Category

sexual health

Adult Circumcision

You’ve lived this long, you’ve come this far, why now? Why get circumcised as an adult?

Some men come into our clinic to discuss circumcision based on the religious or cultural beliefs. Others prefer the cosmetic appeal of a circumcised penis. While both of these are great reasons to go through with the simple procedure, many men ask (in fact, it’s a widely held debate) if there are any health benefits to a circumcision. The long and the short of it is, yes. Simply put, one of the most common reasons for an adult circumcision is Phimosis, a condition in which the foreskin is so tight that if left untreated, it can cause hygiene problems, pain during urination, and can contribute to painful erections. Also, by removing the foreskin that covers the head of the penis, a man’s potential for contracting potential infections or diseases are significantly reduced.

Ultimately, the choice is deeply personal. However, if you are interested in understanding what the potential benefits are to a little snip, here are 5 health-related benefits to circumcision:

 

 

  1. Foreskin can trap bacteria and other infectious agents. By removing the foreskin, your overall genital hygiene will be improved, thus reducing the risk of balanitis (an inflammation of the glans penis) and other infections.
  2. Statistically, uncircumcised men have a higher incidence of prostate cancer.
  3. Studies have shown a significant reduction in the risk of invasive penile cancer.
  4. Adult or infant, circumcision reduces the risk of urinary tract and bladder infections.
  5. The human papillomavirus (HPV) can adhere to foreskin. Although men are usually only carriers, and therefore can transmit HPV to their female partners, it’s important to note that circumcision reduces the risk of cervical cancer in a female partner by 5.6 times. That’s kind of major.

There are a few other major benefits, such as reduced risk of phimosis, and reduced risk of HIV/AIDS (the HIV virus enters through the inner lining of the foreskin which is thin and vulnerable).

At Elna Sexual Wellness we employ both the standard technique as well as the Pollock Technique according to each unique situation. The Pollock Technique takes under 10 minutes and requires only a local anesthetic along with some skin glue (instead of sutures, which significantly improves cosmetic outcomes). We are diligent about follow-ups to ensure that all is healing properly, and are committed to making our patients feel safe and at ease about the procedure.

With only 2-3 days of downtime and about 6 weeks of healing time before engaging in sexual activity, it’ll almost look and feel like nothing ever happened!

If you are curious about circumcision, call or email for an info session. Our experts will answers any of your questions and provide you with the answers you need to make an informed decision.

Dr. Steinberg

The P-Shot

The P-Shot was created by Dr. Charles Runels to help men who suffer from erectile dysfunction get that so-desired pep back into their step. Named after the Greek God of Virility, the Priapus Shot, aka the P-Shot, delivers approximately seven different growth factors into the penis to stimulate the regeneration of new cells, collagen and blood vessels so as to rejuvenate tissue so that a firm and sustained erection can occur.

Unlike our gargantuan-endowed friend Priapus, the P-Shot will not deliver an oversized and permanent erection, but rather will increase blood flow to the penis allowing for spontaneous arousal and desired sexual response. You know what that means? A healthy sexual lifestyle might be in your future!

How does this magical P-Shot work? Good question. It’s simple.

The P-Shot is an experimental procedure that uses platelet-rich plasma (PRP), which basically means that your own blood is reinjected into your body to attract reparative stem cells that immediately work to restore penile muscle and tissue. Let’s rewind a step.

The Process:

The P-Shot process involves a quick withdrawal of blood from the patient’s arm. Your blood is then transferred to a centrifuge where it spins for about 10 minutes. This process separates the platelet-rich plasma from the platelet-poor plasma. Re-injecting the PRP into the penis, blood flow is stimulated and ready for action.

By harvesting your own plasma-enriched growth factors and injected them back into your blood supply, the P-Shot is essentially a natural treatment, and because it’s natural, the procedure does not present any side effects.

The benefits of PRP Therapy can include:

  • Erections achieved and maintained during intercourse
  • Increased sensation and pleasure
  • Improved self-confidence
  • Restored intimacy in relationships
  • Spontaneous response to sexual desire

The benefits of the P-Shot have been known to last for up to a year. While the P-Shot is a relatively new procedure and is still considered experimental, it is of note that men who suffer from erectile dysfunction have seen improvements. Whether it’s a placebo effect or a direct effect from the treatment… well, let’s just put it this way, it’s definitely worth a (P-)shot to find out!

