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Many men have sexual problems which prevent them from deriving pleasure from sexual activities. They become more common as men age. These problems are generally caused by physical or psychological issues like certain medical conditions, alcoholism, drug abuse, stress, anxiety etc. The most common ones among them are:
1. Erectile Dysfunction - Erectile dysfunction or impotence involves not being able to achieve or maintain enough of an erection to have proper sex. This is usually caused by tension about work, finances, family, relationship or even excessive worrying about not getting an erection.
The penis needs good blood flow to sustain an erection during sex. Erectile dysfunction can also be the first sign of significant cardiac or vascular disease.
Selective drugs like Staxyn, Stendra, Levitra, Cialis, Viagra etc. are generally used to treat erectile dysfunction in men. Another treatment is psychotherapy, which might help in exploring problems in the relationship or by relaxation techniques.
2. Peyronie's Disease - Peyronie's disease causes narrowing or curvature of the penis. If it is severe enough, this condition can be painful and prevent you from having sex.
Penis deformation can be caused by scar tissue, possibly because of a previous injury, that appears as a hard lump on the upper side of the penis more frequently. Many times, pain during erection is not felt after 12 to 24 months, although the penis curvature usually remains.
3. Ejaculatory Disorders - Premature ejaculation is the most common type of ejaculatory dysfunction. It occurs within two minutes of the start of sexual stimulation. There are good chances that most men might experience this at some point of their life.
There are currently few treatments for premature ejaculation. Antidepressant medication is usually the best option. Topical anaesthetics applied to the penis can also delay ejaculation by reducing sexual sensation. If you wish to discuss about any specific problem, you can consult a sexologist.
The inability to conceive for a prolonged duration after trying to do so is usually termed as infertility. This is usually diagnosed when a couple is unable to conceive even after trying regularly, without any kind of contraceptives. There may be many causes and factors for this and it may occur in either or both partners. So, you all need to know the causes and treatment of infertility.
- Age: Age is a major factor that can lead to infertility for either partner. Usually, the trend now is to delay having a baby until a woman is in her thirties or even forties, in some cases. This has an adverse effect, particularly on the age of the maternal egg which may or may not be effective as far as fertilisation goes. With the advancement of age, one loses the guarantee of genetic normalcy of the egg as well.
- Disorders in ovulation in females: Ovulation is an essential function that helps in releasing the egg that needs to be fertilised when it comes together with the sperm at the time of ovulation. This usually occurs at a certain time every month. But disorders like PCOS or Polycystic Ovary Syndrome can lead to an inability on the part of the ovaries to release these eggs. The treatment for this includes medication that will help in maintaining more regular cycles for the release of eggs.
- Male factor causing Infertility: In many cases, it has been seen that anomalies in the semen analysis reveal problems of infertility with males as of low sperm count, low motility of sperm, low quantity of alive and active sperm when it comes to natural conception. In such cases, a sexologist can prescribe you medicines that will increase the semen production for better quantity and quality of the sperm. The doctor can also ask the patient to go through a number of lifestyle changes too includes abstinence from smoking and excessive drinking, as well as the cultivation of a less stressful environment. Hormonal treatment or even surgery may also required to help in some severe cases.
- Endometrial polyps: In such cases, the female partner may develop finger like growths that can protrude in the form of tissue and come out of the uterine layer or the uterus. The removal of these polyps with the help of surgical procedures usually helps in such cases.
In many cases where mediation fails, the patients may have to go through IVF (In Vitro Fertilisation) or other such procedures to conceive a child with artificial methods. One must explore all options and find out the best one in terms of the infertility causes that the couple may be facing. You will also need to ensure that you have a well trained and experienced sexologist doctor who can help you with the process and guide you completely about the cause of problem and prescribe you best treatment to manage infertility at the right point of time.
With changing times the nature and effects of virus and bacteria are also changing and due to this, one of the biggest risks of unprotected sex is catching a sexually transmitted disease or STD. An STD can be contacted by any form of intercourse including oral, vaginal and anal sex.
STDs are serious diseases that should not be ignored and require treatment and medication. Some common STDs are:
- Hepatitis B
- Genital Herpes
- Syphilis and
The only way to protect yourself from an STD is to abstain from unprotected sex and always use a condom. Sometimes STD infections have no symptoms and can remain dormant for years, hence it is essential to get yourself regularly treated for STDs if you have more than one sexual partner.
On the other hand some STDs have visible symptoms such as:
- Skin rash: A rash in the genital area is most often a sign of STDs. This can be in the form of bumps, sores or warts. It may or may not be accompanied by itchiness. A rash caused by a STD usually results in redness and inflammation. Herpes sores may subside within a week or so but just because the rash is gone does not mean the infection has been treated. Hence even if the rash disappears before your doctor's visit, ensure you mention it.
- Painful urination: A burning sensation or pain while urinating is a symptom for a number of STDs. There may also be a change in the colour of urine. Some STDs associated with painful urination as Chlamydia, gonorrhea and trichomoniasis. However, this may also be triggered by kidney stones or a urinary tract infection.
- Painful intercourse: Pain during intercourse is one of the most overlooked symptoms of a sexually transmitted disease. While a little pain may be normal, any sudden increase in pain or new type of pain should not be ignored. This should be kept in mind especially when having intercourse with a new partner or if there is a change in sexual habits. When it comes to men's sexual health, pain at the time of ejaculation can be a symptom of a STD.
- Abnormal discharge: Abnormal discharge from the vagina or penis can be a symptom of a number of infections not all of which are STDs. Strangely coloured and odorous vaginal discharge can be a symptom of yeast infections or a Sexually transmitted disease like trichomoniasis or gonorrhea. Bleeding in between periods can also be a symptom of a STD. Abnormal discharge from the penis can be a sign of Chlamydia, gonorrhea or trichomoniasis. If you wish to discuss about any specific problem, you can consult a sexologist and ask a free question.