Improving Your Sex Life

Revive Her Drive

Be ready to go through a complete transformation in the way that you think and feel about having sex with your wife or girlfriend! Revive Her Drive is like a Cheat Sheet to woo your woman the way she secretly wants you to, and simply cant express. The solution is based on female-friendly, easy-to-learn strategies that she will love! How nice will that moment be when shes lying in your arms, happy and spent, and she actually Thanks You for helping her to rediscover her sensual self? Shell be grateful that you, Her Man, now that you have the vision and skill to guide her into new, electrifying experiences even if she fights you or resists you now. Women Are sensual creatures. We women want pleasure, intimacy, connection, sensation as much as you do! Ill prove this to you. Once you know how to captivate her, you can turn her into a pleasure-seeking device within 24 hours. Getting that kind of responsiveness is the feedback you need to feel confident this program is working. Discover how Robert rekindled his relationship with Lauren using the tools within Revive Her Drive by watching this short presentation that lays out the whole strategy youll use to transform your intimate life into one of passion, surrender and fantasies-come-true. More here...

Revive Her Drive Summary


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Author: Tim and Susan Bratton
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Sex Hacker Bundle

Brooklyn based couple intimacy Coach Kenneth Play has designed an educational course purposed to increase men's sexual confidence and by providing techniques that create and maintain erotic bliss in lovemaking. The course is in the form of videos and is categorized into five modules. Just watch the videos to see how every skill builds off of foundational techniques, practice what you have seen with your lover or even on your own, and the master the skills you have learned from the course to become a sex hacker. The videos teach s foreplays, oral sex, penetration techniques, squirting and different types of squirting, and how to use your fingers and sex toys to pleasure your lover. The product was created by a team of professionals with years of experience in sex education, but the main man is Kenneth Play. He was once sexually insecure, but he transformed himself by first becoming physically fit. The other contributors are female, who brings different knowledge to the course. The course uses simple language that you can understand and follow the techniques taught, which are backed by science and research. More here...

Sex Hacker Bundle Summary

Contents: Video Course
Creator: Kenneth Play
Official Website:
Price: $97.00

Andrea Salonia Roberto Lanzi Emanuele Bosi Patrizio Rigatti and Francesco Montorsi

Women's sexual dysfunction (SD) is defined as a disorder of sexual desire, arousal, orgasm, and or sexual pain, which results in significant personal distress and may have a negative effect on a woman's health and quality of life. Although previously published data suggest that sexual complaints are highly prevalent among women with diabetes mellitus (DM), the scientific community has scarcely investigated the potential correlation between diabetes mellitus and women's SD. In case-control studies, SD was reported at a significantly greater rate in women with DM type 1 (DM1) than among controls - arousal difficulties being most common. Interestingly, sexual complaints were not isolated in occurrence, because women with DM often reported at least two sexual problems. Sexual disorders are also highly prevalent in women with DM type 2 (DM2), with low sexual desire being most commonly reported. Few treatment options and no specific compounds have been investigated to address the various...

Pathogenesis Pathogenesis in general

Sexual intercourse 17 history of (recurrent) UTIs 8 more frequent hospitalization and instrumentation of the urinary tract, recurrent vaginitis and vascular complications 10,26 . However, different studies show conflicting results. Moreover, most of them do not differentiate between patients with DM type 1 and type 2. We have determined the risk factors for the prevalence of ASB and the incidence of symptomatic UTIs in a large cohort of 636 diabetic women. We found that women with DM type 1 with a longer duration of diabetes, or the presence of peripheral neuropathy and macroalbuminuria had an increased risk on ASB. In women with DM type 2, a higher age, macroalbuminuria, and a recent symptomatic UTI predisposed for ASB. There was no association between the diabetes regulation and the presence of ASB 8 . Equally to healthy women, the most important risk factor for the development of a symptomatic UTI for women with DM type 1 was recent sexual intercourse. For women with DM type 2, the...

