Sexual Dysfunction - Whose Problem?

Any men reading this blog over 50 will readily agree, we are being bombarded with cures for erectile dysfunction. ED is a symptom, not an affliction.

I have heard little, if anything about what happens to women over 50, who are usually perimenopausal if not fully by that age. Many suffer from vaginal atrophy and dryness which can make sex rather uncomfortable.

This can have a devastating effect on the male libido as he enters andropause where testosterone levels crash  Men's libido begin to wane, their stamina declines significantly, and men have chronic medical or psychological issues.

So what is hype and what are the facts. The average 50-60 year old couple have sex about 1.25 times per week. Often, the men do not have the anatomical and medical knowledge to deal with the changes in female physiology. In severe cases, she should see her GYN and ask about vaginal cream with estrogen which can regenerate some of the atrophied vaginal lining. Use a lot of lubrication using K-Y, Astroglide, or other water soluble lubricant. Clitoral stimulation using vibratory "toys" can make life a lot easier for you and can usually bring your partner to climax, even if you have not penetrated her yet, it increases the circulation of blood to her genitalia making penetration and vaginal sex much easier and pleasurable for her. Also, assure you that you find her sexually attractive and GO SLOW!

For the men, I am going to tell all about what I find that works and what does not.

Most OTC herbal or "nutraceuticals" for treatment of ED have not been tested in clinical trials and so all claims made must be considered anecdotal.
Most contain some form of gensing, ginko-biloba, meca (horny goat weed), L-arginine (an amino acid,) tribulus terrestrist, and other "testosterone precursors." There are no studies that prove that these precursors actually increase testosterone level.

You should see your physician and have a T-Level done. If under 200 ng/dl you are clinically hypogonadal. Injectable testosterone cypionate is the drug of choice. I take .5cc of the 200mg/ml of Depo-Testosterone every 6 days using and insulin syringe and a 25 gauge 1 inch needle.

I rotate the injection site in the later gluteal muscle right side, then left. My T-level has now stabilized about 800 ng/dl which is optimal. I am 60 and it not only helps with ED but is slowing loss of muscle mass,  increased mental alertness,  better mood, and mitigation of early onset osteoarthristis.

I tried Androgel and Androderm Patch without success. They contain alcohol that burned during application, was sticky, and you run the risk of contaminating your partner which can cause irregular menstrual cycles and other complications. The adhesive on the patches caused severe skin irritation.

I inject myself because being a medic, psychologist, and now a DDS, I have given thousands of injections.

If you cannot bring yourself to do it, have your wife see your physicians nurse and she can administer it to you with your wife watching. Have her then practice on an orange using soybean oil which has the viscosity of pharmaceutical grade testosterone.

As a supplement, you can also use Viagra or Cialis. I found Levitra rather ineffective. Take Viagra about 90 minutes before, 50-100 mg depending on your weight. I cannot recommend Cialis for everyday use 2.5-5mg, but rather the 36 hour dose 15-25mg.

I have had some issues with Viagra, especially the "Viagra Hangover" which usually lasts 24-48 hours after ingestion.

DoctorKnow

03/20/2012

rjldds51@gmail.com

Totally Clueless

If I swore, I would, and say that American women today, beyond their little corner of fun in the sun are totally clueless about things that really matter. Macroeconomics, geopolitics, corporatism, and the general state of affair are an "out of sight, out of mind" issue with the majority of the opposite sex.

A zit on their face is more important to them than a national security issue. Our Gen-X male successors or not much better. Preoccupation with computer games, reality shows, World Wide Wrestling, and the like consume the majority of their free time.

The 30- 40 somethings are now reaching the middle-middle class. The upper middle class, mainly Baby Boomers got whacked really bad in the crash of '08'-09 and are sitting on underwater mortgages and having to take care of their Gen-Y grandkids whose unemployment rate is over 25%.

The lack of conceptual understanding of our inverted economic pyramid scheme by most lead, to inane questions like "why are gas and food costs going up so much." Duh, no it is the dollar that is going down vis a vis commodities. If you try to explain floating exchange rates to someone you only get a blank stare.

The only thing that usually gets a population out of a state of complacency is fear or pain. Not since the Great Depression are the American people about to experience both in a major way. Unfortunately, there is no good way out of this morass. Both men and women of all generations, socioeconomic classes, and educational levels are going to have to get off their collective arses and rise to the occasion.

If not, we are going to see our standard of living continue to erode and collectively will be working our way down to a 2nd or 3rd world country and economy. History is the greatest teacher of all. We are headed the way of the former Soviet Union. The SU's economy, like our own was broke. Most men had to engage in crimial activites to provide for their families. Single women were by far the worst victims of the collapse.

