Common Sexual Dysfunction

Sexual problems in men are actually common and linked with increased age, medical co-morbidities, and stress. Common sexual dysfunction includes:

  • Decreased libido (hypoactive sexual desire)

  • Erectile dysfunction

  • Ejaculatory dysfunction (premature or delayed)

Despite this problem's commonality, only less than 25% of the male population seek health professionals' help.

Portrait of newlywed have a fight in bed
Sad and upset man waking up in the morni
A woman turns her back to her partner as

Erectile Dysfunction

Erectile Dysfunction (E.D.), is a condition where there is a consistent or recurrent inability of a man to obtain and/or maintain a penile erection sufficient for sexual activity. ED causes are multifactorial, including smoking, depression, hormonal imbalances, and even cardiovascular diseases such as hypertension, high cholesterol, and atherosclerosis. ED Treatment opTmale Wellnes also specializes in treating ED. Along with TOT, if you are clinically eligible, we can start you on medications like sildenafil (Viagra) and tadalafil (Cialis) which you can actually purchase directly from our clinic at a significantly discounted price. Peptide Therapy: opTmale also offers the new peptide PT-141 for the treatment of erectile dysfunction and to enhance sexual performance. PT-141, which comes as a nasal spray or subcutaneous injection, is a peptide therapy that works at the brain's neural level that promotes erectile function, heightens libido, and boosts sexual performance in men.

Premature Ejaculation

Premature ejaculation (PE) is when a man ejaculates before or shortly (usually within 1-3 mins) after penetration resulting in embarrassment and personal and partner distress. Like, ED, PE causes are multifactorial, like ED, penile hypersensitivity, hormonal issues, stress, recreational drugs, and medication side effects. PE Treatment
opTmale utilizes various non-pharmacological and pharmacological therapies to address PE, including behavioral techniques, psychotherapy referral, and medications like PDE5 inhibitors, off-label use of some antidepressants, and topical local anesthetics (gel or spray).

Delayed Ejaculation

Delayed ejaculation (DE) is when a man has a distressing delay in reaching ejaculation or orgasm, usually beyond 25 minutes. The median ejaculation latency time in Western countries is between 5-6 minutes following penetration. Again, DE has multifactorial causations, including psychological factors, diabetic neuropathies, SSRI antidepressant side effects, pelvic surgery, and even low T. DE treatment includes addressing ED and low T and other medications bupropion, imipramine, and intranasal oxytocin.

Low Libido

Hypoactive sexual desire or low libido or sex drive is a condition where there is an absence of a notable decrease in the frequency of desire for sex, causing personal and or partner distress. Like other sexual disorders, low libido can be multifactorial from low T, low growth hormone, thyroid dysfunction, obesity, diabetes, alcoholism, depression/anxiety, and certain medications' side effects. One of the many benefits of hormonal optimization is increased libido if low T or growth hormone is to blame. Our goal is to assess the cause and create a plan with the patient to address low libido.


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