Men’s sexual drive can stay high late in life, but often their energy for sex gradually diminishes because of low testosterone levels, erectile dysfunction, poor sleep, or lack of exercise. Addressing these issues with their doctor and communicating with their partner to find mutual satisfaction can lead to increased sexual energy and intimacy. More »
Across 15 locations—from Portland’s four westside and three eastside offices, to our clinics in Gresham, Happy Valley, Hillsboro, Newberg, Oregon City and Tualatin—we’re a team of more than 120 physicians, certified nurse-midwives, nurse practitioners and genetic counselors committed to giving you the best care and support possible. We’re here for you--now with Portland's first out-of-hospital, natural birth center integrated with an OB/GYN specialty practice.
The great positive impact of public health programs is widely acknowledged. Due in part to the policies and actions developed through public health, the 20th century registered a decrease in the mortality rates for infants and children and a continual increase in life expectancy in most parts of the world. For example, it is estimated that life expectancy has increased for Americans by thirty years since 1900, and worldwide by six years since 1990.
Just as there was a shift from viewing disease as a state to thinking of it as a process, the same shift happened in definitions of health. Again, the WHO played a leading role when it fostered the development of the health promotion movement in the 1980s. This brought in a new conception of health, not as a state, but in dynamic terms of resiliency, in other words, as "a resource for living". 1984 WHO revised the definition of health defined it as "the extent to which an individual or group is able to realize aspirations and satisfy needs and to change or cope with the environment. Health is a resource for everyday life, not the objective of living; it is a positive concept, emphasizing social and personal resources, as well as physical capacities". Thus, health referred to the ability to maintain homeostasis and recover from insults. Mental, intellectual, emotional and social health referred to a person's ability to handle stress, to acquire skills, to maintain relationships, all of which form resources for resiliency and independent living. This opens up many possibilities for health to be taught, strengthened and learned.