Dr. Steinberg

Where’s your Mojo

There is no magical equation on how to derive at what is too high a sex drive and what is too low a sex drive. When it comes to understanding your sexual desire, it’s all about the subjective experience. Knowing what feels “normal” for you and feeling out your own personal fluctuations. If you’re in a relationship, you might use your partner’s libido as a barometer to measure the highs and lows you feel, or you might be in touch with your peaks synching up with certain times of the month, for example. Either way, it’s important to keep in mind that both women and men can experience fluctuations in sexual desire; some of that can be attributed to biological factors like hormone shifts, while some of those rises and falls can coincide with emotional or psychological changes in your life.

Let’s think about what a libido is and where it is located.

Historically speaking, the libido used to be exclusively associated with the sex drive. While this is partially true in today’s world, there are now many other factors that come into play when trying to locate the libido. In terms of psychoanalysis, Sigmund Freud defined the libido as the energy created by the survival and sexual instincts. Not located in one particular area (although it is most likely located in the brain, as Freud believed it was part of the unconscious), the libido is the driving force of all sexual behavior. The libido is the source of our wants and urges, as well as the epicentre of all pleasure-seeking impulses.

Departing from our psychoanalytic father, the libido has taken on new meaning as more well-rounded research has been done in the past century. We now understand the sex drive to have more than just conscious and unconscious motivations and desires. One’s interest in sex is a combination of factors from, as mentioned earlier, biological, psychological, physiological, emotional, and social. Not to mention that other factors can play a role: illness, medication, say nutrition, and other lifestyle habits. Everything affects everything and back around again.

 

Symptoms of low sex drive aren’t as straightforward as you may think. No interest in any type of sexual activity is one major symptom, however it is not the only symptom as a low libido extends to sexual fantasies and thoughts as well. Having too high a sex drive can also be an issue for some, especially if it is getting in the way of your work, ability to focus, or daily activity, or, if you are in a relationship and your partner’s sex drive does not match your own.

Think about your libido. Have questions? Want to talk it out? Call or email Elna Sexual Wellness and let’s get the conversation going.

Dr. Steinberg

Intercourse Shouldn’t be Painful

Although the typical female response to sexual arousal is for the vagina to produce a liquid that moistens the area, it should not be taken for granted that our bodies always do what we want them to do. When sufficient lubrication is not produced, often times, in an intimate situation, despite her state of arousal, a woman will suffer from painful intercourse (also known as dyspareunia) due to insufficient lubrication. Dyspareunia is defined as painful sexual intercourse persistent or recurrent genital pain before, during, or after intercourse.

There are a few reasons why a woman might suffer from dyspareunia. Physiologically speaking, the body naturally lubricates the vaginal area. However, decrease in estrogen, the reproductive hormone, often leads to the decrease in lubrication of the vagina. As estrogen dwindles, as it does with childbirth, breastfeeding, menopause or due to certain medical conditions/treatments, the vagina feels the effects. Dryness, laxity, and other symptoms can result in pain during or after penetration, as well as a burning, throbbing, and an itching sensation.Pleasurable sex is not a natural law that comes with the territory. Many women have to work hard for it. In fact, over 40% of women have reported that they suffer from (or have suffered from) painful intercourse. That’s 40% too many! Pain during sex is not, and should not be just par for the course. There are treatments out there to help women, physically and psychologically overcome the pain and distress that sexual intercourse is causing. Some of the options out there include: diVa Laser Treatment, the O-Shot, pelvic floor therapy, and counselling. Most often, the recommendation pairs two (or more) therapies together for optimal results.

Because the cause of dyspareunia is varied and the degree of pain falls on a spectrum (some women feel pain from inserting a tampon, while others can begin to have sexual intercourse only to run dry within a few minutes), the treatments we offer are best prescribed case-by-case.

Let’s look at diVa laser therapy and consider some of the benefits:

  • Increased lubrication and sensation during intercourse
  • Tightened vaginal canal
  • Enhances ability to reach orgasm
  • Improved control over urinary incontinence
  • Significant improvement in confidence and quality of life

Does sexual intercourse hurt? Do you feel like your body is failing you? Is it taking a toll on your overall emotional and sexual health? If you answered yes to any one of these questions, it’s time to pick up the phone or start typing that email. Yes, talking about sex can be difficult, but leave it to us professionals to make sure you feel comfortable so we can sort out whatever issue you may have… contact us and you’ll be one step closer to a healthier (and more pleasurable) sex life!

Lori.

What is Sex Therapy Anyway?

