Sex Problems Review

Definition

Sexual problems are defined as difficulty during any stage (desire, arousal, orgasm, and resolution) of the sexual act, which prevents the individual or couple from enjoying sexual activity.

Information

Sexual difficulties may begin early in a person's life, or they may develop after an individual has previously experienced enjoyable and satisfying sex. A problem may develop gradually over time, or may occur suddenly as a total or partial inability to participate in one or more stages of the sexual act. The causes of sexual difficulties can be physical, psychological, or both.

Emotional factors affecting sex include both interpersonal problems and psychological problems within the individual. Interpersonal problems include marital or relationship problems, or lack of trust and open communication between partners. Personal psychological problems includedepression, sexual fears or guilt, or past sexual trauma.

Physical factors contributing to sexual problems include:

• Injuries to the back
• An enlarged prostate gland
• Diseas

e (diabetic neuropathy, multiple sclerosis, tumors, and, rarely, tertiary syphilis) Drugs, such as alcohol, nicotine, narcotics, stimulants, antihypertensives (medicines that lower blood pressure), antihistamines, and some psychotherapeutic drugs (used to treat psychological problems such as depression) Endocrine diso

• rders (thyroid, pituitary, or adrenal gland problems)
• Failure of various organs (such as the heart and lungs)
• Hormonal deficiencies (low testosterone, estrogen, or androgens)
• Nerve damage (as in spinal cord injuries)
• Problems with blood supply
• Some birth defects

Sexual dysfunction disorders are generally classified into four categories: sexual desire disorders, sexual arousal disorders, orgasm disorders, and sexual pain disorders.

Sexual desire disorders (decreased libido) may be caused by a decrease in the normal production of estrogen (in women) or testosterone (in both men and women). Other causes may be aging, fatigue, pregnancy, and medications -- the SSRI anti-depressants which include fluoxetine (Prozac), sertraline (Zoloft), and paroxetine (Paxil) are well known for reducing desire in both men and women. Psychiatric conditions, such

as depression and anxiety, can also cause decreased libido. Sexual arousal disorders were previously known as frigidity in women and impotence in men. These have now been replaced with less judgmental terms. Impotence is now known as erectile dysfunction, and frigidity is now described as any of several specific problems w

ith desire, arousal, or anxiety.

For both men and women, these conditions may appear as an aversion to, and avoidance of, sexual contact with a partner. In men, there may be partial or complete failure to attain or maintain an erection, or a lack of sexual excitement and pleasure in sexual activity.

There may be medical causes for these disorders, such as decreased blood flow or lack of vaginal lubrication. Chronic disease may also contribute to these difficulties, as well as the nature of the relationship between partners. As the success of Viagra attests, many erectile disorders in men may be primarily physical, not psychological conditions.

Orgasm disorders are a persistent delay or absence of orgasm following a normal sexual excitement phase. The disorder occurs in both women and men. Again, the SSRI antidepressants are frequent culprits -- these may delay the achievement of orgasm or eliminate it entirely.

Sexual pain disorders affect women almost exclusively, and are known as dyspareunia (painful intercourse) and vaginismus (an involuntary spasm of the muscles of the vaginal wall, which interferes with intercourse). Dyspareunia may be caused by insufficient lubrication (vaginal dryness) in women. There may also be abnormalities in the pelvis or the ovaries that can cause pain with intercourse. Vulvar pain disorders can also cause dyspareunia and inability to have intercourse due to pain.

Poor lubrication may result from insufficient excitement and stimulation, or from hormonal changes caused by menopause or breast-feeding. Irritation from contraceptive creams and foams may also cause dryness, as can fear and anxiety about sex.

It is unclear exactly what causes vaginismus, but it is thought that past sexual trauma such asrape or abuse may play a role. Another female sexual pain disorder is called vulvodynia or vulvar vestibulitis. In this condition, women experience burning pain during sex which may be related to problems with the skin in the vulvar and vaginal areas. The cause is unknown. Sexual dysfunctions are most common in the early adult years, with the majority of people seeking care for such conditions during their late 20s through 30s. The incidence increases again in the perimenopause and postmenopause years in women, and in the geriatric population, typically with gradual onset of symptoms that are associated most commonly with medical causes of sexual dysfunction. Sexual dysfunction is more common in people who abuse alcohol and drugs. It is also more likely in people suffering from diabetes

and degenerative neurological disorders. Ongoing psychological problems, difficulty maintaining relationships, or chronic disharmony with the current sexual partner may also interfere with sexual function.

