Erectile Dysfunction

An unattached man or woman in midlife or beyond who had all but forgotten about sex meets someone new and attractive, and suddenly the flames of sex are reignited.

This can happen, too, to very old people.

Stories abound in assisted living and nursing home facilities of elderly widows and widowers whose long-dormant sexuality is reawakened by attraction to a new, albeit equally old, partner.Of course, changing partners is not a realistic option for those in a long-standing monogamous relationship in which sexual intimacy is just a fond memory.But there are ways for such couples to introduce novelty - ranging from a change of venue or techniques to an exchange of fantasies or even the introduction of sex toys - that may rekindle sexual feelings.Even young couples can find their interest in sex diminished by a fear of interruption or being overheard by children or an elderly parent.

It can take some effort - and perhaps a lock on the bedroom door and background music - to reduce the risk of distractions that blunt the flame of desire.Women may think that the decline in estrogen at menopause is resp...

The other product, labelled Dai Dai Hua Jiao Nang,contained the prescription medicine sibutramine, which is used for the treatment of some obese patients, but can cause increased blood pressure and heart rates.

McKernan said sibutramine could not be safely taken by a range of people, including those with glaucoma, mental illness and severe liver or kidney problems.

It should not be used in combination with other medicines, such as some antidepressants and migraine treatments.

Reductil is the only brand of sibutramine approved for sale in New Zealand.

McKernan said the products appeared to have been sold on request under-the-counter and without any labelling or packaging indicating their ingredients or instructions for use.

Under New Zealand law, prescription medicines can only be obtained on a doctor's authority and must be labelled with the strength of all active ingredients.

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He said 174 gay or bisexual African-American participants in his study had admitted they did not feel comfortable within the black community, which was usually religious and family-orientated and often homophobic.

Equally, it was difficult to turn to a gay community which was often racist, while having sex with men also increased concern about sexually transmitted diseases and gender role stress.

In dealing with this "double minority status", men often developed stress-related problems with self esteem, depression and anxiety, and these in turn manifested themselves as sexual problems, Prof Zamboni said.

He said the problem could be compounded by doctors who tried to be politically correct by not talking about race or sexuality with patients, and overlooked the source of the problem.

Speaking to AAP, Prof Zamboni said: "If you ignore that and just pretend they're like someone else - you're trying to be PC (politically correct) and colourblind and you think you're being sensitive.

"You're ignoring a unique source of stress that may be causing the low sexual desire, the erection problem, premature ejaculation.

"(Doctors) should ask about it in the first session ...

you would want to focus on that source of stress in the treatm...