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    Understanding Male Sexual Problems -- Diagnosis and Treatment

    What Are the Treatments for Male Sexual Problems?

    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.

    Treating Premature Ejaculation

    Premature ejaculation is commonly curbed by the "squeeze" technique, a kind of biofeedback. This method has a high success rate, and repeated practice usually leads to better natural control. When you feel that orgasm is imminent, withdraw from your partner's vagina or anus or signal your partner to stop stimulation. You (or your partner) then squeezes gently on the head of the penis with the thumb and forefinger, halting the climax. After 20 or 30 seconds, begin lovemaking again. Repeat the process if necessary.

    Promescent is a drug used to treat premature ejaculation. The topical spray is applied to the penis and contains lidocaine, reducing sensitivity and allowing for more ejaculation control.

    Other medications may delay ejaculation, such as selective serotonin reuptake inhibitors (SSRIs) including fluoxetine (Prozac), paroxetine (Paxil), and sertraline (Zoloft). None of these drugs is specifically approved by the FDA to treat premature ejaculation.

    Premature ejaculation may signal a more complex disorder, and any psychological aspects should be explored in therapy.

    Erectile Dysfunction Treatments

    Treatments for erectile dysfunction include any of the following:

    • The drugs avanafil (Stendra), sildenafil citrate (Viagra), tadalafil (Cialis), or vardenafil HCL (Levitra) and vardenafil (Staxyn)
    • A vacuum inflation device that pulls blood into the penis
    • Prostaglandin urethral suppositories
    • Self-injection of medications directly into the penis
    • Vascular surgery to correct problems involving the veins of the penis (note: this procedure has not been found to be effective.)
    • Inflatable penile implants

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