PREVENTION

Open, informative, and accurate communication regarding sexual issues and body image between parents and their children may prevent children from developing anxiety or guilt about sex, and may help them develop healthy sexual relationships.

Review all medications, both prescription and over-the-counter, for possible side effects that relate to sexual dysfunction. Avoiding drug and alcohol abuse will also help prevent sexual dysfunction.

Couples who are open and honest about their sexual preferences and feelings are more likely to avoid some sexual dysfunction. One partner should, ideally, be able to communicate desires and preferences to the other partner.

People who are victims of sexual trauma, such as sexual abuse or rape at any age, are urged to seek psychiatric advice. Individual counseling with an expert in trauma may prove beneficial in allowing sexual abuse victims to overcome sexual difficulties and enjoy voluntary sexual experiences with a chosen partner.

SYMPTOMS

• Men or women:
• Inability to feel aroused
• Lack of interest in sex (loss of libido)
• Pain with intercourse (much less common in men than women)
• Men :
• Delay or absence of ejaculation, despite adequate stimulation
• Inability to control timing of ejaculation
• Inability to get an erection
• Inability to keep an erection adequately for intercourse
• Women:
• Burning pain on the vulva or in the vagina with contact to those areas
• Inability to reach orgasm
• Inability to relax vaginal muscles enough to allow intercourse
• Inadequate vaginal lubrication before and during intercourse
• Low libido due to physical/hormonal problems, psychological problems, or relationship problems

CALL YOUR HEALTH CARE PROVIDER IF...

Call for an appointment with your health care provider if sexual problems persist and are a concern.

SIGNS AND TESTS

The health care provider will investigate any physical problems and conduct tests based on the particular type of sexual dysfunction you're experiencing. In any case, a complete medical history should be taken and physical examination should be done to:

• Highlight possible fears, anxieties, or guilt specific to sexual behaviors or performance
• Identify predisposing illness or conditions
• Uncover any history of prior sexual trauma

A physical examination of both the partners should include the whole body and not be limited to the reproductive system.

TREATMENT

Treatment depends on the cause of the sexual dysfunction. Medical causes that are reversible or treatable are usually managed medically or surgically. Physical therapy and mechanical aides may prove helpful for some people experiencing sexual dysfunction due to physical illnesses, conditions, or disabilities.

For men who have difficulty attaining an erection, the medication sildenafil (Viagra), which increases blood flow to the penis, may be very helpful, though it must be taken 1 to 4 hours before intercourse.

Men who take nitrates for coronary heart disease should not take sildenafil. Mechanical aids and penile implants are also an option for men who cannot attain an erection and find sildenafil isn't helpful.

Women with vaginal dryness may be helped with lubricating gels, hormone creams, and -- in cases of premenopausal or menopausal women -- with hormone replacement therapy. In some cases, women with androgen deficiency can be helped by taking testosterone. Kegel exercisesmay also increase blood flow to the vulvar/vaginal tissues, as well as strengthen the muscles involved in orgasm.

Vulvodynia can be treated with testosterone cream, with use of biofeedback and with low doses of some antidepressants which also treat nerve pain. Surgery has not been successful.

Behavioral treatments involve many different techniques to treat problems associated with orgasm and sexual arousal disorders. Self-stimulation and the Masters and Johnson treatment strategies are among the many behavioral therapies used.

Simple, open, accurate, and supportive education about sex and sexual behaviors or responses may be all that is required in many cases. Some couples may benefit from joint counseling to address interpersonal issues and communication styles. Psychotherapy may be required to address anxieties, fears, inhibitions, or poor body image.

PROGNOSIS AND OUTCOME

The prognosis (probable outcome) depends on the form of sexual dysfunction. In general, the probable outcome is good for physical dysfunctions resulting from treatable or reversible conditions. It should be noted, however, that many organic causes do not respond to medical or surgical treatments. Prolonged physical dysfunction can also create sexual dysfunction.

In functional sexual problems resulting from either relationship problems or psychological factors, the prognosis may be good for temporary or mild dysfunction associated with temporary stress or lack of accurate information. However, those cases associated with chronically-poor relationships or deep-seated psychiatric problems typically do not have positive outcomes.

COMPLICATIONS

Some forms of sexual dysfunction may cause infertility.

Persistent sexual dysfunction may cause depression in some individuals. The importance of the disorder to the individual (and couple, when applicable) needs to be determined. Decreased sexual function is important only if it is a cause of concern for the couple. Sexual dysfunction that is not addressed adequately may lead to conflicts or potential breakups.