Intracavernosal Injection Therapy

Alprostadil is the most widely used agent (149,150). lt is effective in more than 80 of patients with different etiologies of ED and has a low incidence of side effects. In a recent comparative study of intracavernosal versus intraurethral administration of alprostadil the rates of erections sufficient for sexual intercourse were 82.5 versus 53.0 , respectively (150). Patient and partner satisfaction was higher with intracavernosal injection, and more patients preferred this therapy. Penile pain occurs in 15 to 50 of patients but is often not troublesome. The dose range is 5 to 20 mg but some physicians will increase it further or use a combination with papaverine and phentolamine. Priapism occurs in about 1 of patients. The cumulative incidence of penile fibrosis was 11.7 after a period of 4 years, and the risk of irreversible fibrotic alterations was 5 (151). About half of the cases with fibrosis resolved spontaneously. Other less frequently used agents include thymoxamine...

Risk factors of youth type diabetes mellitus

T2DM in adults may be asymptomatic for years, yet findings of microangio-pathic damage in newly diagnosed patients with T2DM indicate that complications of diabetes often predate the diagnosis of clinical diabetes 133,134 . Aggressive treatment of diabetes has been shown to retard the development of vascular complications 135 , thus early identification of children with T2DM may prevent or lessen the severity of comorbidities. Criteria for screening children and adolescents at risk for developing T2DM have been put forth by the ADA (Box 1) 2 . BMI should be plotted by health care providers annually on the Centers for Disease Control and Prevention BMI growth charts, which are specific for age and sex. Screening for diabetes among children with a BMI at or above the eighty-fifth percentile for age and sex with two additional risk factors for T2DM should be part of routine pediatric care.

Sexual Disorders Among Women with Type Diabetes Mellitus

The study by Doruk et al. (38) showed a SD prevalence of 42 within the DM2 women. Low sexual desire was reported in 82 of the DM2 women, whereas 68 complained of low arousal, 38 of reduced lubrication, 38 of orgasm difficulties, 46 of coital pain, and 50 of sexual dissatisfaction. Troubles in sexual arousal, lubrication, and orgasmic function were significantly more prevalent among DM2 subjects than among the healthy controls (23, 38). Erol et al. (40) assessed the SF profile in 72 premenopausal DM2 women (mean age 38.8 years range 25-47) with no other systemic disease as compared with 60 age-matched healthy women. The FSFI was used to assess the prevalence of sexual disorders throughout the analysis. Overall, DM2 patients had a significantly lower FSFI total score than controls (29.3 6.4 vs. 37.7 3.5 p 0.05). Low sexual desire was the most frequently reported SD, being observed in 77 of the DM2 patients. Reduced lubrication (defined as vaginal dryness) was observed in 37.5 , whereas...

Antimicrobial treatment

Since the adherence of E. coli to the uroepithelial cell is an essential step in the pathogenesis of UTIs, prevention of this would theoretically lead to a decreased incidence of UTIs. Therefore the attention has shifted towards the development of a vaccine, based on the FimH adhesin of type 1 fimbriae of E. coli. In vitro and animal studies have shown that this vaccine can prevent adherence of E. coli to uroepithelial cells and decrease incidence of UTIs in vaccinated monkeys 63,64 . We have demonstrated that addition of vaccine-induced antiserum to uroepithelial cells isolated from diabetic women, also decreases the adherence of type-1 fimbriated E. coli to diabetic uroepithelial cells 65 . At this moment, clinical studies have been discontinued, because although safe, the vaccine proved only 30 effective in young sexually active women. In

Repercussions of DM in sexual life

Erectile dysfunction is defined as the inability of a man to achieve and or maintain sufficient erection for sexual activity. 1. How often did you have an erection during any sexual activity 0-5 2. During sexual activity, how often did you have an erection The problem of erectile dysfunction considerably influences the patient's quality of life because it decreases self-esteem while at the same time creates problems in their personal life. Often the patient does not report his problem, but is willing to discuss it when asked by his treating physician. It is consequently essential, because of its frequency, that this sensitive problem is discussed discreetly, with the initiative of healthcare professionals in the diabetic clinics. Erectile dysfunction is basically diagnosed with a detailed medical history (Table 19.1) and is much less dependent on physical examination and special tests. Recently specific questionnaires with detailed questions concerning sexual activity have been...

