Approximately 52 percent of American men suffer from some degree of sexual dysfunction. Male sexual dysfunction includes ejaculatory disorders, erectile dysfunction, and treatment of anatomic disorders, such as Peyronie’s Disease. Testosterone replacement therapy (TRT) also plays a very important role in treating male sexual dysfunction.
The following disorders can be caused by a variety of psychological, neurological, hormonal, medical and surgical conditions. Once serious causes have been ruled out, a variety of effective behavioral, psychological, medical and surgical treatments are available to patients who suffer from ejaculatory dysfunction.
- Premature ejaculation
- Delayed ejaculation
- Low volume ejaculation
- Retrograde ejaculation
- Pain or blood with ejaculation
Erectile dysfunction or ED is defined as the persistent inability to obtain or maintain an erection for satisfactory sexual intercourse. As part of our assessment, we perform a comprehensive history and physical evaluation to identify reversible causes. Some men will require specialized testing such as penile ultrasound, cavernosogram or endothelial function testing.
Today, there are many treatment options for ED. Some options offer a temporary solution; others provide a more permanent way to resolve the problem. As physicians specializing in the treatment of ED, our goal is to provide information needed to help each man and his partner find the solution that’s most satisfying to them.
A variety of treatment options exist that can be tailored to individual conditions, including:
- Oral medications: Viagra, Cialis, Levitra
- Testosterone replacement
- MUSE: medicated urethral suppositories
- Vacuum erectile devices
- Penile injections
- Penile prosthesis
Penile curvature secondary to scar or plaque formation along the shaft of the penis is known as Peyronie’s Disease. Significant penile curvatures can result in pain, poor erections, and an inability to engage in sexual intercourse.
Traditionally, treatments for this problem have been limited and often unsuccessful. New medical therapies that prevent the scar formation and promote scar breakdown can be effective in up to 70 percent of patients. Some men may require penile injections with medication to reduce the plaque size and prevent plaque progression. Surgical correction and penile straightening procedures are available to men who do not respond to more conservative medical treatments.
Testosterone Replacement Therapy
Testosterone is a vital hormone for men. As men age, testosterone levels gradually decline in a process known as andropause or late onset hypogonadism. Approximately 480,000 new cases of testosterone deficiency are diagnosed each year in the United States.
Testosterone replacement can reverse unwanted effects. Effective methods of testosterone replacement include gel application and injection therapy. All men on testosterone replacement therapy must be closely monitored for prostate health, red blood cell counts, and testosterone levels in the blood.
Testosterone deficiency may result in:
- Decreased libido or sexual interest
- Poor or no erections
- Impaired energy levels
- Loss of muscle mass & strength
- Decreased bone density