University educated women, working for the State that had no functioning payroll system, were forced into the underground economy, prostitution, drug muling, and the slave trade. I know many of you are thinking "it could never happen here." History is replete with failed societies, and the U.S.A. is following the path of the Western Roman Empire, Mayans, Aztecs, Toltecs, Mongols, Chinese, Spain, Portugal, Britian, Soviet Union, and now the mess in the European Union.

It is time to put aside the quest for fun, entertaiment, laughter, and excitement. That is exactly the environment aboard the "unsinkable" Titanic before it struck the iceberg and began to head for the bottom of the North Atlantic. As the story goes there we too few lifeboats and over 1200 souls were lost. The U.S. counterpart is we have gotten into an inescapable debt trap which is our equivalent of the Titanics iceberg and there are not enough resources left to save everyone.

DoctorKnow
20111121

The American Diva is About to Take a Dive

Just when you believe things cannot get any worse, they do. I started this series this past summer and since that time there have been at last count, 4 new online dating sites that have appeared.
Again, they are becoming increasingly specialized, but contain the same old methods and human detritus.

The "new" ones are just like the old ones, just with slicker interfaces and MUCH more advertising.  The vampires that feed on lonely hearts have found a new cash cow. Membership fees have gone up as well, with some sites charging a ridiculous $400 or more per year.

The women are predictably the same, wanting the sun, moon, and stars from the men. Desperate men, mostly divorced, displaced, often un or underemployed, and paying child support, have done nothing short of putting these women on a pedestal to get their attention.

They have yet to find anything that works. It does not matter how good-looking they are, their education, profession, and now even income, all seem to be irrelevant. The end-game is men are now just giving up the pursuit and reconstructing their personal and social lives for a life WITHOUT a significant other (woman.)

In my opinion, this is not necessarily a bad thing. The way men are characterized online, they are a bunch of uncouth, sex-crazed maniacs, with a Jason Vorhees hockey mask and machete tucked under their car seat. My sense is this is just more 45-60 year old female histrionics and paranoia.

Hey ladies, nobody is putting a gun to your head and forcing you to join these sites. It is by your own volition and has more often than not; it has nothing to do with finding a compatible mate, but rather a way to get the attention that women crave. That is why you are getting less interest, because we men are now catching on after having the wool pulled over our eyes since this whole phenomenon began.

The females profile headline often read a childish "Looking for Mr. Right." "Prince Charming," "Knight in Shining Armor." "Good-Hearted Man," with an occasional "Christian" or "God-Fearing," requirement thrown in. Having had a parochial education through University and being forced to take a de facto minor in theology, I cannot understand why we should ever have to fear our Creator.

The above headlines are not only silly, but lack in any novelty, imagination, innovation, and are downright lame. The same characteristics I would use to describe the majority of American women today.

There are few, if any compliments given to the men. The women often reply to interest, with very poorly written one or two liners, in essence saying they are not interested. If you say something that really offends them, then you usually get what a buck private gets from his drill sergeant.

During my general research, I found an interesting statistic(s). The first is, most of these women are educationally below par. Most have high school (and I wonder how many are GED) diplomas. The others have "some college," which really means they washed out the first few semesters.  From there it really goes down hill with very few even completing an undergraduate, much less graduate, professional, or doctoral degree.

The second interesting snippet of information is that foreign women have a VERY low opinion of the American woman. They do not mince words and generally describe them as spoiled, rude, mean, disrespectful, and hedonistic (my word, not theirs.)

That is perhaps why younger men today are now marrying outside of their race and ethnicity. After all, if I were in their shoes, what would I find attractive about a woman who pierces their tongue, nose, navel, and in extreme cases (and I will be clinical) genitalia. In addition, tattooing has made a major comeback, but among females instead of males.

This psychosocial nut-house is going to lead in an inevitable direction with some unpleasant unintended consequences.

As I have predicted in other blogs, the USA is on the verge of a major economic malfunction. At best, we are in for a protracted recession, at worst an all out depression. The only thing that has kept the American family from financially capsizing is the dual income household.

In many cases, it is now down to once, since male unemployment has skyrocketed due to corporate downsizing and outsourcing. Being in healthcare (a DDS) as my chosen profession, I thought I was relatively immune to downturns in the economy. I realized the hard way, during the bust of '08 that was not the case. After struggling from the get go, I realized I was working for little more than minimum wage.

After reassessing the situation, there was no way I was ever going to make my practice profitable and amortize all of the debt I had accumulated in pursuit of my professional credentials.

