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