GH3 - GEROVITAL Articles (X)
- Sex For Adults And Old People
By Mircea Dumitru M.D., Ph.D.
and old age is a subject seldom approached in the medical literature
but perhaps in greater measures by the mass-media, but which concerns
all of us. This is a discussion about what is physiologically normal,
of the causes leading to impotence, frigidity, I consider this may
be welcome, especially for older people.
aim of MACROBIOTICS is that to reach advanced ages in full harmony
with nature, without diseases, and with an optimal functional capacity.
Death should not frighten us, it is something natural in the life
cycle. We should be careful and prevent chronic diseases, (severe
and incurable), which lead to functional incapacity and make us dependent
upon others. The functions of organs and systems are scheduled for
the whole biological cycle, so that only external causes alien to
the organism bring disharmony and their premature ceasing.
prostate diseases, the adverse effects of drugs, toximanias and many
others, which do not belong to our life, are the causes of sexual
dynamic disturbances, whose implications are the most important once
upon the human psychic.
human life is ephemeral in the universe context, it has numerous frustrations
among which we benefit by a limited reproductive and sexual period.
Flatto", M.D. in his magnificent book "Super Potency"
said that "Even the creator thought otherwise as "Adam"
lived 930 years and had all this time sons and daughters. He endowed
the man with the possibility to have a sexual activity as long as
impotence, is more depressing as our modern life emphasizes more activity,
initiative, vigor and youth. It is a mistake to consider the sexual
activity only an attribute of young age. It is true, with age that
sexual dynamics present certain peculiarities, but the sexual function
"per se" remains normal until the most advanced age.
function supposes a circulating, nervous and hormonal system unimpaired.
The erection is a reflex function, physically stimulated, or tactile
at the level of erotic areas. By vasodilatation the blood is directed
to the penis level, which increases gradually. A normal sexual intercourse
supposes an erection for 10-20 minutes until the maximum exciting
phase, after which follows the ejaculation. Testosterone plays an
important role in sexual dynamics, but the mechanism of faction is
libido (the wish to have "sex") remains throughout life.
the elderly more time is required, and a direct stimulation in order
to have an erection. The number of spontaneous erections is less.
Secretion of sperm is present even in the 8th decade as are potent
men at this age. There are psychological changes, and to have sex
once a month at the age of 80 is absolutely normal. From the psychical
point of view this is very important for the man. It creates in him
a feeling of comfort, of high spirits and independence.
is the impossibility of the male organ to become erected and make
sexual contact. The absence of ejaculation or premature ejaculation
are components of impotence.
means impossibility to have descendants and it should not be confused
may be total, temporary, incomplete, or partial.
fact, any man may experience in his life moments when he has problems
of erection. A feverish state, stress, fear, fright, tiredness, excess
of alcohol, cigarettes, sedative and antihistaminic drugs are very
often the cause of temporary, or total impotence. It is important
for the sexual partner to understand these problems. In a contrary
situation, the man is self-conscious and impotence may be repeated.
I had many patients who experienced such discomfort.
especially remember Engineer P.E., 34 years old. In a more tensioned
period of his life, his sexual partner did not realize neither did
she want to understand the temporary situation of her "friend".
The solution I recommended to him was to end their relationship. The
engineer did not accept my recommendation; on the contrary, he regarded
it with great suspicion. After a few months he consulted me again
presenting a severe state of depression, and of course total impotence.
After a few discussions with his "friend", I tried to help
her understand the psychical state of her partner, and I advised her
to show a tactful attitude, but it was in vain. After a while I had
the pleasure to see him again. He was in high spirits, with a psychic
entirely recovered. He had finally gathered strength to end the relationship
and came to thank me, and asking me that "in similar cases for
me to make the same recommendation", it was the only one capable
of curing this type of impotence and depression.
patient reveals in fact the important role the partner has from a
psychical point of view, specially when they are a true friend.
is estimated that about 15-20% of men present different degrees of
impotence, and at the age of 60, the rate increases 30-35%. At the
age of 80, 40-50% of men still present a great interest for a sexual
to Sigmund Freud, in 90% of the cases impotence is a psychical feature.
the past decades it has been considered that numerous physical causes
are the origin of impotence.
are diseases which accompany impotence. The patients with diabetes
mellitus, obesity or gonorrhea in their history, complain of impotence
in a proportion of 40-60%. Arteriosclerosis affecting the central
nervous system and the pelvic vessels is also associated with impotence.
