With men’s health it is important to know that sexual problems can be managed. A sexual health problem, or sexual dysfunction, refers to a problem during any phase of the sexual activity that prevents the individual or couple from experiencing satisfaction. The Everyman Centre has been treating men of all ages since 1998 and has the experience and knowledge to assist you with your sexual health problems.
While research suggests that sexual dysfunction is common (43% of women and 31% of men report some degree of difficulty), it is something most people will not discuss. Fortunately, most cases of sexual dysfunction are treatable, so it is important to share your concerns with your partner and doctor.
Causes of Sexual Problems
Physical conditions can cause sexual problems and these include diabetes, heart and vascular (blood vessel) disease, neurological disorders, hormonal imbalances, chronic diseases such as kidney or liver failure, and alcoholism and drug abuse. Some medications, including some antidepressant drugs, can affect sexual desire and function.
Psychological conditions can include work-related stress and anxiety, concern about sexual performance, marital or relationship problems, depression, feelings of guilt, and the effects of a past sexual trauma.
Who have Sexual Problems?
Both men and women are affected by sexual problems. They can occur in adults of all ages. Among those commonly affected are seniors, which may be related to a decline in health associated with ageing.
Men’s Sexual Problems
The most common problems in men’s sexual health are ejaculation disorders, erectile dysfunction, and inhibited sexual desire.
There are different types of ejaculation disorders, including premature ejaculation (the inability to delay ejaculation until it is mutually desirable by both partners), inhibited or delayed ejaculation (ejaculation that is slow to occur, or doesn’t happen at all) and retrograde ejaculation (ejaculate is forced back into the bladder rather than through the urethra and out the end of the penis at orgasm).
Premature ejaculation is the most common of these problems, especially among younger men. There are techniques men can use to help delay ejaculation—and using condoms may help too and of course protect against STIs and unintended pregnancy.
While medications can play a role in ejaculation problems, both premature and inhibited ejaculation may have a psychological cause, like anxiety about sex or sexual performance, or sexual trauma. The Everyman Centre can provide assistance with both physical and psychological sexual problems.
Retrograde ejaculation can be the result of side effects from medication, nerve damage, or surgery, such as prostate or bladder surgery. Depending on the cause, the treatment usually consists of changing an existing medication or prescribing a new medication. If surgery is the underlying cause, the condition may not be correctable. This generally does not require treatment unless it impairs fertility.
Loss of Sexual Desire or Libidio
A loss of libido, also called inhibited desire, is a decrease in desire for, or interest in, sexual activity. This can affect both men and women, and for some of the same reasons—stress, depression, side effects of medication, or relationship problems. But loss of desire for sex in men can also be the result of a decrease in testosterone levels, which is natural as men age.
What Is Erectile Dysfunction?
Also known as impotence or ED, erectile dysfunction is defined as the inability to attain and/or maintain an erection suitable for intercourse. Causes of erectile dysfunction include diseases affecting blood flow, such as atherosclerosis (hardening of the arteries); nerve disorders; psychological factors, such as stress, depression, and performance anxiety (nervousness over his ability to sexually perform); and injury to the penis. Chronic illness, certain medications, and a condition called Peyronie's disease (scar tissue in the penis) can also cause erectile dysfunction.
Sometimes there are psychological reasons behind erectile dysfunction. These might include depression, relationship problems, or a fear of intimacy. Lifestyle factors can also play a role, including drug abuse, alcoholism, smoking, obesity, and a sedentary lifestyle. Sometimes prescription drugs taken to treat a variety of conditions are the source of the problem (there are many prescription drugs that can cause erectile dysfunction.) The Everyman Centre can advise you on these problems.
Diagnosing Male Sexual Problems
To diagnose a man's sexual problem, the Everyman Centre will begin with a thorough history of symptoms. We may order tests to rule out any medical problems that may be contributing to the dysfunction.
Treatment of Male Sexual Health Problems
While sexual problems cannot be prevented, the Everyman Centre can help in dealing with the underlying causes of the problem and help you better understand and cope with the issue when it occurs. Many cases of male sexual health dysfunction can be corrected by treating the underlying physical or psychological problems. Treatment strategies may include the following:
Medical treatment -- This involves treatment of any physical problem that may be contributing to a man's sexual health dysfunction.
Medications may help improve sexual function in men by increasing blood flow to the penis.
Men with low levels of testosterone may benefit from hormone supplementation (testosterone replacement therapy).
Therapy with a trained counselor can help a person address feelings of anxiety, fear, guilt or any emotional or psychological issues that may have an impact on sexual function.
Aids such as vacuum devices and penile implants may help men with erectile dysfunction.
Education and Communication
Education about men’s sexual health, behaviour and responses may help a man overcome his anxieties about sexual performance. Developing better communication with your partner will help to overcome many barriers to a healthy sex life.
When to call the Everyman Centre
Many men experience a sexual health problem from time to time. However, when the problems are persistent, they can cause distress for the man and his partner, and have a negative impact on their relationship. If you consistently experience sexual function problems, see the Everyman Centre for evaluation and treatment.
The Everyman Centre is a clinic where we treat all areas of men’s sexual health. The Everyman Centre offers testing for all sexual transmitted infections and diseases. If you feel you have an STI or STD we can arrange testing as required.
Call the Everyman Centre for an appointment at 01 678 8010.
4 Lower Mount Street, Dublin 2, Ireland.