Alpha Male Plastic Surgery understands that men have unique health care needs, which is why we’re pleased to announce that our Los Angeles location will now be providing men’s health services. This new initiative is aimed at helping men manage their most personal concerns, including symptoms relating to their sexual and reproductive needs. Sensitive subjects such as erectile dysfunction or decreased libido aren’t always easy to discuss. Still, Alpha Male Plastic Surgery LA believes these additional services will make it easier for men to prioritize their health.
At the helm is Dr. Justin Houman, a nationally recognized urologist and fellowship-trained Male Reproductive Medicine and Surgery specialist. He’s trained in minimally-invasive procedures and has expertise in male hormone therapy, sperm retrievals and penile implants. In addition, Dr. Houman has experience in diagnosing and treating medical conditions specific to men such as:
- Erectile dysfunction
- Ejaculatory dysfunction
- Decreased libido
- Low testosterone (Hypogonadism)
Erectile dysfunction, or ED, is the most common sex problem that men report to their physician. ED is defined as trouble getting or maintaining an erection. Though it’s not uncommon for men to have difficulty with erections on occasion, it’s recommended to consult a doctor if it happens routinely during sexual intercourse or interferes with a man’s ability to orgasm. In addition to affecting a man’s well-being, ED can also negatively impact intimate relationships or cause depression and low self-esteem. Therefore, treatment for ED is aimed at improving the overall quality of a man’s life both physically and emotionally.
What causes erectile dysfunction in men?
ED can happen as a result of aging. However, growing old is not always the problem. ED can occur when there’s not enough blood flow to the penis or there’s difficulty in receiving nerve signals from the brain. These can be early warning signs of more serious cardiovascular illnesses such as heart disease, high blood pressure or diabetes.
Other physical causes of erectile dysfunction include:
- Drug side effects
- Sexually transmitted disease
- Low testosterone levels
While ED can be a result of physical health problems, emotional or relationship distress can also cause or worsen this condition. Talk with your doctor if you have ED and are experiencing any of the following: depression, stress at home or work, sexual performance anxiety, low self-esteem, body image issues.
Ejaculatory dysfunction affects approximately 30% of men. It can present itself as premature ejaculation (PE), while some men experience an inability to ejaculate, or in other cases, the sperm travels back into the bladder during orgasm. This condition can significantly impact a man’s sex life and cause feelings of frustration or embarrassment. To determine the root cause of your sexual health problem, our care team will go through a comprehensive diagnostic process and develop a treatment plan to help you achieve your goals.
What are the different types of ejaculatory disorders?
- Retrograde ejaculation: Retrograde ejaculation refers to when semen goes backward into the bladder instead of through the urethra. This condition occurs when the bladder neck does not close at orgasm. Some may refer to this as a “dry ejaculate.” While this won’t affect a man’s ability to get an erection or have an orgasm, it can cause male infertility. Treatment options range from oral medications to more advanced reproductive techniques.
- Premature ejaculation: PE is the most common type of ejaculatory dysfunction that men experience. It occurs when a man ejaculates sooner than he or his partner would like during intercourse. The causes can include physical ailments, chemical imbalances in the body and emotional or psychological factors. Treatments such as oral medication, behavior modification and physical therapy are designed to prolong a man’s sexual experience.
- Delayed ejaculation: Delayed ejaculation is the opposite of PE and refers to a man’s inability to ejaculate within a reasonable amount of time. The condition can range in severity and be caused by certain neurological, hormonal, pharmaceutical or psychological factors. Treatment will therefore depend on the underlying cause(s) of the dysfunction.
- Failure of ejaculation (Anejaculation): Men who suffer from anejaculation are unable to ejaculate semen when they climax. Although sperm is still being produced by the body, this condition does affect male fertility. It can be caused by medical treatments or psychological factors, however, the diagnosis of anejaculation will be made based on a patient’s medical history and physical examination.
Decreased libido refers to a persistent or recurrent lack of interest in sex. This decline in sexual desire can lead to personal distress or put a strain on intimate relationships. When a low sex drive becomes continual, it may be a sign of an underlying issue. Certain general health conditions may predispose a man to changes in libido throughout his life. In addition, stressors at home or work, chronic illnesses, anxiety, depression and oral medications can also result in decreased libido. Physicians have found a strong correlation between men who experience a reduction in sexual desire and those with low testosterone levels. Although, your doctor will determine the root cause upon examination.
Signs of decreased libido include:
- Reduced interest in sexual activity
- Fewer or no sexual thoughts
- Less pleasurable sensations during intercourse
- Decreased testosterone levels
Testosterone Replacement Therapy
It’s natural for a man’s testosterone levels to decrease with age. However, men of all ages can be diagnosed with low testosterone. For example, men can be either born with or develop hypogonadism, a condition in which the body doesn’t produce enough testosterone or sperm. In some cases, men with Low T may benefit from hormone replacement therapy.
Testosterone Replacement Therapy, or TRT, can restore the male sex hormone to a balanced state. Those at the lower end of the spectrum may experience decreased strength, tiredness, reduced sex drive and poorer sperm production. TRT delivers testosterone via injection, however, there are other methods of treatment including creams or patches in which the hormone is absorbed through the skin. As a result, this type of male testosterone replacement therapy can improve energy levels, boost libido and reduce fatigue.