Tag Archives: erectile dysfunction

Why Men Don’t Get Help for Erectile Dysfunction

Why Men Don’t Get Help for Erectile Dysfunction

Sexual Health,

Erectile dysfunction affects 1 out of every 10 men in India. There are a number of effective treatments for ED, including oral medications like Viagra and Cialis, vacuum pumps, injections, and shockwave therapy. However, the majority of men do not get treatment, because:

  • they are embarrassed to ask for help
  • they are unaware that help is available, or
  • they cannot afford a doctor.

A study done by Dr. Brian Helfand of the Northshore University Health System and the University of Chicago found that only 25% of men with ED receive treatment.

A survey of 597 men conducted in 2018 found that over 40% of men were Not Very Comfortable or Not At All Comfortable talking with their doctor about erectile dysfunction.

Although it’s clear that men in India are not getting the help they need, the problem is even worse in some cultures. A small study of 40- to 69-year-old men conducted in Japan found that:

  • 39% reported having sexual dysfunction. However, testing revealed that 92% actually met the criteria for ED.
  • Only 48% expressed an interest in treatment.
  • 58% said that they had not sought treatment because they were ashamed to talk to their doctor.
  • 42% were not aware that ED could be treated.
  • Only one man had actually sought treatment prior to the study.

It’s clear that embarrassment and lack of knowledge are keeping men from getting the help they need. This is a significant problem, because erectile dysfunction can sometimes be an indication of serious underlying medical problems.

It’s important for men to overcome their discomfort and talk to their sexologist in Delhi about ED. There is really no reason for embarrassment; doctors treat hundreds of patients with erectile dysfunction.

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Does COVID-19 Cause Long-Term Erectile Dysfunction?

Does COVID-19 Cause Long-Term Erectile Dysfunction?

Sexual Health,

We will preface this by saying that scientists don’t yet know much about the long-term effects of COVID-19, so much of what we may hear and read is speculative. The impact of COVID-19 also varies greatly from person to person; some people experience few if any symptoms, while others experience severe symptoms, sometimes resulting in death.

There have been no studies directly linking COVID-19 to erectile dysfunction. However, there is a literature search that suggests several means by which COVID-19 could trigger ED.

Cardio-Vascular Damage

It has been established that the COVID-19 virus can cause long-term damage to blood vessels. Since vascular issues are a leading cause of ED, it’s reasonable to suppose that erectile dysfunction could be a long-term effect of COVID-19.

Testosterone

Testicular damage in COVID-19 might induce a state of hypogonadism, leading to decreased levels of testosterone. Low testosterone is linked to erectile dysfunction.

Psychological Factors

COVID-19 has been linked to PTSD and depression, both of which psychological causes of ED.

Conclusions

Although there is not yet any direct clinical evidence, there is good reason to suggest that COVID-19 can result in long-term erectile dysfunction in some patients.

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What Women Need to Know About Men’s Health – Talking About Men’s Health™

What Women Need to Know About Men’s Health – Talking About Men’s Health™

Sexual Health, , ,

Dear Doctor: As a wife, daughter, sister, and mother of two boys, I’m surrounded by men. What do I need to know about men’s health?

A: I’ve always maintained that men’s health is a women’s issue, since when men are healthier, their partners become healthier too (along with their children and communities). Here are the basics:

Male-Specific Health Problems

  • Testicular Cancer. This is the most common cancer in men ages 15 to 35. Although it can’t be prevented, thanks to improved treatments and diagnostics, it has a very high cure rate if caught early.
  • Low T. Testosterone is the most important male hormone, yet millions of men suffer from testosterone deficiency, which, left untreated for too long, is linked with long-term health problems such as loss of muscle mass, low sex drive, erectile dysfunction, inability to concentrate, and even osteoporosis.
  • Prostate Problems. This walnut-sized gland produces semen and naturally enlarges as men age. Potential problems include prostatitis and BPH (benign prostatic hyperplasia) which can cause swelling and painful or difficult urination.
  • Prostate Cancer. Prostate cancer is a concern for men 50 and older, or high-risk men 40 and older (including African-Americans, men with a family history of prostate cancer, and men exposed to Agent Orange), all of whom should be screened yearly. Caught early, this disease is often treatable.
  • Erectile Dysfunction. ED is the inability of a man to get or maintain an erection sufficient for his sexual needs or the needs of his partner. Although ED becomes more common with age, men of any age can suffer from it–and most briefly do at some point in their life. Erectile problems are usually caused by an underlying health problem, such as diabetes, clogged arteries, or high blood pressure. Unfortunately, most men won’t discuss ED with either their partners or sexologist in Delhi. As a result, men feel embarrassed, and women feel that their men no longer find them attractive. So if you want to make love and he says he has a headache, pay attention: it might be something far more serious.

Recognizing Other Health Problems

Male-only conditions aren’t the only ones men suffer from. They die at higher rates than women from stroke, heart disease, kidney disease, diabetes, and cancer. When a warning light flashes on the car dashboard, most men take the car to the shop. But when warning lights flash on their body, they ignore them. Here are a few flashing lights you should look out for:

  • Changes in Bowel or Bladder Habits. This can be an indication of prostate or bladder problems. And blood in the urine is a common indicator of kidney problems. Does he get up repeatedly at night to go to the bathroom? Chances are he won’t notice, but you will.
  • Symptoms. Persistent backaches, changes in the color of urine or stool, obvious changes in warts or moles, unusual lumps, recurrent chest pains or headaches, bleeding that won’t stop, nagging cough, unexplained weight loss, and extreme fatigue can all be symptoms of serious health problems.
  • Depression. Although women may be more likely to attempt suicide, men are four times more likely to succeed. Because men are reluctant to ask for help and may try to hide their depression, you may recognize the symptoms sooner than he does. These can include being angry or anxious, having trouble sleeping, social isolation, complaining of feeling empty or helpless, engaging in risky or reckless behavior, or losing interest in hobbies or other pleasurable activities (including sex).
  • Osteoporosis. Although usually considered a women’s disease, osteoporosis affects men too, and is generally under-diagnosed in men. This disease, which causes the bones to become fragile and more likely to break, can lead to permanent disability or death.
  • Breast Cancer. Men have breast tissue too, and 400 men die of breast cancer each year. Men often confuse their symptoms with a sports or work injury, and because they’re less likely to recognize or report symptoms, they’re usually diagnosed only after the disease has spread.

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When It Comes to Your Health, Your Penis May Be the Canary in the Coal Mine – Talking About Men’s Health™

When It Comes to Your Health, Your Penis May Be the Canary in the Coal Mine

Sexual Health, , , ,

Dear Healthy Men: Like a lot of men my age (I’m 44), I have occasional problems in bed. I think it’s happening because I’m stressed about finances and life in general. I’ve been taking medication that helps, but my wife is concerned that it might be a symptom of something more serious and is urging me to get checked out. Could she be right?

A: Your wife sounds like a smart lady—and she’s definitely right. While there’s no question that erectile dysfunction (ED) can be caused by depression or anxiety, there’s also no question that it can be caused by existing or impending physical problems. These include cardiovascular issues (including high blood pressure and high cholesterol), diabetes, hormone imbalances (including too-high levels of prolactin and/or too-low levels of testosterone), urinary tract problems, spinal cord injury, and some neurological issues.

What most of these conditions have in common is that they effect blood flow throughout the body. And since the arteries in the penis are smaller in diameter than those in the heart, it doesn’t take much to reduce or block blood flow there, which in turn may lead to ED. That’s why it’s more common for men with known coronary artery disease to complain about ED than it is for men with ED to complain about heart problems—but that doesn’t mean that those heart problems don’t exist. In fact, “having ED can predict that a man will probably have heart disease symptoms within five years,” according to the Cleveland Clinic (my.clevelandclinic.org). They add that, overall, “having ED is as much a risk factor for heart disease as a history of smoking or a family history of coronary artery disease.”

