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Men & Gastric Bypass Surgery: Is There a Social Stigma?

Author: Kaye Bailey

Article source: http://www.menshealth.com/. Used with author's permission.

It's estimated 200,000 American's will undergo gastric bypass surgery this year. Only 15 percent, 30,000, will be men. Yet obesity statistics in this country indicate morbid obesity is not gender specific. About 60% of American men and women are obese. So why are so few men, comparatively speaking, going under the knife to lose weight?

It has long been known that if a man wants to lose weight he'll go to the gym, pump some iron and maybe run a few laps. Seldom does he head for the kitchen to fix a nutritious, balanced low calorie meal. Men are genetically predisposed to lose weight more quickly than women. Most experts agree men tend to lose weight faster because they typically have more lean muscle mass and a lower body fat percentage than women. Said simply, men generally have a higher metabolism, or rate at which they burn calories, because they have more muscle.

Given the better odds for quicker success can we conclude that men are opting for conventional weight loss methods - diet and exercise - before considering gastric bypass as a plausible option?

Perhaps. But it's been my experience that obese men, like obese women, are ashamed of being fat, ashamed of failing to lose weight and ashamed to take the last-resort surgical option for weight loss. And unlike women, men don't cluster to talk about their "feelings" or the shame and self-loathing that accompanies obesity. Not surprisingly, many men feel very alone in their battle of the bulge.

One man, William, who secretly underwent gastric bypass said, "It is very difficult for men to reach out and ask for help because obesity is still very much considered a 'women's disease'. Men may also not want to come forward for fear that people will think they are vain or worse weak." When someone asks William how he is losing weight he answers with a slap on the back and a wink, "Working my ass off at the gym, buddy - you ought to try it!" He doesn't even mention diet, portion control or nutrition.

Women are more often prompted to pursue weight loss, including gastric bypass, for self-esteem issues. They need to recover a sense of self-worth or validation, they need to feel attractive to future mates. Women often perceive that being overweight is a character flaw and by fixing it they can become a better person. Many believe media presentation of perfection fuels this perception. Men have generally been immune to unrealistic standards and historically an overweight man was one of affluence and abundance.

These days more and more men are prompted to lie on the surgical table for health reasons, few will admit having surgery to improve their self-esteem. Obesity related health problems scare, and perhaps, shame men to have surgery, lose weight and become healthier. But social stigma shames men into keeping quiet about it.

"I watched three men in my family, one-by-one, drop dead from massive heart attacks. Near as I could tell I was next," said 37-year-old Frank Elliott. "At 385 pounds I needed to do something fast. So I had the surgery, I lost the weight and kept my mouth shut about it. I was ashamed of being so weak that I couldn't lose weight on my own."

Because men are reluctant to go public with their obesity solution there is a lack of male-bonding or support for one another. One LivingAfterWLS reader, Rob said, "I'm finding it difficult being one of the very few men who've had this surgery locally. By nature, I'm a talkative and sometimes overly reflective and analytical person. Maybe this is why I get a real sense of fulfillment when I can "talk shop" with other WLS people. But men, by nature I believe, don't tend to want to band together in the support groups like women seem prone to. This lack of a true peer support system makes it a bit tough."

Surprisingly men tend to celebrate the same "magic moments" women do when it comes to massive weight loss. Rob said, "The physical changes have been such a treat! I was wearing size 60 pants this time last year and I'm buying 46s and 48s now. Buying clothes is a blast!! One of my biggest short-term goals was to be able to go to most any store in town and buy clothes off the rack. I've jumped for joy each time I've had to take my watch to the local jeweler to have a link removed from the band. Did I mention that the physical changes have been a treat? I have collarbones now! The girl at the lab can find my veins by sight instead of "poke and fish" now. I'm almost down to having only a single chin!"

Wouldn't it be great if he had a support network of men who were celebrating the same milestones?

In the context of human relationship male bonding is most likely to happen on the sports field, at the bar or in the stadium stands. Perhaps this is where the WLS male contingent needs to gather, rather than in the traditional meeting room on folding chairs. Given a familiar and comfortable environment where the words "emotions" and "feelings" aren't requisite for the event I submit WLS men could build a camaraderie based on shared experience and common compassion.