Erectile Dysfunction in Diabetes and Its Treatment

Apart from erectile dysfunction, diabetes can also produce problems with ejaculation, especially retrograde ejaculation as the so-called 'dry orgasm' (a dysfunction of the autonomic and somatic nervous system) which occurs in 1-4 of male diabetics, most particularly in those with the longest history of the disease and those who are most metabolically compromised. Ejaculation without orgasm and indeed failure to achieve ejaculation (reflecting a compromised sympathetic nervous system) are also commoner among diabetics than in the general population, accounting for 8 of ejacula-tory disorders. By contrast, the incidence of premature ejaculation is almost There is substantial evidence to suggest that erectile dysfunction in diabetes is often psychological in origin. The main contributory factors are awareness of suffering from a chronic condition, relationship problems and the fear of failure during sexual intercourse as a result of that situation. It is not clear whether such...

Menopausal Status and the Androgen Milieu

The role of endogenous androgens in women's SF among the general population is still controversial (23, 64-66). Androgens play a key role in determining sexual desire and satisfaction, as well as in conditioning mood, energy and psychological well-being (64, 67). Androgens are necessary for the development of female reproductive function and hormonal homeostasis, and they are the immediate precursors of estrogens. In pre- and postmenopausal women, a low serum-free testosterone level has been proposed as a diagnostic marker of the female androgen insufficiency syndrome, which is characterized by reduced libido, diminished well-being and depressed mood (64, 66-68). There is increasing awareness of the impact of low androgen levels on the emotional, social, psychological and sexual well-being of women. Several studies have shown that testosterone substitution therapy in women may improve sexual desire, orgasm and satisfaction after either physiological (65, 66, 69, 70) or surgical...

Female Sexual Dysfunction

Female sexual dysfunctions (FSD) include persistent or recurrent disorders of sexual interest desire, disorders of subjective and genital arousal, orgasm disorder, pain and difficulty with attempted or completed intercourse. The scientific knowledge on sexual dysfunction in women with diabetes is rudimentary. Sexual dysfunction was observed in 27 of type 1 diabetic women. FSD was not related to age, BMI, HbA1c, duration of diabetes, and diabetic complications. However, FSD was related to depression and the quality of the partner relationship (153). Recently, the prevalence of FSD in premenopausal women with the metabolic syndrome was compared to the general female population. Women with the metabolic syndrome had reduced mean full Female Sexual Function Index (FSFI) score, Problems affecting sexuality in diabetic women are fatigue, changes in perimenstrual blood glucose control, vaginitis, decreased sexual desire, decreased vaginal lubrication, and an increased time to reach orgasm....

Dealing with sexual dysfunction

L They tend to have dryness of the vagina when the blood glucose is persistently high, making sexual intercourse uncomfortable. Creams can manage this problem talk to your doctor. i They tend to have orgasms less often than non-diabetic women, probably because of decreased sensation in the clitoris. No treatment has been consistently successful for this problem.

Duration of Diabetes Diabetes Related Complications and Diabetes Control

Duration of diabetes is usually associated with a greater rate of diabetic complications. Neuropathy, vascular impairment and psychological complaints have been shown to be implicated in the pathogen-esis of decreased libido, low arousability, decreased vaginal lubrication, orgasmic dysfunction, and dyspareunia, but discrepancies exist among reports (25, 44, 45). In Enzlin et al.'s case-control survey (19, 26), the rate of women with diabetic complications (33 ) - such as peripheral neuropathy, auto-nomic neuropathy, nephropathy, and retinopathy - who reported sexual problems was not significantly higher than the rate of their counterparts without complications (22 c2 1.3, df 1, p 0.34). An overall comparison of the percentages of women reporting a specific SD showed that only decreased lubrication was more prevalent among women with diabetes complications (c2 6.5, df 2, p 0.04). A specific subanalysis revealed that the latter finding was due to the significant difference between the...

