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Men's Health  E-mail

 Erectile Dysfunction

Men are much less likely to seek medical advice than women and that's a fact.  Many men prefer to research their ailments and health issues online. 

In this section I would like to offer information that will be helpful to Men, it is not aimed at diagnosis, as only a Doctor or Physician can make a diagnosis on matters relating to health, but I do understand that seeking medical attention for some conditions can be difficult and embarrasing for a lot of men, myself included.

Often us Men feel a whole lot better by talking to another man that we can trust, I hope that you find the following information useful and if you feel that talking about it would help, then please feel free to book a session.  This service is completely confidential and because it is online, there is no possibility of embarrasment or additional stress.  Early diagnosis and treatment in the following conditions could save a lot of unecessary Stress and even your Life. 


E.D. (Erectile Dysfunction).

What Is It?

Impotence means that a man's penis doesn't get hard enough to have sexual intercourse. The man cannot get or maintain an erection. The medical term is erectile dysfunction. This condition affects approximately 30 million men in the United States. Erectile dysfunction is not the same as premature ejaculation, which is ejaculating within 1 minute after initiation of intercourse.

The major causes of erectile dysfunction include:      

 Vascular (blood vessel) disease

Erections happen when blood collects in the shaft of the penis. Vascular disease can limit the amount of blood flowing to the penis or the amount staying in the penis. Both can result in problems with erections. Blood vessels can be damaged by hardening of the arteries (atherosclerosis) or trauma. Vascular disease is believed to be the most common medical cause of impotence.

Nerve damage (neuropathy) 

Nerves must be working normally for a man to get and keep an erection. Nerves can be damaged by diabetes, multiple sclerosis, prostate surgery or damage to the spinal cord.

Psychological factors

Psychological issues such as depression, anxiety, guilt or fear can sometimes cause sexual problems. A sudden loss of sexual appetite can also be as a result of psychological issues.

At one time, these factors were thought to be the major cause of impotence. Doctors now know that physical factors cause impotence in most men with the problem. However, embarrassment or "performance anxiety" can make a physical problem worse. Impotence caused only by psychological causes is found most commonly in younger men.

Medications

Many medications cause problems with sexual function, including drugs for high blood pressure, depression, heart disease and prostate cancer.

Hormonal problems

Abnormal levels of certain hormones, such as testosterone, thyroid hormone and a pituitary hormone known as prolactin, can interfere with erections and sex drive (libido). This is an uncommon cause of impotence.       

Symptoms.

A man with impotence has either a problem getting an erection or difficulty maintaining one. This usually interferes with sexual activity.

Impotence can happen suddenly or gradually. Some men slowly lose the firmness of their erections or how long the erections last. In other men, especially those whose impotence is largely caused by psychological factors, the problem may occur unpredictably and can improve at any time. Despite their difficulties with erections, men with impotence may continue to have normal orgasm and ejaculation without a full erection

Treatment.

Psychological therapy such as counseling, behavioral therapy or couples' therapy can be effective in men whose impotence is caused primarily by psychological factors.  Online Counselling can help to reduce the embarassment by offering annonymity to the client.  You do not even have to give your real name.  The sessions are confidential and secure.  If you would like to talk to a professional male counsellor, please click here to book a session.


Premature Ejaculation  

Premature ejaculation

This is when a man ejaculates (comes) within two minutes of penetration. It is more common amongst younger men up to the age of 35. It tends to happen because a man is very aroused.

You can see your GP or a Psychosexual therapist or Counsellor for help.

What causes it?

Either just being very excited with a new partner, or an acute sensitivity of the local nervous system, which triggers orgasm too suddenly.

What should I do if I have premature ejaculation?

See your GP, or a psychosexual therapist or a Counsellor. A Counsellor will be able to teach you some techniques to try to delay ejaculation.

What treatment is there?

A lot of men and their partners don’t worry and work around it, But if you’re very unsatisfied, there are some things you can try.

Have sex again soon after the man ejaculates, and 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.

Creams available from sex shops can be put on the penis to numb sensation. This tends to transfer the numbing sensation to the partner, which doesn’t go down very well.  Some find using a condom useful. 

The man’s partner can squeeze his penis in a certain way to prevent him ejaculating. A man needs an extremely willing partner to do this, and some partners don’t feel comfortable with it. 

Counselling can be very successful in terms of relaxing or exploring problems in the relationship, or with exploring a man's sexual needs and urges.

