Mens clinic international : Every thing you need to know

Men's Clinic in Port Elizabeth

Men’s Clinic International 

Erection Problem

Men’s clinic international: Everything you need to know

Men’s clinic international: Everything you need to know. Mens Clinic International deals with any sexual problems that are related to Weak Erections, Early Ejaculation, Low Libido, STIs, or Circumcision. Do get in touch with us to book a consultation with our professional doctors who specialize in Men’s Sexual Health.

Erectile Dysfunction

Erectile dysfunction can be a sign of a physical or psychological condition. It can cause stress, relationship strain, and low self-confidence.
The main symptom is a man’s inability to get or keep an erection firm enough for sexual intercourse.
Patients suffering from erectile dysfunction should first be evaluated for any underlying physical and psychological conditions. If treatment of the underlying conditions doesn’t help, medication and assistive devices, such as pumps, can be prescribed.

What Is Erectile Dysfunction?

Erectile dysfunction (ED), also known as impotence, happens when you can’t get or keep an erection of the penis that’s adequate for the sexual satisfaction of both partners. While almost all adult males have ED once in a while, as many as 30 million American men have it regularly. Nearly all men who seek treatment for ED find some relief.

Erectile Dysfunction Causes

In the past, doctors tended to blame erectile dysfunction on psychological problems or, with older men, on the aging process. Medical opinion has changed. While it takes longer to get aroused as you age, regular erectile dysfunction deserves medical attention. Also, the problem isn’t usually psychological. Urologists now think physical problems contribute to most long-lasting cases of ED in men over 50.

Erectile dysfunction in older men. Erections mainly involve the blood vessels. And the most common causes of ED in older men are conditions that block blood flow to the penis. These include hardening of the arteries (atherosclerosis) and diabetes. Another cause may be a faulty vein that lets blood drain too quickly from the penis. Other disorders, as well as hormonal imbalances and certain operations, may also cause ED.

The blood vessel processes that lead to an erection are controlled by your nervous system. Some medications can interfere with the nerve signals that make an erection happen. They include certain stimulants, sedatives, diuretics, antihistamines, and drugs to treat high blood pressure, cancer, or depression. But never stop taking a medication unless your doctor tells you to. Alcohol, tobacco, and illegal drugs, such as marijuana, may also contribute to ED.Erectile dysfunction in younger men. In younger men, psychological problems are the most likely reason for ED. Poor communication with your partner, or differences in sexual preferences, can lead to tension and anxiety. The problem may also be linked to these things:

  • Depression
  • Fatigue
  • Stress
  • Feeling that you’re not good enough
  • Sexual fears
  • Rejection by your parents or peers
  • Childhood sexual abuse

Erectile Dysfunction Symptoms

The symptoms of erectile dysfunction can vary from person to person. If you have ED, you might:

  • Be unable to get an erection at all
  • Get an erection sometimes
  • Have trouble keeping an erection long enough for sex
  • Lack of desire for sex

Premature Ejaculation

What Is Premature Ejaculation?

Premature ejaculation (PE) is when you have an orgasm before intercourse or less than a minute after you start. There is no set time when a man should ejaculate during sex, but if you ejaculate and lose your erection this soon, you and your partner may feel there’s not enough time to enjoy it.

It can be frustrating and even embarrassing, but it’s a common issue for men. Between 30% to 40% have it at some time in their life. So, keep in mind — it’s not something to worry about if it happens only occasionally.

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Premature Ejaculation Causes and Risk Factors

The cause is not really known. But your brain chemistry could be at least partly the reason. Men who have low levels of the chemical serotonin in their brains tend to take a shorter time to ejaculate.

Emotional factors can play a role:

  • Stress
  • Depression
  • Anxiety
  • Guilt
  • Relationship problems
  • Lack of confidence or poor body image
  • Concern over your sexual performance
    • Negative feelings about the idea of sex (sexual repression)

    Some physical conditions may also cause PE, including:

    • Unusual hormone levels
    • Irregular levels of neurotransmitters (an imbalance of the chemicals in your brain that pass messages or impulses to the rest of your body)
    • Inflammation or an infection in your prostate or urethra (the tube that runs from your bladder and sends pee out of body)
      • Genetic traits you inherit from your parents

      Sometimes PE can be a problem for men with erectile dysfunction (ED). That’s when the penis doesn’t remain firm enough for sex. Men who are worried they could lose their erection may develop a pattern of rushing to ejaculate. It can be a hard habit to break.

      Treating erectile dysfunction may make premature ejaculation go away. There are many medication options.

      Premature Ejaculation Diagnosis

      Your doctor probably will start by asking if you’ve always had the problem or if it’s a new thing. They may ask about your sex life or your relationships. You’ll probably get a physical exam, too.

