It consists of fears and anxieties about sexuality, feelings of shame, guilt and sinfulness, sexual reluctance and coldness, inability to have sexual intercourse, pain or inability to relax during sexual intercourse, difficulty in erection in men, premature ejaculation or difficulty in ejaculation, inability to arousal or orgasm in women. These problems remain a question mark in the minds of many people. Urology Specialist Prof. Dr. Tunç Özdemirevaluated all the curious details about sexual dysfunction in men.
WHAT ARE THE SIGNS FOR MEN?
In men, not having enough hardness in the sexual organ or not being able to maintain hardness, not getting enough pleasure even if there is an erection, premature and uncontrolled ejaculation, and tensions experienced before, during and after sexual intercourse should be warnings.
WHAT CAUSES SEXUAL DISRETENTION?
Sexual health; It requires you to have a positive and respectful approach to sexuality and sexual relationships, as well as a pleasant and safe sexual experience, free from coercion, discrimination and violence. Therefore, in addition to physical and psychological health, environmental and social factors are also very important. Physically, hormonal problems, chronic diseases, medication, substance, cigarette and alcohol use, psychological and emotional factors such as depression, stress during intercourse, anxiety about sexual performance, anxiety about body image, dissatisfaction with the body, feeling of pain and previous traumatic events. Situations such as sexual experiences (harassment, sexual assault, feeling of guilt) are also important factors affecting sexual dysfunction. A person begins to recognize and experience sexuality from early childhood. The first lines of our sexual identity are formed between the ages of 3-6; It becomes more evident during adolescence. During these periods, negative experiences about sexuality that a person hears, learns and experiences are the main determinants of the quality of his sexual life.
WHAT IS THE FREQUENCY OF MEN?
The most common sexual dysfunction in men is erectile dysfunction It is related to. In studies conducted all over the world, approximately 55% of men between the ages of 40-70 have mild, moderate and severe erectile dysfunction, 30% have premature ejaculation, and 10% of men have intermittent ejaculation or delayed ejaculation. Additionally, loss of sexual desire is observed in 15% of adult men and 30% of men over the age of 50.
HOW SHOULD THE PATH TO BE FOLLOWED IN TREATMENT BE DETERMINED?
Treatment of sexual problems is easier and quicker in couples who have good relationships and love and trust between them. Evaluating couples together, providing insight into environmental factors as well as psychological or physical evaluation, is absolutely beneficial on the way to both diagnosis and treatment. Again, enabling couples to establish dialogue in their daily and sexual lives, learning what is needed and what is enjoyed, even though it may seem strange to some couples, will eliminate concerns about satisfaction and build trust in the relationship.
In recent years, the number of scientific studies reporting the positive effects of diet, exercise, habits, sleep patterns and the environment we live in on general health, in parallel with the positive effects on sexual health, has been rapidly increasing. We now know the effects of our lifestyle on all systemic diseases, starting from cancer. A study that analyzed nutritional data from more than twenty thousand men found that men with healthy eating habits had a 22% lower risk of erectile dysfunction. It is clear that physical exercise, especially cardiovascular exercises, can also be beneficial for sexual health.
After that, treatment options may include medication, sexual therapy, devices and surgical intervention. Sexual therapy, which is often a missed step, is an important option in the treatment of sexual dysfunctions as individual or couple therapy. It can help patients identify the cause of sexual dysfunction, improve sexual relationships and communication skills, and reduce sexual performance anxiety.
Drug treatments for sexual dysfunction in men include phosphodiesterase type 5 inhibitors, testosterone supplements, alpha blockers and antidepressants. These medications can improve sexual function and treat symptoms such as erection problems, premature ejaculation, low libido. Vacuum devices and genital rings are methods that can be partially effective in the treatment of erection problems, but their long-term use may lead to complications that are difficult to reverse.
Surgical intervention is the method that should be preferred if there is an anatomical problem identified as the cause of sexual dysfunction. These interventions may include genital prosthetics or vascular surgery. Especially penile prostheses have become small miracles that can be easily applied in parallel with their development and provide over 90% satisfaction and happiness for both partners and men with their physiological and natural appearance that is not visible from the outside. Patients can have sex as often as they want, experience orgasm and ejaculation, and even have children.
IF IT IS NOT TREATED, IT CAUSES OTHER PROBLEMS
Ignoring sexual problems and not providing solutions leads to additional problems such as pessimism, inability to enjoy life, and feeling worthless, making the situation more complicated, and disruptions in daily life and family and social relationships become inevitable. Frequency and satisfaction of sexual intercourse are inversely proportional to the rates of divorce and termination of relationships.