Sexual performance is of utmost importance to any man. This can be affected by both erectile dysfunction and premature ejaculation.

1.     Erectile Dysfunction

Erectile dysfunction (ED) occurs when a man has trouble attaining an erectile or sustaining an erection for intercourse. This can affect up to 50% of men in varying severity in some point of their life.  Many attribute this problem to psychological issues like stress, anxiety and depression. However it can also be due to smoking or cardiovascular disease affecting the blood flow to the penis. Even more so, many do not realise it can be due to a correctable condition called the venous leak syndrome.

It is of paramount importance not to neglect erectile dysfunction as it is often linked to diabetes, hypertension, high cholesterol, heart disease and overall health. The approach to erectile dysfunction should never to just be popping the magic blue pills from an online teleconsultation or online pharmacy. There are several myths surrounding OCPs which tend to dissuade women from trying them. Many assume it is associated with infertility and a myriad of side effects. Countless studies have shown that OCPs do not cause infertility.

A careful thoughtful approach has to be taken to tackle erectile dysfunction. A meticulous history taking has to be taken first and if possible a physical examination done. Following that, lab investigations might need to be performed to rule out treatable diseases causing ED for example diabetes or venous leak syndrome. Treatment with lifestyle modifications or medications like phosphodiesterase-5-inhibitors (PDE5) might then be suggested.

2. Premature Ejaculation

Premature Ejaculation (PE) is a topic that is frequently avoided as it is an embarrassing and frustrating problem. PE means a man ejaculates way earlier than he or his partner wishes it to be. It is almost as common as ED with up to 40% of men experiencing it some point in their life. Medical issues like ED or hormonal imbalances can cause PE as well as psychological stress, depression and performance anxiety.

Fortunately, there usually is no need to do any blood tests or imaging to evaluate PE and there are medications that can help with this condition and together with behavioural therapy and certain techniques during intercourse, PE can be effectively managed. Do consult with our doctors if you have any concerns regarding this condition.