The same state is noticed in variable proportions in those with arterial
hypertension, prostate diseases, Parkinson's diseases, tabagism, alcoholism,
drug addiction, Roentgen-therapy, other penis diseases, anti-depressants
and hypertension treatments.
many men, impotence is more difficult to bear than any other chronic
the modifications of pelvis arteries sizes and the prevention of blood
to reach the penis, arteriosclerosis is one of the main causes of
impotence. The anginous pains, dizziness and loss of balance, tinnitus,
leg cramps in gait and at night, as well as impotence, are signs of
arteriosclerosis, which you should bear in mind and for which you
should see a physician.
diseases of prostate are often the reason of sexual dynamics disturbances.
Between 70-90% of men during their life time change and complain of
prostate. After the age of 40 it is advisable for men to have a "check-up"
yearly. Among the preventive and curative treatments for prostate
complaints and maintaining a normal potency, I recommend:
Food rich in fruits, vegetables, reduce/avoidance of alcohol, of coffee,
Gymnastics which favors the prostate function and eliminates urinary
disturbances: walking through the room on four legs (animals have
no ptosis-falling of organs, constipation, or prostate diseases);
lie down on your back and prop your legs on a hard surface than bend
alternatively the right leg and the left leg bringing the knee to
Edwin Flatto, M.D. gives us a model for prostate gymnastics at anybody's
age and anytime: "contract for 30 times the buttock muscles,
after which 30 relax; repeat 25 times in the morning and 25 times
anytime when I make these recommendations I remember one of patients,
Mr. S.I.(74 years old), who presented pains at perineum level, urinating
disturbances, and impotence almost complete. After 4-6 months he was
doing this kind of exercises he did not feel urinating disturbances
and his potency was much improved.
and more patients particularly the elderly use drugs for situations
in which a corrective diet would be indicated, giving up to salt,
coffee, tobacco, etc. In addition, the explosive number of drugs during
the last decade brings another question: Do we really know everything
about these drugs? Positively, we exceeded long ago the period of
Voltaire, who declared: "The doctors are those who prescribe
drugs about which they know little, treat diseases about which they
know even less, and the human organism about which they know nothing".
today, more rarely, or more often, we ask ourselves: Really why this
drug, or these drugs? After an interval of using these drugs, frequently,
and often unconfessed, one of the side effects is impotence. The drugs
act on different phases of sexual intercourse and can be divided thus:
libido, and unsatisfactory erection caused by: sedative drugs (valium,
Librium), anti-depressive, anti-psychotics (haloperidol, lithium),
anti-hypertensives (beta-blockers, diuretics), antabus - anti-alcoholic,
clofibrate (antocholesterolemic), antiulcerous drugs (probantine,
Unsatisfactory erection, difficult ejaculation and decreased libido,
caused by: narcotics, anti-depressive drugs, anti-hypertensives.
A special mention should be made on the use of alcohol and tobacco.
Of course, it is an essential difference between being an alcoholic
and to drink occasionally/socially a glass, or two of wine. Alcohol
in small quantities (7-10g.), which represents 100g of wine stimulates
appetite, creates an euphoric state, and can be considered a food.
In small quantities it also stimulates the libido. In big quantities,
although seems to stimulates the sexual interest and wish, in fact
it reduces the performance.
and Johnson, in 1970, in a reference work, "Human Sexual Inadequacy",
considered alcohol as one of the frequent causes of impotence. Because
of the effect of suppressing the inhibition exerted by alcohol, even
small quantities may induce temporary impotence, it ruins the satisfactory
erection and induces a premature ejaculation". We have to take
into consideration the individual reactions, also. In alcoholism,
the testosterone blood level is low, and most of the chronic drinkers
present impotence. In women too, the habit of alcohol is not lacking
of consequences; the women's effectively and response are changed,
it appear the difficulty of orgasm and laxity of vaginal wall. Association
of tranquilizers, of sedatives, and of tabagism potentialities the
negative effects of alcohol on the sexual life and health state.
static data confirm the negative effect of smoking on potency; in
smokers, the impotence and frigidity are noticed in a great proportion.
usual and common, of the persons who change an armchair with another
one, is associated in many cases with impotence. The change of life
style, of the habits, it is the only reasonable conduct. And to make
a play on words, impotence is alone and complete in those with the
constipation of the colon, and "mental constipation", too.
should be regarded positively, optimistically.
say: "Life is great", even when they have few reasons to
be happy. To look forward, to have humor even in the sad moments of
your life, "to smile in the face of adversity", to not insult,
to find the good part of bad things, to be generous, to have a good
laugh, means to be mentally free. This category of men may give the
measure of a first-rate sexual intercourse. Life should be regarded
and lived with much imagination.