Will that bust the social stigma for overweight men who chose to control their obesity with surgery? Probably not. But if it can help one or two or a hundred men become more self-respecting and more self-assured then why not? In the meantime, we have several male subscribers to LivingAfterWLS. Rob is one of them. I'm happy you are here.

© 2005 Kaye Bailey - All Rights Reserved

Kaye Bailey is a weight loss surgery success story having maintained her health and goal weight for 5+ years. An award winning journalist, she is the author and webmaster of http://www.livingafterwls.com and http://www.livingafterwls.blogspot.com

LivingAfterWLS is a no-nonsense resource for people Living After Weight Loss Surgery. Our community is growing in numbers even as we are shrinking in pounds. Together we support one another in this lifestyle, that it turns out, is NOT the easy way out.

Fresh & insightful content is added daily, check in often. To subscribe to the LivingAfterWLS monthly newsletter "You Have Arrived" click on http://www.livingafterwls.com and enter your details in the subscription box


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Disfunci�n er�ctil

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Es un tipo de medicaci�n que se emplea por v�a oral, para el tratamiento de las disfunciones er�ctiles.

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S�, muy frecuente y cada vez m�s.

En los peri�dicos ha salido con cierta frecuencia, una cantidad de muertes debido a la ingesti�n de esta medicaci�n

La disfunci�n er�ctil (DE) afecta a la vida de muchos hombres de mediana edad y de sus asociados. El t�rmino disfunci�n er�ctil abarca una serie de trastornos, pero por lo general se refiere a la incapacidad de obtener una erecci�n suficiente para una actividad sexual satisfactoria. Aunque la disfunci�n er�ctil, antes llamada impotencia, es m�s com�n en los hombres mayores de 65, puede ocurrir a cualquier edad. Ocasionalmente, un episodio de disfunci�n er�ctil sucede a la mayor�a de los hombres y es normal. A medida que los hombres de edad, es normal que tambi�n sufren alteraciones de la funci�n er�ctil. Erecciones pueden tardar m�s tiempo en desarrollar, tal vez no sean tan r�gidos o pueden necesitar m�s estimulaci�n directa que se desea obtener. Los hombres tambi�n pueden observar que son orgasmos menos intensos, el volumen de eyaculaci�n se reduce y aumenta el tiempo de recuperaci�n entre erecciones. Disfunci�n er�ctil tambi�n puede ser un signo de un problema f�sico o emocional que requiere tratamiento.

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Una vez que la disfunci�n er�ctil es un tema tab�, pero son m�s los hombres que buscan ayuda. Los m�dicos est�n ganando una mejor comprensi�n de las causas de la disfunci�n er�ctil y son la b�squeda de nuevos y mejores tratamientos.

Este sitio web discute todo sobre la disfunci�n er�ctil, la fisiolog�a de la erecci�n normal y la fisiopatolog�a, y el tratamiento de la ED.

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�Qu� es la Disfunci�n Er�ctil?

Disfunci�n er�ctil o impotencia es una disfunci�n sexual caracterizada por la incapacidad de desarrollar o mantener una erecci�n del pene para el coito satisfactorio independientemente de la capacidad de eyaculaci�n. Hay varias causas, como la diabetes, muchos de los cuales son m�dicamente reversibles.

Las causas pueden ser fisiol�gicos o psicol�gicos. Impotencia psicol�gica a menudo pueden ser ayudados por casi cualquier cosa que el paciente cree en el, hay un muy fuerte efecto placebo.

Debido a su car�cter vergonzoso y la verg�enza que sienten los que sufren, el tema fue tab� durante mucho tiempo, y es objeto de muchas leyendas urbanas. Folk recursos durante tanto tiempo se han defendido, con algunos publicitados ampliamente desde la d�cada de 1930. La introducci�n de tal vez la primera farmacol�gicamente eficaz remedio para la impotencia, sildenafil (nombre comercial de Viagra), en la d�cada de 1990 provoc� una ola de la atenci�n p�blica, impulsado en parte por las noticias de valor de las historias sobre �l y una publicidad.

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El t�rmino latino impotentia coeundi describe simple incapacidad para insertar el pene en la vagina. Ahora se sustituye por la mayor�a de t�rminos m�s precisos.

