No, you’re not just old and off sex…it’s the manopause Comments Off on No, you’re not just old and off sex…it’s the manopause 240

SEX life? What sex life?

When men hit their forties, they often feel exhausted, irritable and are the butt of grumpy old man jokes.

GettyWhen men hit their forties, they often feel exhausted, irritable and are the butt of grumpy old man jokes[/caption]

They are always tired, suffer broken sleep and even night sweats or a bulging waistline.

Most men simply put it down to ageing but The Sun on Sunday’s resident GP, Dr Jeff Foster, says it could well be the manopause — a serious medical issue where testosterone levels drop.

Dr Jeff said: “It is comparable to but more subtle than menopause, where oestrogen levels drop suddenly. Once men hit 30, they naturally lose around one per cent of their testosterone every year. It’s very gradual.

“It happens to everyone, though it may occur at different ages. You slowly grind down to become a grumpy, fat old man who doesn’t want as much sex as when they were 20.

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“Society tells men what is happening to them is normal for their age, but it’s not normal. It’s a medical problem and there is something you can do about it.”

Here, Dr Jeff reveals all you need to know if you or your partner are going through the manopause . . . 


Similar to menopause, where dropping oestrogen levels affect women, testosterone reduction affects men.

The most common symptoms are feeling run down and more tired, with less get-up-and-go.

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Some men aren’t as motivated to get a job done, have a lack of interest and are less sharp. You will find they can’t remember things, such as people’s names. We call it “brain fog” for women.

Partners often complain their man is more grumpy and irritable, with less sex drive.

A classic sign is the loss of the morning erection, which is caused by a surge in testosterone. If it goes, something is wrong and in the long term may lead to erectile dysfunction.

You might suffer hot flushes or be working really hard at the gym but getting fatter.

Low testosterone can cause changes to blood pressure and cholesterol, an increased risk of type 2 diabetes, heart disease, osteoporosis and depression.


Women typically hit menopause in their forties or early fifties – and that is most common age for men too.

But there is no specific age. If you had high testosterone levels in puberty, exercised and ate well, your testosterone might not drop until you are 90.

If you were born with a lower level or had a medical problem, you might notice it in your 20s.

I have one patient in his 70s who was told he had dementia, but forgetfulness and memory problems were because he had low testosterone.

After treatment, his memory has returned. A lot of our patients have been referred by their partner and want to know if there is a medical issue or if he just no longer loves them. It can destroy relationships.


Not everyone needs drugs. There are ways to improve testosterone.

Start by keeping a healthy BMI. Being overweight drives oestrogen, which suppresses testosterone.

If you are too thin, your body suppresses sex hormone production to conserve energy.

Diets high in protein and lower in carbs (but not taken out completely) tend to produce better testosterone levels.

Regular exercise is vital. Aim for three or four intense sessions a week that get your heart racing and tire you out, for 40-45 minutes.

You need at least six to seven hours’ sleep a night. Deep sleep triggers the testosterone surge in the morning.

Having sex may also help. Some studies show that if a man is abstinent for four weeks, testosterone levels rise, but after 12 weeks will drop.


No. Nor will supplements. There are no studies on humans which show these products work.

If they are claiming “evidence” it was probably tested on rats for a few hours. It’s a con.


If lifestyle changes don’t help, a simple blood test from your GP will show if your levels are low.

If your GP can’t help or you are just told everything is “normal”, find a men’s health specialist.

Low testosterone could also be caused by thyroid disease, type 2 diabetes or anaemia, so you need to rule those out.

Then you need testosterone therapy. It can be hard to get an NHS diagnosis. In medical school we get little training on testosterone.


One that best suits you, fits your lifestyle and your blood test results.

Usually a gel, cream or injection. Tablets — that can be toxic to the liver — should no longer be offered in the UK.

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Davina McCall made a brilliant menopause documentary that has helped millions of women and doctors, some of whom felt they didn’t know enough and read up on it.

The same thing now has to happen for men.

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Managing Relationships While Working in the Adult Industry Comments Off on Managing Relationships While Working in the Adult Industry 186

Navigating romantic relationships can be complex, and this complexity often intensifies when one or both partners are involved in the adult industry. In this guide, we’ll explore practical strategies for maintaining healthy relationships, fostering open communication, and addressing challenges that may arise when one’s profession involves adult entertainment.

1. Open Communication:

Communication is the foundation of any healthy relationship, especially when working in the adult industry. Establishing open and honest communication channels helps build trust and understanding between partners.

Example: Provide communication tips, such as setting aside dedicated time for discussions, creating a judgment-free zone, and actively listening to each other’s concerns.

2. Establishing Boundaries:

Clearly defining and respecting boundaries is crucial for both partners. Discussing comfort levels, expectations, and limits ensures that both individuals feel secure in the relationship.

Example: Offer guidance on how to have constructive conversations about boundaries, emphasizing the importance of mutual consent and compromise.

3. Building a Support System:

Developing a robust support system is essential. This includes friends, family, or colleagues who understand and respect the nature of the profession and can offer support during challenging times.