References

Eyler AE, Biggs WS. Medical human sexuality in family medicine practice. In: Rakel RE.Textbook of Family Medicine. 7th ed. Philadelphia, Pa: Saunders Elsevier; 2007: chap 55.

Lentz GM. Emotional aspects of gynecology: sexual dysfunction, eating disorders, substance abuse, depression, grief, loss. In: Katz VL, Lentz GM, Lobo RA, Gershenson DM eds.Comprehensive Gynecology. 5th ed. Philadelphia, Pa: Mosby Elsevier; 2007: chap 9.

Lue TF, Broderick GA. Evaluation and nonsurgical management of erectile dysfunction and premature ejaculation. In: Wein AJ, ed. Campbell-Walsh Urology. 9th ed. Philadelphia, Pa: Sauders Elsevier; 2007: chap 22.

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Top 100 Websites for Sports

Sites in this category and its subcategories ordered by popularity. We didn’t receive any compensation from any of the listed sites.

1.ESPN Sportszone

espn.go.com/

Information about all college and professional sports.

From the site: ESPN.com is the leading provider of sports on the Internet. ESPN.com provides its users, the young, affluent, male sports fan, with late breaking news, statistics, schedules, and player updates, in addition to up-to-the minute sports scores from live events. ESPN.com offers informational incentives to its users, including ESPN Insider, Page 2, articles from ESPN The Magazine, Fantasy games and more. Sports enthusiasts choose ESPN.com, making it the #1 sports site.

2.Yahoo Sports

sports.yahoo.com/

Listen to live and on-demand sports content.

3.Cricinfo

www.cricinfo.com/

International cricket news, live scores, photos, columns and player profiles. Provides archive scorecards, statistics database, ratings and email newsletter. Part of ESPN International. UK.

From the site: Wisden CricInfo is committed to safeguarding your privacy online. This privacy policy will allow you to understand how your personal information is used as you use the CricInfo and Wisden sites . This policy will change from time to time (see section 13 of this Privacy Policy), so please check back to this page periodically. There will always be a clear link on the CricInfo.com and Wisden.com homepages to the latest version of this privacy policy.

4.NBA.com

www.nba.com

The official site of the National Basketball Association. Includes news, features, multimedia, player profiles, chat transcripts, schedules and statistics.

From the site: NBA TV is the ultimate source for all things basketball, featuring live NBA games every week --including playoffs, new original programming, live high-definition (HDTV) NBA game broadcasts and enough highlights and news to quench even the most avid fan's hoops thirst. ... For the first time, NBA TV broadcasts live NBA games in HD. Viewers with HD capability can experience live NBA action in the brilliance of high-definition for several games this season.

5.NFL.COM

www.nfl.com/

Official site of the National Football League. It delivers in-depth team pages for all clubs, game-day coverage with real time statistics and play-by-play and chats with top players.

From the site: To best experience NFL.com please download Adobe Flash and turn on JavaScript. ... NFL Network is the gathering place, using television to bring a new dimension to the NFL experience. The passion, the excitement, the highs and the lows are covered by NFL Network from an "insider's" perspective. ... NFL Network launched on Nov. 4, 2003 featuring more than 1,500 hours of original programming 24 hours a day, 7 days a week, 365 days a year.

6.Yahoo! Sports: National Basketball Association

sports.yahoo.com/nba/

Listen to live and on-demand sports content.

7.Yahoo! Sports: NFL

sports.yahoo.com/nfl

Listen to live and on-demand sports content.

8.SI.com

sportsillustrated.cnn.com/

Sports news from Cable News Network(CNN) and Sports Illustrated Magazine.

9.FOX Sports

msn.foxsports.com/

Breaking news, features, statistics, scores, standings, and schedules.

10.Live Score

www.livescore.com/

Real time football (soccer) match scores across International and over 100 leagues in 34 countries on a permanent basis.

11.Soccernet

soccernet.espn.go.com/

Latest news and statistics from England, Scotland and the rest of Europe.

12.SkySports.com

www.skysports.com/

Sports news from around the world.

13.Rivals.com

www.rivals.com/

Contains coverage of college and professional sports with articles, game summaries, current standings and statistics.

From the site: College Football: Rivals.com - College Football ... Rivals.com has been serving serious sports fans since May 2001. Powered by more than 300 writers, reporters and publishers at the local level and by more than 85 employees at its Brentwood, Tenn., headquarters, Rivals.com is the most respected name in team-specific college sports coverage and the country's No. 1 authority on college football and basketball recruiting.

