Pelvic Floor Dysfunction – Who Gets it?

We have all felt “Why me?” at some point in our lives. When it comes to Chronic Pelvic Pain Syndrome (CPPS), this is a very common phrase we hear. The short answer is, “Because you are human.”  Basically, if you have a pelvis, things can go wrong with it. But there are a few common …

Continue Reading

Penile Injections for ED

When people think of treatment options for erectile dysfunction, the first thing that comes to mind is typically oral medications, such as Viagra or Cialis. Many aren’t even aware of injections as a treatment option. The truth is, we very commonly use injections as a primary treatment option for our patients. We have had patients …

Continue Reading

Vasectomy and Sex – What to expect

For many couples, having a reliable and permanent method of birth control equates to peace of mind. Many women are unable to take hormones for a variety of reasons; therefore, a vasectomy may be an option worth exploring. A vasectomy is a procedure done to block or cut both of the vas deferens tubes within …

Continue Reading

Oral Testosterone (Jatenzo) is Finally Available

Clarus Therapeutics has finally gained FDA approval for Jatenzo, the first oral form of testosterone available in the United States. Previously, oral formulations of testosterone had been shown to cause liver toxicity. But, Jatenzo has been shown to successfully bypass the liver, instead entering the lymphatic system and then the blood circulation. Jatenzo comes in …

Continue Reading

Does Bicycle Riding Cause Erectile Dysfunction?

There are many reasons someone may fall susceptible to the perils of erectile dysfunction (ED). For some, it may be genetics, trauma, injury, or, commonly, prostate cancer. But, there are the handful of lifestyle factors and activities that contribute to the development of ED and can be prevented. One of these common activities is bicycle …

Continue Reading

Whole Person Sex Treatments

One of the most common questions I hear, even by mental health professionals, is that if sexual function issues are anxiety based, why do we recommend using medical intervention? Their assumption is that if it is not a physiological problem, why treat it medically? I could write a whole book on the interconnectedness of the …

Continue Reading

Does sleep have an impact on sex?

Yet another recently published article has linked sexual function in both women and men with sleep quality! An article in the March 2019 volume of The Journal of Sexual Medicine looked at approximately 2,500 men and 1,400 women over 50.  They looked to see how sleep quality and duration correlated with sexual arousal and orgasm …

Continue Reading

Pelvic Floor Dysfunction in Men Defined

So what exactly is pelvic floor dysfunction, also known as chronic pelvic pain syndrome? This requires a bit of male anatomy education. The pelvic floor is a complicated network of muscles that support our bowels and abdominal organs. These muscles overlap and interact with each other. Nerves and blood vessels wrap around and through these …

Continue Reading

Male Pelvic Floor Dysfunction: Signs and Symptoms

The pelvic floor consists of muscle, fascia, and neural tissues. As the name implies, these tissues encompass the floor of the pelvis. Dysfunction of these tissues can lead to one or several symptoms. The most common symptoms of pelvic floor dysfunction are erectile, ejaculatory, and orgasm dysfunctions, chronic pain, urinary symptoms, constipation, and a decrease …

Continue Reading