Most people experience sexual health issues at some point in their lives. For men, these issues can relate to sexual desire, arousal, performance, or all of the above. Not only can these difficulties impair a man’s enjoyment of sex, but they can also impact his confidence and self-image.
Despite the importance of sexual health, embarrassment or social stigma can keep men from opening up about their problems. As a result, few men realize that these conditions can be successfully treated. Richmond University Medical Center is an award-winning care center located in Staten Island, New York. Here, our urology team discusses the options available for several forms of male sexual dysfunction.
Erectile Dysfunction
Erectile dysfunction (ED) is among the most common sexual concerns for men. It affects 30 to 50 million men in the United States, including all ages and backgrounds. ED refers to difficulty in getting or maintaining an erection and has many possible causes. While occasional ED can be benign, persistent ED is often the result of a serious underlying health condition. Possible causes for ED include:
- Cardiovascular disease
- Obesity
- Diabetes
- Hormonal imbalances
- Psychological factors, including stress or depression
When diagnosing ED, physicians begin with a Sexual Health Inventory for Men (SHIM) questionnaire. The SHIM is a standardized measurement of ED that helps the physician determine how mild or severe the condition is. This, in turn, helps the physician to select the most appropriate treatment approach. For example, if difficulties are caused by obesity, then weight loss may be a solution. If ED is related to anxiety, depression, or relationship issues, then mental health counseling may help.
Other treatment approaches focus on managing erectile dysfunction itself. These include:
- Oral medications that regulate blood flow
- Vacuum erection devices to draw blood into the penis
- Shockwave therapy to promote tissue growth and blood flow
- Botox therapy to relax and widen blood vessels
The patient’s physician can help him understand his options and the benefits of each, guiding him toward an informed treatment decision.
Premature Ejaculation
Premature ejaculation is a condition that causes climax and ejaculation sooner than desired. Many men assume that premature ejaculation is the result of poor control, leading to great frustration and lost self-confidence. They do not realize that this is a medical condition that can be cured.
In most cases, premature ejaculation is rooted in psychological or emotional issues. Mental health counseling can address the condition by relieving its underlying cause. Medications like antidepressants may also help. Not only can these reduce emotional distress, but they also delay ejaculation, treating the symptom directly. Finally, topical anesthetics may be used to decrease sensation, allowing men to enjoy intercourse longer before climax.
Low Libido
Low libido refers to a lack of sexual interest. It may be primary, meaning that a man always has the condition, or it may be acquired later in life. Once again, many men assume that this condition is a personal failing. This is not the case. Low libido may be related to many underlying medical conditions, such as:
- Stress
- Fatigue
- Low testosterone
- Relationship problems
- Certain drugs for prostate cancer and enlarged prostate
- Old age
As with erectile dysfunction, treatments for low libido are focused on addressing the cause. Lifestyle changes can improve rest and relieve fatigue. Increased exercise may also improve libido. If the patient qualifies, testosterone replacement therapy may be recommended, though this approach may require monitoring to manage the potential side effects. Patients interested in hormone replacement therapy should speak with their physician about qualifications and possible downsides.
Other Ways to Treat Male Sexual Dysfunction
Fortunately, the above disorders can be improved with lifestyle adjustments. Physicians recommend a diet that is low in fat and high in antioxidants. This improves heart and circulatory health, which are key to enjoyable sexual activity. Exercise is also essential in treating dysfunction. Increased physical activity helps to enhance circulation, improve endurance, and reduce weight. These are all just as important for sexual health as they are for a person’s overall well-being.
Access Treatment for Sexual Dysfunction at Richmond University Medical Center
Struggling with male sexual dysfunction can be discouraging, but Richmond University Medical Center urges patients to remember that they are not alone. There are many effective treatments available for all forms of sexual dysfunction, including erectile dysfunction, premature ejaculation, and low libido. The urology team is happy to assist patients in dealing with these issues to restore self-confidence, a positive body image, and an enjoyable lifestyle.
Richmond University Medical Center treats patients in Staten Island, NY. The hospital has a dedicated Urology Services Center, located at 1200 South Avenue, Room 301. Call 718-370-1400 to schedule a consultation with one of our board-certified urologists.
