Male Sexual Dysfunction
What is Male Sexual Dysfunction?
Specifically, such dysfunctions are:
- Ejaculatory difficulties
- Unsatisfactory levels of sexual activity
- Low sexual desire
These may occur in single or married men of all age groups.
- Premature ejaculation
- Retarded ejaculation
- Marital problems
What causes Male Sexual Dysfunction?
Current medical research indicates that in approximately 80% of men
the problem is due to physical causes. These include: Physical Causes:
- Side effects from medication, particularly blood pressure and
- Hormonal disorders
- Recreational drugs
- Neurological illness or injury
- Metabolic diseases
- Kidney diseases
- Structural genital problems
- Abdominal, pelvic or genital surgery
- Performance anxiety
- Fear of intimacy
- Marital problems
Diagnostic testing employed by the Association utilizing new and sophisticated
methods to determine the cause of the dysfunction are:
The selection of diagnostic studies is made with the patient's specific
problem and his desires considered. The patient's partner is encouraged
to participate in the evaluation and treatment selection. Most men
do not require all of the above tests. Appropriate treatment choices
are reviewed and selected based on the patient's wishes.
- Penile Arterial Blood Flow Studies
to measure if enough blood is delivered to the penis during an erection
- Duplex Doppler Ultrasound
- Intracavernous Vasoactive Agents (Pharmacologic stimulation)
- Penile Plethysmography
- Pudendal Arteriography
- Venous Studies
to identify an abnormal leak causing premature softening of the
- Neurological Studies
to determine if the nerves involved with the erections are functioning
- Stimulus Evoked Response
- Sleep Studies
to determine if the impotence is due to physical or psychological
- Nocturnal Penile Tumescence (NPT) and Rigidity Testing, using
the ambulatory RigiScan method
- Hormonal Studies
to determine if there are abnormal hormonal levels
- Thyroid and adrenal studies
Treatment Approaches Medical Treatments With the development
of advanced medical techniques, approximately 90% of patients of
all ages are helped without surgery.
- Oral Medication: Sildenafil (Viagra) is a new FDA approved medication
that is taken approximately one hour before intercourse. Erection
occurs after arousal.
- Intraurethral Insert: Prostaglandin E-1/Alprostadil (Muse) is
a new FDA approved intraurethral insert that provides an erection.
- Vacuum Erection Device: an external device that is used to get
- Intracavernosal Pharmacologic Agents: a painless self-injection
into the penis of one or a combination of Papavarine, Phentolamine,
Prostaglandin E-1 just before an erection is desired.
- Endocrine Therapy: topical patches or injectable treatment for
a hormonal condition.
- Penile Implant: an internal device that is permanent and makes
the penis hard enough for penetration. There are several types
with different features. With the currently available state-of-the-art
implants, a success rate of almost 95% may be expected.
- Penile Arterialization: rerouting blood to the penis
- Venous Ligation: tying off leaky veins.
Psychogenic Dysfunction for Individuals and Couples
For more information, please read our articles
page and the Book titled "Viagra - The Wonder
Drug for Peak Performance" by Dr. Whitehead and published by Dell
- Marital and Family Therapy
- Sex Therapy
- Intraurethral Insert (Muse)
- Prostaglandin E-1 (Caverject or Edex)
- Sildenafil (Viagra)
For more information on AMSD contact:
E. Douglas Whitehead, M.D., F.A.C.S., Medical Director
Association for Male Sexual Dysfunction
24 East 12th Street, Suite 2 - 1
New York, NY 10003
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