Mr I. was a 25-year-old ex-soldier who came complaining of impotence. He could no longer get a condom on and had finished with his girlfriend although he still cared a lot for her. He wanted to talk about his testosterone levels (normal) and not about the fact that he had one testicle. One had been [...]

At the present, specialized infertility clinics exist where couples are invited to attend together for their appointments. The joint interviews can provide an extra dimension in the realm of differential diagnosis if the interactions between the couple are noted. Often it will be the first time that these two individuals have been seen together. There [...]

Most steps forward in life involve giving up some of the old as well as gaining the new, from straightforward events such as changing school or job, to complex maturational stages such as moving from childhood to adulthood. The grief of giving up the old combined with anticipation of the new gives rise to very [...]

The coil has many advantages, once fitted it can be forgotten, and sex can be spontaneous. The method seems more natural as it acts on the uterus, in contrast to the Pill which affects the body generally. There is the possibility of pregnancy: ‘I could slip up with the coil and it wouldn’t be my [...]

Contraceptive decisions are complicated, involving as they do the questions of whether to have children, the timing of such children and how many are wanted, as well as the choice of which contraceptive method and who should use it. Conflicts may manifest themselves in a variety of different ways. There can be a complaint or [...]

We know that a well-functioning blood-flow system is essential for erections. Over a long period of time, what you eat can mean the difference between a healthy or blocked flow of blood to your penis—the difference between erection and impotence. The keys to good blood flow are your penile arteries. Keeping them working well is [...]

When a man is truly testosterone-deficient, replacement can work wonders. This was the case with a fifty-four-year-old patient named Bill. When he couldn’t help but notice the progressive decline of his sex life, he quickly—and wisely—brought it to my attention. A man who enjoyed a regular sex life with Emily, his wife of twenty-three years, [...]

The healing powers of this ancient tree include that of an antioxidant. When taken over a period of weeks, it’s thought that compounds in the plants can help to inactivate free radicals. By guarding cell membranes from damage, ginkgo helps to make blood vessel walls more flexible and keeps red blood cells pliable, allowing them [...]

For women who are drawn to men they feel they can rescue, the pill can be perceived as a danger to the relationship. These women believe that the men’s problem is the cement that keeps them together. In their private estimation, their men are “flawed,” and therefore worthy of deep pity and a lot of [...]

While self-sabotage and bad health habits play a key role in impotence, erection problems may have many other origins. And what at first looks like the sole cause of impotence is often only one factor among several. Still, there are a few common health problems that by themselves frequently cause loss of potency. Consider these [...]