Psychological Factors

Therapy of diabetes-associated SD in women must include consideration of the psychometric profile, including mood deflection and major depression, interpersonal issues and the psychological aspects of living with diabetes, since all these factors are correlates of woman's sexual health (19, 23, 25, 26, 37, 38, 85, 101, 102). The two major studies by Enzlin et al. (19, 26) showed that women with DM1 either with or without SD reported more depressive symptoms than men with and without SD, respectively. Moreover, women with SD suffered from a greater amount of depressive complaints than those without SD. Enzlin et al. (25) reported a significantly higher incidence of depressive symptoms in women with DM1 who had sexual problems than in women without SD. Based on the clinically defined cut-off score for depression of the BDI ( 16), four times more women with SD had scores suggestive of clinical depression than those without SD (37.7 vs. 8.3 , respectively p 0.001) (19). A significant...

Testosterone Substitution Therapy

Sexual desire, orgasm and satisfaction among postmenopausal women (65, 66, 69-74, 144), the Endocrine Society has recommended against both diagnosing androgen deficiency in women and against general use of testosterone by women, because of the paucity of data for long-term safety and effectiveness (65).

What causes stress in diabetes

Diabetes can cause stress in a number of different ways. You may feel under a great deal of pressure to maintain 'perfect' control of your diabetes. You may feel stressed because the side-effects of diabetes are interfering with your sex life and relationships. Problems with your treatment or adjustments to dietary and lifestyle changes can cause stress. Fears of short- or long-term complications are also common stressors for people with diabetes, and indeed worries about being able to fulfil responsibilities may also provoke a stress response.

Loannis loannidis

Initially his main problem was the inability to maintain erections so that he could achieve a satisfactory sexual contact. During the last six months, however, he also observed reduction in the quantity of sperm, despite preservation of orgasm. Very recently, he noticed the complete inability to achieve satisfactory erections.

Coping with Urinary and Sexual Problems

Almost 60 percent of all men over the age of 70 are impotent, and 50 percent have no libido (the desire to have sex). The percentages are even higher for diabetic men. These problems can have many causes (see Chapter 6), but older men are especially likely to have blockage of blood vessels with poor flow into the penis. The elderly take an average of seven medications daily, many of which affect sexual function. To have sex at any age, you need sexual desire and the physical ability to perform, you need a willing partner, and you need a safe, private place. Any or all of these may be missing for the elderly.

Caring for children of all ages

Be sure to discuss alcohol use and sexual activity before your teenager leaves the nest. Make sure he understands that overdoing it with alcohol provides many empty calories and can lead to hypoglycemia (see Chapter 12). In addition, be certain that your daughter is aware of the danger of pregnancy when diabetes isn't well-controlled (see Chapter 16) and that children of either sex are aware of sexually transmitted diseases. You may not be comfortable talking about these subjects with your child, but think how you'll feel if they suffer the consequences of ignorance.

Consequences Of Asymptomatic Bacteria

Recently, a large study among 796 sexually active, non-pregnant women without DM (age 18-40 years old), identified ASB as a strong predictor of a subsequent symptomatic UTI 34 In (other) studies of non-diabetic patients, it was suggested that ASB can lead to recurrent UTIs, progressive renal impairment, hypertension, and an increased mortality 35 , although most authors agree that ASB per se in a healthy individual causes no harm 36,37 . However, despite the high prevalence of ASB among women with DM, little is known about the consequences in this specific population 12,7 . In the study mentioned earlier, we have shown that women with DM type 2 with ASB at baseline had an increased risk of developing a UTI during the 18-month follow-up, compared to women with DM type 2 without ASB at baseline (17 without ASB versus 27 with ASB, p 0.02). In contrast, we did not find a difference in the incidence of asymptomatic UTI between DM type 1 women with and without ASB. However, a more...

