POINTS TO REMEMBER
- • Erectile dysfunction (ED) is the repeated inability to get or keep an erection firm enough for sexual intercourse.
- • ED affects 15 to 30 million American men.
- • ED usually has a physical cause.
- • ED is treatable at all ages.
- • Treatments include psychotherapy, drug therapy, vacuum devices, and surgery.
=> Reduced Libido: Reduction in libido or sexual desire is also a common problem. I may occur transiently due to psychological factors and stress.
However, it may also indicate an underlying disorder like thyroid disease, testosterone deficiency (hypogonadism) or prolactinoma (increased levels of
a hormone called prolactin). Appropriate blood tests are needed to diagnose these disorders. In a majority of cases, these problems can be
=> Premature Ejaculation: Premature ejaculation is a very common complaint in which the ejaculation occurs very early during sexual intercourse. It
often has a psychological basis and may signify underlying performance anxiety. After a proper evaluation, it can usually be treated satisfactorily
with behavioral therapy and certain drugs.
=> Gynecomastia: Gynecomastia is the enlargement of breasts in men. This is a normal occurrence during puberty. It may also occur because of obesity
and certain hormonal disorders like increased prolactin secretion from pituitary gland and hypogonadism. Simple blood tests can identify the
underlying cause and can usually be treated with drugs.
=> Hypogonadism: Hypogonadism is the reduced production of hormones like testosterone from testes. It can be because of a testicular problem like
infection, trauma; or a pituitary disorder in which there is reduced secretion of regulatory hormones like Follicle Stimulating Hormone and
Luteinizing Hormone. Hypogonadism may lead to low libido, erectile dysfunction, low mood, depression, reduced hair on body and in beard area, muscle
wasting and reduction in bone density (osteoporosis). Hypogonadism is easily treated with injections or tablets after a thorough evaluation. A proper
follow up is necessary to avoid any long term complications of such therapy.
=> Andropause: Andropause is the reduction in testosterone production by testis which occurs with age. It is also called late onset hypogonadism. It
can lead to problems in sexual function, depression, frailty and osteoporosis. It is very important to identify and treat this disorder as it severely
impairs the quality of life of an individual.
=> Infertility in Men: Infertility in men may be because of reduced or abnormal sperm production by testis. This may be because of infection or
trauma to testis, testosterone deficiency, thyroid disorders, varicocoele or obstruction to the flow of sperms from testis. A thorough evaluation may
include blood tests, semen analysis and ultrasound of testis. Once the underlying cause is detected, appropriate therapy can be given under expert
The treatment is directed towards reducing the hormone disbalance and sexual disorders.
Following options are tried alone or in combination :-
- - Scrotal ultrasound
- - Semen Analysis
- - Hormone Therapy
- - Behavioral Therapy
- - Surgical Treatment
- - Medications