The Ultimate Guide to Male Sexual Health Read online

  Praise for The Ultimate Guide to Male Sexual Health

  “Finally, an easy and practical approach to male sexuality. The Ultimate Guide to Male Sexual Health is the book that every man (and woman) will go to when questions arise about the performer and the act of the performance.”

  — David Y. Josephson, MD, Program Director, Urologic Oncology and Robotic Surgery Fellowship, City of Hope National Medical Center

  “Dr. Danoff, a world-class urologist, has written a world-class book that should be read by every man and woman who enjoys sex.”

  — Wolfgang Puck, restaurateur and world-famous chef, Spago

  “A great book. The Ultimate Guide to Male Sexual Health is a must-read for all men and women who love sex!”

  — Mancow Muller, host, Mancow Experience, WABC Talk Radio

  “Dr. Danoff brings forward his deep knowledge and experience as a leading urologist in an educational and entertaining book that should address every question that most men utter only inside the confines of their doctors’ exam rooms. I should tell you that their wives and girlfriends ask me the same questions, and this book is a great resource for them as well.”

  — Sharron L. Mee, MD, female urologist

  “A must-read for all men who care about their physical and sexual health.”

  — Joe Weider, world-famous bodybuilder, fitness guru, and publisher of Men’s Fitness

  “A stimulating and educational medical guide that will renew men’s lives in the bedroom and keep them out of the operating room.”

  — Stuart Holden, MD, Medical Director, Prostate Cancer Foundation

  “Insightful, educational, and liberating—this book is going to help a lot of people.”

  — Bill Paxton

  “Simply the most empowering book of the millennium—a mastery of storytelling.”

  — Christopher S. Ng, MD, Chief, Division of Urology, Cedars-Sinai Medical Center

  “At last it is great to see a volume that produces such a constant flow of information. The information fills nearly every void on the subject and finally exposes the long and short of it.”

  — Johnny Mathis

  “One of the best books I have ever read on male sexual health; extremely well written, easy to understand, informative, and lighthearted.”

  — George DeJohn, host, Train Station Fitness Show, SportsRadio, and creator, 21 Day Body Makeover

  “Where was this book when I was growing up? I could have been Superman instead of Caspar Milquetoast!”

  — Terence Kingsley-Smith, writer

  “The Ultimate Guide to Male Sexual Health is definitely original. It’s also clever, informative, and entertaining.”

  — Ron Clark, playwright

  “A book loaded with wisdom and wit, masterfully written by Dr. Dudley Seth Danoff. I recommend this book highly as a happy Dr. Danoff patient. For over thirty-five years, he has kept my ‘below the belt’ confidence high and my PSA low.”

  — Jerry Mayer, playwright and television writer and producer

  The Ultimate Guide to Male Sexual Health

  Also by the author

  Superpotency: How to Get It, Use It, and Maintain It for a Lifetime

  20827 N.W. Cornell Road, Suite 500

  Hillsboro, Oregon 97124-9808

  503-531-8700 / 503-531-8773 fax

  www.beyondword.com

  Copyright © 2015 by Dudley Seth Danoff, MD

  Previously published under the ISBN 978-0-98319-988-5

  All rights reserved, including the right to reproduce this book or portions thereof in any form whatsoever without the prior written permission of Beyond Words Publishing, Inc., except where permitted by law.

  First Beyond Words trade paperback edition August 2017

  Beyond Words Publishing is an imprint of Simon & Schuster, Inc., and the Beyond Words logo is a registered trademark of Beyond Words Publishing, Inc.

  For information about special discounts for bulk purchases, please contact Beyond Words Special Sales at 503-531-8700, or [email protected].

  Manufactured in the United States of America

  10 9 8 7 6 5 4 3 2 1

  Library of Congress Control Number: 2017937560

  ISBN: 978-1-58270-659-7

  The corporate mission of Beyond Words Publishing, Inc.: Inspire to Integrity

  Medical Disclaimer

  The information contained in this book is intended for educational purposes only and is not intended for the treatment or prevention of disease or as a substitute for medical treatment or as an alternative to medical advice. Should you have any healthcare-related questions or concerns, please contact your physician or other qualified healthcare provider promptly.

  Every attempt has been made to present accurate and timely information. The author and publisher assume neither liability nor responsibility to any person or entity with respect to any direct or indirect loss or damage caused, or alleged to be caused, by the information contained herein, or for errors, omissions, inaccuracies, or any other inconsistency within these pages, or for unintentional slights against people or organizations. The author and publisher are not associated with any manufacturers of the products mentioned and are not guaranteeing the safety of these products.

  While the publisher and author have used their best efforts in preparing this book, they make no representations or warranties with respect to the accuracy or completeness of the contents of this book and specifically disclaim any implied warranties for a particular purpose. The advice and strategies contained herein may not be suitable for your situation. You should consult with a professional where appropriate. Neither the publisher nor the author shall be liable for any loss of profit or any other commercial damages, including but not limited to special, incidental, consequential, or other damages. The information in this reference is not intended to substitute for expert medical advice or treatment. It is designed to help you make informed choices. Because each individual is unique, a physician or other qualified healthcare provider must diagnose conditions and supervise treatments for each individual health problem. If an individual is under the care of a doctor or other qualified healthcare practitioner or provider and receives advice contrary to information provided in this reference, the doctor or other qualified healthcare practitioner’s advice should be followed, as it is based on the unique characteristics of that individual.