The situation left me in a default "early retirement" position withought the benefit of any type of pension and only half the regular social security benefits, since most of my working years were as a sole proprietor.

Women are about to get a taste of this bitter fruit as the knowledge economy, of which they make up the majority or workers, collapses. We have witnessed the collapse of real estate and finance. It is now spreading to energy, education, healthcare, engineering, and information technology.

When the collapse occurs, female unemployment will rise to unprecedented levels. Without a paycheck and no spouse, they will find themselves in the welfare line applying for public assistance and food stamps. If depression and anxiety disorders are the number one health problem in females today, just wait until the economic apocalypse occurs.

Many of these women have now been in their worker bee jobs for a decade or more. They perform their jobs out of rote memory and have not bothered to acquire any new skills. Again, if you have found this blog to be offensive so far, it is about to get much worse.

When the Soviet Union fell, most working women were employed in the US equivalent of civil service. Without a working federal or state payroll system, they were literally tossed out in the street. May university educated women were forced into the underground economy, prostitution, drug muling, the slave trade, and other activities you do not even want to think about.

I am not writing this to malign American women, but to serve as a warning. Yes, the tempation is to shoot the messenger, but that will not change the facts of what is around the corner. Most will automatically go into denial mode and say "this guy is full of bull" or worse. My best estimate is that the process has already begun and will reach its peak about 2015. Those that will survive will get their house in order and focus on the crisis at hand instead of "fun, humor, laughter, and entertainment."

DoctorKnow 20111006

EliteMeeting.com Takes the Online Dating Ripoff to a Whole New Level

Dear Fellow Male Compatriots,

We now have a new leader in the online dating rip-off scene, Elitemeeting.com. For the men, you must earn at least 100K per year, or have a net worth of 1M or more.

Of couse, there is no such requirement for the ladies. All of the information is supposed to be "verified", as if I am really going to send my W-2 or 1099 to a complete online stranger.

There are different levels of membership:
Bronze
Silver
Gold
Platinum
Diamond

With each step you take, the fees charged to your account, increase exponentially. The Bronze membership, just barely gets your foot in the door.

After they have analyzed your data, the servers generate photos of the most attractive women on the planet, who want to meet "you."  Of course to interact with them, you have to poney up, in my particular case, a Silver membership.

The fees associated with membership, could buy you an awfully good time, with an upper-class call girl. The base rates run from $50 dollars per month to $150 for top billing.
The women who allegedly want to meet you, always have a secret message they want to share. I was a bit confused by the titles, which ranged from a simple "Hi" to "Ga, Ga" and "La, La", which are ostensibly an abbreviation of where the servers are located.

On most "free" online dating websites, the emails usually cease after about 7 exchanges of generally meaningless text chat before the women lose interest and move on to their next target. They will never give out their phone numbers, email, or other off-site identifiers.

I honestly believe these activites borderline on Cyberfraud, or in my home state  of Texas, "Deceptive Trade Practices."  When I finish my book, based on a compilation of all my blogs, I plan to circulate it to the Attorney General's Office of all 50 States, so I can put an end this harangue.

We men suffer enough in divorce court, child custody issues, and other legal matter involving the female gender. This particular ruse has really gotten the hair on the back of my neck to stand on end and for me to begin frothing at the mouth.

Guys, please use your noggin' and do not fall for this crap, unless you have money to burn for entertainment purposes.

DoctorKnow 20110918

The Horrors of Online Dating & Relationships

Online dating started several years ago with the development of the Internet. The grandaddy of  all is Match.com. Since its humble beginnings, it has exploded into a multi-million dollar a year franchise, with close to 20M members. It has spawned numerous offspring, such as eHarmony, Plenty of Fish, PerfectMatch, OK Cupid, SinglesNet, True, MyLife, and others.

It is beginning to branch out into specialty dating subgroups such as Brainiac Dating, ChristianSingles, Christian based Love and Seek, XXX-Adult Dating (which is a slick cover for prostitution), PetLoversDate, as well as host of other groups.

I am now waiting for Cowboys & Girls Date, NASCAR Lovers Date, Athletic Singles Mingle, Divorced SingleParents, and whatever the capitalist business mind can possibly imagine. The more specialized the group, the fewer the number of member it has, with some as few as 50K.

Many lure you in with the promise of  "free." If you have not figured it out by now, nothing is for free. To answer emails, or in anyway interact with the person interested in your "profile," you have to pony up anywhere between $20 or more per month. Not exactly cheap given the quality of the choices.

