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Sexual Dysfunction

Sexual Dysfunction

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What is Male Erectile Dysfunction ?
Erectile Dysfunction denotes the inability to obtain or maintain an erection for satisfactory sexual intercourse. It is a symptom of an underlying disease.

What are the risk factors that may lead to erectile dysfunction ?

  • Alcohol consumption
  • Certain medications
  • Diabetes
  • Elevated cholesterol
  • Endocrine
  • Neurological problems
  • Obesity
  • Psychological problems
  • Smoking
  • Vascular Disease

How is Erectile Dysfunction Evaluated ?
Evaluation of Erectile Dysfunction begins by obtaining a detailed sexual, medical, and surgical history. It is also important to inquire about the patient's current medications and any history of head, perineal, or pelvic trauma. Physical examination consists of review of systems. Following a history and physical examination blood tests are performed to assess the hormones. Frequently, the physician may be able to establish the causes of erectile dysfunction and treat the problem with oral medication. In rare cases, it is necessary to perform a test called the Duplex Doppler to check the circulation of the penis. Currently, many revolutionary oral medications like Viagra, marketed by the Pfizer company, are available and may correct the problem. Patients whom do not respond to pharmacological manipulation, may consider other options including penile injections and penile prosthesis for treatment of Erectile Dysfunction.  For more information, or to schedule an appointment with a specialist in Erectile Dysfunction, call Stony Brook Urology at 631-444-6270. 

Dr Mishail specializes in reconstructive and robotic surgery. He is a member of a prestigious Society of Genitourinary Reconstructive Surgeons (GURS). He specializes in penile prosthetic and reconstructive surgery for erectile dysfunction, urethral stricture disease as well as surgery for post - prostatectomy incontinence. He is one of the few specialists who performs a combined operation for impotence and incontinence at the same setting.

What is Female Sexual Dysfunction ?
Many females suffer from sexual dysfunction. As it is an embarrassing situation, they frequently fail to consult a physician for help. There is currently significant research being conducted on Female Sexual Dysfunction.  

What are the symptoms and causes of Female Sexual Dysfunction ?
A common symptom of this condition is dyspareunia, or painful sexual intercourse.  This is frequently due to physiological changes related to a decline in female hormones.  This leads to a decrease in the secretions normally responsible for vaginal lubrication during sexual intercourse.  Other symptoms of female sexual dysfunction include orgasmic difficulties, and low sexual desire associated with depression or dyspareunia.  Disease of the female pelvic organs, such as endometriosis, may affect the blood or nerve supply of the genitalia and be responsible for sexual difficulties in females. In such cases, pelvic surgery may be an option.  

How is Female Sexual Dysfunction Evaluated ?
A detailed history and physical examination will usually reveal the cause of the problem.  In difficult cases of female sexual dysfunction, a pelvic or vaginal ultrasound may provide more definitive answers to this problem. Fortunately, current advances have produced revolutionary pharmacological agents, which are available for females with sexual dysfunction.  If you believe you suffer from Female Sexual Dysfunction, do not hesitate to seek help from Stony Brook Urology's specialist in Female Urology Dr. Zelik I. Frischer.