Sex therapy has been around for decades, helping women, men, and couples learn how to navigate the huge topic of sex and sexual wellness. I’ve come to understand that most people have limited knowledge about sex therapy and most of what they’ve gathered comes from movies or social media. Unlike the quasi-sex therapist from Meet the Fockers (think Barbara Streisand), sex therapy is not about touching, nudity, and tips and tricks to spice up your sex life. Sex therapy is a legitimate form of psychotherapy whereby the patient(s) seek the help of a health professional to overcome sexual problems or improve sexual feelings and resolve any intimacy issues they may have.

There are a number of reasons why one would seek the counselling of a sex therapist, and in my field, more often than not, I recommend counselling (specifically with a sex therapist) to my patients – here’s why:

As humans, we have multiple systems working in tandem at all times. To treat one aspect or one (dys)function in an isolated manner would be to disregard the human as a whole person. Sounds simple, but the interdisciplinary approach to medicine is a wave that hasn’t fully caught on worldwide, although, it is my belief that the wave is coming and it will be tidal.

We are holistic beings and I treat my patients as such. That means that if a man should come in suffering from erectile dysfunction, I might treat with Shockwave Therapy, Testosterone Replacement Therapy or the experimental P-Shot, but I will almost certainly recommend counselling as well. Whether the premature ejaculation stems from a physical issue or has a psychological origin, physical inevitably seeps into the psychological and the other way around. It’s the basic nature of a mind / body connection; it’s how each pone of us functions on a very fundamental level.

Sex therapy is a great treatment option for those suffering from a plethora of sex concerns, such as:

  • Concerns about sexual desire
  • Erectile dysfunction
  • Ejaculating early (premature ejaculation)
  • Difficulty with sexual arousal
  • Body image
  • Anxiety
  • Menopause
  • Trouble reaching orgasm (anorgasmia)
  • Painful intercourse (dyspareunia)
  • Intimacy issues related to a disability or chronic condition
  • Conflicts with partners about sexual needs, desires, frequency or specific sexual activities

Not limited to the list above, sex therapy is also a forum for people to talk openly and confidentially about any concerns or questions they may have about sex, their sexual lifestyle, and overall sexual wellbeing. You might not have an identifiable physical issue, but might still be interested in sex therapy, because here’s another thing – sex is a part of our lives and it is important that we understand what it means to us and why. There is a strong interaction between thoughts, feelings, social/cultural factors, behaviours, and biological components. By unpacking each one of these five points, a sex therapist will help you identify your values, your beliefs, and your ideas of what sex is as opposed to what you might have previously though sex should be. That is the first step toward a healthier sexual wellness.

There are many benefits to sex therapy. A few notable goals include:

  • Achieving a healthy sexual life
  • Reducing anxiety associated with sexual activity
  • Learning new skills and healthier ways of approaching sex
  • Feeling in control of one’s sexuality and regaining confidence
  • Learning concrete strategies for managing uncomfortable thoughts, emotions, and harmful behaviours that are impacting sex
  • Minimizing pain during intercourse

By understanding and dismantling old attitudes and habits that get in the way of enjoyable sex, sex therapy will help you establish new beliefs that reflect your values so that you can increase sexual arousal, feel less anxious and more comfortable about sex, and ultimately help lead a better, healthier, sexual life. If you aren’t sure sex therapy is for you, call or email to learn more. Put it to you this way, the first step is easy, all you have to do is start talking.

Dr. Steinberg

What is Anorgasmia?

how to fix dry vagina - montreal

Reaching orgasm might seem like a logical conclusion to sexual activity. However, it shouldn’t be taken for granted that an orgasm just happens. For some, waiting for that orgasm to happen feels like an impossible dream. Whether it’s lifelong, acquired or situational, if you are experiencing difficulty reaching an orgasm, your sex life can feel compromised.

More common than one might think, anorgasmia—the medical term for difficulty reaching orgasm—affects about 10-15% of women. It could feel quite frustrating if you are experiencing this sexual dysfunction, but the truth is there are a wide array of treatments available. Despair not, once you’ve seen a doctor and the cause has been established, you can be well on your way to reaching a (hopefully, mind-blowing) orgasm.

