Male Sexual Medicine

Male Sexual Medicine

Your health care provider will probably ask about your relationships, partners, past sexual history, any history of trauma, possible symptoms of depression, and any other stresses or concerns that may be interfering with your ability to respond sexually. Though these topics may seem extraordinarily private, they must be covered to properly evaluate sexual dysfunction and help you have a more satisfying sex life.

Your health care provider will give you a thorough physical exam, checking for high blood pressure, vascular disease, a neurological disorder, or obvious signs of conditions affecting your penis or testicles. You'll probably be given a blood test to check for diabetes, thyroid disease, testosterone level, kidney and liver function, and any other hormonal disorders your health provider may suspect. In addition, your health care provider will review the list of medications and substances you use (including illicit drugs and natural remedies) to track whether your sexual dysfunction is connected with them.

Because men normally have multiple erections during sleep, you'll probably be asked about whether you ever awaken with an erection. Sometimes men are asked to undergo a test overnight. This test can help tell whether erectile dysfunction may be due to problems with the vascular or nervous systems, it doesn't necessarily indicate whether the erection is sufficient for sexual penetration. An ultrasound exam that measures the blood flow within the pelvis (a penile Doppler study) can determine whether there is enough blood flow and pressure in the penis to allow for an adequate erection.

Any underlying physical conditions will be treated in an effort to improve sexual functioning. Medication may be given to increase testosterone levels, decrease prolactin, treat thyroid disease or diabetes, or address high blood pressure. If sexual dysfunction seems to be due to medications for another condition, your health care provider may prescribe an alternative with fewer sexual side effects. If you smoke, drink alcohol, or use any recreational drugs, you'll be encouraged to stop. Your health care provider will also recommend you eat a healthy diet and exercise regularly. Studies have shown that these measures may slow the buildup of fats that can block the blood vessels.