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Can Erectile Dysfunction be Successfully Treated? The Psychology of Erectile Dysfunction Except for premature ejaculation, men suffer from erectile dysfunction (ED) more than any other sexual dysfunction. ED is not a disease specifically caused by aging, nor is it an “old man’s disease.” It affects about 10 percent of men per decade of life; that is, 20 percent of men in their 20s, 40 percent of men in their 40s, 70 percent of men in their 70s, etc. And recent demography studies are reporting greater numbers of younger men having ED. For example, a 2018 poll of 2,000 men found the largest affected age group were those in their 30s, with 50% of them reporting the primary symptoms of ED: difficulties getting or maintaining an erection; in comparison, 42% of those polled in their 40s and 41% in their 50s reported difficulties with their erections. Sometimes brought on by medication (like antidepressants) or chronic disease (like diabetes), ED is typically caused by inadequate blood flow, damage to blood vessels, or stress. The Good News About Treating ED The good news is most causes of ED can be addressed and are readily treatable. Treatments range from something as simple as introducing exercise or medication into one’s life to things more complex such as surgery or psychological counseling. ED’s treatments include: Alprostadil Self-Injection Alprostadil Urethral Suppository Alternative Medicines Exercise Oral Medications Penile Implants Penis Pumps Psychological Counseling Psychosexual Education Testosterone Replacement The Bad News About Treating ED The bad news is most men do not seek treatments for ED. Recent studies report only about 25% of men do so. Merryn Gott and Sharron Hinch-liff of the University of Sheffield reported on some of the most likely barriers standing in the way of men seeking treatment for their sexual dysfunctions. They include: The fear of being judged by their general practitioner. Assuming sexual problems are due to the normal aging process. A lack of knowledge about potential treatments. Perceiving sexual problems as not being serious. And shame, embarrassment, and fear about sex and sexuality in-general. The Very Bad News About Treating ED The very bad news is the most frequently used treatments for ED do not address the psychological or sociocultural roots of ED, but instead focus exclusively on its biological roots. For example, Drogo Montague and his colleagues at the American Urological Association make this point perfectly clear, when stating the American Urological Association’s treatment options for erectile dysfunction: “The currently available therapies that should be considered for the treatment of erectile dysfunction include the following: oral phosphodiesterase type 5 [PDE5] inhibitors, intra-urethral alprostadil, intracavernous vasoactive drug injection, vacuum constriction devices, and penile prosthesis implantation. These appropriate treatment options should be applied in a stepwise fashion with increasing invasiveness and risk balanced against the likelihood of efficacy.” You will note, the American Urological Association does NOT make a single recommendation for counseling or psychosexual education within any of their recommended therapies for erectile dysfunction. Although ED can be successfully treated, one should be wary of treatments that solely focus on eradicating symptoms with biological fixes because these fixes neglect the often-fundamental issues of sexual dysfunctions which are grounded in psychological, relational, and social contexts. For example, imagine a young man seeking treatment for ED. He is most likely prescribed an oral medication (a PDE5 inhibitor like Viagra) by his general practitioner to alleviate his symptoms. And the next time the young man is sexually intimate with his partner, the medication solves his ED. However, the fact that the young man does not desire his partner due to his Internet porn compulsion is completely overlooked. Treating ED in this case enables a young man to be having physical sex with a person he wants to but cannot desire. Although general practitioners and urologists have a variety of tests to determine the cause of a patient’s ED, most physicians use only a patient’s self-reported sexual history which inevitably leads to medication as being the treatment of choice. However, if physicians routinely used an additional test to determine the causes of a patient’s ED, then they could easily determine if a patient’s ED is due to physical or psychological problems. This additional test is called a nighttime erection test. Every time a healthy man goes into Rapid Eye Movement (REM) sleep, he will get an erection. For every eight hours of sleep, a man typically has about five REM-stages of sleep and therefore five erections... For a complete transcript of this video with references check out: https://humansexuality.medium.com/the-psychology-of-erectile-dysfunction-ea773c980150
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Dr. Eric dives into the topic of masturbation, dispelling common myths and sharing valuable insights. He highlights that masturbation is not limited to men and explores its many benefits, including mood improvement, stress reduction, and the release of positive hormones. Dr. Eric also addresses misconceptions such as its impact on relationships and erectile function. He emphasizes that masturbation is a normal part of sexual development, safe, and can help individuals better understand their bodies and desires. The video concludes by presenting the truth about masturbation as a healthy and pleasurable experience with no associated health risks and even potential benefits. Dr. Eric Tygenhof is a board-certified expert urologist specializing in general urology, with a particular emphasis in stone disease and robotic surgery. He practices in Fullerton, California as a partner at Southland Urology. He is also a Fellow of the American College of Surgeons. Website: https://erictygenhofmd.com Request an appointment: https://intakeq.com/new/vmIqBV
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This video is about Gay Men's Sexual Health HPV Genital Warts http://gaymenshealth.com.au/sexual-health/genital-warts/ Genital warts an STI caused by the HPV, 'human pappiloma virus'. Many of us have been exposed to the wart virus when we were younger. Warts show up as small rough patchs of skin on the penis, vagina, in the bum or anus, but can also be on the tongue as well as in the mouth. Treatment can be a cream applied to the warts, freezing the wart as well as things like lazer removal. If you are concenred you have genital warts be sure to talk with your doctor to reduce the risk of spread of gential warts to other parts of your body as well as other sexual partners. HPV vaccine is now available to help reduce the chance of genital warts as well as the associated head and neck as well as anal cancers. Be sure to talk with your doctor to see if this is a good option for you.
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