Symptoms of anorgasmia range from long delays to complete incapacity in reaching climax. If you take the time to sit back and think about what is required in order to achieve orgasm, it is actually a more challenging task than one might believe. A combination of sexual arousal, complete relaxation, ease and comfort with yourself or your partner, as well as a few other psychological or emotional factors all work in tandem to bring you to that climactic moment of your sexual activity. It is not just some stroke of luck that your body can take you to that euphoric state… it’s actually hard work for some women (and men)! It’s important to not feel ashamed or stigmatized about your body, and for most, releasing that negativity is the first step toward letting go and feeling comfortable having your body take the lead.

Maintaining your overall sexual wellness is a vital part in overcoming anorgasmia. First and foremost, getting to the root of the issue is a fundamental step that you and your doctor will work on together so as to properly assess the situation and treat it accordingly. For some, the correlation is straightforward, as anorgasmia can be linked to physical, emotional, and psychological factors, like the ones listed below:

Physical factors can include:

  • Illness (diabetes, for example)
  • Aging (low estrogen levels, loss of natural lubrication in the vagina)
  • Medical treatments (such as hysterectomy, oophorectomy, or cancer surgeries)
  • Other sexual dysfunctions (vaginal dryness, dyspareunia)
  • Alcohol abuse

Emotional / Relationship factors can include:

  • Poor communication
  • Relationship conflicts, resentment toward partner
  • Lack of connection with partner
  • Domestic violence or abuse

Psychological factors can include:

  • Stress
  • Past sexual, physical, emotional abuse
  • Negative self-image, embarrassment
  • Cultural/ religious beliefs related to sexuality
  • Mental health conditions (such as depression and anxiety)

The medical field has made great strides in coming up with effective treatments for anorgasmia. From prescription medicine to sex therapy, the range is wide and the options varied. Two treatments that we practice at Elna Sexual Wellness, the O-Shot and diVa Laser Therapy, encourage a more optimized sexual experience by stimulating tissue regeneration around the clitoral and vaginal areas, as well as provide more lubrication to the genital area, which can in turn reduce painful intercourse. Whether it’s a conversation with a counsellor or a non-invasive shot, sometimes, restoring sexual performance just requires that you to take the first step… calling your doctor. Yes, it can be that easy.

Lori

Estrogen: A 3-Part Series

Estrogen is a natural hormone produced by the body, and although it is most commonly associated with women, estrogen occurs in men as well. There are a few vital contributions that estrogen has to the healthy development of our bodies, especially when it comes to puberty and reproduction. But, there are times when our bodies may produce too much or too little estrogen; when that happens, shifts occur and a number of symptoms may arise. In this 3-part series, we will go through what estrogen is, the various under- and over-production effects of estrogen in women, and lastly, we’ll take a peek into how estrogen plays a role in a man’s overall health. In this article, you’ll get a simple overview of what estrogen’s role is in our bodies.

vaginal rejuvenation centre for Montreal women

The first thing you need to know about estrogen is that it is produced naturally in the body with fluctuating highs and lows throughout a woman’s cycle. The highest is in the middle of the menstrual cycle and the lowest during your period. As we stop ovulating, estrogen levels drop, this explains the connection between low levels of estrogen and menopause.

Known as the sex hormone, estrogen contributes to a variety of functions:

  • turns a girl into a “woman” through puberty – growth of breasts and pubic hair, and start of menstrual cycles
  • important to childbearing
  • keeps cholesterol in control
  • protects bone health (for example, osteoporosis)
  • affects your brain (mood), heart (decreased estrogen can bring on increased inflammation), skin (dry), and other tissue (vaginal walls)

Estrogen is just one of the hormones that plays a role in the normal sexual and reproductive development in women. Women with low levels of estrogen who are experiencing difficulty getting pregnant, might be put on hormone therapy which will introduce extra estrogen to the body to help simulate the hormone cycle. For women who are trying to ward off pregnancy, birth control acts as a bio-identical hormone supplement to maintain levels of estrogen (and progesterone); without a surge in estrogen, your ovaries will not release an egg.

The effects of increased or decreased estrogen levels in the body extend beyond whether our reproductive organs can successfully do their jobs or not. As our sex hormones are not solely made to reproduce, one of estrogen’s other functions is to keep the walls of the vagina lubricated with clear fluid and the lining healthy, thick, and elastic. By maintaining healthy levels of lubrication, the vagina welcomes penetration (i.e. sexual intercourse) without distress or pain. Should the levels of estrogen dip, this can impact the amount of moisture available, making sexual intercourse less enjoyable due to dryness.