  To my father—a man of true penis power—often wrong but never in doubt

  Contents

  Preface to the Second Edition

  Part 1 Everything You Need to Know about the Penis

  Chapter 1: Maximizing Your Penis Power

  Men Are Penis Oriented

  We Are Tragically Ill Informed about the Penis

  An Epidemic of Penis Weakness

  Why Are We Having This Epidemic Now?

  A Wake-Up Call

  The Secret of Penis Power

  Chapter 2: The Truth about Penis Size

  Looks Are Not Everything

  One Size Fits All

  Your Penis Is Not Too Small

  Penis Power Is Not Related to Penis Size

  You Are as Big as You Think You Are

  The Big Myth: Penile Enhancement, Phalloplasty, and Penile Enlargement

  Chapter 3: Erection and Ejaculation

  Erections: Whatever Turns You On

  Tumescence: Stand Up and Be Counted

  Orgasms: Come Again?

  Semen: From Whence It Comes

  The Point of No Return

  The Refractory Period: I Want to Be Alone

  Chapter 4: Medical Conditions That Affect Penis Power

  Impotence: “My Friend Has
This Problem . . .”

  The Nerve of It: Neurological Disorders

  When It Cannot Go with the Flow: Vascular Disorders

  A Little Prick for a Big Reward: Injectable Drugs

  When Something Is Not Quite Right: Hormonal Disorders

  Steroids: Big Biceps and Tiny Testes

  Do Not Be Sicker Than You Really Are

  Prescription Medications: Is the Pharmacist Really Your Enemy?

  It’s Not All Fun and Games: Recreational Drugs

  Premature Ejaculation

  If You Need Help, Come and Get It

  Off the Record

  A History of Treating PE

  Chapter 5: Prostatic and Other Urologic Diseases

  BPH: Don’t Panic!

  Alternatives to a Prostatectomy

  Turn Up the Heat: TUMT

  Call the Roto-Rooter Man

  Prostate Cancer

  Testicular Cancer

  Kidney Transplants

  The Good News

  Chapter 6: Blue Pills and Other Medical Cures for Erectile Dysfunction

  Blue Magic: The Saga of “the Pills” for Men

  It’s Not Candy

  Use with Caution

  You Are Not Alone

  Do Not Let the Hype Fool You

  From Pills to Pellets: The Muse System

  Shooting It Up: Injectable Medication

  Surgical Procedures

  Pump It Up: Implants

  For the Right Reasons

  For the Wrong Reasons

  Mechanical Devices

  Aphrodisiacs and Other Substances

  Chapter 7: Performance Anxiety: When It’s All in Your Head

  Accentuate the Positive

  Even the Strong Are Let Down Sometimes

  Lighten Up, Dude

  Don’t Worry, Be Superpotent

  Depression Depresses the Penis

  Mind Games

  Fears

  Chapter 8: Extenuating Circumstances: When Sex Becomes a Chore

  The Hard Dick Syndrome

  Hard on Demand

  Be Careful!

  “Blow” Is Not an Accurate Description

  A Time and Place for Everything

  The Sweet Smell of Success

  The Most Unpleasant Aspect of Sex

  Intimate Intimidation

  When the Problem Is in Your Heart

  Chapter 9: As Old as You Feel: The Life Story of the Penis

  Penis Passages

  The Early Years

  Is It Ageless?

  When the Going Gets Tough: Male Menopause and TRT

  Who Needs Testosterone Replacement?

  The Risks of TRT: Good News, but at a Price

  Young at Heart, Young in Person

  Andropause versus Menopause

  Penis Posterity

  Sex in the New Millennium

  Chapter 10: Sexually Transmitted Diseases

  Chlamydia: Silent but Troublesome

  Gonorrhea: This Clap Is Not a Cheer

  Syphilis: Next to AIDS, the Worst of All

  Genital Herpes: Not the Scourge of the Twenty-First Century

  Be Alert—It’s Everywhere and It’s Elusive

  AIDS: The Scourge of the Twenty-First Century

  Chapter 11: What Women Need to Know

  Ladies and Gentlemen: It Begins with Communication

  Women’s Top Ten Complaints

  Penis-Oriented Women Have More Fun

  Chapter 12: Penis FAQs

  Part 2 Becoming a Superpotent Man

  Chapter 13: What’s Your Penis Personality?

  Positive Penis Personalities

  Negative Penis Personalities

  Chapter 14: What Is a Superpotent Man?

