True or false? Everyone around us enjoys a completely carefree sex life. If you guessed "false," you're correct. In fact, experts estimate that one in three adults suffer some form of sexual dysfunction that can cause either temporary problems or develop into a chronic problem with serious emotional and physical results.
Urology Associates of North Texas has brought together, under the leadership of V. Gary Price, M.D., Director of the Center for Human Sexuality, specialists from several different areas with experience in human sexuality. These physicians in this Center of Excellence are specially trained in both the latest technology and procedures in order to effectively address human sexuality conditions.
Erectile dysfunction, or ED, can be a total inability to achieve erection, an inconsistent ability to do so, or a tendency to sustain only brief erections. The number of men in the United States who suffer from ED to some extent is estimated at one in ten, nearly 50% of men over 40 years of age.
Says V. Gary Price, M.D., Director of the Center for Human Sexuality at UANT, "Because of the complexity and subtlety of diagnosing and treating ED, a referral to a urologist trained in this specialty is often indicated. Current widespread consumer advertising for pharmacological ED 'cures' notwithstanding, a specialist can pinpoint the cause and optimum treatment for each patient's ED."
Since an erection requires a complex sequence of events, ED can occur when any of the events in this sequence - such as nerve impulses in the brain, spinal column and area around the penis, along with responses from muscles, arteries and tissues - is disrupted. Factors that can lead to a disruption include:
The most prevalent of causes is disease. In fact, diseases such as diabetes, kidney disease, chronic alcoholism, multiple sclerosis, atherosclerosis, vascular disease, and neurologic disease account for about 70% of ED.
Only a thorough diagnostic procedure can pinpoint the exact cause of the problem. This begins with a detailed medical and sexual history, followed by a physical exam. Due to the tremendous technological advances made in this area, there are now several treatment options available, from medication to improve blood flow to surgical implants. Counseling for psychological problems relating to ED is also available.
Premature or rapid ejaculation occurs when a man reaches climax before he and his partner are ready, which can have an adverse effect on their relationship. This condition can present itself at any time in a man's life and can be either learned behavior or a response to an unhealthy lifestyle. The good news is that the condition can be successfully treated by the human sexuality specialists at UANT with medications, counseling or a combination of the two.
This type of surgery is one of the more difficult types of surgery for men and women to handle emotionally and physically. While extremely rare, cancer of the penis or vagina can lead to partial (glansectomy, partial vaginectomy) or complete (penectomy, radical vaginectomy) removal of these parts of the body. Reconstructive surgery is performed to restore these parts - most often using tissue from other parts of the body - and return their functionality as best as possible.
Peyronie's disease is an abnormal curvature of the penis caused by scar tissue that prevents straightening of the penis during an erection. . Peyronie's disease is seen most frequently in middle-aged and older men, and the curvature may be so severe that it prevents penetration during intercourse.
Consider this: No one's sexual problem is their own. Whenever an individual suffers with some physical or emotional sexual dysfunction, it has a profound effect on their partner as well. Sex therapy is a focused form of counseling that helps people overcome emotional, physical and medical concerns that may be prohibiting them from having satisfying sex. This therapy, which we encourage you to participate in as a couple, can enhance self-esteem, add warmth and intimacy to your relationship and finally, enrich your life.
The first step is recognizing the problem.