If you would like to share your worries with a male counsellor in complete confidence, please click here to book a session.


 What is a prostate and why do men need it?

The prostate is the gland that is part of the male reproductive system. It is shaped like a walnut and is about 1.2 inches across. One of its functions is to make one of the ingredients of semen, the fluid produced during ejaculation. This fluid is called prostate fluid. This fluid also keeps sperm in a healthy, fertile condition in order for fertilization to be possible.

The urethra runs through the prostate gland. This is why many men with prostate cancer experience urinary difficulties and sometimes discomfort. If a tumor grows, it can put pressure on the urethra, ultimately slowing the flow of urine or not allowing the flow at all.

What is Prostate Cancer?

Prostate cancer occurs when the cells within the prostate grow uncontrollably, creating small tumors.  The term “cancer” refers to a condition in which the regulation or balance of cell growth is lost and cells grow uncontrollably.  Most cells in the body are constantly dividing, maturing and then dying in a perfectly controlled process.  Unlike normal cell growth, the growth of cancer cells is no longer regulated correctly.  Instead of dying as they should, cancer cells outlive normal cells and continue to form new, abnormal cells.

Abnormal cell growths are called tumors.  The term “primary tumor” refers to the original tumor; secondary tumors are caused when the original cancer spreads to other locations in the body.  Prostate cancer typically is comprised of multiple very small, primary tumors within the prostate.  At this stage, the disease is often curable (rates of 90% or better) with standard interventions such as surgery or radiation that aim to remove or kill all cancerous cells in the prostate.  Unfortunately, at this stage the cancer produces few or no symptoms and can be difficult to detect.

What is Metastatic Prostate Cancer?

If untreated and allowed to grow, the cells from these tumors can spread in a process called metastasis.  In this process, prostate cancer cells are transported through the lymphatic system and the bloodstream to other parts of the body, where they lodge and grow secondary tumors.  Once the cancer has spread beyond the prostate, cure rates drop dramatically.

In most cases, prostate cancer is a relatively slow-growing cancer, which means that it typically takes a number of years for the disease to become large enough to be detectable, and even longer to spread beyond the prostate.  This is good news. However, a small percentage of patients experience more rapidly growing, aggressive forms of prostate cancer.  Unfortunately, it is difficult to know for sure which prostate cancers will grow slowly and which will grow aggressively – complicating treatment decisions.

The spread of cancer outside the prostate can be detected by the presence of prostate cancer cells in areas surrounding the prostate such as the seminal vesicle, lymph nodes in the groin area, the rectum and bones.  When prostate cancer spreads to another site, such as bone, the new tumor is still considered to be prostate cancer, not bone cancer.

How Common is Prostate Cancer?

It is the most common non-skin cancer in America, affecting 1 in 6 men. A non-smoking man is more likely to develop prostate cancer than he is to develop colon, bladder, melanoma, lymphoma and kidney cancers combined. In fact, a man is 35% more likely to be diagnosed with prostate cancer than a woman is to be diagnosed with breast cancer.

In 2008, more than 186,000 men will be diagnosed with prostate cancer, and more than 28,000 men will die from the disease. One new case occurs every 2.5 minutes and a man dies from prostate cancer every 19 minutes.

It is estimated that there are more than 2 million American men currently living with prostate cancer.

How curable is prostate cancer?

As with all cancers, "cure" rates for prostate cancer describe the percentage of patients likely remaining disease-free for a specific time. In general, the earlier the cancer is caught, the more likely it is for the patient to remain disease-free.

Because approximately 90% of all prostate cancers are detected in the local and regional stages, the cure rate for prostate cancer is very high—nearly 100% of men diagnosed at this stage will be disease-free after five years. By contrast, in the 1970s, only 67% of men diagnosed with local or regional prostate cancer were disease-free after five years.

Yet being diagnosed with prostate cancer can be a life-altering experience. It requires making some very difficult decisions about treatment options that can affect not only the life of the man diagnosed, but also the lives of his family members in significant ways for many years to come.

As with any illness or condition, early detection offers the best chance of a sucessful treatment.  A Prostate examination is not as bad as it can sometimes sound.  A doctor or Physician will ask you to lie on your side, he will wear a surgical glove with a water based lubricant and insert one finger into your Anus, he will be able to feel the Prostate and make a diagnosis.  This whole process will take no longer than a minute, and could save your life.  So get it checked out.

If you are worried and would like to talk to a male counsellor, please click here Now.

 


 

 

 
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