Erectile dysfunction is inability for a man to maintain an erection adequate for satisfactory successful intercourse. 52% of all men between the ages of 40 and 70 suffer from erectile dysfunction. Many men hide their problem and do nothing about it. Dr. Perlow is an expert in identifying and treating erectile dysfunction.
Treatment options include medications such as Viagra, Levitra and Cilalis. Other treatments such as intracaverousal injections treatments are effective for some patients. Still other prefer the vacuum erection devise. Dr. Perlow has been performing penile implant procedures for 20 years.
Male sexual dysfunction is comprised of several problems associated with a man's sexual performance including:
Causes and risk factors
Erectile Dysfunction. Erectile dysfunction can arise from inhibition, stress, a medical condition or medication use.
Priapism. Priapism is a pathological condition in which the penis remains erect as a by product of:
Loss of libido. Loss of libido, or sexual desire, can be caused by many factors, including:
Most men who develop Peyronie's disease have already been diagnosed with erectile dysfunction and diabetes mellitus.
Premature and retrograde ejaculation. Premature ejaculation is usually a problem with young men who have little sexual experience and tend to rush through sex. Retrograde ejaculation usually occurs because of prostate surgery, diabetes mellitus, or blood pressure medications.
Given that there are multiple forms of male sexual dysfunction, diagnosis is necessary to distinguish between the various problems and identify underlying psychological and physical causes.
Sexual dysfunction is more likely to be physically based if the problem began gradually. By contrast, dysfunction that stems from a psychological cause is likely to begin suddenly.
To identify causes of sexual dysfunction, a physician will ask a patient about his medical and sexual history and perform a physical exam. He or she will also ask questions specific to sex, including:
To determine if a man experiences nocturnal erections, a physician may order a Regiscan, which measures how often the man experiences an erection while sleeping, as well as its size, rigidity, and duration.
Finally, the physician will review the patient's medications and suggest substitutions for drugs that are known to cause a decreased interest in sex.
Erectile Dysfunction. Treatment for erectile dysfunction may address a wide of array of possible problems, such as:
Priapism. Treatment for priapism involves addressing the underlying problem.
Peyronie's Disease. Approximately one-third of patients have a severe enough curvature to warrant surgery.
Premature ejaculation. If a man teaches himself how to control his sexual response, such as grabbing the head of the penis he can delay ejaculation. Sertraline, an antidepressant, is sometimes taken for a short while as its side effect is delayed ejaculation.
Retrograde ejaculation. Depending on its severity, retrograde ejaculation can be treated with decongestants or by surgery.