      If your doctor thinks emotional issues are causing your PE, they may refer you to a mental health professional who works with people who have trouble with sex. If a physical problem is causing it, they might recommend that you see a doctor called a urologist, who specializes in conditions that affect your urinary system.

    • Premature Ejaculation Treatments and Home Remedies

      Ninety-five percent of men are helped by behavioral techniques that help control ejaculation.

      Stop and start:You or your partner stimulate your penis until you feel like you’re going to have an orgasm. Stop the arousal for about 30 seconds or until the feeling passes. Start the stimulation again and repeat three or four more times before you ejaculate.

      The Squeeze:It works the same way as the start and stops method. But, when you feel like you’re reaching orgasm, you or your partner squeezes the head of your penis until you lose the erection. Repeat this a few times before ejaculating.

      Some men find that if they think of something else during sex they can last longer.

      If those don’t work for you, you can try a few other things:

      Strengthen your muscles:Weak pelvic floor muscles sometimes contribute to PE. Kegel exercises may help strengthen them. Find the right muscles to tighten by stopping your urine in midstream. Hold them tight for 3 seconds and then release them for 3 seconds. Do this 10 times, at least three times a day.

      Wear a condom:It may desensitize you enough so you can last longer.

      Get busy before you “get busy”: Some men find that masturbating a few hours before sex helps them stay in control during intercourse.

    • Seek counseling:A psychologist or psychiatrist can help you work through problems like depression, anxiety, or stress that may be contributing to your PE.

      If none of these help enough, your doctor may talk with you about medication. While there aren’t any drugs specifically approved to treat PE, medicines used to treat other things may help in some cases. This is called off-label use.

      These include:

      Antidepressants: A side effect of some selective serotonin reuptake inhibitors (SSRIs) is delayed orgasm. But these medications also have side effects that include nausea and drowsiness. They also can throw a wet blanket on your desire to have sex. So, it’s possible you’re trading one problem for another. You and your doctor will decide what’s right for you.

      Tramadol: This is a pain reliever that can delay ejaculation. It may be prescribed if antidepressants don’t help. This medicine is addictive, so it may not be an option for you.

      Anesthetic creams or sprays: You put these on the head of your penis to make it less sensitive. Leave it on for about 30 minutes. It must be washed off before sex so you don’t lose your erection or cause loss of sensation for your partner.

      Medications for erectile dysfunction: These drugs may also help men maintain an erection. They include sildenafil citrate (Viagra), tadalafil (Cialis), or vardenafil HCI (Levitra).

      Low Libido

    • Low libido describes a decreased interest in sexual activity. It’s common to lose interest in sex from time to time, and libido levels vary through life. It’s also normal for your interest not to match your partner’s at times. However, low libido for a long period of time may cause concern for some people.
    • It happens to a lot of guys, but few of them want to talk about it — especially when “it” is a low libido. After all, virility plays a big role in our concept of manhood. There’s this idea you’re supposed to live up to: “Real men are always in the mood.”But that’s not true. Lots of men have a low sex drive, for a lot of reasons. And there are many ways to treat it.

      What Causes It?

      Any number of things, some physical and some psychological. Sometimes it’s both.

      Physical issues that can cause low libido include low testosterone, prescription medicines, too little or too much exercise, and alcohol and drug use. Psychological issues can include depression, stress, and problems in your relationship.

      About 4 out of 10 men over age 45 have low testosterone. While testosterone replacement therapy remains somewhat controversial, it’s also a common solution to the problem.

      “Replacement therapy with any of the various testosterones available can boost libido,” says M. Leon Seard, II, MD, a urologist in Nashville, TN. “Also, simply getting healthy can help.”

      No one thing causes low libido. So it’s crucial to talk to your doctor if you’re worried your sex drive has dropped.

      Once they figure out the causes, they can tell you the best course of action, or refer you to another doctor who can.

      How Is It Treated?

      Depending on the cause, possible treatments include:

      • Healthier lifestyle choices. Improve your diet, get regular exercise and enough sleep, cut down on alcohol, and reduce stress.
      • Change to a new medication, if the one you’re on is affecting your libido
      • Testosterone replacement therapy
      • Counseling

      Your doctor may recommend therapy if the issue is psychological. In many cases, a low libido points to a desire for a closer connection with your partner — one that isn’t sexual, but still intimate. It can help to talk through these issues with a therapist, either alone or with your partner. If the issue is depression, antidepressants can help. Some of them actually lower your sex drive, though.

      What about the meds you may have seen in TV and magazine ads, like Cialis, Levitra, and Viagra? These don’t boost libido. They help you get and keep erections.

      The bottom line: Know your body and tell your doctor what you’re feeling. Don’t hold back. That’s the only way they’ll know whether the root of the problem is physical, psychological, or both.

      And the sooner you know, the sooner you can get back to feeling like yourself again.

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