  Discovering Penis Power

  The Character of the Superpotent Man

  The Superpotent Man and Sex

  Penis Power Is Defined by Who You Are and How You Control Your Life

  Chapter 15: How to Become a Superpotent Man

  Educate Yourself

  Good Health Equals Good Penis Power

  Penis Power Exercises

  Maybe Elvis Was on to Something: Pelvic Control

  The Harder They Come: Controlling Your Timing

  The “Taint” Exercises

  Techniques for Delaying Ejaculation

  Eliminate Negativity and Self-Doubt

  Do Not View Sex as a Performance

  Make Friends with Your Penis

  A Final Word to Women

  A Final Word to Men

  Acknowledgments

  Notes

  Index

  About the Author

  Preface to the Second Edition

  The seed for the creation of this book was planted in 1993 when a favorite patient of mine arrived at my office and not only suggested I write a populist book about male sexual health but held up a three-by-five card with his recommended title: Penis Power. This was years before the Internet, before Howard Stern, before the often-mocked ad tag line, “If your erection lasts longer than four hours, call your doctor.” (Heck, if my erection lasted longer than four hours, I would call everyone I know!)

  At that time, to have the word penis on the cover of a mainstream men’s health book written by an Ivy League–educated, board-certified urologic surgeon just did not fly. The publisher of my first book (1993) insisted that the title be changed to Superpotency, which I thought was weak at best. I pleaded in vain. I pointed out that the word penis is not pejorative. It accurately describes a body part, and that word is to the urologist what the word heart is to the cardiologist. I shouted, “Get over it!” to no avail.

  Did our puritanical forefathers instill a debilitating and often paralyzing sense of modesty in many of us? What makes so many of us giggle or blush when the word penis is written or spoken? There is no logic connected to this bold fact, and that has propelled me as a writer, lecturer, and teacher for the past twenty-five years to get the penis out of the closet and into the mainstream. In many ways, I have succeeded.

  I have been a practicing urologic surgeon for more than forty years, and my professional goal has been to cure what I call penis weakness. I had observed that a disturbingly large number of men around the world were afflicted. It struck me that as much as the stigma of penis weakness was plaguing men in modern times, it had probably been plaguing men throughout all of history, and I began to speak out and write about the principal characteristics of this pandemic. I discovered that the vast majority of males have suffered from physical or psychological penis weakness (or both) at some point in their lives.

  In most cases, the debilitating effects are compounded by a lack of knowledge by both men and women. Men who have suffered from the self-doubt and anxiety caused by penis weakness have done so with shockingly little support from the medical community.

  Since those early observations, I have written extensively about how to overcome the medical and psychological factors that lead to penis weakness. My work has been read by men and women, straight couples, gay couples, and everyone in between. The overwhelming response was that the information contained in my books was vital and generated a sense of sexual enlightenment. Those individual couples who used the knowledge they gleaned from my writing developed the skills and the confidence to address the problems surrounding male genital health and sexual potency. The important information about the male sexual health that I set out to share had become the cornerstone for a new phase of the sexual revolution.

  Fast forward to 2017.

  With the commercial success of major pharmaceutical drugs designed to aid erectile dysfunction and their international advertising campaigns, some of the significant issues in male genital health have become part of the general social consciousness. Still, penis weakness is rampant around the world. As a physician and a husband, I am saddened to see how many men and their partners deprive themselves of the complete sexual satisfaction and enjoyment they deserve. Insecurity and uncertainty about sexual performance are the top probl
ems for my patients, most of whom are uninformed about the nature of their penises and their bodies in general. They are also frighteningly misinformed about the medical resources available today.

  In my professional lifetime, I have seen more than two hundred thousand patient penises. While each is unique, all are also remarkably alike anatomically. More important, there is enormous variation in how each functions in its sexual capacity. The differences in functional ability and capacity have little to do with the anatomy of a particular penis or even with a man’s physical size, looks, or level of success. Mainly, they have to do with how men perceive their own penises. Every man must not only learn the penis’s biological functions but understand that it is much more than the condition of its blood vessels and nerves—it is an organ of expression.

  Penis power is a transformative concept based on positive thinking. Applying the power of positive thought to your penis can change your entire life. Your penis is what you think it is.

  This is the basic message of The Ultimate Guide to Male Sexual Health. Although one of my objectives is to educate the public, this is not a medical textbook. Nothing in these pages is overly technical. And this is not a psychology book. Plenty of writers have given us treatises on the treatment of sexual dysfunction. My purpose is more practical. I am concerned with average men, men who are misinformed or confused about their penises, and extraordinary men who think they know everything but still have a lot to learn. This book is concerned with the attitudes and beliefs of men as sexual beings and the direct relationship between their personal attitudes and their penis attitudes.

  Although The Ultimate Guide to Male Sexual Health is not a sexual manual either, you will find many practical tips, including exercises and lifestyle changes for improving penis power, sexual control, and confidence, and instructions on how to achieve a healthy, happy, and active sex life.

  I want all my readers to become penis experts—to know about how the male genital system works, how and why it does not work, and how to get it to work again for as long as possible. Ultimately, I want every man to understand that no matter what his personal problems may be, as long as he makes the effort to learn how to fully express his sexual potential, he will overcome physical and psychological barriers. He will become a superpotent man, a man with penis power.