There are also other deceptions to separate you from your money. One is called the upgraded or premium member, where you get top slot in the dating dog race. In this particular case, your photo and profile are posted ahead of all others, who choose not to shell out the extra dollar for having the privilege of being seen first

The sites are all fundamentally the same. You adopt a USERNAME, which in a word, ostensibly characterizes you, a photo or photos, and a profile that has several subsections which contain various aspects of your personality, interests, and what you are looking for in a potential mate.

The profiles are predictably the same. Women have their own buzzwords, such as funny, humorus, and  entertaining. The men are to be kind, gentle, good-hearted, and financially secure. There is never a peep about any past or current medical or psychological problems. Heaven forbid anyone actually admit that they have or are currently taking Zolof, Xanax, or other psychotropic medication, a cancer survivor, or even admit to being a diabetic. By the way they describe themselves, they are definitely astronaut material..

The photos range from cheesy self-taken ones, where you can actually see the person holding the camera, to professional glamour shots, with the person is in a provocative pose with full make-up, dress, hair, lighting, etc. They are usually accompanied by a headline or caption, which is a truncated sentence that tells you who they are and what they are looking for, such as "Good-Hearted Man",  "Mr, Right", or "Prince Charming." There will occasionally be a few "God Fearing" "Christian"  or other religious interjections. I have yet to see "Muslim" or "Buddhist" however.

Some have gone to the extremes of setting up webcams and VoIP communication, but this technology is generally reserved for the sexually explicit websites and probably handled by the IT manager of the brothel.

The women in the 45-60 something age range, of which I am a part, tend to be in politically correct terms, full-figured, curvy, and/or BBW (big and beautiful.)  As far as their real appearance, they are average, plain, or unremarkable. Personalities range from the princess, diva, narcissist, ego centrist, and snotty, to the gentle, kind, thoughtful, and caring. There does not seem to be a middle ground.

Men are definitely the defacto losers in this game. The male/female ratio is about 4 to 1, which put we men at a distinct disadvantage-maybe.

I am not totally convinced that even Peirce Brosnan could make a favorable impression on these ladies- so what does? It is certainly not intelligence, occupation, financial security, appearance, achievement,  or English composition. That really only leaves a few vital statistics such as age, weight, height, and how well they are at stroking a woman's ego, satisfying their need for attention, or attend to their every whim.

My sense is that they (women) are really living in a fantasy world, where they are acting-out the role of Mrs. Robinson seeking  "The Graduate." In this way, they are turning back the aging process in virtual time and reality.When a man grows old, he becomes mature, a woman on the other hand, morphs into a hag.

Without physical attractiveness and sexuality, they have little if anything, to offer a man, much less the world. They literally begin to panic, hence the tremendous increase in panic disorders which also leads to depression. To compensate, they begin to shout from the rooftops, or in this case their profiles, as to how beautiful, good, kind, compassionate, and sensual they are.

To take their minds off their own misery, they seek someone who will make them laugh, take them globetrotting, adore them, and recreate life before their husbands divorced them and they were Queen for the Decades.

I am sure many, if not all females reading this blog, will be offended. Unfortunately, truth and reality usually does upset and offend those who are guilty.

by
DoctorKnow 20110805

Does She or Doesn't She?

If anyone remembers, it was a 60s hair coloring commercial. The answer was "Only her hairdresser knows for sure."

That comment can now be expanded to a number of aspects of contemporary American male/female relationships, everything from sports to sexuality.

Of one thing I am sure, men are no longer men in the traditional sense, and the same holds true for women. When attempting to deconstruct this issue, I came to the conclusion very quickly, that instantaneous everything, especially communication, have changed the nature and complexion of today's relationships.

Because most everything is text driven nowadays, with its lack of being able to see or hear the other person (I know is its possible with a webcam, but that is a poor substitute at best), communication depends on the receiver as much as the sender.

Things get misinterpreted due to differences in ones ability to master the written (typed) word, which can lead to all sorts of misunderstandings. I am not bragging, but I have superior verbal and written abilities. Perhaps my parochial education from elementary school to University has paid off in that respect.

I do have a tendency to use very big words, just habituation (there I go) from having spent so much time in academia. I often get a one or two line response, if at all, without the benefit of capitalization, punctuation, grammar, syntax, or spelling. I mean honestly girls, how hard can it be to run a one or two liner through the spell-check program?

Going back to my original thesis, I believe that she "does not." This can be readily seen in the phenomenon of bodily mutilation AKA tattooing and body piercing as well as a host of other social and psychosocial anomalies. For the life of me, I cannot fathom the idea of why someone would think that putting ink under their skin, which is nearly impassible to remove, or putting a metal bead in their nose or tongue, to be considered cool or attractive.

