MEN’S SEXUAL HEALTH

Our physicians work with patients to develop effective treatment plans to improve their sexual health

WHAT IS ERECTILE DYSFUNCTION?

A sexual health issue that affects an estimated 20 million men in America is erectile dysfunction or ED. It is more prevalent with age and up to 50% of men over the age of 50 have some degree of erectile dysfunction with the majority of diagnoses occurring after the age of 65. ED is defined as the inability to achieve and/or sustain an erection for sexual intercourse.

Blue Ridge Urological understands that erectile dysfunction is a sexual health problem that can impact the quality of life for men as well as their partners. ED can cause stress, embarrassment and impact self-confidence. Having problems getting and keeping an erection may be indicative of other health conditions and could be a risk factor for heart disease. Therefore, it is important to talk to your doctor about this problem.

SEXUAL HEALTH

WHAT CAUSES ERECTILE DYSFUNCTION?

There are many factors and bodily systems involved in male arousals such as the brain, mental health, emotions, nerves, blood vessels, hormones and muscles. If there is a problem with any of these systems, it can impact male arousal and cause or exacerbate erectile dysfunction. Most physical causes of erectile dysfunction range from chronic diseases to lifestyle choices. Mental health plays a role in erectile dysfunction as well.

POSSIBLE CAUSES OF ED:

Most physical causes of erectile dysfunction range from chronic diseases to lifestyle choices and include:

  • Atherosclerosis (blocked blood vessels)
  • Heart disease
  • High blood pressure
  • Diabetes
  • Parkinson’s disease
  • Multiple sclerosis
  • Heavy smoking and drinking or substance use
  • Certain prescribed medications
  • Enlarged prostate
  • Prostate cancer
  • Vascular disease
  • Low testosterone

The following are some mental health disorders that can have an impact on sexual arousal:

  • Mental Health
  • Depression
  • Generalized Anxiety Disorder
  • Bipolar
  • Post Traumatic Stress Disorder (PTSD)
  • Obsessive-Compulsive Disorder (OCD)
  • Social anxiety

It is important to speak to your doctor about any problems you may have with erectile dysfunction to rule out other health conditions. It can be normal to have occasional issues achieving and sustaining an erection and this is not a cause of worry. However, if issues with erectile dysfunction occur close to 50% of the time, you may have a condition that needs treatment.

SYMPTOMS OF ERECTILE DYSFUNCTION

Erectile dysfunction is usually diagnosed if you have regular or repeated difficulty with:

  • Getting an erection
  • Maintaining an erection during sexual activity
  • Interest in sex/lack of desire

Symptoms that may accompany ED, but are different sexual disorders are:

  • Premature ejaculation
  • Delayed ejaculation
  • Inability to achieve orgasm or anorgasmia

DIAGNOSING ERECTILE DYSFUNCTION

Blue Ridge Urological offers comprehensive testing for sexual health disorders such as erectile dysfunction. Your doctor will evaluate your medical history and ask you a series of questions related to ED and how long you have been experiencing symptoms. A physical examination will be performed to evaluate any physical causes of the disorder and to ensure that you are healthy. Men may experience erectile dysfunction as the result of enlarged prostate; therefore, a prostate exam will help rule out other medical conditions.

Your symptoms, as well as how long you have been experiencing them, will help guide your urologists in choosing the appropriate testing to determine the cause of your erectile dysfunction.

TREATMENT FOR ERECTILE DYSFUNCTION

There are many natural treatments for erectile dysfunction ranging from healthy dietary choices to exercises to help strengthen pelvic floor muscles to help combat the symptoms of ED. Your doctor may suggest Kegel exercises which have been shown to help patients with ED. Contracting the pelvic floor muscles regularly helps to strengthen them and increase blood flow to the area. Routine exercises such as swimming, running and yoga have also shown to be beneficial in managing the symptoms of ED. Certain lifestyle habits can play a role in erectile dysfunction such as smoking, excessive alcohol use and certain prescription medications. Your specialist will advise you on modifying or eliminating these habits, if possible, to promote improved sexual health.

