Rabu, 11 Januari 2012

Sexual Problems in Men (2)

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What Is Erectile Dysfunction? Also known as impotence, 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) also can cause erectile dysfunction.
What Is Inhibited Sexual Desire? Inhibited desire, or loss of libido, refers to a decrease in desire for, or interest in sexual activity. Reduced libido can result from physical or psychological factors. It has been associated with low levels of the hormone testosterone. It also may be caused by psychological problems, such as anxiety and depression; medical illnesses, such as diabetes and high blood pressure; certain medications, including some anti-depressants; and relationship difficulties. How Are Male Sexual Problems Diagnosed? The doctor likely will begin with a thorough history of symptoms and a physical exam. He or she may order other tests to rule out any medical problems that may be contributing to the dysfunction. The doctor may refer you to other doctors, including an urologist (a doctor specializing in the urinary tract and male reproductive system), an endocrinologist (a doctor specializing in glandular disorders), a neurologist (a doctor specializing in disorders of the nervous system), sex therapists, and other counselors. What Tests Are Used to Evaluate Sexual Problems? The doctor likely will begin with a thorough history of symptoms and a physical exam. He or she may order other tests to rule out any medical problems that may be contributing to the dysfunction. The doctor may refer you to other doctors, including an urologist (a doctor specializing in the urinary tract and male reproductive system), an endocrinologist (a doctor specializing in glandular disorders), a neurologist (a doctor specializing in disorders of the nervous system), sex therapists, and other counselors. How Is Male Sexual Dysfunction Treated? Many cases of sexual 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 dysfunction. Medications: Medications, such as the impotence drugs Viagra or Levitra, may help improve sexual function in men by increasing blood flow to the penis. Hormones: Men with low levels of testosterone may benefit from testosterone replacement therapy. Psychological therapy: Therapy with a trained counselor can help a person address feelings of anxiety, fear, or guilt that may have an impact on sexual function. Mechanical aids: Aids such as vacuum devices and penile implants may help men with erectile dysfunction. Education and communication: Education about sex and sexual behaviors and responses may help a man overcome his anxieties about sexual performance. Open dialogue with your partner about your needs and concerns also helps to overcome many barriers to a healthy sex life.

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