Example: Share stories of couples who have successfully built strong support systems and provide tips on how to nurture these networks.

4. Trust and Transparency:

Trust is a cornerstone of any relationship but becomes even more critical when working in the adult industry. Being transparent about one’s work and addressing concerns promptly helps foster trust between partners.

Example: Illustrate the positive outcomes of trust-building actions, such as being open about work schedules, discussing potential challenges, and offering reassurance.

5. Educating Partners:

Sometimes, misunderstandings arise due to lack of knowledge. Educating partners about the adult industry, its dynamics, and dispelling common myths can promote a better understanding of the profession.

Example: Create a guide for individuals to share with their partners, explaining the realities of the adult industry, emphasizing the consensual nature of the work, and addressing misconceptions.

6. Coping with External Judgments:

Working in the adult industry often comes with societal stigma. Discuss strategies for coping with external judgments and maintaining a strong sense of self-worth within the relationship.

Example: Share empowering stories of individuals who have successfully navigated societal stigma, emphasizing self-love and resilience.

7. Seeking Professional Guidance:

Relationships can benefit from professional guidance. Encouraging couples to seek counseling or therapy when faced with challenges can provide a neutral space for communication and support.

Example: Highlight success stories of couples who have sought therapy to strengthen their relationship and provide resources for finding qualified professionals.

8. Planning for the Future:

Discussing future plans is vital for any couple. Addressing long-term goals, such as career transitions or family planning, helps both partners feel secure and invested in the relationship.

Example: Offer advice on creating a shared vision for the future, navigating career changes, and making joint decisions that align with both partners’ aspirations.


Successfully managing relationships while working in the adult industry requires a combination of open communication, trust-building, and a proactive approach to addressing challenges. By fostering understanding, establishing clear boundaries, and seeking support when needed, couples can build strong, resilient relationships that thrive despite the unique demands of the profession. Remember, every relationship is unique, and adapting these strategies to suit individual needs is key to a fulfilling and supportive partnership.

Understanding and Navigating the World of Online Adult Content Comments Off on Understanding and Navigating the World of Online Adult Content 182

The internet has transformed the way we access and consume information, including adult content. Navigating this vast and often complex digital landscape requires understanding, responsibility, and respect. In this guide, we’ll explore key aspects of online adult content, helping you make informed choices while ensuring a safe and enjoyable experience.

1. Diverse Platforms and Formats:

Online adult content is not confined to a single platform or format. From websites and streaming services to interactive content, understanding the variety available is essential.

Example: Differentiate between mainstream adult websites, premium subscription services, and emerging interactive platforms, providing a glimpse into the diverse options.

2. Privacy and Security:

Respecting privacy is crucial when engaging with adult content online. This includes understanding the importance of secure connections, anonymous browsing, and being mindful of personal data.

Example: Provide tips on using virtual private networks (VPNs), secure payment methods, and the importance of reading privacy policies on adult websites.

3. Responsible Consumption:

Consuming adult content responsibly involves being aware of ethical considerations. This includes consent, avoiding illegal content, and understanding the potential impact on relationships.

Example: Share stories or case studies illustrating the importance of responsible consumption and the potential consequences of engaging with non-consensual or illegal content.

4. Age Verification and Restrictions:

Most countries have regulations regarding the access to adult content, often requiring age verification. Understanding and complying with these regulations is vital for legal and ethical reasons.

Example: Provide a step-by-step guide on age verification processes on different platforms and emphasize the importance of adherence to legal requirements.

5. Impact on Mental Health:

Consuming adult content can have varying effects on mental health. It’s crucial to be aware of the potential impact and seek support if needed.

Example: Discuss the potential consequences of excessive consumption, addiction, or unrealistic expectations, and provide resources for mental health support.

6. Consent and Ethical Production:

Understanding the concept of consent extends to the production of adult content. Ethical consumption involves supporting platforms and creators that prioritize the well-being and consent of performers.

Example: Showcase initiatives or platforms that prioritize ethical production, emphasize performer rights, and provide fair compensation.

7. Balancing Fantasies with Reality:

Distinguishing between fantasy and reality is important when consuming adult content. Developing a healthy perspective on sexuality involves recognizing the difference between scripted entertainment and real-life relationships.

Example: Share anecdotes or expert opinions on how to maintain a balanced view of sexuality and relationships while consuming adult content.

8. Community and Education:

Online communities and educational resources play a role in promoting healthy discussions about adult content. Engaging with like-minded individuals and staying informed contributes to a positive online experience.

Example: Highlight reputable online forums or educational platforms where individuals can learn more about various aspects of adult content, share experiences, and ask questions.


Navigating the world of online adult content requires a balanced approach, combining awareness, responsibility, and respect. By understanding the diverse landscape, prioritizing privacy and security, and promoting ethical consumption, individuals can ensure a positive and consensual online experience. Remember, responsible engagement contributes to a healthier digital environment for both consumers and content creators alike.

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