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Dr Stanczak: Your feelings are very buy generic fildena 150mg on line, very normal cheap fildena 100mg with mastercard, and transient. You will never forget the events that have occurred. But, you will find that, with time, it will be easier to function more normally. I would be worried about you if you were not feeling these things. The important thing here is that you are having a normal response to an abnormal, horrific situation. Rest assured that all of America is having feelings similar to your, and that we are all frustrated by our inability to help more. Dr Stanczak: First of all, this fear you have is probably transient. If it, for some reason, does persist, there are effective therapies that will allow you to overcome your fear. If you feel comfortable, I would encourage you to discuss these feelings with your relatives and friends. Incidentally, I would be afraid to fly in a helicopter. I suggest taking some time to attend to your own needs. If these uncomfortable feelings persist, for more than a month you might want to consider consulting with a therapist. I have so many of the news papers but I have not read any of them. Each of us deals with extreme stress in different ways. Again, it does not become pathological until it begins to significantly interfere with your daytime functioning. I suspect that, with time, you will find yourself becoming more involved in the events happening around you. I was in my car when I heard the news and responded by screaming "NO" repeatedly as if that would somehow change the horrific events. Is that rational and is that healthy or unhealthy at this point? Dr Stanczak: It is not rational, but unfortunately, it is normal. We are not always the rational, thinking beings that we think we are. It is human nature to stereotype even though stereotyping leads us to commit errors in judgment. I would encourage those people to examine their bitterness and to focus on the positive circumstances surrounding this terrible event. I would also encourage those individuals to become involved in efforts to make the situation better rather than worse. For example, one of the first acts I performed was donating blood to our local blood bank. One can also look at how this event has brought us together as a nation. We should also recognize and be thankful for the tremendous support we are receiving from the world community. HPC-Karen: As a support group host, what are the things we can do to help users who come to the site? Dr Stanczak: First of all, assure people that their feelings are quite natural and normal. Do not try to force help upon those who do not want such help.

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We think of this situation as lack of sexual desire purchase 25 mg fildena with amex, low libido or decreased sex drive cheap fildena 25 mg on-line. Lack of sexual desire only becomes a problem when the man or his partner is unhappy with the situation, or what is known as a "desire discrepancy," the number-one condition seen by sex therapists. As most therapists will tell you, it is equally common for the man or the woman to be the one with lower desire. Remember, there is no "correct" amount of sex to have or desire. Yes, there are norms, but what really matters is whether you and your partner are in harmony about how often you have sex. QUESTION: I know many therapists differ in their views on sexual addiction. Do you consider sexual addiction a form of sexual dysfunction? Like many sexologists, I do not subscribe to the concept of sexual "addiction. To say that someone who masturbates ten times a day is an "addict" is a moral judgment, not a scientific one. Similarly, someone who has sex twice a day can be just as healthy as someone who has sex once a week. Those little "tests" you see that claim to tell you whether you are a sex addict are worthless. When I see a patient who thinks he is suffering from sexual addictions, I ask questions such as:Do you feel like you have to have sex? Have you lost your job because of your desire for sex? Has your sexual appetite affected your relationships? Do you frequently decide not to go out with friends or family, preferring to indulge in sexual activity? If a patient answers "Yes" to one or more of these questions, then we look at the source of the problem, rather than just labeling the patient as a "sex addict" and sending him to a recovery group. It was the first highly effective medical treatment for erectile disorders that did not require painful medical procedures or cumbersome devices. However, Viagra is a prescription drug and should not be taken indiscriminately. It is very important that anyone experiencing erectile difficulties gets properly evaluated by a physician. In fact, it can mask other underlying problems, whether medical or psychological. In an ideal world, a man would first be examined by a physician, and then meet with a sex therapist if physicalAs far as all these versions of "herbal Viagra" that have popped up in the last few years, the vast majority are completely worthless. QUESTION: Can men really increase their penis size through exercises? The ONLY way to increase penis size permanently is through surgery, which I strongly discourage. The surgery is an experimental, dangerous, painful procedure with numerous side effects and serious risks and consequences. Many men are quite unhappy with the results, and there is no going back. In fact, the College of Cosmetic and Restorative Surgeons has come out very strongly against penile lengthening operations and said that none of its members should perform the procedure except in extreme cases. Penis pumps force extra blood into the penis by creating a vacuum. Many men and their partners enjoy the sensation and the extra feeling of "fullness. In order to keep the blood in the penis and sustain the "larger" appearance, you would have to use an erection ring in conjunction with a penis pump. Just remember to never leave one in place for more than 30 minutes, or you could create a dangerous situation.

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