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 about 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
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
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
relationship issues
Identifying the underlying cause and addressing it through counseling or medical treatment can help improve sexual desire.
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
Penile-Doppler
Non-invasive ultrasound technique to assess blood flow and vascular issues
Hormone tests
Testosterone
TSH
PRL levels
Physical examination
Assessing the presence of varicocele or other abnormalities
Treatment Options
Medications
Clomiphene: for hormonal imbalances
PDE-5 inhibitors: for erectile dysfunction
Penile Implants
Surgical treatment for erectile dysfunction
Lifestyle changes
Weight loss and healthy BMI
Antioxidants and balanced diet
Counseling and therapy
Addressing psychological factors affecting desire and performance
Anatomical Considerations
Seminal Vesicle
Gland producing seminal fluid
Ejaculatory Duct
Conveys sperm from the epididymis to the urethra
Epididymis
Tube that stores and transports sperm
Related Female Sexual Dysfunction
Vaginismus
Involuntary contraction of vaginal muscles, hindering penetration
Orgasmic disorder
Difficulty achieving orgasm during intercourse
Prevention and Maintenance
Regular health check-ups
Monitoring hormone levels and overall health
Maintaining a healthy lifestyle
Balanced diet
Regular exercise
Stress management
Open communication with partner
Discussing sexual concerns and preferences