14.NHL.com

www.nhl.com/

The official National Hockey League web site includes features, news, rosters, statistics, schedules, teams, live game radio broadcasts, and video clips.

15.Hattrick

www.hattrick.org/

Free football management game - most popular in the world. Train, trade and outwit all competiting coaches! Very lively community, near one million active users.

From the site: Hattrick was created by Björn Holmér, and has been a community-driven project since it started in 1997. Players' commitment to the game has meant a lot in making the project what it is today. Hattrick is owned and operated by Hattrick Ltd, and managed by Johan Gustafson. ... Hattrick will continue its life as a "grass-roots movement". We will always be sensitive to your opinions on new game features, design, advertising, sponsors, and so on.

16.Yahoo! Sports - NCAA Football

rivals.yahoo.com/ncaa/football

Personalized content and search options. Chatrooms, free e-mail, clubs, and pager.

17.Premierleague.com

www.premierleague.com/

The official site with news, fixtures, results, league table, statistics, club profiles and travel details.

From the site: Barclays Premier League 2008-09 fixtures will be released on Monday 16th June 2008 when you'll be able to access them on premierleague.com. How do you get tickets for Barclays Premier League matches? All clubs have different ticketing policies, but ticket information can now be found via the Tickets section on this website or by visiting clubs' official websites. How can I watch Barclays Premier League matches when I am abroad on holiday?

18.World Wrestling Entertainment, Inc.

www.wwe.com/

Official site with wrestler information, corporate details, news, merchandise, and a directory of affiliated sites. [Formerly the World Wrestling Federation.]

From the site: What is WWE 24/7 Online? WWE 24/7 Online provides Streaming Video on Demand (VODs) for purchase either individually or on a subscription basis. VODs are solely for viewing on your computer. They are not available as a VHS, DVD or download purchase. WWE 24/7 Online VODs are available for worldwide viewing. They are streamed at a bit rate of 300kbps, and are targeted to broadband users. The subscription service is not recommended for dial-up users.

19.Official Major League Baseball

mlb.mlb.com/

Coverage includes audio and video clips, interviews, statistics, schedules and exclusive stories.

20.BBC Sport

news.bbc.co.uk/sport/

United Kingdom and international news headlines. Contains video and audio webcasts, forums, and in-depth articles.

21.Bodybuilding.com

www.bodybuilding.com/

Offers articles, workout programs, competition calendar, message board, shopping, photo gallery, and professional profiles and related links.

From the site: At first glance, the Bodybuilding.com web site may seem pretty overwhelming. ... The keys to bodybuilding and fitness success are: 1. ... Since 1999, we have watched millions of people try to get in shape, and there is no doubt that the people that use each area of Bodybuilding.com get the best results. " /> SuperSite: ... Over 400 writers have contributed since 1999 to create the largest and easiest to use bodybuilding and fitness information resource in the world.

22.BBC Sport Football

news.bbc.co.uk/sport2/hi/football/default.stm

United Kingdom and international news headlines. Contains video and audio webcasts, forums, and in-depth articles.

23.Fox Sports: NFL

msn.foxsports.com/nfl

Breaking news, features, statistics, scores, standings, and schedules.

24.Scout.com

www.scout.com/

Online sports network with the lastest news and recruiting information for high school, college, and professional sports.

25.Yahoo! Sport UK

uk.eurosport.yahoo.com/

UK and international news, articles, scores, standings, team information, photographs, and columns.

26.Sky Sports Online

www.skysports.com/football/

Sports news from around the world.

27.FanHouse

www.fanhouse.com/

FanHouse is the internet's best collection of sports blogs. Get full coverage of the world's hottest sports stories, and constant updates.

28.Fédération Internationale de Football Association (FIFA)

www.fifa.com/

The official site of the international governing body of the sport with news, national associations, competitions, results, fixtures, development, organisation, world rankings, statistics, the International Football Association Board, history, laws of the game, futsal, publications, downloads, and contact details. [English/German/French/Spanish]

From the site: Friday 31 October 2008 CIES opened last week the first edition of the FIFA/CIES Sport Management Programme in Egypt and Turkey. ... Friday 31 October 2008 Under supervision from the IEC, elections for the Polish FA took place on Thursday 30 October, with Grzegorz Lato duly elected as the new chairman. 2010 FIFA World Cup South Africa™ AUB-FIFA Broadcast Academy launched to enhance broadcast quality in Africa.

29.Yahoo! Sports: NHL

sports.yahoo.com/nhl/

Listen to live and on-demand sports content.

30.Yahoo Sports: NBA - Players

sports.yahoo.com/nba/players/

Listen to live and on-demand sports content.

