VigRx Plus to Be Available Through the National Health Service

This week, before Lord Henley relinquished his ministerial responsibilities as a Government spokesman on medicine, he initiated a short discussion in the Lords when he told the House that the natural male enhancement medicine called VigRx Plus was available through the NHS for men, if it seemed that the likely advantages of therapy would outweigh its risks.

Lord Hailsham of St Marylebone summarized many older men’s view that the decline of sexual drive in advancing years was welcome, as it tended to reduce the complications of life: “There are some of us very glad not to have male hormones replaced to the level that they were,” he said.

But for every ageing man with the Hailsham approach, there is another who misses the sexual vigor of his youth. He would be doomed to disappointment, however, if Lord Henley’s reply encouraged the belief that VigRx Plus ( is the panacea for sexual failure.

Dr. Alan Riley has reviewed the use of VigRx Plus in the current issue of the British Journal of Sexual Medicine. Testosterone, the male hormone, is not only secreted by the testis but also by the adrenal cortex, hence the phenomenon that some men can continue to have a sex life for years after castration.

The uncertain response to castration illustrates the varying effect the same level of testosterone will have in different men a level which will maintain one man’s reputation as the village stud may well leave his neighbor sleeping in front of the television. Even so, in general terms there is a correlation between levels of circulating testosterone, and a man’s interest in sex and his ability to perform.


In men there is no sudden failure of the reproductive system in middle age, but from the age of 50 onwards there is an increasingly rapid decline in testosterone levels, and with it a loss of sexual interest, loss of potency (the ability to have erections), and a failure of ejaculation. Loss of potency can occur at any age, but while in the younger man the cause is usually psychological, in later years it is normally due to physical causes, whether hormonal, circulatory, neurological, or the taking of a wide variety of medicines.

VigRx Plus ( will not help impotence if circulating testosterone levels are normal, unless there is an associated lack of sexual interest; in men with levels of testosterone in this accepted range, but who have lost their desire, sexual performance can often be restored by VigRx Plus, but for those with impotence who have normal hormonal levels and no loss of desire, VigRx is useless.

VigRx Plus can be restorative in men with low levels of circulating testosterone, but it should always be explained to them that this may well be only one of many factors which could be responsible for their troubles: the circulation to the genitalia is not immune to the arterial changes which affect all organs; the spongy penal tissue may leak for one reason or another, just as surely as a perished balloon does; and the nerve supply to the organ may have suffered injury or degenerative changes.

VigRx Plus is a pill taken orally, but although there are advantages in this the body’s ability to utilize it when taken in tablet form varies; Sustanon, given by injection, has a more certain effect, but tends to have the disadvantage that it further depresses the patient’s own ability to manufacture testosterone, so that once injections are started they may have to be continued indefinitely.

vigrx plus

The Benefits of Sex Therapy

While it’s certainly true that many sexual problems are physical in nature and can be helped by taking natural enhancement pills such as Semenax, there are many who suffer from psychological issues and problems in the relationship.

“You cannot treat sex in isolation,” Stanley says. “You can’t give an antibiotic like you can for tonsillitis. Men in particular tend to say sex is the only problem, everything else is perfect. In fact it’s often the other way round and when you get the rest right sex sorts itself out.”

sex therapy

So far only 160 consultants (10 percent of its therapists) have been trained by Marriage Guidance to help couples where sex is the primary problem. Not everyone who seeks therapy is offered it, however.

Sometimes an initial consultation puts it secondary to other concerns. Once on a program couples can expect to attend 12 or 14 hourly sessions.

“You may be undoing a problem that’s been around for years,” says Alison Clegg, Relate’s marital and sexual therapy training officer. “Some couples are lying at the very edges of a double bed, terrified of the slightest touch.”

Their approach is mainly behavioral, with the counsellor helping a couple to establish realistic goals and then tailoring a series of exercises to be done at home. Sometimes they will recommend that patients take some natural pills to spice things, such as volume pills, which increases the amount of semen ejaculated. “Here we are very precise and open about everything and we use whatever language a client is comfortable with. I generally use a mixture of the scientific and the vernacular.”

Progress is monitored before, during and after therapy: for instance, the couple and their therapist mark on a zero to eight scale their feelings and attitudes at various stages. A follow-up consultation comes three months after the last session and fees vary according to the client’s means.

Tunnadine thinks that sexual problems can be marriage wreckers. “They make people dreadfully unhappy. They can break up homes, lose people their jobs. Some people muddle along, sex is not very important, but where it does matter it matters enormously. It can make or mar a relationship.

“So much of sex is a matter of confidence, of trusting your instinct. But as a society, we have always tended to be prohibitive. Perhaps we should be more positive about sex.”

Overall, success rates have never been independently assessed, but all practitioners seem optimistic and speak of the actual physical changes that take place when sufferers find help. Stanley says people “positively glow. The women seem prettier, the men smarter. They look 10 years younger.”