Vaginal dryness is a treatable symptom of reduced estrogen levels. Also known as vaginal atrophy or GSM (Genitourinary Symptoms of Menopause), this condition can lead to distressing urinary symptoms. Vaginal estrogen cream has been the only therapy available up to recently. But now, through Vaginal laser Therapy (diVa) or the O-Shot PRP Therapy, we can restore function and appearance of the vagina both internally and externally. Your sexual desire will often return and vaginal lubrication will increase, helping you maintain healthy vaginal function and allowing sexual intercourse to be more pleasurable.

Estrogen plays a vital role in a woman’s development. As we saw, estrogen helps with the reproductive aspect of being a woman (puberty, menstrual cycles, childbearing), but it also helps with a woman’s overall health from affecting mood and behaviour to producing natural lubrication in the vagina.

There is so much to learn about estrogen, in our next blog, we’ll talk more in depth about what happens when your body produces too little or too much estrogen. We’ll take a look vaginal dryness as well as all of the treatments available.

It’s important to know your body and understand what is going on beneath the surface. It may seem like you don’t have control over the what your body naturally does on its own, but you do – and by paying close attention to your behaviour and general health, you can play an active role in tending to your happiness and overall well-being.

 

Dr. Steinberg

Elna Sexual Wellness Was Created for You

The Elna Sexual Wellness clinic was created with one vision in mind: to provide a safe space for people to restore and enhance their sexual health. What does that mean?

Sexual wellness includes a wide spectrum of topics ranging from physiological health to psychological wellness. At times an issue might take on a physiological manifestation when in fact the cause lies in an unhealthy thought process. Or, sometimes the opposite is true: the mind is stressed or anxious and so your body responds by malfunctioning. Most often, when it comes to matters of sexual health, the root of any issue is a healthy dose of both body and mind. By taking a holistic approach to our patient’s overall well-being, we are able to best assess what the core of the issue is and from there provide a better and more precise targeted treatment program.

Sexual wellness is open communication. Sexual wellness is maintaining healthy function over your body parts. Sexual wellness is understanding yourself, your limits, what feels good and right, and what feels comfortable. Sexual wellness is a vital aspect of your life.

First and foremost, establishing open and honest communication with your partner is fundamental in establishing a sexual relationship that works on a highly functional level. Before you can explore a frank dialogue with your partner about intimate matters, it is important that you take the first step in taking the conversation inward through self-exploration and self-reflection. By building a strong sense of what a healthy sex life looks like to you, you will better be able to articulate that to your partner.

Sexual wellness is open communication

Counselling is instrumental in getting the ball rolling. Whether you have an issue on your mind or if you’re curious about what is “right,” “normal,” or “common” when it comes to sex, a sex therapist can help unpack any ideas or misconceptions you might currently be holding that are hindering you from a healthy sex life. The notion that there is an established set of rules as to what is considered “normal,” for example is something that a counsellor can help you think about; sexuality is a highly cultured and socialized topic, and so by having an impartial expert with whom to discuss matters, is a healthy place to start. By exploring notions that keep you bound in thoughts and feelings that might not belong to you, you can free yourself of conventions and rules that aren’t yours. All of this is done with the utmost discretion and confidentiality.

Sexual wellness is maintaining healthy function over your body parts

Our mission is to restore and/or enhance your sexual wellness. We have a multidisciplinary approach to treating men and women on their sexual health; with every issue that is brought forth, there is opportunity to build a multi-layered treatment plan that integrates all parts of the being both body and mind. Urology plays a strong role in sexual wellness in treating anything from erectile dysfunction and painful intercourse to low sex desire (or low libido) and incontinence. With cutting-edge treatments and technologies, we treat with oral or topical medications, non-invasive procedures, counselling, and more. It’s all about finding the right fit for you and making sure you feel the most at ease with whichever program we decide to proceed with.

ed treatment montreal

Sexual wellness is understanding yourself

Elna Sexual Wellness holds no judgment. Our patient-doctor confidentiality is set in place so that you feel comfortable diving deep into your thoughts so we can best understand where you are coming from. Our discretion and confidentiality is our promise. The safer you feel, the more chance we have of restoring your sexual wellness.

A healthy intimate relationship is something we strive to achieve when working with individuals seeking to improve or restore full function of their physical body and mind when it comes to sexual matters. There are far too many people living with anything from discomfort to embarrassment, but it shouldn’t have to be that way. That’s why we created the Elna Sexual Wellness clinic—to offer a holistic approach to treating your sexual wellness, because #sexmatters.

-The Elna Sexual Wellness team