Of course, self-mutilation is a psychosocial topic of study in its own right. I just keep wondering what drives these people to such extremes? If things were not already bad enough, I come across this incessant silliness and giddiness among women,.especially those looking for "fun, humor, laughter, and excitement." Seriousness among men is now considered a mortal sin. Anyone engaging it should be tarred and feathered as far as many women are concerned.

If you are unable or unwilling to keep your potential mate in a constant state of laughter, or humor them 24/7, then you are little better than the trash man, and oftentimes get treated as such.

If I could wave a wand and clone all women, it would be the characters that Amanda Tapping plays in "SG-1," where she is the attractive, intelligent, but reserved astrophysicist of the team, that lets her commander, Colonel Jack O'Neill (Richard Dean Anderson) believe he is in charge. She always defers to him and respectfully calls him "Sir." I am often referred to as either a shi**ead, anal orifice, or other non-complimentary epithet. I do not recall the last time I was referred to as "Sir" unless the other person was on the payroll.

Not so similar, but equally impressive, is her role as Dr. Helen Magnus in the series "Santuary." Yes, I know many of you are thinking this is silly, sci-fantasy, but it characterizees our roles a humans very well. There seems to be a rather high correlation between IQ and the ability to appreciate this genre of media.

If you find this and my other blogs boring or immaterial, then you have tipped your hand and it would be best if we had nothing to do with each other. If you can appreciate what I am saying, then you are definitely someone I would like to get to know better.

The population of such women is on the verge of an extinction level event, and given my age, time is short. However, that does not mean I am desperate or would compromise on what I consider pertinent issues.

To each his/her own as it is said.

by
DoctorKnow 20110803

Is a Sea-Change Right Around the Corner?

The first term used about 2 decades ago was the "gender war." Today, it look as though it has gone nuclear. I have seen changes in male/female relationships that I never thought I would live to see, even in my wildest dreams.

The motive was to establish equality among the sexes, which became legally formalized by law through affirmative action. This left an exceptionally unlevel playing field for the American male. Instead of gaining acheivement through hard work and applying ones self, it became a matter of gender, skin color, or race.

Men started to lose ground beginning then, and it has accelerated at breakneck speed. It no longer is a matter of how hard you work at something, you are not going to make any meaningful achievments on that basis in today's world.

We became very close to becoming a Matriarchy during the reign of Queen Hillary, but men finally got off their duffs when their livlihoods where threatened. The miltia movement, a kind of paramilitary "acting-out" among men, scared the bejeezus out of the establishment.

Men began to physically take up arms, started paramiltary groups and drills, and generally threatened to go to war with the status quo. As soon as reality set in on the hill, they first went though great lengths to quash as many as they could, but for every one success, there were two failures.

We are now at a standoff, but tension can be felt in the air. Women are becoming not only assertive, but downright aggessive as in snarling. Many men are now just say to heck with it and are filing the divorce papers. Since most of the women are empty nesters, there is no longer the threat of hefty child support extortion and all but a few States have done away with alimony.

This has left the Feminazi movement in Limbo. Nature abhors a vacuum, physically or socially, and will do anything to fill it. The "filling-in" process has already begun in the shape of many men now marrying outside of their own race, ethnicity, religion, or socioeconomic group.

The end result is going to be a sea-change in the way women have gotten by since the 70s. They are beginning to age rather quickly, and it is noticable when one sees public photos of the person and then meet them in the flesh.

The person you meet, vaguely resembles the person in the photo, because the photo was taken decades earlier. These women are used goods and having to resort to online dating, because if they are still in the workplace or in an environment where they have physical contact with the opposite sex, their male counterparts will not touch them with a 10 foot pole.

Many are playing Mrs. Robinson, seeking out the young and virile and gaining the well deserved reputation of "cougar." So, where will this all end?

I only see two possibilites. Either they (women) will get their collective arses together and become a gentler, kinder species, or they will wind up as white haired, little old ladies toodling about in their electric scooters or Hoverounds in assisted living or nursing homes, where the only male companionship they will find is the housekeeper or orderly.

Yes it is a cruel world, but much of it is due to our own making. These women know deep down, it is about "game-over" time, but they are clinging hard and fast to their illusion. They are shouting from the rooftops to anyone who will listen as to how beautiful, funny, exciting, and pristine they are.

This is known in psychological circles as self-delusion. Perhaps, that is why anti-depressants are still the number one seller among women and why the divorce rate remains stubbornly high at  50% or more.

However, I have no sympathy for these people. They took advantage of the good intentions of men, and how it has backfired on them. However, the circle will not complete itself at least for another decade when the "mirror-mirror on the wall chant" no longer works and they truely realize that their time has passed.

DoctorKnow 20110803