Integrative Treatment of Male Sexual Dysfunction (DRAFT)

Author(s):  
Jeffrey A. Albaugh

Male sexual dysfunction is common and may include hypoactive sexual desire disorders/lack of libido, premature ejaculation, decreased ability to climax or orgasm, erectile dysfunction, and/or Peyronie’s disease. There are a myriad of cognitive behavioral, integrative, and traditional medicinal treatment options available. Each treatment has pros and cons. Patient education prior to deciding on a treatment is key. Individual patients need to understand the good and bad of each treatment to make an informed decision about how they want to meet their sexual health goals. Traditional medical treatments were discussed in Chapter 4. The aim of this chapter is to describe other nonmedicinal, nonsurgical treatment options for male sexual dysfunction.

Author(s):  
Jeffrey A. Albaugh

Sexual dysfunction is a common and frustrating problem in men that is often under reported and under treated. Sexual dysfunction issues identified by men may include hypoactive sexual desire disorder/lack of libido, premature ejaculation, delayed ejaculation, erectile dysfunction and/or Peyronie’s disease. This chapter covers information on how normal sexual function occurs and some of the etiologic factors leading to sexual dysfunction. Understanding each individual patient and their goals for sexual health can lead to identifying and addressing sexual issues effectively. Information is provided about some of the traditional medical treatment options typically used to treat men with common sexual problems. In addition, some lifestyle modification and psychological approaches to treating sexual dysfunction are discussed.


2010 ◽  
Vol 57 (5) ◽  
pp. 804-814 ◽  
Author(s):  
Konstantinos Hatzimouratidis ◽  
Edouard Amar ◽  
Ian Eardley ◽  
Francois Giuliano ◽  
Dimitrios Hatzichristou ◽  
...  

2016 ◽  
Vol 9 (1) ◽  
pp. 160-160
Author(s):  
H. Fejza ◽  
◽  
I. Tolaj ◽  
D. Tahirsylaj ◽  
A. Idrizi ◽  
...  

Objective: To research the prevalence of male sexual dysfunction among men population in Kosovo. Design and Method: The cross-sectional study was done during the year 2015, including 530 male respondents of all ages living in Kosovo. The respondents completed the Brief Sexual Symptom Checklist for Men to assess sexual desire, erectile dysfunction, ejaculatory and orgasmic dysfunctions, penile curvature and pain during sex. The data were collected using Survey Monkey while statistical analyses were performed using SPSS software package (Version 20.0, Chicago, IL, USA). Results: The prevalence of man not satisfied with their sexual function was 32.2%. The problem was present for more than a year in 54% of respondents. Premature ejaculation was the leading problem (34%) followed by erectile dysfunction (24.4%) and problems with little or no interest in sex (17.9%). The problem was age related: the respondents younger than 25 years reported as a main problem premature ejaculation (31%) while respondents with age above 50 reported the erection as a main problem (60.5%). The 76.4% of men are ready to talk about those problems with their doctor. Conclusions: The prevalence of male sexual dysfunction in Kosovo is similar to other studies and is age related. Younger population reported premature ejaculation while the oldest population recognized erectile dysfunction as a main problem.


2021 ◽  
Vol 49 (1) ◽  
pp. 030006052098281
Author(s):  
Liang Zhang ◽  
Hao Yu ◽  
Dan Li ◽  
Hui Qian ◽  
Yuchao Chen

Epilepsy is a chronic neurological disorder that is characterized by episodes of seizure. Sexual dysfunction has been reported in patients with seizure, which mostly manifests as erectile dysfunction and premature ejaculation in men. In this study, we report the case of a 65-year-old Chinese man with frequent spermatorrhea. Electroencephalography suggested local epilepsy in the left temporal lobe. After treatment with anti-epilepsy drugs, the symptoms disappeared and did not recur. To the best of our knowledge, this is the first reported case of epilepsy-induced spermatorrhea. The symptoms of spermatorrhea are probably a rare manifestation of seizure. When repetitive stereotyped symptoms occur, seizure should be considered, and tentative anti-epileptic treatment may be a good option.


2014 ◽  
Vol 32 (5) ◽  
pp. 406-410 ◽  
Author(s):  
Ming-Yen Tsai ◽  
Chun-Ting Liu ◽  
Cheng-Chieh Chang ◽  
Shih-Yu Chen ◽  
Sheng-Teng Huang

Objective To systematically review scientific reports on the effectiveness of acupuncture to treat male sexual dysfunction. Methods The Medline database was searched for published clinical trials of acupuncture for erectile dysfunction (ED) and premature ejaculation (PE) with English abstracts. Risk of bias was assessed for randomised controlled trials (RCTs). Results Seven studies on two conditions of male sexual dysfunction met the inclusion criteria. Three out of four RCTs were patient-blinded, but all had a high risk of bias. Three suggested that acupuncture has a therapeutic effect as compared with sham acupuncture. Comparisons with paroxetine were inconsistent. Other uncontrolled studies and case series suggested satisfactory improvements of ED and PE after acupuncture. Conclusions Acupuncture appears to have promise for treating male sexual dysfunction, but in view of the small number of studies and their variable quality, doubts remain about its effectiveness. Further studies are justified.


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