Specialist in Male Sexual Disorders
Male sexual dysfunction can occur at any age, but it is especially prevalent in men over 40 years old. Also, this disorder can lead to emotional issues such as low self-confidence, lack of self-confidence and depression.
This disorder may be the result of an underlying or mental illness, cardiovascular disease, high blood pressure or anxiety and problems related to the prostate gland, which should be referred to a urologist or a specialist in male sexual disorders.
Sexual problems and disorders are experienced by many men and include the following:
- erectile dysfunction
- premature ejaculation
- Low libido
- Delayed ejaculation
- Sexual pain and chronic pelvic pain
Erectile dysfunction
This problem is known as erectile dysfunction (ED) or impotence and includes the inability to get an erection or the inability to maintain full sexual intercourse. It can affect men at any age but is more common in midlife and later. About 50% of men over the age of 40 have difficulty getting or maintaining an erection.
Erectile dysfunction is especially common in men with diabetes, high blood pressure, and coronary heart disease, and in men being treated for prostate cancer and other pelvic cancers. It is also associated with the use of various prescription drugs.
Men often underestimate the impact of psychological factors. Erectile dysfunction frequently undermines a man’s self-confidence and self-esteem.
Premature Ejaculation
Premature ejaculation is a man’s inability to delay orgasm and ejaculation so that the man and his partner cannot enjoy a satisfying sexual experience.
Concern about premature ejaculation (PE) is reported by about 30% of men. Two thirds of them don’t consider it too much of a problem, but another third find it affects their sex life enough to seek professional counseling or therapy. It’s not just a problem for young, sexually inexperienced men, but it can affect older men with no history of previous problems, especially those with common erectile dysfunction.
Low libido
About 15% of men have low libido. This is often due to other sexual issues, such as erectile dysfunction, premature ejaculation, or relationship problems. Sometimes there is no clear explanation. An evaluation by a urologist can help identify psychological and medical factors that may be contributing to libido.
Delayed ejaculation
Delayed ejaculation is a frustrating problem for men and their partners. It is experienced by about 3% of men and is associated with several prescribed drug treatments and some medical conditions as well as psychological and relational factors.
Sexual pain and chronic pelvic pain
Up to 30% of men experience pelvic pain, chronic prostatitis (inflammation of the prostate gland), or pain from ejaculation at some point in their lives.
This is sometimes related to infection or inflammation but is usually unrelated. It may be a complex regional pain syndrome such as fibromyalgia. Our assessment and integrated approach to pain management may help with this frustrating and intractable condition.
