There are many reasons why a man may experience a sexual health problem. Sometimes determining what is causing the issue is as important as treating it, in case the risk factor can be eliminated and the sexual health concern disappear. Learning that something you are doing or a medication you are taking may cause a problem in the future may mean you want to modify the activity now or talk with your doctor about an alternative medication. It may be helpful to let your doctor know that you have some of these risk factors because that may help in diagnosing the specifics of your desire, erection, ejaculation/orgasm and/or sexual pain issues and subsequently in treating them. You may have none of the risk factors listed. The causes and risk factors listed on this site are provided as information only and are not meant for self-diagnosis and treatment.
The process of care of men with ED is initiated with identification of the erection problem, including a history and physical. Lab test, psychological assessment, followed by patient and partner education
Treatment of men's sexual health concerns follows a step-care process that begins with modification of reversible causes and then proceeds to first-line, second-line, and third-line treatment strategies. Maneuvers to modify reversible causes include sex therapy, cognitive behavior therapy, physical therapy, lifestyle changes including exercise and diet, alteration of prescription medications, discontinuation of recreational drugs, management of partner sexual dysfunction, and other behavior modifications such as relaxation therapy. First-time therapies include hormone therapy (androgens), dopamine agonist therapy, oral phosphodiesterase type-5 inhibitors and vacuum erection device therapy. Second-time therapies include penile self-injection therapy and intra-urethral alprostadil therapy. Third-line therapies include surgery for placement of penile prosthesis, surgery for penile revascularization, and surgery for correction of penile curvature.
The most logical, efficacious way to restore sexual function in men with sexual health problems is to manage the sexual problem with multiple disciplines, proceed in a step-care process and, whenever possible, to engage the partner.
The Institute for Sexual Medicine’s Expert Panel consists of leaders in the field of sexual medicine. These experts have graciously donated their time to help provide information and further the field.