Home' Trinidad and Tobago Guardian : March 4th 2016 Contents A28
body & soul
Guardian www.guardian.co.tt Friday, March 4, 2016
It s estimated that one in ten men has a problem
related to having sex, such as premature ejaculation
or erectile dysfunction. Dr John Tomlinson of The
Sexual Advice Association (UK) explains some of
the causes, and where to seek help.
"Sexual dysfunction in a man is when he s not
able to perform properly," says Dr Tomlinson. "The
main problem is being unable to get an erection. In
the 20--40 age group it affects around seven to eight
per cent of men, in the 40--50 age group it affects
11 per cent. In the over--60s it affects 40 per cent,
and more than half of men over 70."
Erectile dysfunction (impotence)
This is when a man can t get, or keep, an erection.
Most men experience it at some time in their life.
What causes erectile dysfunction?
"Psychological issues tend to affect younger men,
such as first night nerves and so on. Often, these
problems don t persist. But there can be more serious
psychological problems about sex that need the help
of a psychosexual therapist," says Dr Tomlinson.
Worries about work, money, your relationship, family,
and even worrying about not getting an erection,
can all be factors.
Physical reasons for erectile dysfunction include
medical conditions, for instance: heart disease, dia-
betes, raised blood pressure, raised cholesterol (this
can lead to clogging of arteries, including the arteries
in the penis, which are very narrow), and low testos-
terone (testosterone levels fall as men get older, but
not all men are affected by it).
Drugs can cause erectile dysfunction. These can
include medicines (such as beta-blockers) used to
treat raised blood pressure, and antidepressants,
antipsychotic drugs and anticonvulsant drugs.
Alcohol, recreational drugs such as cannabis and
cocaine, and even smoking cigarettes can all affect
how a penis erection works---or doesn t.
Men with erectile dysfunction should see a doctor
to get a physical examination and blood tests, to
identify the cause.
Erectile dysfunction can be an important signal to
other issues. "It s associated with raised cholesterol,
diabetes and raised blood pressure. Any of these can
be a warning of future heart disease," says Dr Tom-
What's the treatment for impotence?
First, adjust any lifestyle factors that might be
causing your problem.
"If you stop smoking, drinking too much or using
recreational drugs, the problem should eventually go
away. But it can take months," says Dr Tomlinson.
If you re prescribed blood pressure tablets or anti-
depressants, your doctor may be able to put you on
a different kind.
Low testosterone can be treated with hormone
replacement therapy, which should resolve erectile
dysfunction as long as it s used together with erec-
tion-helping drugs. Other conditions, such as diabetes
and high blood pressure, can be treated, which may
improve erections. Find out more about erectile dys-
function treatment, including sildenafil cotrate (viagra).
This is when a man ejaculates (comes) sooner than
he wants to during sex. It s only a problem if it bothers
him or his partner.
What causes premature ejaculation? "Either just
being very excited with a new partner, or an acute
sensitivity of the local nervous system, which triggers
orgasm too suddenly," says Dr Tomlinson.
It can also be linked to anxiety about sexual per-
formance, stress, unresolved issues in a relationship,
Erectile dysfunction associated
with high cholesterol, diabetes
What treatment is there
for premature ejaculation?
"A lot of men and their partners
don t worry, and they work around it,"
says Dr Tomlinson.
"But if you re very unsatisfied, there
are some things you can try."
• Have sex again soon after the man
The second time, it will take longer
to reach an orgasm. Older men might
find this difficult as it may take too
long to get a second erection.
• The man s partner can squeeze
his penis in a certain way to prevent
"A man needs an extremely willing
partner to do this, and some partners
don t feel comfortable with it," says
• Antidepressants called selective
serotonin reuptake inhibitors (SSRIs)
can slow ejaculation, but only for a
year or so. (www.nhs.uk)
YOUR DAILY HEALTH
News and Advice
Men with erectile
see a doctor to get a
and blood tests, to
identify the cause.
Links Archive March 3rd 2016 March 5th 2016 Navigation Previous Page Next Page