the author of these lines and in medical practice for more than 30
years, I have never told a patient: the medical examination cost so
and I only gained from this attitude. I have always seen again my
patients with a smile and friendship in their eyes.
these lines, I am treating myself, I am learning again what I should
change in my way of life, emotionally charged enough.
and Eileen MacKenzie in the book "It's Not All in Your Head"
present the revealing signs of impotence of psychical origin: "Temporary
impotence in case of a psychical shock (death, accident of a close
person), a prolonged state of depression; you may have sex with your
partner but not with anyone else".
data of the last few years attest that the physical impotence we meet
in 50-60% of the men; in 40-50% of cases the cause is represented
by a disease like diabetes, hypertension, constipation, etc.
is the conduct one should follow in case of impotence?
of a psychical nature is frequently benefited by: psychotherapy, acupuncture,
hypnosis, biofeedback (relaxation-induction). The psychologist recommendations
include: adoption of a positive attitude, changing of some habits,
more effectively and a wish to communicate, avoiding conflicts and
independence indecision making. An important percent of physical impotence
is treated by the company of an intelligent woman with imagination.
should be solved first the cause which determined this aspect. If
necessary seek the examination of a sexologist, or/and a physician
with training in sexology. Besides the treatment of the diseases it
is better for those who present impotence to have also some other
has been discussed much about the so-called aphrodisiac drugs, plants
and vegetables (garlic, plums, vitamins). From scientific point of
view they have no effect, besides that to stimulate the imagination.
The medical world remains skeptic on the efficiency of vitamin E and
of ginseng products.
the treatment with L-Dopa, apomorphine and testosterone, it was noticed
an improvement of erection.
and papaverine may induce a satisfactory erection which allow penetration
of penis in vagina.
are physicians who administer with good results injections of papaverine,
nitroglycerine and prostaglandine (E) in the penis cavernous body.
It is well to have always in mind that any drug administered for impotence
has side effects with unknown, non/predictable, and anyhow much less
efficiency than the natural recommendations which are not harmful.
is a kind of treatment but in many adult and old people we have to
the end of 50's, and the beginning of 60's penis implant operations
began to be performed. With good results, the semi-rigid implants
of Dr. "Scott", and afterwards those with silicon. The silicon
implants, generally, were severally criticized in the later period,
and the Food and Drug Administration of the USA imposed a restriction
sexual intercourse is more than a simple moment of life of the continuation
of the species. It is an expression of strengthening the relation
and communication between partners. This supposes a prelude and a
period of development. Therefore, a premature ejaculation is more
than a harmful experience of the emotional and physical background.
The premature ejaculation (a notion difficult to define), means the
sperm emission before, or immediately after penis penetration. Premature
ejaculation, by its psychologic implications, is one of the frequent
causes of total impotency.
complex intercourse, by education, self-control and the power of will,
may be directed and controlled.
"Jaimes Seamans" adopted a method and he declares that the
good results were as a matter of fact 100%. Starting from the fact
that in a high percentage ejaculation occurs in about 2 minute in
those with precocious expression, the performance can be improved.
This method suppose a partner who should induce manually the erection
until the point of reaching the ejaculation. To repeat it twice a
week, for a month means to correct the speed of reflex. Meanwhile
the method was ameliorated.
in women is also a complex process, in which the physical component
has even a higher prevalence than in man. It supposes a complete psychical
self abandonment of women, which the man should understand and appreciate.
Frigidity (non-participation of women in sexual intercourse, or to
simulate) is physically and psychically determined by environmental
factors and by education.
sexual intercourse implies a lot of details and as I mentioned it
is important to maintain the married life.
education with the approach of different aspects (specially in the
conditions of AIDS explosion) is welcome and should be made at all
levels: school, university, family.
education for adult and old people in the context of implanting &
following: "Aslan's ten Commandments" is the best way to
maintain and to improve sexual activity through life time.
Dumitru M.D., Ph.D.
International Journal of Gerontology
Ave. Paseo de la Reforma 1635
Col. Lomas de Chapultepec
THE FOLLOWING ARTICLE IS EXTRACTED FROM THE COPYRIGHT PROTECTED
INTERNATIONAL ANTIAGING SYSTEMS BULLETIN. IT IS INTENDED FOR PRIVATE
VIEWING ONLY AND CANNOT BE COPIED WITHOUT THE WRITTEN PERMISSION
OF IAS. DISCLAIMER: ALL INFORMATION IS EDUCATIONAL AND PROVIDED
UNDER IAS TERMS & CONDITIONS. IT DOES NOT, AND SHOULD NOT, REPLACE
THE ADVICE OF YOUR PHYSICIAN