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Male Sexual Problems FAQs

MALE SEXUAL PROBLEMS


Sexual Problems
Erection Problems
Loss of Sexual Interest
Low Testosterone
Male Infertility

Sexual problems are not uncommon among men, especially as they age. Many men have problems getting or keeping an erection. Some men have problems with ejaculation. Others have lower than normal levels of testosterone, which is the most important male sex hormone. The good news is that treatment often can help sexual problems.We will go over some different things.
Erection Problems
Problems getting or keeping an erection is called erectile dysfunction, or ED. ED used to be called impotence. It’s hard to know how many men have ED. But estimates of U.S. men affected range from 15 million to 30 million. Most of the time, ED has a physical cause. ED may mean your blood vessels are clogged. It may mean you have nerve damage from diabetes. Many health problems can lead to ED. ED is also a side effect of many common medicines, including some used to treat depression or high blood pressure. Unhealthy habits like smoking, abusing alcohol, overeating, and leading an inactive lifestyle also can lead to ED. Emotional factors, such as stress or depression, also can cause ED. Having ED can affect self-esteem and cause frustration, anger, and sadness.

The good news is that ED is treatable at any age. Your doctor can offer a number of treatments for ED. For many men, problems with ED are solved by taking a pill. Some men use an external pump and band to help the penis become and stay erect. Others are helped by penis injections or implants. Some men need to try two or three options before they find a treatment that works for them. Even if treatment solves your problems with ED, you still need to take care of other health issues that may have caused you to have ED. This may involve lifestyle changes and other treatments. Counseling also can help men and their partners cope with the emotional affects of ED.

ED Drugs Not Safe for Everyone
Many men now take a pill to treat erection problems. Current brands include Viagra, Levitra, and Cialis. These drugs work by affecting blood pressure. They are not safe for everyone. Never take Viagra, Levitra, or Cialis if you take heart medicines called nitrates. Doing so could cause a sudden — and dangerous — drop in blood pressure. Also, tell your doctor if you take any drugs called alpha-blockers, which are used to treat prostate enlargement or high blood pressure. Before taking drugs to treat ED, talk to your doctor about the benefits and risks so you can make an informed choice.

Loss of Sexual Interest
Your interest in sex, also called libido, can vary over the course of your life. Some men have low libidos during times of stress or illness. At times, your interest and desire for sex might not match that of your partner, which is normal in long-term relationships. Still, low libido should not be ignored. It can be a sign of a health problem, such as depression. Some medicines can affect sex drive. Reduced levels of male hormones can cause men to be less interested in sex. This naturally occurs with aging. Although it is normal for men to have less interest in sex as they age, having no interest in sex is not normal. Emotional or relationship problems also can play a large role in a man’s sex drive.

If you have less interest in sex, talking frankly with your doctor is the first step toward restoring sexual health. Treatment usually is aimed at the underlying cause of low libido. A combination of factors often affects sex drive. Treatment could include medicine and counseling.

Low Testosterone

Testosterone is the most important male hormone. It helps maintain sex drive, sperm production, pubic and body hair, muscle, and bone. Lower than normal levels of testosterone can affect a man’s body and mood. Signs of low testosterone in adult men can include:
Less interest in sex
Erection problems
Lowered sperm count
Increased breast size
Hot flashes
Feeling irritable or angry
Problems with memory and concentration
Depression
Muscle mass and hair loss
Bone loss
Smaller and softer testes
Adult men can have low testosterone levels for a number of reasons. In adult males of all ages, injury, disease, and using certain drugs can cause low testosterone levels. A gradual decline in testosterone level is normal in healthy males as they age. Low testosterone in aging men can cause them to be less interested in sex or have fewer erections. But it is not normal for aging men to have no interest in sex. There could be other reasons for these symptoms.

If you have any symptoms of low testosterone, talk to your doctor. You can get your testosterone level tested with a simple blood test. Get the test in the morning, when testosterone levels peak during the day. If you do have low testosterone, your doctor will want to find out the underlying cause. Finding out the cause for low testosterone can be hard and might involve many tests. You might want to see a specialist, such as an endocrinologist or urologist, who can work with you to treat this problem. Testosterone replacement is an option for some men with low testosterone. But using testosterone therapy in men with borderline low levels is a controversial issue. One reason is that the long-term effects of testosterone replacement are not known. Another reason is that we don’t know what testosterone levels are "normal" as men age. If you have low testosterone, your doctor can help you understand the benefits and risks of treatment so you can make an informed choice

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*cited from: www.womenshealth.gov