31.Ball Don't Lie - NBA - Yahoo! Sports

sports.yahoo.com/nba/blog/ball_dont_lie

Listen to live and on-demand sports content.

32.Yahoo! Sports: Major League Baseball

sports.yahoo.com/mlb

Listen to live and on-demand sports content.

33.FilGoal

www.filgoal.com/

An Egyptian sports web portal with fixtures, results and competitions.

34.Manchester United Football Club

manutd.com/

The official site with news, results, fixtures, tables, match reports, features, photographs, teams, history, travel, maps, Old Trafford, tickets, media, community, events, and related links.

35.TSN.ca - The Sports Network

www.tsn.ca/

Canada's national sports channel.

From the site: Wednesday, January 16 Calgary @ Minnesota 8:30pm et/5:30pm pt 2007-08 NHL on TSN Schedule 2007-08 Molson Canadian Leafs Hockey Schedule Canadian Six-Pack At the end of each month, TSN.ca ranks and breaks down Canada's six Canadian NHL teams based on their performance, and provides a look ahead to key games. For the month of December, Canada's top team was also Alberta's top team - the red hot Calgary Flames.

36.Yahoo Fantasy Sports

sports.yahoo.com/fantasy

Listen to live and on-demand sports content.

37.Cricbuzz.com

www.cricbuzz.com

Interactive portal with live commentary, scores, graphs, chat, and a forum.

38.Sherdog.com

www.sherdog.com/

Mixed Martial Arts, news, interviews and video clips.

39.Arsenal.com

www.arsenal.com/

The official site with fixtures, league table, reserves, youths, ladies, and forums.

From the site: Sam Hollis was appointed ‘secretary-manager’ of Arsenal in 1894. He was the first individual to be placed in charge of team affairs. Prior to his appointment, the team had been managed by a committee of players and club members. Hollis spent three years at the club during which time the Club remained mid-table in the Second Division. He moved on to Bristol City in the summer of 1897.

40.ESPN.com

games.espn.go.com/frontpage

Information about all college and professional sports.

41.Yahoo! Sports: Boxing

sports.yahoo.com/box

Listen to live and on-demand sports content.

42.Recreational Equipment, Inc. (REI)

www.rei.com

A comprehensive site with equipment and clothing for camping, hiking, climbing, cycling, paddling, and skiing. Product information, how-to, and sale items. Retail outlets across the USA.

From the site: At REI, we love to get outside and play, and we know first-hand the importance of quality outdoor gear. We stand behind all our products with a 100% satisfaction guarantee, and we design our own line of award-winning REI brand gear and clothing. Whether you're new to outdoor adventure or a seasoned pro, we gladly share our enthusiasm for our products—and the trails, slopes and waterways where we play.

43.Ultimate Fighting Championship

www.ufc.com/

Top Mixed Martial Arts production company in the United States.

44.Australian Open

www.australianopen.com

Official website. Provides scoreboard, news, photos, videos, players, and tournament information.

45.Guardian Unlimited: Football

www.guardian.co.uk/football

Home of the Guardian, Observer and Guardian Weekly newspapers plus special-interest web sites. Each includes news, comment and features plus breaking news, multimedia, ongoing special reports and free archives.

From the site: The Guardian newspaper, of which guardian.co.uk is its online presence, was founded in 1821 and has a long history of editorial and political independence. ... Here she answers some of guardian.co.uk's most common queries. ... The Guardian, the Observer, and guardian.co.uk strive to maintain the highest editorial standards at all times. ... Buy Guardian and Observer photos guardian.co.uk Internships guardian.co.uk offers a small number of one or two-week internships.

46.ESPN Star Sports

www.espnstar.com

The latest sporting news

From the site: Engaging, entertaining and interactive, espnstar.com, espnstar.com.cn, espnstar.com.tw and footballcrazy.tv are Asia’s top multimedia sports destinations, each tailored to draw millions of users across the region, by providing in-depth sports news, results and competitions about the sports they love.

47.Rotoworld

rotoworld.com/

Information, updated daily, for fantasy sports players. Includes latest information, injuries, rosters, depth charts and message boards.

48.NBC Sports

nbcsports.msnbc.com/

National and international coverage breaking news, feature stories, videos, blogs, and photographs from the US television network.

49.Football365

www.football365.com/

A light hearted look at the World of Football. Daily features such as mediawatch and the famous mailbox, plus join the infamous forum!

