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sexual dysfunction

What is erectile dysfunction?

ED is the inability to have an adequate erection.

What is necessary to have an erection?

To achieve an adequate erection, blood has to flow into the penis. There are two rod-like tubes inside the penis. Blood flow reduces with inadequate stimulation, as men get older, in the presence of diabetes mellitus, heart disease or other medical problems

How do andrologists assess erection?

We use the erection hardness scale for assessing erection. Please have a look at the image and video given below.

What is Premature Ejaculation?

Men who suffer from Premature Ejaculation (PE), a sexual disease defined by an inability to postpone ejaculation during sexual activity. PE can make a man feel anxious and distressed, which lowers his sexual gratification and undermines his self-assurance.

Premature ejaculation and erectile dysfunction are related, despite the fact that they are two distinct disorders that can coexist and interact with one another. PE can create ED because of the worry it causes, and ED can cause PE because it is challenging to keep an erection.

Causes

Although the precise aetiology of PE is uncertain, psychological and physiological factors are thought to have a role. These elements include relational issues, stress, anxiety, and depression. Additionally, physical disorders like hormone imbalances and nerve damage can be linked to PE.

Diagnosis

PE can be identified based on the patient's symptoms and medical background. In order to rule out any underlying medical concerns, your doctor may inquire about your sexual history and behaviour as well as conduct a physical examination.

Treatments

PE can be treated with behavioural therapy, prescription drugs, and topical anaesthetics. Learning methods to postpone ejaculation, such as the "squeeze" and "stop-start" strategy, is a component of behavioural therapy. Ejaculation can also be postponed with the aid of medications, such as selective serotonin reuptake inhibitors (SSRIs). To lessen sensation and postpone ejaculation, topical anaesthetics can also be applied.

conclusion

males frequently experience premature ejaculation, which can be upsetting and frightening. There are treatment alternatives available, therefore it's crucial to get medical attention and discuss your problems with

Delayed Ejaculation

Ejaculation usually occurs after an erection. When the male partner is unable to ejaculate despite trying for adequate amount of time it is called delayed ejaculation, There is no clear cut time definition.

Evaluation

  • Male partner history

  • Masturbatory habits

  • Intravaginal ejaulation and masturbatory ejaculatory latency assessment

  • Organic causes if any

  • Surgeries

Treatment

Based on the cause of delayed ejaculation it is possible to prescribe treatment.

What is Peyronie’s Disease/ Penile Curvature

Penile curvature, also known as Peyronie's disease, is a condition where the deep tissue of the penis produces fibrous scar tissue, causing the penis to curve abnormally during an erection. A man's confidence and general sexual satisfaction may be impacted by this curvature, which can also make it painful and challenging to engage in sexual activity.

Causes

The precise aetiology of Peyronie's Disease is unknown, but inflammation, hereditary factors, and penile trauma or damage are thought to be contributing factors. Additionally, several medical illnesses and medications can have a side effect that causes Peyronie's disease.

Diagnosis

Peyronie's disease is diagnosed based on the patient's symptoms and medical background. The curve of your penis may be examined physically by your doctor, who may also inquire about your sexual history. To help with the diagnosis of Peyronie's disease, imaging procedures including magnetic resonance imaging (MRI) and ultrasound may also be carried out.

Treatments

Peyronie's disease can be treated with prescription drugs, surgery, and vacuum erection devices. The size of the fibrous scar tissue can be reduced and the curvature of the penis can be improved with the use of medications like verapamil and interferon. To fix a severe curvature, surgery, such as plaque removal and grafting, may be required. Additionally, using vacuum erection aids might enhance sexual function and happiness.

conclusion

Males who have Peyronie's Disease or Penile Curvature may have pain and difficulty during sexual activity. There are treatment alternatives available, therefore it's crucial to get medical attention and discuss your problems with your doctor. The curvature of the penis can be improved, and so can sexual satisfaction, with the correct medical care.

What is retrograde ejaculation?

Reduced amount of semen coming out at the time of ejaculation.

What are the Causes?

  • Diabetes mellitus

  • Postoperative – TURP/ Spinal cord surgery/

  • Hypogonadism

  • Spinal cord injury

  • Congenital abnormalities

Treatment for RE

  • Adequate stimulation

  • Control sugars

  • Imipramine

  • Pseudoephedrine

How to overcome?

  • Retrieve sperms from the bladder

  • Sperm retrieval