Penile Prostheses and Surgery

This type of treatment is carried out only after careful patient selection and a trial of the less invasive options. There are a number of different devices ranging from the simple malleable prosthesis to more complex hydraulic prostheses. The choice of prosthesis is very much dependent upon the wishes of the patient and is often cost-related. A prosthesis does not restore a normal erection but makes the penis rigid enough for sexual intercourse. The hydraulic prostheses have the advantage of flaccidity and are now mechanically reliable with revision rates of less than 5 per annum. Infection remains a major complication in approximately 3 to 5 of cases with different causes of ED and usually leads to removal of the device.

Do such sexual problems often occur in diabetic women

The presence of sexual function disturbances in women is revealed with more difficulty than men. The physiological sequence of events comprises the following wish, excitation, orgasm, satisfaction. The wish is borne in the brain, caused by external and internal stimuli, and then produces secretion of hormones and the stimulation of corresponding nervous paths. The excitation is the emotional and physical response to the erotic wish and is mainly characterized by concentration of blood in the region of the genital organs. In this phase, the vagina is moistened. The orgasm, which is controlled by the nervous system, is characterized by a series of repeated, rhythmical twitches of the perineal and genital organs muscles. Finally, damage of the nervous system related to DM, can be incriminated for orgasmic disturbances.

Discussing ED with your doctor

Although sexual intercourse tends to be an embarrassing topic for many men and women, if you have diabetes and have a problem in this key area of life, you need to discuss it with your doctor. Some doctors find this topic just as embarrassing as some patients. Any doctor who treats patients with diabetes should bring the topic up in the first meeting and annually thereafter. If he or she does not, it is up to you to broach the subject. If you read the explanation of the normal development of an erection and your experience differs from that, discuss it with your physician. There are so many ways to treat it, and the lack of an erection can have such a profound effect upon your self-esteem and your relationship with another person that it is sad to discover how often a new patient has been suffering in silence for years.

Genital Sexual Arousal Disorders Among Women with Diabetes

Caruso et al. presented the largest peer-reviewed series regarding the use of sildenafil in both diabetic (117, 118) and nondiabetic (119, 120) women complaining of genital sexual arousal disorder. They assessed whether sildenafil was effective in modifying clitoral blood flow in a group of 30 premenopausal women with DM1 as compared with 39 healthy premenopausal women. A direct comparison showed that the DM1 patients had significantly lower scores for the arousal, orgasm and frequency of sexual activity domains of the Personal Experience Questionnaire. Moreover, diabetic women suffered from dyspareunia more frequently than the healthy controls. Likewise, the baseline clitoral blood flow of the DM1 women was significantly lower than that of the control group. Each DM1 woman received a single oral dose of 100-mg sildenafil and underwent a translabial colour Doppler of the clitoral arteries 1 and 4 h after sildenafil absorption (117). At 1 h after the administration of sildenafil,...

Erectile dysfunction ED

The first step is to define the patient's problem. ED is the inability to develop and maintain a penile erection sufficient for sexual performance. Although some men with diabetes do have permanent ED associated with diabetic tissue damage, many have reversible ED. Reversible factors, or those suggesting another condition requiring investigation and treatment should be sought, but a final decision that the ED is due to diabetes does not mean that the patient and his partner cannot be helped. Sildenafil (Viagra) is licensed for use in diabetic men with ED and may be effective in over 50 per cent of cases depending on the severity of any vascular or neurological tissue damage. Do not prescribe sildenafil for men in whom sexual activity could be harmful (e.g. patients with unstable angina). Avoid sildenafil in patients with renal failure (creatinine clearance below 30 ml min), hepatic failure, blood pressure below 90 50, recent history of stroke or myocardial infarction, known hereditary...

Erectile Dysfunction

Neuroendocrine Control Penile Erection

Erectile dysfunction (ED), defined as the consistent or recurrent inability of a man to attain and or maintain a penile erection sufficient for sexual activity (15), is one of the most common sexual dysfunctions in men. ED is more common with advancing age, and since the aged population will increase, its prevalence will continue to rise (16). Diabetes mellitus is the most frequent organic cause for ED, the onset of which starts about 15 years earlier in the diabetic than in the nondiabetic population. In the Massachusetts Male Aging Study (MMAS), the age-adjusted prevalence of minimal, moderate, or complete ED was 17, 25, and 10 among 1238 men without diabetes and 8, 30, and 25 among 52 treated men with diabetes, respectively (17). Thus, although the number of diabetic subjects in the MMAS was low, this population based study showed an increased prevalence particularly of complete ED among men with diabetes. In the Cologne Male Survey (18) the prevalence of ED was threefold...


