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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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Erectile dysfunction

Erectile dysfunction (ED) affects the lives of many middle-aged men and their partners. The term erectile dysfunction covers a range of disorders, but usually refers to the inability to obtain an adequate erection for satisfactory sexual activity. Although erectile dysfunction, formerly called impotence, is more common in men older than 65, it can occur at any age. An occasional episode of erectile dysfunction happens to most men and is normal. As men age, it's also normal to experience changes in erectile function. Erections may take longer to develop, may not be as rigid or may require more direct stimulation to be achieved. Men may also notice that orgasms are less intense, the volume of ejaculate is reduced and recovery time increases between erections. Erectile dysfunction may also be a sign of a physical or emotional problem that requires treatment.

Erectile dysfunction was once a taboo subject, but more men are seeking help. Doctors are gaining a better understanding of what causes erectile dysfunction and are finding new and better treatments.

This Website discusses all about erectile dysfunction, physiology of the normal erection and the pathophysiology, and treatment of ED.

What is Erectile Dysfunction?

Erectile dysfunction or impotence is a sexual dysfunction characterized by the inability to develop or maintain an erection of the penis for satisfactory sexual intercourse regardless of the capability of ejaculation. There are various underlying causes, such as diabetes, many of which are medically reversible.

The causes may be physiological or psychological. Psychological impotence can often be helped by almost anything that the patient believes in; there is a very strong placebo effect.

Due to its embarrassing nature and the shame felt by sufferers, the subject was taboo for a long time, and is the subject of many urban legends. Folk remedies have long been advocated, with some being advertised widely since the 1930s. The introduction of perhaps the first pharmacologically effective remedy for impotence, sildenafil (trade name Viagra), in the 1990s caused a wave of public attention, propelled in part by the news-worthiness of stories about it and heavy advertising.

The Latin term impotentia coeundi describes simple inability to insert the penis into the vagina. It is now mostly replaced by more precise terms.

Signs and symptoms:

Erectile dysfunction is characterized by the inability to maintain erection. Normal erections during sleep and in the early morning suggest a psychogenic cause, while loss of these erections may signify underlying disease, often cardiovascular in origin. Other things leading to erectile dysfunction are diabetes mellitus (causing neuropathy) or hypogonadism (decreased testosterone levels due to disease affecting the testicles or the pituitary gland).

Here are some causes of Erectile Dysfunction:

* Arousal: The first step is sexual arousal, which men obtain from the senses of sight, touch, hearing and smell, and from thoughts.

* Nervous system response: The brain communicates the sexual excitation to the body's nervous system, which activates increased blood flow to the penis.

* Blood vessel response:. A relaxing action occurs in the blood vessels that supply the penis, allowing more blood to flow into the shafts that produce the erection.

Physiology of normal erections:

Penile erections involve an integration of complex physiologic processes involving the CNS, peripheral nervous system, and hormonal and vascular systems. Any abnormality involving these systems, whether from medication or disease, has a significant impact on the ability to develop and sustain an erection, ejaculate, and experience orgasm. Tumescence, the vascular filling of the cavernous bodies, relies on neural and hormonal mechanisms operating at various levels of the neural axis. This is unique among visceral functions because it requires central neurological input.

Andersson et al summarized some of the information related to the pathways involved in erectile function. The degree of contraction of corpus cavernosal smooth muscle determines the functional state of the penis. The balance between contraction and relaxation is controlled by central and peripheral factors that involve many transmitters and transmitter systems. At the cellular level, smooth muscle relaxation occurs following the release of acetylcholine from the parasympathetic nerves.

Pathophysiology of erectile dysfunction:

Erectile Dysfunction is essentially a vascular disease. It is often associated with other vascular diseases and conditions such as diabetes, hypertension, and coronary artery disease. Other conditions associated with Erectile Dysfunction include neurologic disorders, endocrinopathies, benign prostatic hyperplasia, and depression. Conditions associated with reduced nerve and endothelium function, such as aging, hypertension, smoking, hypercholesterolemia, and diabetes, alter the balance between contraction and relaxation factors. These conditions cause circulatory and structural changes in penile tissues, resulting in arterial insufficiency and defective smooth muscle relaxation. In some patients, sexual dysfunction may be the presenting symptom of these disorders.

Treatment:

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