Five Sexual issues men find embarrassing to discuss with their doctor


Sometimes it’s easier to stick your head in the sand pretending everything is okay. Some men may choose this approach when sexual and performance issues have gone awry. But any man, who wants to keep bringing his A-game to the bedroom, will sooner or later need to broach the topic with an expert – his urologist.  

For obvious reasons, when sexual issues come up, men will naturally want to resolve them as soon as possible

However, another consideration is that sometimes sexual issues may signal more serious health conditions. In most cases, these can be treated. But until a man makes an appointment and thoroughly discusses what exactly is happening with his doctor, the problem could worsen.  

Here are the five most common sexual problems men may face and what they can do about them:

  1. 1. Erectile dysfunction

Men with erectile dysfunction (ED) or impotence struggle to get and then maintain an erection sufficient enough for sexual intercourse. Up to 30 million American men get ED, but most men usually are reluctant to talk about their ED problem with other men or their doctor. 

Other than putting a strain on a couple’s sex life, ED can also be the first sign of significant cardiac or vascular disease. To sustain an erection, the penis requires good blood flow, and men with heart disease usually do not have good blood flow. Studies have shown that most men seen in the emergency room for a heart attack or stroke suffered from ED three to five years earlier.  

Any man who has been experiencing ED for more than a month should seek the advice of a doctor, such as a urologist specializing in erectile dysfunction.  Urologists are a man’s best option for successfully treating ED to regain his sex life.  

To treat ED, it’s important to determine the underlying cause. From there, men may start making lifestyle changes such as losing weight, quitting smoking, eating a healthier diet, and increasing exercise.   Besides lifestyle modifications, medications to treat ED may also be used, which include Viagra, Levitra, and Cialis.

  1. Priapism or prolonged erection

 Priapism is when a man has an abnormal erection in which blood that engorges the penis fails to drain. Every year emergency rooms see thousands of men with this distressing condition that, if an erection lasts too long – more than 4 hours – can do permanent damage to the penis. Priapism is a medical emergency that could result in a man’s ability to ever have an erection again.  

One cause of priapism is medication used to treat ED. It’s a rare side effect but it can happen. Other possible causes can include certain psychiatric medications, cocaine use, or sickle cell disease.  

To treat a prolonged erection, a doctor may drain the excess blood from the penis with a needle, use medication to limit blood flow into the penis, or do surgery

     3. Peyronie’s disease

Peyronie’s disease is when scar tissue or plaque forms in the penis. It can occur at any age, but men over 40 are who it affects the most. A thick, elastic membrane called the tunica albuginea is where the plaque builds up inside the tissues of this membrane. The most common area where plaque buildup occurs is the top or bottom of the penis.  

If the condition is severe enough, it can cause a curve in the penis when erect and be painful enough to prevent a man from having sex.   The deformation of the penis is caused by scar tissue that appears as a hard lump, usually on the upper side of the penis. In most cases, pain during an erection goes away after one or two years, even though the curvature may remain.

In the past, surgery has been the main treatment option. However, new methods are being tested, such as compounds that can be injected into the scar tissue to straighten the penis.

  1. Hypogonadism or testosterone deficiency

Male hypogonadism is when the testes, also called the testicles, are not making normal levels of the male sex hormone, testosterone.   A deficiency of testosterone can affect not only sexual performance but also a man’s bone health, energy level, muscle strength, and mood.

Any man having difficulty achieving or maintaining erections needs to see his doctor, who will order a simple morning blood test to rule out low testosterone as the underlying cause. To treat low testosterone, testosterone replacement therapy – such as with a gel or patch – will help prevent symptoms. All men using testosterone replacement therapy will need regular follow-ups to ensure they are within a reasonable range of testosterone.  

  1. Premature ejaculation

Premature ejaculation happens when a man ejaculates earlier during sexual intercourse than his partner would like. It is estimated that as many as one out of every three men experiences it at some time. If it happens infrequently, it’s not a cause for concern. However, if it frequently affects a man’s sex life, he needs to bring this up with his doctor.

Premature ejaculation is more common in men across all age groups than ED and is the most frequent complaint of sexual dysfunction in men under 40.  

There are several methods of treating premature ejaculation, which include behavioral techniques, topical anesthetic creams applied to the penis right before sex to reduce sensation, helping to delay ejaculation, and certain oral medications.  


Dr. David Samadi is the Director of Men’s Health and Urologic Oncology at St. Francis Hospital in Long Island. He’s a renowned and highly successful board certified Urologic Oncologist Expert and Robotic Surgeon in New York City, regarded as one of the leading prostate surgeons in the U.S., with a vast expertise in prostate cancer treatment and Robotic-Assisted Laparoscopic Prostatectomy.  Dr. Samadi is a medical contributor to NewsMax TV and is also the author of The Ultimate MANual, Dr. Samadi’s Guide to Men’s Health and Wellness, available online both on Amazon and Barnes & Noble. Visit Dr. Samadi’s websites at robotic oncology and prostate cancer 911. 

Five Sexual issues men find embarrassing to discuss with their doctor
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Dr. David B. Samadi