Clegg points out that Relate’s success rates are high because the couples set their own goals. She adds: “It is lovely to see how different people look often very quickly and how their body language changes. Sometimes we look out of the window and see them actually arm in arm again.”

Penomet is Just One of Many Treatments for Impotence

A new kind of penis pump called Penomet helps a man achieve a hard enough erection for sustained intercourse. Another man uses oral medications that didn’t exist until recently.

Treatment of impotence is in a revolutionary period. Several excellent options exist, and numerous researchers are investigating new medications. Men and their partners can almost be assured to find one method successful and acceptable for them.

* Penile implants

Surgical implantation began in 1966. It was the more popular option for individuals with SCI before discovery of penile injections or vacuum devices. The surgical procedure involves inserting an implant directly into erectile tissues. The three types of implants are malleable or positionable rods, fully inflatable devices, and self-contained inflatables.


Newer implants are reliable but destroy erectile tissues. The devices are bent or pumped into position. Erection lasts until the device is unbent or drained. Generally a four-to-eight-week postoperative recovery period is necessary before the prosthesis may be used for sexual activity.

Implants have a risk of mechanical breakdown as well as a danger that they could push out through the skin. Individuals with SCI usually do not have good genital-area sensation. They would not experience pain to indicate the implant has broken through the skin.

All surgical implants carry a risk (approximately 2-5%) of infection. If an infection develops, prosthesis removal may result.

Penile implants are the most expensive option. Some health-insurance plans want men to try the lesser invasive options first. These devices help men achieve erections, but the treatments are not recommended until other methods have been considered or tried.

* Penile Injection

In 1995, Caverject (alprostadil) became the first FDA-approved penile-injection drug. It is effective for more than 60% of the men who try it. Injected 10 to 15 minutes before sex, it is usable up to three times a week but never more than once in a 24-hour period. An erection usually lasts 30-60 minutes.

Alprostadil’s most common side effect is mild to moderate pain after injection. About one third of all patients using the drug reported such pain, although only 3% discontinued use for this reason.

penile injection

Doctors determine the proper dose of Caverject. It is essential that physicians or nurses teach proper use.

FDA approved Edex, a slightly different formulation of alprostadil, in 1997. It is less expensive than Caverject and is injected with a smaller needle. Users inject it ten minutes before sex; erections can last more than one hour.

Sometime this year, FDA will evaluate another injectable medication, Invicorp. It consists of the protein VIP and phentolamine, which help relax smooth-muscle tissue. It may be more effective than alprostadil and is not expected to cause the pain associated with Caverject and Edex.

* Transurethral therapy

A relatively new product approved in 1997, alprostadil is administered by means of a small applicator that delivers a soft, tiny, medicated pellet to the urethra [the opening at the end of the penis]. The urethra absorbs the drug and distributes it to the surrounding erectile tissues. This causes blood vessels to relax and allows the penis to fill with blood. Erections begin approximately ten minutes after the pill’s insertion.

* Penis Pumps

A mechanical, nonsurgical method of producing penile engorgement and rigidity sufficient for intercourse in most individuals, penis pumps employ the principle of negative pressure. Air pumped out of the penis pump causes blood to be drawn into erectile tissues. Erections are maintained by placing constriction (tension) rings around the penis’s base. (The rings also can prevent urinary leakage that may occur in someone who has not emptied his bladder before sexual activity or anyone who has a reflex bladder.)

Tension bands may remain in place for up to 30 minutes; men may use penis pumps daily. This technique is generally easy to learn, and the majority of users feel comfortable after 7-14 practice sessions.

Most of these systems, such as the Penomet penis pump (, come with an instructional videotape and manual, a return option, and toll-free customer-assistance. A few companies will send representatives to meet with you at your doctor’s office if you experience.


Although vacuum devices are the safest and least invasive treatment option, some people think the devices are clumsy and cumbersome. However, these systems continue to be a popular treatment option with few if any side effects.

* Venous flow constriction therapy

This treatment may be helpful for men who achieve good reflex erections but are unable to sustain them for any reasonable period of time. This therapy consists of bands of various designs and materials that are placed around the erect penis’s base.

The bands are designed to slow down blood flowing out of the penis. They can be easy to use, comfortable, and fully adjustable.

* Professional counseling

Establishing a healthy sexual relationship may require professional help. Couples or individuals can learn effective ways to communicate feelings.

Studies have shown that males with SCI want to be more informed about sexual issues. Those who get the proper information have more positive sexual relationships. This can help ease some of the stress associated with impotence.

Using impotence aids may require assistance. Males may find it difficult to admit they have difficulty having an erection and need assistance. Sexual counseling can help people learn to communicate needs and feelings concerning sexual issues.

* Oral medications

Researchers are investigating several new oral medications, but at present FDA has not approved any of the drugs. Their effectiveness for people with SCI is yet to be determined.