Strenuous and protracted exercise is not confined to sport and may occur during recreational activities, such as prolonged and vigorous dancing. These social events may also involve the consumption of alcohol, another potential cause of promoting and protracting hypoglycaemia. Some 'recreational' drugs such as amphetamines have been associated with promoting frenetic behaviour and increased metabolic rate, which may then induce hypoglycaemia in people treated with insulin (Jenks and Watkinson, 1998). Young people with type 1 diabetes who attend clubs or parties often avoid the potential risk and embarrassment of hypoglycaemia by not taking their insulin before the social event. Although this may seem to be a pragmatic approach, the problem with this strategy is that exercise may worsen the pre-existing hyperglycaemia, and could promote development of ketoacidosis. A modest reduction of insulin dose, combined with appropriate high carbohydrate snacks and the judicious consumption of...

And Epidemiology

The classic definitions of women's sexual disorders were based mainly on genitally focused events in a linear sequence model (desire, arousal and orgasm). More recently, SD has been considered a disturbance in SF involving one or multiple phases of the sexual response cycle or pain associated with sexual activity (7-9). A sexual disorder is SD that meets the Diagnostic and Statistical Manual of Mental Disorders, 4th Edition criteria for sexual disorders however, a problem becomes a SD only if it causes distress, as opposed to a normal physiological response to difficult circumstances (7-9). Based on the previous classification criteria and recent reconsideration of the American Foundation of Urologic Disease, an International Definitions Committee of 13 experts from seven countries proposed new definitions that were presented in July 2003 at the Second International Consultation on Sexual Medicine in Paris (7-9). Sexual dysfunctions were thus subdivided into (1) sexual desire interest...


Since 1974 the World Health Organization has recognized that human sexuality is an important element of an individual's health and well-being 'Sexual health is a state of physical, emotional, mental and social well-being in relation to sexuality it is not merely the absence of disease, dysfunction or infirmity. Sexual health requires a positive and respectful approach to sexuality and sexual relationships, as well as the possibility of having pleasurable and safe sexual experiences, free of coercion, discrimination and violence. For sexual health to be attained and maintained, the sexual rights of all persons must be respected, protected and fulfilled' (146). Sexual rights embrace human rights that are already recognized in national laws, international human rights documents and other consensus statements.

Vacuum Devices

These have the merit of being non-invasive and may be effective in all men. They create a vacuum around the penis and blood is drawn into the corporal spaces. A band is slipped off the plastic cylinder around the base of the penis to maintain penile tumescence without rigidity in the crura. The disadvantages are that they require some degree of dexterity in handling them, and some time spent in application of the device. They should only be used for 30 minutes at a time, and require the willing cooperation of the partner. There are few side effects although there is some degree of discomfort and the penis feels cold. Ejaculation is usually blocked and some men find this makes orgasm less satisfactory. Bruising can occur in 10 to 15 of men. Vacuum devices are particularly useful in older men in stable relationships and when other treatment options are ineffective. They may also be used to augment the result of pharmacotherapy. Some men find that the constrictive ring is a useful aid in...

Whats a Foot Ulcer

Candida or other vaginal infections can happen to women regardless or their age, sexual activity, or hygiene. They occur more often after menopause because estrogen levels are lower. Estrogen helps to protect the vaginal lining. Infections are also more likely to occur just before your period, during pregnancy, or after you take antibiotics for another infection. Signs of a vaginal infection include the following even if your infection seems better. Even though it may seem to be gone sooner, the infection is more likely to return if the treatment is not completed. If your infection is not better at the end of the time for the product you are using, or it comes back right away, make an appointment to see your primary care provider or gynecologist. They can prescribe stronger medications. Your infection may be caused by different bacteria that do not respond to the over-the-counter therapies. Using a condom during sexual intercourse while you have the infection may help to prevent it...