Signos y s�ntomas:

Disfunci�n er�ctil se caracteriza por la incapacidad de mantener la erecci�n. Erecciones normales durante el sue�o y en la primera hora de la ma�ana sugieren una causa psic�gena, mientras que la p�rdida de estas erecciones puede significar enfermedad subyacente, a menudo de origen cardiovascular. Otras cosas conducen a la disfunci�n er�ctil son la diabetes mellitus (causar neuropat�a) o hipogonadismo (disminuci�n de los niveles de testosterona, debido a las enfermedades que afectan a los test�culos o de la gl�ndula pituitaria).

Estas son algunas causas de la Disfunci�n Er�ctil:

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* Excitaci�n: El primer paso es la excitaci�n sexual, que los hombres de obtener los sentidos de la vista, el tacto, el o�do y el olfato, y de pensamientos.

* La respuesta del sistema nervioso: El cerebro se comunica la excitaci�n sexual al cuerpo del sistema nervioso, que activa el aumento de flujo de sangre al pene.

* Respuesta de los vasos sangu�neos:. Una acci�n relajante produce en los vasos sangu�neos que irrigan el pene, permitiendo que m�s sangre fluya hacia los pozos que producen la erecci�n.

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Fisiolog�a de la erecci�n normal:

La erecci�n del pene implicar una integraci�n compleja de los procesos fisiol�gicos de la CNS, el sistema nervioso perif�rico, y los sistemas hormonales y vasculares. Cualquier alteraci�n de estos sistemas, ya sea de medicamentos o de la enfermedad, tiene un impacto significativo en la capacidad de desarrollar y mantener una erecci�n, eyaculaci�n, orgasmo y experiencia. Tumescencia, el llenado vascular de los cuerpos cavernosos, se basa en los mecanismos hormonales y neurales que operan en los distintos niveles del eje neural. Esta es �nica entre las funciones viscerales porque requiere neurol�gico central de entrada.

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Andersson et al resumen algunas de las informaciones relacionadas con los involucrados en la funci�n er�ctil. El grado de contracci�n del m�sculo liso cavernoso corpus determina el estado funcional del pene. El balance entre la contracci�n y la relajaci�n es controlada por centrales y perif�ricas que implican muchos factores transmisores y sistemas de transmisi�n. En el nivel celular, la relajaci�n del m�sculo liso se produce despu�s de la liberaci�n de acetilcolina de los nervios parasimp�ticos.

Fisiopatolog�a de la disfunci�n er�ctil:

Disfunci�n Er�ctil es esencialmente una enfermedad vascular. A menudo se asocia con otras enfermedades vasculares y condiciones como la diabetes, hipertensi�n y enfermedad arterial coronaria. Otras condiciones asociadas con la Disfunci�n Er�ctil incluyen enfermedades neurol�gicas, endocrinopat�as, la hiperplasia benigna de pr�stata, y la depresi�n. Condiciones relacionadas con una disminuci�n de la funci�n del nervio y el endotelio, como el envejecimiento, hipertensi�n arterial, tabaquismo, hipercolesterolemia y la diabetes, alterar el equilibrio entre los factores de contracci�n y relajaci�n. Estas condiciones circulatorio y provocar cambios estructurales en los tejidos del pene, lo que resulta en insuficiencia arterial y la relajaci�n del m�sculo liso defectuoso. En algunos pacientes, la disfunci�n sexual puede ser la presentaci�n de los s�ntomas de estos trastornos.

Tratamiento:

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About Ibiza

Ibiza (Catalan: Eivissa) is one of the Balearic Islands located in the Mediterranean Sea, belonging to Spain. With Formentera, it is one of the two Pine Islands. Major cities are Ibiza, Santa Eularia des Riu and Sant Antoni de Portmany.

The Island of Ibiza is most famously known for its summer parties, with thousands of people flooding in for the big summer club nights. Famous clubs include Space, Pacha, Privilege (ex Ku), Amnesia, DC10, Eden and Es Paradis. They are hosts to parties of international fame such as Cream, Manumission, etc. It is also home to the 'West End' party district of Sant Antoni, a rite of passage for many partygoers.

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