Men's Sexual Health Assessment

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  • Once a man reaches middle age, many changes in hormonal and otherphysiological functions start affecting both body and mind. Thesechanges may influence a man's sexual health and libido in ways thatrange from subtle to annoying.

    On the plus side, though, today's mature men are thehealthiest, most successfully aging, and sexually fortunate gents inhistory. Thanks to advances in scientific research, drug development,sexology, and psychology, we are living in a golden age of enhancedmature male sexual functioning. (When we say golden age, we mean it:Pfizer Inc., the makers of the impotence drug Viagra, reported thatpharmacists in the United States filled more than six hundred thousandprescriptions for Viagra the first month it was available!)

    So take heart and take this quiz to learn more about mature male libido and sexual functioning.

    For those of you who are feeling some performance anxiety, rememberthis is a self-assessment quiz. The object is not to score as manypoints as possible, but to acquire invaluable information on yoursexuality and sexual health. Most important, should you wish to obtainprofessional help, you'll get directions regarding which onlineresources and health care professionals may be of optimum assistance.


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  • How old are you?
    Between 40 and 50
    Between 50 and 60
    Between 60 and 70
    Between 70 and 80
    Over 80
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  • It is difficult to generalize on sexual functioning based on age, and as aresult, age is not a determining factor in this assessment quiz. You shouldconsider the following statistics, however:

    • By age 40, 5 percent of men are frequently unable to perform whencalled on, while one-third of men report occasional erectiledifficulties.
    • Men 50 and over who experience "occasional" difficultiesnumber approximately 50 percent of this population. What's more, 10 to15 percent of 50-year-old men are completely impotent.
    • Approximately 15 percent of men between 60 and 70 are completely impotent.
    • Over half the male population over 70 is unable to performsexually. Then again, the Massachusetts Male Aging Study reported that40 percent of 70-year-olds polled were totally potent.
    • Impotence is more likely to happen to men over age 80 nowdue to physiological reasons. In fact, erectile dysfunction oftenoccurs in men whose arteries are damaged from diabetes, high bloodpressure, coronary heart disease, plus heavy smoking and drinking.
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  • How many hours do you exercise a week?
    About two hours
    Between two and four hours
    About five hours
    Between five and seven hours
    More than eight hours
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  • Regular exercise is correlated with better health, including sexualhealth. Exercise promotes blood and oxygen flow throughout the body,including your penis. What's more, a study conducted at the CooperInstitute for Aerobics Research found a 40 percent lower mortality ratewhen people switched from never exercising to any type of minimalexercise. Aim for at least eight hours a week.

    Walking is a simple program that is inexpensive and can be doneanywhere. If you have been sedentary for much of your adult life, checkwith your doctor before beginning an exercise program.

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  • How many drinks do you have per week?
    None
    2 to 4 drinks
    7 drinks
    8 to 14 drinks
    More than 15 drinks
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  • Erectile difficulties are more common in men who drink regularly. Ifyou consume more than eight drinks per week, your alcohol intake may beaffecting your sexual performance. If you are having insufficienterections, consult your doctor. For more moderate drinkers, the goodnews is some studies indicate that men who drink a few glasses of redwine per day and eat a healthy diet high in fiber and low in animal fatcut their risk of high cholesterol and coronary artery disease.
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  • How many cigarettes do you smoke per day?
    None
    Less than 4
    4 to 10
    10 to 15
    15 to 20
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  • Remember that erectile problems are widely known to occur in older menwho smoke. Smoking can damage arteries all over the body, includingthose that move blood into the penis. With this compelling fact inmind, you now have the perfect reason to give up smoking: do it forbetter sex! Quitting may not only help you improve blood circulation inyour penis and elsewhere, but it may also put the fireworks back inyour sex life.
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  • Your cholesterol levels are:
    Very healthy
    Moderately healthy
    Borderline healthy
    Moderately high
    Dangerously high
    Don't know
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  • Mature men with high cholesterol levels are at increased risk forimpotence. Men with borderline healthy, moderately or dangerously highcholesterol levels should realize that going on a low-fat diet andexercising regularly are the first steps toward improving overallhealth and chances for better sexual functioning. If you don't knowwhat your cholesterol levels are, get thee to an internist ASAP.
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  • Once aroused, how long does it take you to get an erection?
    Immediately
    5 minutes
    10 to 30 minutes
    30 to 45 minutes
    60 minutes or more
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  • After age 40, it is normal for erections to be qualitatively differentfrom those enjoyed in your 20s and 30s, although you can still get asmuch satisfaction from sex as you did when you were in your 20s.

    According to Art Hister, M.D., writing in Midlife Man,(Greystone Books, 1998), "...during middle age, not only do many menbegin to suffer from occasional bouts of impotence but even a midlifeman who is always able...to get hard enough to do his duty tends tosuffer a bit of loss of upward mobility of his penis due to changes inthe blood vessels that are responsible for creating and maintaining anerection. ..."

    So, don't worry, take action! You may benefit from seeing a urologist. You may also want to go to urologychannel.com to read more about your condition or to find a urologist specializing in male urology in your area.

    If your erections take 30 minutes or more to develop, you may benefitfrom seeing a doctor at your earliest convenience. There are manypossible causes behind erections that take a while to reach completehardness. Along with cardiovascular disease, regular medications andpsychological factors, diverse metabolic, urologic, and neurologicalconditions may also cause impotence.

