Is How You Love a Trans Woman

Dear boyfriends past and present: Thank you for being with me.

Please know that I’m not trying to either scare you off (!) of dating trans women or “sell” dating us. As you’re probably already aware (it’s not like I let you forget these things), trans women don’t need to beg men to be into us.

We really don’t.

But some trans women – like me – do want to be with men who know how to do the thing, and do it well. Which is not to say that you can’t make mistakes, or feel confused, or get overwhelmed.

We live in a world that says trans women don’t deserve love, and it will try to stop you from loving us.

Knowing how to love a trans woman is simple. You do it the way you ought to love anybody else: not fearlessly, but courageously.

 

 

Thank you for reading my blog. Please read, like, comment, and most of all follow Phicklephilly. I publish every day.

Instagram: @phicklephilly      Facebook: phicklephilly    twitter: @phicklephilly