Condition:

Men's Sexual Health

24th July

Although often a difficult topic for men and women to discuss, problems in the area of sexual function are very common in our society and perhaps unsurprisingly are more of an issue the older we get. Such difficulties can relate purely to a loss of interest and desire in sex, i.e. loss of libido.

This may be linked to a decline in production of the male hormone (testosterone) with increasing age. This association has been referred to as the ‘male menopause’ or andropause, although its more accurate label is probably ‘Testosterone Deficiency Syndrome’ (TDS). In such cases, carefully managed testosterone replacement can be extremely effective.

Impotence or erectile dysfunction, i.e. the inability to gain or maintain an erection sufficient for sexual intercourse, is a very common problem in men. It is estimated that over 50% of men aged 40 to 70 years have erectile difficulties.

There are numerous approaches in treating this distressing problem. However, effective treatment requires a more holistic approach than simply prescribing tablets, for erectile difficulties are often multi-factorial.

The Urology Clinic believe that problems of this nature should be approached as part of a global assessment of male health and through this approach provide the most appropriate and effective treatment regime for each individual.

Management Options

Assessments:

• Sexual health Questionnaire
• Testosterone and sex hormone profile
• Semen analysis

Treatments options:

• Lifestyle measures
• Medications
• ESWT - shockwave treatment for endothelial dysfunction