Off to College

Two issues are particularly important to discuss before the student leaves for school alcohol use and sexual activity. Alcohol use may significantly increase in college, which means that your child may consume many empty calories and run the risk of severe hypoglycemia if he or she fails to eat properly. Discuss concerns about making a girl pregnant with your son, and discuss the risk of pregnancy when diabetes is not in control with your daughter. (See Chapter 6 for information that can fuel both discussions.) Young adults of both sexes should know how to prevent sexually transmitted diseases.

If you smoke quit

Over time, high blood glucose can harm the nerves in your body. Nerve damage can cause you to lose the feeling in your feet or to have painful, burning feet. It can also cause pain in your legs, arms, or hands or cause problems with digesting food, going to the bathroom, or having sex. Tell the doctor about any problems with your feet, legs, hands, or arms. Also, tell the doctor if you have trouble digesting food, going to the bathroom, or having sex, or if you feel dizzy sometimes.


Of pregnancy is the scourge of expectant parents. After waiting hard and long for the desired pregnancy, the mother-to-be feels rotten, salivates and gags at the thought of food, and wants no more sex. Maybe sex is ill-advised during pregnancy, no matter how reassuring the male or male-oriented obstetrician is Maybe salivation is actually mercury excretion being attempted by the body. Maybe nausea is all about keeping toxins out of the body and away from the developing child. These are intriguing possibilities, worthy of your research expertise.


Menstruation can cause cyclical hyperglycaemia (sometimes hypoglycaemia). Do not increase the insulin so much that the young person needs to eat more and becomes overweight. However, food intake usually increases around puberty. Diabetic girls who have started to menstruate must be told about sexual intercourse, the possibility of pregnancy, and the need for family planning in diabetes. With the recent AIDS prevention campaigns, and ready availability of condoms in shops, sexual ignorance is less common than before. An unsuspected pregnancy can precipitate diabetic ketoacidosis and it is particularly important to avoid unwanted pregnancy in diabetic girls.

Birth Control

Practicing birth control and safe sex are important for anyone, but they are especially important for women with diabetes. The outlook for women with diabetes and their babies has improved dramatically in recent years. Part of the reason is that more women are planning pregnancies and getting the guidance and care they need before conception and during pregnancy.


Erectile dysfunction (ED), defined as the consistent or recurrent inability of a man to attain and or maintain a penile erection sufficient for sexual activity (100), is one of the most common sexual dysfunctions in men. ED is more common with advancing age, and since the aged population will increase, its prevalence will continue to rise (101). Diabetes mellitus is the most frequent organic cause for ED, the onset of which starts about 15 years earlier in the diabetic than in the non-diabetic population. In the Massachusetts Male Aging Study (MMAS), the age-adjusted prevalence of minimal, moderate, or complete ED was 17 , 25 , and 10 among 1238 non-diabetic men and 8 , 30 , and 25 among 52 treated diabetic men, respectively (102). Thus, although the number of diabetic subjects in the MMAS was low, this population-based study showed an increased prevalence particularly of complete ED among men with diabetes. In the Cologne Male Survey (103) the prevalence of ED was threefold...

With Type Diabetes

In women with diabetes, SF may vary according to the phase of the menstrual cycle. Our recent study investigated SF in reproductive-aged DM1 women, compared these results with those of age-matched normally cycling healthy fertile women with an objectively assessed normal SF, compared the endocrine profile of both groups, and analysed the correlation between endocrine milieu and SF according to the phase of the menstrual cycle (85). The findings suggested that DM1 may affect several aspects of women's SF. In addition, the results emphasized that both psychosexual and endocrine parameters must be assessed according to the different phases of the menstrual cycle. Indeed, when comparing the FSFI scores recorded independently of the phases of the menstrual cycle, a significant impairment of the overall SF as well as lower values on the desire, arousal, lubrication, orgasm and pain domains were found in the DM1 group compared to the control group. In contrast, a menstrual phase-related...

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