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Sexual Problems in Men 

Infertility | Impotence | Premature Ejaculation | Loss of Libido | Priapism

Premature ejaculation

Premature ejaculation is the common sexual problem which affects nearly all men at some stage in their life. The main cause can be psychological- anxiety about the possibility of ejaculation before, during or straight after penetration. Premature ejaculation often occurs during the first experiences with sex but majority gradually learn to control their orgasm.

Increasing the number of ejaculation with the help and understanding of the partner or by masturbation can be of  benefit to achieve control gradually. This is brought about by using the squeeze method in which the partner gently but firmly compresses the end of the penis to halt impending ejaculation. when both partners feel ready, ejaculation can then be allowed to proceed. 

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Loss of Libido (sexual desire)

A reduced interest in the desire for sex is experienced by most people at some age.  It becomes a problem for a man when he can not longer satisfy the sexual needs of his partner. There are very many factors, both physical and emotional which can cause a lowering in libido. Physical causes include diseases and drugs. Emotional factors can be stress, worry, grief, anxiety about satisfying their partner, fear of the consequences of sexual activities like STDs, conflicts between partners, boredom in long term relationships etc. It is important for couples in long- term relationship to work actively at their sex life. Low sexual desire in older men can be caused by a low level of the hormone androgen. Hormonal deficiency can sometimes be treated with hormone injections. Discussing problems and being prepared to enjoy intimacy on all  levels can help but couple may need professional counseling if there is a danger of a break down in their relationship. 

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Priapism

Priapism is a condition in which a male develops a permanent erection. If your erection lasts for an unusual period of time and is unrelated to sexual contact, consult a physician immediately as  timely can prevent permanent damage 

Possible causes of Priapism are :

  • Penile injection therapy for impotence

  • Physical trauma to the penis or surrounding region

  • Diseases which thicken the blood like leukemia or sickle-cell anemia

  • Cancerous growth around the penis preventing outflow of blood

Medication, or minor surgery to remove the old blood from the penis are the most common treatment options.

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