Okay, so now you understand the connection between ED and other health issues. But putting aside sex for the moment, do you have erections during the night or first thing in the morning? Most adult males have three to five erections every night, each lasting roughly five to twenty minutes. Judson Brandeis (brandeismd.com), the urologist and men’s sexual medicine expert I quoted here a few weeks ago, says that these nighttime erections (technically referred to as “nocturnal penile tumescence” or NPT; less-technically referred to as “morning glory” or “morning wood”) are the body’s way of providing oxygenated blood to the penis and keeping scar tissue from forming.

NPT can be very helpful in diagnosing or ruling out underlying physical problems. For example, if you have frequent, strong NPTs but suffer from ED when you try to have sex, your medical provider may be able to rule out conditions or diseases that affect blood flow, and may want to investigate psychological causes instead. On the other hand, a decrease in—or total lack of—NPT is a strong indicator that the problem isn’t “just in your head,” and is, instead, physical.

So follow your wife’s advice and schedule a physical exam. Tell the sexologist about your ED (yes, it may make you uncomfortable, but do it anyway) and ask to be screened for high blood pressure, cholesterol, and diabetes. Also be sure to talk about lifestyle issues: both cigarette smoking and alcohol consumption are strongly associated with ED.

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best sexologist in Delhi

Erectile Dysfunction

Sexologist in Delhi, ,

What is?

Erectile dysfunction is the recurrent inability to achieve and maintain an erection that allows a satisfactory sexual experience. Previously called impotence, a term that has been replaced due to its non-specific and stigmatizing nature.

How common is it?

It is a common situation and it tends to increase with age. Worldwide, it is thought that 1 in 10 men may suffer from erectile dysfunction.

What causes erectile dysfunction?

Erectile dysfunction can be caused by physical and/or psychological changes.

Any man can experience some degree of erectile dysfunction throughout life. Some cases can result from stress, tiredness, anxiety and/or excessive consumption of alcoholic beverages. However, the concern about this initial “failure” often leads to fear of future “failures” leading to excessive concern about the loss of erection that has occurred, and the man is not able to enjoy sexual intercourse.

What are the physical causes of erectile dysfunction?

Physical erectile dysfunction usually has a gradual onset and tends to occur in all types of sexual activity.

Some physical causes include:

  • Risk factors for cardiovascular diseases (Diabetes, Tobacco, Metabolic Syndrome, Obesity, Physical inactivity).
  • Conditions that alter nerve conduction (cerebrovascular accidents, pelvic surgery, diabetes and/or serious nerve damage).
  • Chronic diseases such as kidney or liver failure.
  • Adverse effects of some prescription drugs.
  • Alcoholic beverages (and other addictive substances).

What are the psychological causes of erectile dysfunction?

Erectile dysfunction that appears suddenly and in men who manage to maintain an erection in some situations suggests a psychological cause, and it is sometimes easy to identify the responsible factor.

Some psychological causes include:

  • Stress or anxiety about personal and/or professional life.
  • Marital conflicts.
  • Sadness.
  • Decreased desire.
  • Issues related to sexual orientation.
  • Excessive body concerns.
  • Myths about sexual functioning.

What should you do if you suspect erectile dysfunction?

Lifestyle changes (exercise, diet, decreasing alcohol consumption, quitting smoking) can be initiated while seeking help from the best sexologist in Delhi. It is important to remember that in recent years innovative and effective treatments for erectile dysfunction have appeared.

Do not purchase medication/treatments (particularly over the internet) without a doctor’s prescription and without checking the contributing factors.

Should I discuss the case with my better half?

Yes. A man can feel a lot of pressure to have a good “performance” which can lead/aggravate erectile dysfunction. Discussing this situation with the other person can improve the situation.

Is age an impediment to seeking help?

No. Aging increases the risk of erectile dysfunction, but it is shame, not age, that is the biggest barrier to seeking help.

Sexual health is just as important as other aspects of health, and you should seek help from a sex specialist in Delhi if you have a problem without fear or shame.