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When it comes to making love, which is worse: losing desire or losing the ability?

We’ve all seen the ads for erectile disorder drugs. The massive profits being made from these drugs testifies to the perceived demand. But in my experience, a problem of equal if not greater importance is the loss of passion. All too often, the lack of sexual function is less an issue of blood flow, which is what those drugs are designed to address, but more frequently, the underlying problem is a loss of passion for life in general, including sexuality.

People who are so tired and stressed that they can barely drag themselves to the end of the day have very little left over for romance by the time the sun sets. My goal is usually to help my patients regain the drive, ambition, and enthusiasm for life that they had in past years. If we accomplish that, there is usually much less need for the ED drugs.

Over the decades aerobic exercise has developed into a quasi-cult. But the latest science tells us that short intense bursts of exercise are more efficient at shifting our metabolism than long stretches of aerobic activity.

If you change your exercise routine into four or five short intense bursts of exercise that leave you breathless, separated by three or four minutes of gentle exercise that allow you to recover, your body quickly shifts into fat burning mode. Studies show that these bursts of activity separated by gentle rest periods effectively lower your risk of diabetes, increase fat burning and enhance both sexuality and mental acuity.

The

Few topics are of greater interest to my patients than sexuality. And why not? A rich and rewarding sex life is something men and women enjoy and appreciate. But today’s advertising paints a pretty weird picture!

Most of you have seen the barrage of ads on TV and in newspapers and magazines for drugs claiming to cure “E.D” – erectile dysfunction. When I see these relentless ads for drugs like Viagra and Cialis, I always laugh at the fast talking disclaimer at the end, where the announcer (reading a script surely written by the Legal Department) says something like, “Be sure to check with your doctor to make sure you are healthy enough for sexual activity.” The purpose of this disclaimer is to protect the company: if you do get over excited and topple over dead while making love, this careful wording ensures that it’s your family doctor who gets sued rather than the multi-billion dollar drug company.

But it also raises a larger and more