50.Liverpool Football Club

www.liverpoolfc.tv/

The official site with news, archive, mobile ringtones, colour backgrounds, text updates, live match commentary, and match highlights and goals. Also includes the Hillsborough Memorial.

From the site: If this is your first time on liverpoolfc.tv, you have just logged onto the most visited football club website in the world with over a million fans each month. Liverpoolfc.tv is THE site to visit for all your LFC needs. Whether you're interested in the latest news about the team, individual players, ticket details, the history of LFC or the goals from our most recent matches, you will hopefully find everything you could possibly want to know about Liverpool Football Club on this website.

51.BBC Sport: Cricket

news.bbc.co.uk/sport1/hi/cricket/default.stm

United Kingdom and international news headlines. Contains video and audio webcasts, forums, and in-depth articles.

52.Yahoo! Sports Tennis News

sports.yahoo.com/ten

Listen to live and on-demand sports content.

53.USA Today: Sports

www.usatoday.com/sports/

National daily newspaper.

From the site: USATODAY.com in its transition from a text-based format to one fully utilizing the power of audio and video. In 2005, USA TODAY LIVE expanded its focus to produce award-winning documentaries and television series. ... Soul of a Champion editorial content appeared in USA TODAY and USATODAY.com each Tuesday and aired that evening on newly-named Versus, formerly OLN, which can be seen in more than 70 million homes.

54.FOXSports.com

msn.foxsports.com/cfb

Breaking news, features, statistics, scores, standings, and schedules.

55.The Telegraph: Sport

www.telegraph.co.uk/sport/

International online news from the United Kingdom paper.

From the site: How to use telegraph.co.uk - FAQ ... General Information telegraph.co.uk telegraph.co.uk was created in November 1994, establishing the Telegraph as the first online daily UK newspaper in the UK. Extensive developments in recent months include the creation of Telegraph IQ , an interactive quiz, film site , music downloads and video streaming, a personal finance product comparison service, theatre, music event and gallery bookings.

56.Uefa.com

www.uefa.com/

The official site of the European governing body of the sport with results from the UEFA Champions League, and the UEFA Cup. Daily news, photographs, videos, games, and data for clubs and national teams.

From the site: Live internet simulcast provided by, or on behalf of, UEFA broadcast partners ... All the latest news and views via uefa.com's free video programme ISSUE 93 | 31.10.2008 ... The uefa.com Magazine turns the spotlight on FC Girondins de Bordeaux and its coach Laurent Blanc. ... Supporting UEFA's Grassroots Programme for players and coaches.

57.Sporting News

www.sportingnews.com/

Columnists, articles, blogs, games, scores, photographs, statistics, and inside information.

58.Yahoo! Sports: Golf

sports.yahoo.com/golf

Listen to live and on-demand sports content.

59.BBC Sport - Premier League

news.bbc.co.uk/sport2/hi/football/eng_prem/default.stm

United Kingdom and international news headlines. Contains video and audio webcasts, forums, and in-depth articles.

60.Real GM

www.realgm.com/

Provides NBA news and a trade simulation program with salary cap details.

From the site: RealGM, L.L.C., an Illinois limited liability company, wholly owns and operates the popular sports Web site, RealGM.com, and a licensing business that supplies patent-pending technology to NBA teams as an application service provider. Building off the site’s popular Trade Checker feature, RealGM.com is a top spot for sports fans, generating traffic of 18 million unique users per year and over 20 million page views per month.

61.Sporting Life

www.sportinglife.com

Sports news from Sporting Life - live scores & results from a UK perspective. All major sports including football, horse racing, cricket & golf.

62.Deadspin

deadspin.com

Sports news and commentary with a humorous slant.

63.Soccerway.com

www.soccerway.com/

Statistics, results and fixtures for 615 leagues worldwide.

From the site: Soccerway offers over €1000 in Free Bets

64.CNN/SI - Pro Football

sportsillustrated.cnn.com/football/nfl/

Sports news from Cable News Network(CNN) and Sports Illustrated Magazine.

65.TEAMtalk : Football News Service

www.teamtalk.com/

Football news and transfer gossip latest from TEAMtalk. ... Features league tables, fixtures, stats, TEAMtalk TV, Your Say and much more.

66.CSTV

www.cstv.com/

Extensive coverage of college sports, including football, basketball, and baseball. Merchandise, games, contests, and newsletter.

67.ESPN - All NBA Players

sports.espn.go.com/nba/players

Information about all college and professional sports.

68.Dallas Cowboys

www.dallascowboys.com/

Official team site with audio and video clips, team news, depth charts, transactions, statistics, and player profiles.

