Specialized Men's health service including management of erectile dysfunction, premature ejaculation, peyronie’s disease and male infertility
ED is a type of sexual dysfunction characterized by the inability to develop or maintain an erection of the penis during sexual activity in humans. A penile erection is the hydraulic effect of blood entering and being retained in sponge-like bodies within the penis. The process is most often initiated as a result of sexual arousal, when signals are transmitted from the brain to nerves in the penis. The most important organic causes of impotence are cardiovascular disease and diabetes, neurological problems (for example, trauma from prostatectomy surgery), hormonal insufficiencies (hypogonadism) and drug side effects.
This can be treated by:
- Oral medication
- Topical medication
- Injected medication
- Surgery – Penile prothesis
Premature ejaculation (PE) occurs when a man experiences orgasm and expels semen soon after sexual activity and with minimal penile stimulation. It has also been called early ejaculation, rapid ejaculation, rapid climax, premature climax, and (historically) ejaculation praecox. There is no uniform cut-off defining "premature", but a consensus of experts at the International Society for Sexual Medicine endorsed a definition including "ejaculation which always or nearly always occurs prior to or within about one minute"
Several treatments have been tested for treating premature ejaculation. A combination of medication and non-medication treatments is often the most effective method
- Pelvic floor exercises
- The pause-squeeze technique
- Sex therapy
Male infertility refers to a male's inability to cause pregnancy in a fertile female. In humans it accounts for 40–50% of infertility. It affects approximately 7% of all men. Male infertility is commonly due to deficiencies in the semen, and semen quality is used as a surrogate measure of male fecundity.
There are three primary classes of male infertility conditions. These are:
- Pre-testicular, meaning that a man’s reproductive difficulties stem from systemic issues. For example, hormonal imbalances, psychological issues, poor diet, the ageing process, and obesity can all contribute to male infertility.
- Testicular, resulting from poor testicular function. This could be due to anatomical issues, congenital conditions, damage to the tissue, infection, cancer, irregular sperm morphology, or other issues.
- Post-testicular, which refers to male infertility issues that prevent healthy sperm from travelling to the tip of the penis. These conditions mainly affect the ducts within the penis and a man’s ability to ejaculate properly.
Treatment for male infertility includes:
- Sperm retrieval and IUI/IVF (done by Gyanecologist)
- Surgical treatments including:
- Microscopic/Laproscopic Varicoelectumy
- Tured - transuretheral resection of ejaculatory ducts
Peyronie's disease is where plaques (segments of flat scar tissue) form under the skin of the penis. These plaques can cause the penis to bend or become indented during erections. The plaques can often be felt through the skin, and can also be painful.