Male Sexual Dysfunctions
Erectile Dysfunction (ED)
ED can be end result of both Physical and Psychological problem.
It can be selective i.e towards specific partner or Generalized.
Main symptom is, Man’s inability to get and maintain an erection firm enough for Sexual Intercourse.
Psychological intimacy is must for Sexual Intimacy.
Before treatment, underlying cause needs to be ascertained and Therapy given accordingly for better results. Treatment requires ‘Integrating Sex Therapy with Pharmacotherapy’. Counseling for Psychological well being and Couple healing and Pharmacotherapy directed towards maintaining Optimum Hormonal Balance, Increasing pelvic blood flow and Nutritional Therapy. If the supportive treatment doesn’t help then other therapies e.g. VED (Vaccum erection device),ICVAD( Intracavernosal injection of vasoactive drugs), MUSE, P-shot, Shockwave therapy, Penile implants can be resorted to.
Premature ejaculation (PE)
PE during Sexual Intercourse is, if a man ejaculates sooner than he or his partner would like. Nowadays timings of the act is not essential but satisfaction of both partners is.
PE leads to sexual dissatisfaction and relationship issues. Causes can be in physical e.g. Hypersensitive glans, infection etc or relationship issues, stress etc.
Effective treatment requires, cause oriented therapy. Kiegel exercises can be of great help.
Numbing sprays, though commonly used may backfire, leading to loss of erection and with progression of married life, even Stop-start technique and squeeze technique are prone to fail. Training should be directed towards making Multi-orgasmic couples i.e having multiple orgasms without ejaculation.
HSDD(Hypoactive sexual desire disorder)/Low libido in Males
Low Desire in men can be lifelong or acquired. Inhibited sexual desire can be because of Organic causes or Psychological factors or relationship problems. organic causes can be Neurological, Hormonal Imbalance or Drug induced. Correct cause needs to be addressed for complete cure..
Dyspareunia in Male
Recurrent or persistent genital or pelvic pain with sexual activity present for more than three months. Causes can be Medical, psychological or mixed. Genitourinary infections, peyronie’s disease, phimosis can be possible causes, which needs to be taken care of.