69.CBS.SportsLine.com - NBA

www.cbssports.com/nba/

70.Times Online: Sport

www.timesonline.co.uk/tol/sport/

Get the latest in news, sports, travel and entertainment at The Times Online.

71.Lisboa - Dakar Race

www.dakar.com/

Official site of the famous crosscountry road rally. Includes news, standings, routes, organization and archives. [English, French, Portuguese]

72.Formula1.com

www.formula1.com/

Race news, statistics, driver and team profiles.

73.TSN.ca - The Sports Network: NHL

www.tsn.ca/nhl/

Canada's national sports channel.

From the site: Wednesday, January 16 Calgary @ Minnesota 8:30pm et/5:30pm pt 2007-08 NHL on TSN Schedule 2007-08 Molson Canadian Leafs Hockey Schedule Canadian Six-Pack At the end of each month, TSN.ca ranks and breaks down Canada's six Canadian NHL teams based on their performance, and provides a look ahead to key games. For the month of December, Canada's top team was also Alberta's top team - the red hot Calgary Flames.

74.Guardian Unlimited Sport

www.guardian.co.uk/sport

Home of the Guardian, Observer and Guardian Weekly newspapers plus special-interest web sites. Each includes news, comment and features plus breaking news, multimedia, ongoing special reports and free archives.

From the site: The Guardian newspaper, of which guardian.co.uk is its online presence, was founded in 1821 and has a long history of editorial and political independence. ... Here she answers some of guardian.co.uk's most common queries. ... The Guardian, the Observer, and guardian.co.uk strive to maintain the highest editorial standards at all times. ... Buy Guardian and Observer photos guardian.co.uk Internships guardian.co.uk offers a small number of one or two-week internships.

75.Eurosport

www.eurosport.com/

Latest news from worldwide sport events.

76.NewsNow

www.newsnow.co.uk/h/Sport/Football

Headlines links to stories from a wide range of sources, organised by category and regularly updated

From the site: Started in 1997, NewsNow's services include NewsNow.co.uk, one of the UK's most popular news portals. Our corporate services include online press cuttings, market intelligence, competitor tracking and website and intranet content. Today NewsNow monitors breaking news in 20 languages from the Internet's most important online publications, including international, national and regional titles, newswires, magazines, press releases and exclusively online news sources spanning 141 countries.

77.BoxingScene.com

www.boxingscene.com

Breaking news, insider information, results and forum.

78.FOX Sports: MLB News

msn.foxsports.com/mlb

Breaking news, features, statistics, scores, standings, and schedules.

79.Yahoo Sports - Player Profiles

sports.yahoo.com/nfl/players/

Listen to live and on-demand sports content.

80.NFL.com - Players

www.nfl.com/players

Official site of the National Football League. It delivers in-depth team pages for all clubs, game-day coverage with real time statistics and play-by-play and chats with top players.

From the site: To best experience NFL.com please download Adobe Flash and turn on JavaScript. ... NFL Network is the gathering place, using television to bring a new dimension to the NFL experience. The passion, the excitement, the highs and the lows are covered by NFL Network from an "insider's" perspective. ... NFL Network launched on Nov. 4, 2003 featuring more than 1,500 hours of original programming 24 hours a day, 7 days a week, 365 days a year.

81.MLB Trade Rumors

www.mlbtraderumors.com/

MLBTradeRumors.com is a clearinghouse for relevant, legitimate baseball rumors. The site focuses on the hot stove - trades and free agent signings. MLBTR has new material 365 days a year, and attempts to post all rumors with analysis as soon as they are

From the site: MLBTradeRumors.com is a clearinghouse for relevant, legitimate baseball rumors. The site focuses on the hot stove - trades and free agent signings. Rumors come from established journalists, and always include a link to the source material. ... MLBTradeRumors.com is not affiliated with Major League Baseball or MLB.com. ... Listed below are links to weblogs that reference About MLBTradeRumors.com :

82.Los Angeles Times: Sports News

www.latimes.com/sports/

Online version of local daily paper. Contains links to world, nation, and local news as well as weather, entertainment, business, and other links.

From the site: Some of the bodies appeared to be freshly buried, Hassan said. garrett.therolf@latimes.com

83.Surfline

www.surfline.com/

Surf reports and webcams at beaches around the world.

From the site: Welcome to Surfline.com -- the most comprehensive surf-related web site on the Internet. We're not talking about the kind of "surfing" done by Uncle Fester-looking cyberheads; we're talking about the kind done by real surfers -- those of us who do it in the ocean, on wind-borne waves, and who frequently suffer from such unsightly ailments as saltwater sinus drain, bone-clogged ear canals, sandpaper-like eyeball pimples and dermatological sun damage of the highest order.

