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-----Original Message-----
From: Alok Tholiya
Sent: 25/12/2012 10:20:58 am
Subject: Fwd: [Our Health] Understanding Male Sexual Problems
Understanding Male Sexual Problems -- Diagnosis and Treatment
How Do I Know If I Have Sexual Problems? The most important way for your
health care provider to diagnose a sexual problem is to listen carefully to
the story you tell, review the list of
medications<http://www.webmd.
you use (including natural remedies) to track whether your
sexual dysfunction is connected with them, and try to determine whether
your difficulties are recent or long-standing. It's also important for your
health care provider to understand your level of knowledge about your body
and about sexuality.
The health care provider will probably encourage talking about
relationships, partners, past sexual history, any history of trauma,
possible symptoms of depression, and any other stresses or concerns that
may be interfering with your ability to respond sexually. Though these
topics may seem extraordinarily private, they must be covered to properly
evaluate sexual dysfunction and help you have a more satisfying sex life.
Recommended Related to Sexual Conditions
Treatments for Sexually Transmitted Diseases
(STDs)<http://www.webmd.com/
Don't try to treat a sexually transmitted disease, or STD, yourself. These
diseases are contagious and serious. You must see a doctor. Bacterial STDs
can be cured with antibiotics if treatment begins early enough. Viral STDs
cannot be cured, but you can manage symptoms with medications. There is a
vaccine against hepatitis B, but it will not help if you already have the
disease. If you are given antibiotics to treat a STD, it is important that
you take all of the drug prescribed to you, even if...
Read the Treatments for Sexually Transmitted Diseases (STDs) article
> ><http://www.webmd.com/sexual-
Your health care provider will give you a thorough physical exam,
checking for high blood
pressure<http://www.webmd.com/
vascular disease, a neurological disorder, or obvious signs of conditions
affecting your penis or testicles. You'll probably be given a blood test to
check for diabetes, thyroid disease, and any other hormonal disorders your
practitioner may suspect.
Because men normally have multiple erections during sleep, you'll probably
be asked about whether you ever awaken with an erection. Sometimes men are
asked to undergo a test in a sleep lab to be monitored for erections during
sleep. While this information can help tell whether erectile
dysfunction<http://www.webmd.
be due to problems with the vascular or nervous systems, it doesn't
necessarily indicate whether the erection is sufficient for sexual
penetration.
An ultrasound exam that measures the blood flow within the pelvis (a penile
Doppler study) can determine whether there is enough blood flow and
pressure in the penis to allow for an adequate erection.
A measurement of blood pressure in the penis, called the penile-brachial
index, may be helpful in diagnosing penile vascular disorders. A test dose
of an erection-inducing agent, such as papaverine, is injected into the
penis under a doctor's supervision, followed by monitoring for a subsequent
erection. Also, penile blood pressure can be measured during the erection.
During this exam, contrast dye may also be injected into an artery so
X-rays can reveal any leaks in the vascular system that could account for
erectile dysfunction. Surgery to correct the leaks has not been found to be
effective.
What Are the Treatments for Sexual Problems? Any underlying physical
conditions will be treated in an effort to improve your sexual functioning.
Medication may be given to increase testosterone levels, decrease
prolactin, treat thyroid disease, or address high blood pressure. If your
sexual dysfunction seems to be due to medications for another condition,
your health care provider may prescribe an alternative with fewer sexual
side effects. If you smoke, drink alcohol, or use any recreational drugs,
you'll be encouraged to stop. If you avoid tobacco, you will provide more
oxygen to the vascular tissues of the penis.
What Are the Treatments for Sexual Problems? continued... If you live a
sedentary lifestyle, your provider may suggest that you start an exercise
program and eat healthy foods. Studies have shown that these measures may
slow the buildup of fats that can block the blood vessels. Importantly,
*Treating premature ejaculation:* Premature ejaculation is commonly curbed
by the "squeeze" technique, a kind of biofeedback. This method has a high
success rate, and repeated practice usually leads to better natural
control. When you feel that orgasm is imminent, withdraw from your
partner's vagina or anus or signal your partner to stop stimulation. You
(or your partner) then squeezes gently on the head of the penis with the
thumb and forefinger, halting the climax. After 20 or 30 seconds, begin
lovemaking again. Repeat the process if necessary.
Medications may delay ejaculation, such as selective serotonin reuptake
inhibitors (SSRIs), including sertraline (Zoloft), paroxitine (Paxil), and
fluoxetine (Prozac). None of these drugs is specifically approved by the
FDA to treat premature ejaculation.
Treatments for erectile dysfunction include any of the following:
- The drugs sildenafil (Viagra), tadalafil (Cialis), avanafil (Stendra),
or vardenafil (Levitra, Staxyn)
- A vacuum inflation device that pulls blood into the penis
- Prostaglandin urethral suppositories
- Self-injection of medications directly into the penis
- Vascular surgery to correct problems involving the veins of the penis
(a procedure that has not been found to be effective)
- Inflatable penile implants
Premature ejaculation may signal a more complex disorder, and any
psychological aspects should be explored in therapy. To rely only on
physical control may mask the symptom without resolving the cause.
*Treating retarded ejaculation:* This sexual problem is often treated by
reducing anxiety and learning to control the timing of ejaculation. Sensate
focus exercises may help; you should withhold penetration until you sense
that ejaculation is inevitable. A common cause of retarded or delayed
ejaculation is side effects from medication, especially antidepressant
medications such as the SSRIs.
*Treating retrograde ejaculation:* Retrograde ejaculation may be corrected
through medications or surgery that allows the valve at the base of the
bladder to close. This is basically a harmless disorder, causing a problem
only if pregnancy is a goal; in such situations, it may be possible to
retrieve sperm from the bladder for artificial insemination.
*Dealing with Environment and Psychological Causes of Sexual Problems*
Your health care provider may be able to help you outline strategies to
address non-medical issues. If you have psychological barriers to sexual
functioning, your health care provider may suggest that you seek individual
psychotherapy, couples therapy with your partner, or consult a sex
therapist. A number of techniques and therapies can help traumatized
individuals become more comfortable with their sexuality. Similarly, if
your health care provider feels that you may need more information about
sexual functioning to help you achieve greater enjoyment, you may be
referred to a sex therapist.
--
Posted By Blogger to Our
Health<http://hamaraswasthya.
12/23/2012 02:42:00 PM
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