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      What to Do About Erectile Dysfunction

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      Sooner or later, most men will experience a problem achieving or maintaining an erection. But today, there are more treatments than ever.Erectile dysfunction is more common than one might think. More than half of men over 40 will experience some kind of erectile problem, and the prevalence increases with age (though men in their 20s and 30s can be affected, too).The experience can have a devastating effect on a man’s well-being. Yet a shocking number of men don’t seek help. One industry survey suggests that just 51 percent of men with erectile dysfunction had discussed the issue with their doctor, and even fewer had spoken to their own partners about it.There is “not a medical condition that I’m aware of that affects more men’s lives,” said Dr. Mohit Khera, a urologist and the president of the Sexual Medicine Society of North America.But there are effective treatments, he added, beyond well-known medications like Viagra. These can include vacuum pumps, injections, implants, lifestyle modifications, testosterone-replacement therapy and sex therapy. Some combination of these options, experts said, almost always improve erections, even in the most severe cases.However, before men go anywhere near a pill or pump (or the “natural” male supplements commonly sold at gas stations), they should get a health exam to understand the causes of the dysfunction, which might point to a more serious health issue.“The penis can be seen as a barometer for the whole health of the person,” said Dr. Rachel Rubin, a urologist and sex medicine specialist in Maryland.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      How Your Body and Mind Change in Midlife

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      Midlife, typically defined as ages 40 to 60, is an inflection point. It’s a time when our past behaviors begin to catch up with us and we start to notice our bodies and minds aging — sometimes in frustrating or disconcerting ways. But it’s also an opportunity: What our older years will look and feel […] More

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      I Just Went on Vacation. How Am I Still Burned Out?

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      Time away can make work stress even more apparent. Here’s what to do about it.The email does not find you well.Yesterday, you were lounging on the beach, or sprawled on the couch with that book you finally had time to finish. Now, you’re staring down hundreds of missed messages.The return to work after vacation can be jarring for anyone. But for people who are burned out from their jobs — a state that psychologists describe as feeling persistently exhausted and cynical about work — the transition is even tougher.While vacation might seem like the obvious solution to being overwhelmed by work, time away can reveal just how depleted you’ve become, said Jeanette M. Bennett, an associate professor at the University of North Carolina at Charlotte who studies the effects of stress on health.How to know if you’re burned out.Burnout stems from feeling like you don’t have control over your work. People can dread their jobs, experiencing “the quintessential ‘I’m overwhelmed, I’m exhausted, Sunday Scaries’” feeling, said Dr. Thea Gallagher, a clinical psychologist and associate professor at NYU Langone Health.Burnout bleeds into the rest of your life: people typically feel like they don’t have the energy to do anything except get through the day. Family responsibilities, friends and hobbies can fall by the wayside — even if people have the time for those activities outside of work, they may be too tired, or feel apathetic about them, said Angela Neal-Barnett, a psychology professor at Kent State University and author of “Soothe Your Nerves: The Black Woman’s Guide to Understanding and Overcoming Anxiety, Panic and Fear.”Taking time off can relieve burnout in some cases — people come back to work feeling recharged and better able to tackle their workload. But when people are intensely stressed, vacation is more like a Band-Aid. They might feel better when they’re away, but as soon as it’s time to return, they become anxious again.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      How to Handle Caffeine-Related Anxiety

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      And what to do about it.Brian Byrne, a tour manager in Los Angeles, was sipping a cold brew a few years ago when he started feeling clammy. Soon, his symptoms worsened: shallow breathing, a hollow feeling in his chest and a rapid, thumping heartbeat. He went outside to get air. “At that point, I was having racing thoughts, feeling like I was having a heart attack,” he said.This wasn’t the first time Mr. Byrne experienced a caffeine-fueled panic attack, but it was the most intense. “Drinking that coffee felt like I poured gasoline on a fire that was already smoldering,” he said. For a year after, he didn’t touch the stuff and didn’t have another serious episode.Many people can relate to Mr. Byrne’s caffeine-related anxiety. While researchers can’t definitively say that caffeine makes you anxious, it’s linked to increased risk of anxiety among people with and without psychiatric diagnoses.Why caffeine might make you anxiousCaffeine is a stimulant that affects the sympathetic nervous system — the part of the body responsible for your fight-or-flight response. When it’s activated, your heart rate rises and blood pressure goes up, your muscles tense, and you may start sweating.But caffeine isn’t the only thing that arouses the nervous system. Any adrenaline-pumping activity — like exercising or riding a roller coaster — can stimulate a response.When you’re working out or on a ride, those sensations aren’t a surprise. But the incongruity of sitting quietly at your desk while your heart is pounding, the way it might if you’ve just had some caffeine, can make some people experience that arousal as anxiety, said Joseph Trunzo, a deputy director of the School of Health and Behavioral Sciences at Bryant University. On top of that, if you subconsciously label these symptoms as anxiety, you might reinforce the effect.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      PTSD Has Surged Among College Students

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      The prevalence of post-traumatic stress disorder among college students rose to 7.5 percent in 2022, more than double the rate five years earlier, researchers found.Post-traumatic stress disorder diagnoses among college students more than doubled between 2017 and 2022, climbing most sharply as the coronavirus pandemic shut down campuses and upended young adults’ lives, according to new research published on Thursday.The prevalence of PTSD rose to 7.5 percent from 3.4 percent during that period, according to the findings. Researchers analyzed responses from more than 390,000 participants in the Healthy Minds Study, an annual web-based survey.“The magnitude of this rise is indeed shocking,” said Yusen Zhai, the paper’s lead author, who heads the community counseling clinic at the University of Alabama at Birmingham. His clinic had seen more young people struggling in the aftermath of traumatic events. So he expected an increase, but not such a large one.Dr. Zhai, an assistant professor in the Department of Human Studies, attributed the rise to “broader societal stressors” on college students, such as campus shootings, social unrest and the sudden loss of loved ones from the coronavirus.PTSD is a mental health disorder characterized by intrusive thoughts, flashbacks and heightened sensitivity to reminders of an event, continuing more than a month after it occurs.It is a relatively common disorder, with an estimated 5 percent of adults in the United States experiencing it in any given year, according to the most recent epidemiological survey conducted by the Department of Health and Human Services. Lifetime prevalence is 8 percent in women and 4 percent in men, the survey found.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      Are You Having a Millennial Mom Midlife Crisis?

