If
you want to keep bringing your
A-game to the bedroom, sometimes you need more than just experience
and time on the “field.” When facing a “batting
slump” or other problems that prevents
you from having sex, it’s time to call in an expert.
In addition to damaging your ego, sexual issues may signal more
serious health conditions. In most cases, these can be treated. Don’t be afraid
to talk to your doctor early on to determine the underlying cause, and develop
a plan of action.
We talked
to Culley Carson III, M.D., a urologist at the University of North Carolina
School of Medicine, about the five most common sexual problems men encounter,
and what you can do about them.
at you can do about them.
1. ERECTILE DYSFUNCTION
Erectile dysfunction, also known as impotence, involves not being
able to achieve or maintain enough of an erection to have sex. This is more
than just a quality of life issue, though. To sustain an erection, the penis
needs good blood flow. Erectile dysfunction, therefore, “can be the first sign
of significant cardiac or vascular disease,” says Dr. Carson.
According to Dr. Carson, studies have shown that the majority of
men seen in the emergency room for a cardiac event—such a heart attack or
stroke—suffered from erectile dysfunction three to five years earlier.
Treatment for erectile dysfunction involves first determining the underlying
cause. This includes dealing with obesity, smoking, cholesterol, and other risk
factors for cardiovascular disease.
In addition to modifying your lifestyle, there are several drugs
available to treat erectile dysfunction, including Viagra, Levitra, and Cialis.
2. TESTOSTERONE DEFICIENCY SYNDROME
Testosterone deficiency syndrome, or hypogonadism, can affect not
only your sexual performance, but also your bone health, energy level, muscle
strength, and mood.
If you are having difficulty achieving or maintaining erections,
your doctor may also order a simple morning blood test to rule out low
testosterone as the underlying cause. Testosterone replacement therapy—such as
with a gel—can help alleviate symptoms. Regular follow-up, though, is needed to
ensure that you reach a reasonable range of testosterone, not an “NFL kind of
level,” says Dr. Carson.
Not all men
with low testosterone, however, experience symptoms. In that case, it’s best to
leave things alon
3. PEYRONIE’S DISEASE
Peyronie’s disease involves a narrowing or curvature of the penis.
If severe enough, this condition can be painful, and may also prevent you from
having sex.
Deformation of the penis is caused by scar tissue—possibly the
result of a previous injury—that appears as a hard lump, more frequently on the
upper side of the penis. In most cases, pain during erection goes away after
one or two years, although the curvature usually remains.
In the past, surgery was one of the few treatment options
available, with a risk of significant side effects. New methods are currently
being tested, though, such as compounds that can be injected into the scar
tissue to straighten the penis.
4. PROLONGED ERECTION (PRIAPISM)
Men who experience an erection lasting more than four hours should
seek help in the emergency room. Treatment needs to occur within eight hours of
the start of an erection to avoid permanent damage to the penis.
One cause of prolonged erections is medication used to treat
erectile dysfunction. This is a rare side effect of pills like Viagra, but
occurs more frequently when this type of drug is injected directly into the
penis. This condition can also occur as a result of certain psychiatric
medications, cocaine use, or sickle cell disease.
Treatment options include draining excess blood from the penis
with a needle, medication to limit blood flow into the penis, or surgery.
5. EJACULATORY DYSFUNCTIONS
The most common type of ejaculatory dysfunction is premature
ejaculation, one that occurs within two minutes of the start of sexual
stimulation. Around a third of men experience this at
some point.
“Premature ejaculation is actually more common in patients across
the age groups than is erectile dysfunction,” says Dr. Carson. It is also the
most common sexual dysfunction in men under 40. There are currently few
treatments for premature ejaculation. Antidepressant medication is one option.
Topical anesthetics applied to the penis may also delay ejaculation by
decreasing sensation.
TIPS TO AVOID MALE SEXUAL ISSUES
Many sexual and performance issues can be “delayed, maybe even
prevented, by the usual things—diet and exercise, stopping smoking, keeping
weight down,” says Dr. Carson.
Even though medication may still be needed, proper diet and
exercise can boost both testosterone levels and sexual function, as well as
reduce the risk of other conditions, such as prostate cancer.
Routine visits to the doctor are also important, with regular
screening for risk factors of cardiovascular disease. As with many medical
conditions, “psychological issues are part of [male sexual issues] no matter
how physical it is,” says Dr. Carson. In this case, to keep yourself in the
game, you need to address not only the body, but also the mind.
Cause : https://www.muscleandfitness.com/women/sex-tips/five-embarrassing-male-sexual-issues
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