Infertility may result from a physical condition that is present at birth or that develops later in life. Examples of potential causes of male infertility include:
- Physiological dysfunctions
- Hormonal imgalances
- Testicular failure
- Lifestyle factors
Other conditions may also cause infertility.
Sexual dysfunction may be the result of a physical or psychological problem. Physical and/or medical conditions that may lead to sexual function problems include:
- Hear and vascular (blood vessel) disorders
- Hormonal imbalances
- Chronic Diseases (kidney or liver failure)
- Drug and alcohol abuse
- Side effects of some medications (antidepressants)
Psychological factors that affect sexual function include:
- Work-related stress and anxiety
- Concern about sexual performance
- Marital or relationship problems
- Effects of a past sexual trauma
There are four major causes of erectile dysfunction:
- Vascular – Blood must be able to move into the penis and stay there to maintain an erection.
- Neurological – Neurological system must be intact in order for an erection to occur.
- Hormonal – Deficiency in testosterone and thyroid hormones may cause erection problems.
- Psychological – This may be the primary or secondary cause of the problem.
Treatment options for P.E. often include a variety of different modalities. Premature ejaculation is best treated through a combination of interventions. These treatment options include:
- Behavior Modification – Behaviors and techniques that help the patient maintain an erection longer.
- Medical Treatment – Medications available that may significantly delay ejaculation or that allow a patient to maintain an erection even after ejaculation.
You may be wondering what causes andropause. It’s a natural emotional and physical change that occurs as you get older and it’s caused by a decrease in male hormones. Symptoms of andropause include: low sex drive, difficulties getting erections or erections that aren’t as strong as usual, lack of energy, depression, irritability and mood swings, loss of strength or muscle mass, increased body fat and hot flashes.
Andropause is a condition that can happen as you get older, and it has a gradual progression. You might detect the onset of andropause if any or all of these occur:
- Diminished sex drive and erections not as strong as they were.
- Nocturnal erections don’t happen as often.
- Mood changes.
- Lean body mass reduces along with muscle mass and strength.
- A loss of body hair.
- Bone density decreases resulting in osteoporosis. Osteoporosis can lead to the occurrence of bone fractures and breaks.
- An increase in fat around internal organs.
Understand that these are symptom guidelines. Andropause affects different men in different ways and to different degrees. Some men get one or two of these symptoms, and may just notice the other symptoms occurring minimally or not at all.
One of the best and simplest ways to detect whether you might have andropause is by taking the ADAM Questionnaire on this site. Now, just because you have some of these symptoms doesn’t necessarily mean you have andropause. It could be some other cause, so a blood test is the best way to make a diagnosis.
If you have andropause you may be wondering how you got it. Other factors may be contributors, but the primary one is that as men get older, their testes don’t work as well. Something called “leydic cells” produce testosterone less frequently and in a lesser quantity. Other reasons are that the hormones that produce testosterone just aren’t creating as much and some of that testosterone is being converted to other hormones like estradiol and DHT.
You usually detect andropause by its symptoms, therefore, in order to get a full understanding as to whether you fall into this category, you’ll undergo a couple of screening procedures to aid in proper diagnosis, including:
- ADAM Questionaire
- Rigi Scan
- Full hormonal panel
- Physical exam
First, know that treatment for andropause is often very effective. The objectives of your treatment include restoration of sexual functioning, increased libido, increased sense of well-being, prevention of osteoporosis by optimizing bone density, restoration of muscle strength and improved mental functioning.
To learn more about testosterone therapy, please contact Maze Men’s Sexual & Reproductive Health.