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  • Which answer best describes how satisfied you are with your sexual functioning?
    I never have erectile difficulties; I am enjoying optimum sex.
    My erections aren't as hard as they used to be; I want to enjoy firmer erections.
    My erections don't last as long as they used to; I want to enjoy longer erections.
    It takes me longer to get an erection than it used to; I want to achieve erections faster.
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  • It's a fact that in middle age, erections often become less rigid, aswell as shorter-lived. Furthermore, writes Art Hister, M.D., author of Midlife Man,(Greystone Books, 1998), "Not only does it take most middle-aged guyslonger to achieve even a garden-variety, run-of-the-mill erection, butin contrast to when they were young, when a rock-hard erectionimmediately sprang up after even the vaguest erotic thought, in midlifesome men may require direct physical stimulation to get an erection, orthey may not hit full hardness until they are in place...erections tendto become less firm (much like other body parts of the middle-agedowner of those erections). ..."

    To achieve optimum erections, first ensure that your general health isat its best. This means: doing regular exercise, following a balanced,low-fat diet; no smoking or heavy drinking, and maintaining healthycholesterol levels. Also, check with your doctor regarding whether themedications you are taking may be causing erectile difficulties. A goodWeb siteto check our for more info is urologychannel.com.

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  • Do you have trouble maintaining an erection during intercourse?
    25 percent of the time
    50 percent of the time
    75 percent of the time
    Every time
    Never
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  • In Midlife Man, (Greystone Books, 1998), Art Hister, M.D.notes that any man who begins experiencing increasing bouts ofimpotence should see a doctor to determine what could be the potentialcause or causes. For instance, impotence can be a marker forcardiovascular disease that has yet to appear via other symptoms. TheWeb site urologychannel.com offersexcellent information and resources.
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  • One British survey found that one in ten happily married couples between the ages of 45 and 59 admit that they abstain from sexual relations for the reason that they have "better" things to do with their time. How often do you engage in sexual activity?
    Every day
    Frequently
    Once a week; I wish it were more often
    Occasionally; I wish it were more often
    Never; I wish it were more often
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  • If you wish you were having sex more frequently, you may want to consider seeing your doctor for help regarding your sexual health. Or, you may want to consider going for joint counseling with your spouse or partner.
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  • How often do you masturbate?
    Daily
    Twice a week
    Once a week
    Rarely
    Never
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  • Masturbation can be a road to enhanced sexual functioning and sexual self-knowledge. Many people incorporate masturbation into their sex play with wives or partners. If you rarely masturbate, consider why and then consider how masturbation can be a totally valid form of sexual expression.
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  • How long does it usually take you to achieve orgasm through masturbation?
    More than 10 minutes
    5 to 10 minutes
    5 minutes
    3 minutes
    Less than 3 minutes
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  • Consider: the average duration of intercourse among married American couples is five minutes or less, according to some studies. So, if it takes you longer to reach orgasm through intercourse or masturbation, then you are ahead of the curve. If you achieve orgasm in three minutes or less, you may be rushing things. Or, do you sometimes feel yourself climaxing too soon? If so, you may want to consider seeing a doctor to determine potential causes of this.
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  • Are you taking medication that may be influencing your libido and/or your mood?
    Yes
    No
    Don't know
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  • Literally dozens of medications can affect sexual functioning in men (and women, too, for that matter). If you are having problems, talk to your doctor and pharmacist as soon as possible about potential remedies for your situation.
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  • How powerful is your sex drive? Is it as strong as it was in your:
    20s
    30s
    40s
    None of the above
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  • If you feel your sex drive is low, it's possible that you may have low testosterone levels. See your doctor as soon as you can to get a blood test that measures testosterone. You may also want to ponder whether psychological causes are at work. The Massachusetts Male Aging Study found that low sex drive was sometimes connected to depression and repressed anger. Low-cost or even free counseling is often available at university psychology clinics, senior centers, and even theological seminaries that have psychology programs.
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  • What arouses you the most during foreplay?
    Eye contact when you know your partner wants to have sex with you
    Deep kissing
    Caressing, hugging, holding
    Full body contact
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  • If you answered eye contact, lucky you! You are romantically gifted. Poets the world over have often observed that love comes in through the eyes. Many men also report that their sensuality is strongly tied to their mouths, lips and kissing. On the other hand, remember our skin is the largest organ in your body, so it stands to reason that being touched all over your skin is going to make you feel good all over.
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  • How often are you sexually aroused by your wife or your regular partner?
    Always
    Most of the time
    Sometimes
    Never
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  • The question is: do you want to be aroused more often, or are you happythe way you are? If you want to change the situation, consider seeing atherapist. Many universities, senior centers and theological seminariesoffer low-cost or even free therapy. After all, many studies have shownthat self-disclosure, or talking about your feelings to others,improves physical health, enhances immune function, reducescardiovascular reactivity, and may even prolong life.

    If you are never aroused by a sexual partner, and would like todetermine the cause of this condition, see your doctor as soon aspossible. Get a blood test to determine testosterone levels, whichcould be causing low libido. Testosterone transdermal patches that canbe worn on the arm or leg have recently come on the market: these havebeen found to raise testosterone levels and revive flagging libido aswell as energy levels. You may also want to consider going forindividual or joint psychotherapeutic counseling.

    Thank you for taking this quiz! Click "finish" to see your score or retake this quiz.



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