CURTAIN RAISER 18
MALE SEXUAL DYSFUNCTION(MSD)
Male Sexual Dysfunction (MSD) refers to a variety of issues that affect a man’s sexual performance and satisfaction. This training video will discuss the various aspects of male sexual dysfunction.
Types of Male Sexual Dysfunction
– Erectile dysfunction
Refers to the inability to achieve or maintain an erection firm enough for sexual intercourse. It can result from
physical
psychological
a combination of factors
may require medical intervention or lifestyle changes for improvement
– Premature ejaculation
The condition in which a man ejaculates earlier than desired, often shortly after the initiation of sexual activity or even before penetration. It can be caused by psychological factors, such as
anxiety or relationship issues, or
may have an underlying biological cause.
–
Retrograde ejaculation
Occurs when semen flows backward into the bladder instead of being expelled out of the penis during ejaculation. This can be caused by
certain medications,
nerve damage, or
prostate surgery, and may lead to fertility issues.
– Decreased libido or desire
A reduced interest in sexual activity, which can be influenced by various factors, including
hormonal imbalances,
stress,
fatigue, or
relationship issues.
Identifying the underlying cause and addressing it through counseling or medical treatment can help improve sexual desire.
H2: Causes and Risk Factors
Hormonal imbalances: Imbalances in hormones like testosterone, TSH, and PRL can negatively affect sexual function.
Androgen deficiency: Low levels of male sex hormones can lead to sexual dysfunction.
Obesity and high BMI: Excess weight can contribute to erectile dysfunction and decreased libido.
Varicocele: An enlargement of veins within the scrotum can impair sperm production and function.
Prostatitis: Inflammation or infection of the prostate gland can cause pain and discomfort during ejaculation.
Vascular issues: Poor blood flow due to cardiovascular problems can lead to erectile dysfunction.
Diagnostic Tools and Tests
1. Penile-Doppler
Non-invasive ultrasound technique to assess blood flow and vascular issues
2. Hormone tests
Testosterone,
TSH,
PRL levels
3. Physical examination
–
Assessing the presence of varicocele or other abnormalities
Treatment Options
1. Medications
Clomiphene: for hormonal imbalances
PDE-5 inhibitors: for erectile dysfunction
2. Penile Implants
Surgical treatment for erectile dysfunction
3. Lifestyle changes
Weight loss and healthy BMI
Antioxidants and balanced diet
4. Counseling and therapy
Addressing psychological factors affecting desire and performance
Anatomical Considerations
1. Seminal Vesicle
Gland producing seminal fluid
2. Ejaculatory Duct
Conveys sperm from the epididymis to the urethra
3. Epididymis
Tube that stores and transports sperm
Related Female Sexual Dysfunction
1. Vaginismus
Involuntary contraction of vaginal muscles, hindering penetration
2. Orgasmic disorder
Difficulty achieving orgasm during intercourse
Prevention and Maintenance
3. Regular health check-ups
Monitoring hormone levels and overall health
4. Maintaining a healthy lifestyle
Balanced diet,
Regular exercise, and
Stress management
5. Open communication with partner
Discussing sexual concerns and preferences