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      Mothers have been exhausted since the beginning of time, but some difficulties are specific to the millennial generation.There was dog urine on the carpet, vomit on her blouse and a queasy 7-year-old to look after, but Dr. Whitney Casares had just a few spare moments to clean up and change so she could resume the keynote presentation she had been giving when the school nurse called.Dr. Casares, 42, a pediatrician in Portland, Ore., tried to clean up both messes and race back to her computer. “But I was completely unnerved and underperformed,” she said. “When my husband” — who hadn’t picked up when the school called — “and younger daughter came home a few hours later, the first words out of their mouths were ‘Didn’t you get anything for dinner?’ and ‘Why does it smell so bad in here?’”In that moment, said Dr. Casares, the author of “Doing It All: Stop Over-Functioning and Become the Mom and Person You’re Meant to Be,” she related to a Taylor Swift lyric: “I did all the extra credit, then got graded on a curve.”It has always been exhausting to be a mother, but each generation has had its particular pressures and ways of coping. Boomer moms didn’t expect motherhood to be anything but difficult, though the lack of social awareness around anxiety and depression meant most would never openly discuss it. Generation X moms had to prove that they could do everything men could do — and then come home and work a second shift. Some Gen Xers were children of divorce, manifested an ironic detachment from their troubles and were prescribed Prozac to deal.And then came millennial moms, the women raised on “You go, girl!” in the 1980s and ’90s and who today are in their 30s and early 40s. On average, they enrolled in college in higher numbers than men, married later and delayed having children, sometimes to prioritize careers and other times because — with student debt and less wealth than previous generations — it felt impossible not to.Still, it seemed like some things had worked out in their favor. Perhaps they could juggle work and motherhood more successfully. Maybe their male partners, if they had them, would be more attuned to gender imbalances at home.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      The Health Benefits of Getting Dirty

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      Scientists have long known that a little dirt can be good for you. Research has suggested that people who grow up on farms, for instance, have lower rates of Crohn’s disease, asthma and allergies, likely because of their exposure to a diverse array of microbes.In the 1970s, scientists even found a soil-dwelling bacterium, called Mycobacterium vaccae, that has an anti-inflammatory effect on our brains, possibly both lowering stress and improving our immune response to it.More recently, there’s been an explosion of interest in the human microbiome — with people taking probiotics, seeking food with live cultures and “rewilding” their microflora. At the same time, scientists have been discovering how broad a role dirt microbes can play in our mental and physical health.When we’re touching soil or even just out in nature, “we’re breathing in a tremendous amount of microbial diversity,” said Christopher A. Lowry, a professor of integrative physiology at the University of Colorado Boulder.A recent Finnish experiment found that children attending urban day cares where a native “forest floor” had been planted had both a stronger immune system and a healthier microbiome than those attending day cares with gravel yards — and continued to have beneficial gut and skin bacteria two years later.It’s not just good for kids; adults can also benefit from exposure to soil-dwelling microbes, Dr. Lowry said. So this spring, make a little time to go outside and get grimy.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      Weed and Exercise: Why Some People Use Cannabis Before a Workout

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      Some exercisers say cannabis eases their pain and anxiety — and makes fitness more fun.The first time Samantha O’Brien took a boxing class at her building’s gym, she was overwhelmed with anxiety. The instructor was loud and intimidating and ran the class like a boot camp. If someone fell behind, everyone had to work harder.Ms. O’Brien, 36, left the class thinking she’d never return. A few days later, her partner came home with some cannabis gummies he said might offer her a burst of energy. She thought of the boxing class, and how she wanted to show the instructor he hadn’t scared her off. So she ate half a gummy, got into her workout clothes and went to the class.The shouting didn’t bother her anymore. “I was brighter, lighter,” Ms. O’Brien said, adding that the small dose kept her going through the session. Now she frequently mixes cannabis and exercise, regularly attending the boxing class along with Pilates and boot camp workouts after taking weed products.Scientists have refuted the idea that marijuana is a performance enhancer for competitive athletes. But some amateurs are turning to it before exercise because it eases their chronic pain and anxiety — or just because it makes working out more fun.Alex Friedrichs, 30, a manager of a chiropractic clinic in Vancouver, Canada, said that cannabis puts her in the moment during exercise. “I appreciate what my body is capable of, what my body is doing and the things I’m seeing around me,” she explained, “like running in a beautiful area or a pretty day.”Addressing Chronic PainIn a small 2019 study, the top reasons people used cannabis before exercise were to increase enjoyment and focus. But close behind was pain relief. Research has shown that marijuana can help some patients alleviate chronic pain, which affects some one in five people around the world. When the pain is treated, people become more functional, said Dr. Alan Bell, a physician and assistant professor at the University of Toronto who was the lead author on a set of clinical practice guidelines for using cannabis to treat chronic pain.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More