84.Goal Soccer News

www.goal.com/en-US/

New media company that provides soccer news and entertainment through its internet and mobile platforms. Content is available in more than 15 languages, and attracts fans from over 215 countries.

85.Active.com

www.racegate.com/

Search and Register Online for Running, Triathlon, Duathlon, Cycling, Mountain Biking and Swimming events.

86.Real Madrid C.F.

www.realmadrid.com/

Official club site including news, player profiles, quizzes and wallpapers. [English/Spanish/Japanese]

87.NASCAR Online

www.nascar.com/

Official site from the National Association for Stock Car Auto Racing. Includes news, schedules, points, driver and team information, statistics, merchandise, history, message boards and multimedia downloads.

88.autosport.com

www.autosport.com/

News, results and features on F1, GP2, MotoGP, IRL, NASCAR, WRC, WTCC, DTM, BTCC, A1GP and F3. Includes the largest F1 results database online, FORIX.

89.Inter

www.inter.it/

Official club site including news, roster and message board. [Italian/English]

90.CNN/Sports Illustrated Basketball

sportsillustrated.cnn.com/basketball/

Sports news from Cable News Network(CNN) and Sports Illustrated Magazine.

91.The Telegraph Sport: Football

www.telegraph.co.uk/sport/football/

International online news from the United Kingdom paper.

From the site: How to use telegraph.co.uk - FAQ ... General Information telegraph.co.uk telegraph.co.uk was created in November 1994, establishing the Telegraph as the first online daily UK newspaper in the UK. Extensive developments in recent months include the creation of Telegraph IQ , an interactive quiz, film site , music downloads and video streaming, a personal finance product comparison service, theatre, music event and gallery bookings.

92.AOL Sports - NFL Fanhouse

nfl.fanhouse.com/

Offers weblog space for news and gossip.

93.Major League Baseball

mlb.mlb.com/news/

Coverage includes audio and video clips, interviews, statistics, schedules and exclusive stories.

94.WrestleZone

www.wrestlezone.com/

Results and news on the big 3, interactive features, and multimedia.

95.BBC Sport: Motorsport

news.bbc.co.uk/sport1/hi/motorsport/default.stm

United Kingdom and international news headlines. Contains video and audio webcasts, forums, and in-depth articles.

96.EL-AHLY.COM:::موقع جماهير الأهلي

www.el-ahly.com/

El-Ahly club of Cairo official fan site الموقع الرسمي لجماهير الأهلي

From the site: Rights Reserved to el-ahly.com © 2002 - 2007

97.Vancouver 2010

www.vancouver2010.com

Official site for the Olympic and Paralympic competitions. Includes news, how to get involved, game details, calendar, and information about the host city.

From the site: VANOC’s national education program, vancouver2010.com/edu , consists of an online, interactive, bilingual monthly e-magazine. The e-magazine serves as a portal where teachers, students and interested members of the public can learn more about Vancouver 2010, the Olympic and Paralympic Movements and the three pillars of the Olympic Games (Sport, Culture and Sustainability).

98.2010 FIFA World Cup South Africa

www.fifa.com/worldcup/

The official site of the international governing body of the sport with news, national associations, competitions, results, fixtures, development, organisation, world rankings, statistics, the International Football Association Board, history, laws of the game, futsal, publications, downloads, and contact details. [English/German/French/Spanish]

From the site: Friday 31 October 2008 CIES opened last week the first edition of the FIFA/CIES Sport Management Programme in Egypt and Turkey. ... Friday 31 October 2008 Under supervision from the IEC, elections for the Polish FA took place on Thursday 30 October, with Grzegorz Lato duly elected as the new chairman. 2010 FIFA World Cup South Africa™ AUB-FIFA Broadcast Academy launched to enhance broadcast quality in Africa.

99.MaxPreps.com

www.maxpreps.com/

MaxPreps is America s Source for High School Sports. MaxPreps contains schedules, scores, standings and player stats. MaxPreps features thousands of professional quality high school action photos from around the nation.

100.tribalfootball.com

www.tribalfootball.com

Football and Soccer news, scores and results

From the site: Who is tribalfootball.com ? tribalfootball.com is a company dedicated to the football tribes from all over the world. Tribes from towns and cities, states and provinces, countries and continents all competing in their chosen colours and designs in stadia ranging from old suburban grounds right through to the hi-tech venues with retractable roofs.