If lifestyle modifications and exercises do not help, there are other treatment options that can be pursued. Oral medications can be prescribed to increase the blood flow to the penis improving erection strength and duration. Hormone therapy may be used if blood work indicates that testosterone is low.

Blue Ridge Urological provides compassionate care for men experiencing sexual health disorders such as erectile dysfunction. Our board certified urologists will work with you to tailor an individualized treatment plan to restore your sexual health. We will make sure that you have the resources you need to make the best possible decisions throughout the process. If you have any questions or concerns, please feel free to call Blue Ridge Urological today at (540) 932-5926.

FAQ

What are the most common sexual health issues men face?

Men commonly experience a variety of sexual health issues, including erectile dysfunction (ED), premature ejaculation, low libido (reduced interest in sex), and delayed ejaculation. ED is particularly prevalent, affecting approximately 30 million men in the United States. These conditions can arise from physical factors such as hormonal imbalances, chronic illnesses (like diabetes or heart disease), or psychological factors such as stress, anxiety, and depression.

How does age affect male sexual health?

As men age, they may experience changes in sexual health due to hormonal fluctuations, particularly a decline in testosterone levels. This can lead to reduced libido, difficulty achieving or maintaining an erection, and longer refractory periods after ejaculation. Additionally, age-related health conditions and medications can contribute to sexual dysfunction. It’s essential for older men to discuss any changes in their sexual health with a healthcare provider to identify potential underlying causes and treatment options.

Can lifestyle choices impact male sexual health?

Yes, lifestyle choices play a significant role in male sexual health. Factors such as diet, exercise, smoking, alcohol consumption, and stress management can all influence sexual function. A balanced diet rich in fruits, vegetables, whole grains, and healthy fats can improve overall health and support sexual function. Regular physical activity enhances blood flow and reduces the risk of conditions like obesity and diabetes that can lead to erectile dysfunction. Conversely, smoking and excessive alcohol intake can negatively affect libido and erectile function.

What should I do if I experience persistent sexual problems?

If you experience persistent sexual problems that last more than a few months or cause distress for you or your partner, it is important to seek medical advice. A healthcare provider can help identify any underlying physical or psychological issues contributing to the problem. Open communication about your symptoms is crucial for effective diagnosis and treatment. Many treatment options are available, ranging from lifestyle changes and counseling to medications and therapies tailored to your specific needs.

Are there any effective treatments for erectile dysfunction?

Yes, several effective treatments are available for erectile dysfunction (ED). Common options include oral medications such as phosphodiesterase type 5 inhibitors (e.g., Viagra, Cialis) that enhance blood flow to the penis during arousal. Other treatments may involve vacuum erection devices, penile injections, or intraurethral suppositories that promote erections. For men with more severe cases of ED or those who do not respond to other treatments, surgical options such as penile implants may be considered. It’s essential to consult with a healthcare provider to determine the most appropriate treatment based on individual circumstances.

What makes a man super fertile?

Certain lifestyle factors can make a man super fertile, including a healthy diet of fruits and vegetables, plenty of exercise, maintaining a healthy weight, getting enough sleep, and getting plenty of vitamins and antioxidants. Your doctor at Blue Ridge Urological can discuss fertility with you during your appointment.

What age are men most fertile?

Men are typically most fertile from 25-29. Fertility starts to decrease in their 30s and 40s.

What are signs of male fertility?

Male fertility is typically tested by looking at sperm count, the movement of the sperm, the shape of the sperm, testicular health, and other factors.

What can help with male fertility?

Practicing a healthy lifestyle, managing stress, limiting alcohol intake, hormone therapy, and practicing safe sex are just a few ways to help with male fertility.

What foods increase male sperm?

Antioxidants, foods rich in omega-3s, green leafy vegetables, foods rich in zinc, and foods containing vitamin E and B12 can help increase sperm count and the quality of the sperm.

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