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Showing posts with label Sexual dysfunction. Show all posts
Showing posts with label Sexual dysfunction. Show all posts

Premature ejaculation , sexual self-esteem and infertility

Posted by nurul Thursday, April 14, 2011 0 comments
Most infertile men have poor sexual self-esteem. As it is , they feel inadequate because they cannot get their wife pregnant. On top of this, if they cannot perform in the bedroom, this makes a bad situation even worse.

Sexual problems are as common in infertile men as they are in fertile men. Premature ejaculation is the commonest male sexual problem. It is very distressing , because it makes the man feel inadequate and inferior.

Remember that there is an evolutionary advantage to being a premature ejaculator and this seems to be hard-wired in our genes ! in the past ,wen who could have sex quickly could get lots of women pregnant quickly, and spread their genes far and wide !

This is primarily a psychological problem ; and in many men is the result of behaviour which is learned as a teenager. When you are masturbating in the privacy of the bathroom , you don’t want to be caught by your parents, so you try to ejaculate as quickly as possible. Unfortunately, this behavior is hard to unlearn when you grow up !

Also, many men get misled by assuming that what they watch in blue films is the norm ( while actually it’s just trick photography !)

There are many simple solutions which can help. For one, try having sex a second time after your ejaculate. The second ejaculation is usually delayed and the erection will last longer

You can also change your sexual technique and masturbate your wife first, so she gets sexual release. This will take the pressure to perform off you !

You can also use a local anesthetic jelly locally ( such as Xylocaine) to prolong the time to ejaculation. This is effective, but takes the fun away !

You can also learn techniques such as the Stop-Start or Squeeze technique to delay ejaculation

Some men find that taking the SSRi group of antidepressants also helps

There are also lots of quacks who sell lots of remedies ( online and in real life as well) to “treat” premature ejaculation. They take advantage of a man’s ignorance and inferiority complex – please beware !

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How Does Male Sexual Dysfunction (Erectile Dysfunction) Cause Male Infertility?

Posted by nurul Friday, December 24, 2010 0 comments

Often an absolutely fertile male with a completely normal sperm count might not be able to ejaculate in his wife's vagina. Because he cannot make love he cannot make babies. Many males cannot produce an erection (erectile dysfunction, ED or impotence); while others can't attain an erection which is hard enough to achieve intravaginal penetration or ejaculation within the vagina.

An older idea held that 80% of impotency issues were rooted in mental inhibition that could be treated with sex therapy and counseling. However modern day studies estimate that 50% result from physical causes which range from inadequate blood circulation to the penis, diabetes, neurologic defects, and hormonal complications.

How can a doctor suspect a physical problem? By asking a basic question - Do you have wet dreams? If males get nocturnal ejaculations (wet dreams) this means their penis works properly,, and that the issue is emotional.

Screening, consists of nocturnal penile tumescence (NPT) testing, that monitors for regular night-time erection strength; and calculating blood circulation through the arteries of the penis (using Doppler techniques). You can also do this test for yourself at home by using postage stamps!

Often the erectile dysfunction is situational. This means that while the man can masturbate, he just cannot get an erection while trying to have sex. This creates a lot of emotional discord and marital disharmony. The wife may feel that her husband is just not trying hard enough (pardon the pun!); or that he does not find her sexually attractive. Also, because ED destroys a man's self-esteem, both partners are very reluctant to discuss this or seek medical assistance. This just sets up a negative vicious cycle which makes matters worse. Either they just refuse to try; or every time they try, they fail, thus reinforcing the sense of inadequacy and incompetence. The man's mind starts playing games with him - and because he feels he is not going to be able to perform, this becomes a self-fulfilling prophecy. Failure to consummate the marriage is quite a common problem - but one few couples are willing to explicitly acknowledge.

The good news is that this is quite an easy problem to treat!

Treatment that may be recommended includes:

Medications which improve penile blood flow such as Viagra (sildenafil citrate) and Cialis (tadalafil citrate) to encourage an erection

Injections of papaverine as well as prostaglandins, (chemical substances that cause the blood vessels to dilate) could be self- injected into the penis under medical guidance These boost the blood circulation towards the penis, thus inducing an erection.

A medical implant or penile prosthesis to provide an artificial erection.

Microsurgery to plug leaks in the blood vessels of the penis, therefore avoiding the loss of turgidity from the erect penis.

The sperms may also be collected by masturbation and used for self-insemination or artificial insemination. This provides an extremely high success rate, since there is really no fertility problem as such for these patients.

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