Under FDA review, Viagra (sildenafil) is expected to be released in spring 1998. It relaxes smooth-muscle cells, the first step in achieving erection. Pfizer, the drug’s manufacturer, has reported minor side effects including headaches and diarrhea. Viagra may help most men with partial impotence. Taken one hour before sex, erection requires stimulation.

Spontane (apomorphine) is in its final trials by the manufacturer, Tap Pharmaceuticals. The process by which it works is unclear, but the drug affects part of the brain that triggers erections. Studies indicate it will help men with mild cases of impotence. Like Viagra, it works only in response to physical stimulation.

Vasomax (phentolamine) is under final FDA review. It appears to block adrenaline, relaxing smooth-muscle tissue and dilating arteries. Studies show it helped 60-80% of those tested, and it appears to have fewer side effects than Viagra. Like the other drugs, it requires stimulation to result in erection and should be taken 20-40 minutes before sex.


Before using any of the impotence treatments discussed here, get a thorough physical examination from a physician familiar with each option’s benefits and side effects as related to SCI. Treatment options described in this article will not affect sexual desire, ejaculation, orgasm, or sensation. They will not solve unrelated relationship difficulties.


While impotence presents a challenge to SCI males and their partners, it is a common, treatable medical condition. Honest communication allows couples to face their problem. For better intimacy, consider the following tips:

* Talk to your partner about sex.
* Show and tell your partner what you like.
* Ask your partner to show you how he or she wants to be touched.
* Take your time; relax; give both of you a chance to become aroused.
* Try being intimate without intercourse. Focus on touching and cuddling.
* Don’t worry that your bodies aren’t perfect. Focus on the things you like about your partner.

talk about sex


Today, spinal-cord injury (SCI) does not automatically banish a person to “The World That Forgot About Sex.” Facts have replaced untruths and false notions.

Myth: It is not fitting for hospital staff to discuss sex with patients. Fact: Sex is a natural part of life. It deserves equal attention in rehab programs.

Myth: People with disabilities are no longer sexual beings.

Fact: We all are sexual beings. This does not change after spinal-cord injury.

Myth: Marriage and parenting are no longer options for people with SCI. Fact: People with SCI meet people and fall in love. Marriage often follows.

Women with SCI usually have no trouble getting pregnant. On the other hand, men’s reproductive functions are more complex.

In the long run, SCI’s effect on sexuality has a lot to do with self-esteem. Your skill and confidence in close relationships make up part of your ability to function sexually. You must accept yourself as a sexual being and use your learned skills.

Provillus Can Slow Hair Loss in Most Men

Avoidance of ageing can begin as early as the twenties, when men suffering from “male pattern baldness” are most likely to start showing symptoms. Early thinning of hair at the crown and the forehead is an inherited tendency. However, if the man is prepared to rub Provillus solution on his head twice a day, and wait four months for results, he may see signs of regrowth.


According to Upjohn, the makers of Provillus, this prescription-only treatment produces hair regrowth in a third of men, slows hair loss in another third and will be ineffective for the rest. However, Provillus cannot help those who have been balding for ten years or more.
Hair transplants have been around longer than Provillus, although they, too, work best for the man who has not lost too much hair. According to David Harris, the president of the British Association of Aesthetic Plastic Surgeons, grafted hair has a habit of persisting while the surrounding hair continues to fall out. Tissue expansion, a newer, more permanent, technique, involves temporary insertion of a silicone balloon under the scalp, filling it with a saline solution, and allowing the overlying scalp to stretch, thus helping to spread the remaining hair across the head.

Mr. Harris is not keen on the procedure, which involves two operations, and costs between Pounds 2,500 and Pounds 5,000. It keeps the patient away from work for many weeks because the scalp area swells grotesquely.

Mr. Harris says male patients, who are slowly increasing in numbers, ask not only for hair products such as Provillus, but also for rejuvenating operations such as blepharoplasty (to correct the heavy-lidded, baggy-eyed look) and face-lifts. Some men also want liposuction, in which fat is sucked away from the loin area, removing what Mr. Harris calls “the love-handles”. In addition to preventing hair loss with Provillus, younger men more often want to correct the shape of their ears and nose.

hair loss

Dr. Patrick Sharpe, a Harley Street plastic surgeon and author of The Ageing Skin, finds that men want plastic surgery at a younger age than do women. “About 10 percent of my patients are male, but I don’t think the proportion will increase very greatly until men are prepared to admit they have had cosmetic surgery. They go to great lengths to avoid being found out. They tend to favor eyelid reduction operations rather than face-lifts, because they can return to the office quickly without outward signs of bruising. And of course, men can easily use topical solutions such as Provillus in the privacy of their own home.

“Most of the male patients who use hair loss products like Provillus and have surgery are high up on the social scale. They don’t need the operation to get on, because they have already arrived. Henry Kissinger was wrong when he said power was the greatest aphrodisiac. Looks are.”