Male sexual dysfunction

Erectile dysfunction, Peyronie's Disease, ejaculation disorders and low libido

Few men want to talk about their sexual problems, and many don’t seek treatment despite the relief it can bring. Duke’s men’s health specialists understand the impact sexual health has on your quality of life. Sexual problems can cause distress and negatively impact otherwise healthy relationships with your partner. If you experience erectile dysfunction, Peyronie's Disease, problems with ejaculation, low libido, or other low testosterone-related conditions, we can help. We provide medical, psychological and surgical treatment options that help you have a healthy sex life, improve your sense of well-being, and your peace of mind.

What is male sexual dysfunction?

  • Erectile dysfunction (ED) is defined as being unable to get or keep an erection that is firm enough to have sex.
  • Low T or testosterone deficiency is a drop in the hormone called testosterone. The condition may be associated with ED and is a common occurrence among men as you age.
  • Peyronie’s Disease is a form of erectile dysfunction and refers to a build-up of collagen, plaque or scar tissue that causes the penis to bend, curve or form an hourglass deformity, which makes erection painful.
  • There are three main types of ejaculation disorders:
    • Premature ejaculation refers to ejaculation that occurs before or soon after penetration.
    • Inhibited or delayed ejaculation means ejaculation is slow to occur.
    • Retrograde ejaculation refers to semen being forced back into the bladder at orgasm, instead of leaving the body through the urethra and out the penis. 

Why you should seek treatment for male sexual dysfunction

Symptoms of low testosterone include decreased sex drive, fatigue, falling asleep after dinner, memory and concentration difficulties, bone density loss and diminished work performance. A blood test is used to identify whether your symptoms are associated with low T.

These symptoms can be a sign of an underlying medical condition such as depression, sleep apnea, heart disease and diabetes. Erectile dysfunction, ejaculation disorders, and a loss of sex drive may be symptoms of these conditions as well. 

As board-certified urologists, the Duke’s men’s health specialists in our nationally ranked urology program determine the extent of your sexual concerns, whether it can be treated directly, or whether it is related to an underlying cause. If one is found, we arrange timely referrals to our network of specialists in cardiology, sleep medicineneurology, and endocrinology.

Often, sexual problems that affect men can be effectively treated with medication, psychological counseling, mechanical aids, and surgery. Whether you have ED, Peyronie's Disease, premature ejaculation or low T, we work closely with you to ensure you understand the cause of your sexual problem and how to manage it when it occurs.

Why you should choose Duke Urology

  • Our expertise and experience are nationally known. Our urology program is ranked among the nation’s best by U.S. News & World Report, and our doctors are consistently recognized for their experience and expertise,
  • Your treatment is personalized. We develop personalized treatment plans that take into account your age and lifestyle. Together we choose the best option for you.
  • We have access to a large network of specialists. If your sexual problem is related to a medical condition, we arrange timely referrals to our network of specialists in cardiology, sleep medicine, neurology, and endocrinology.
  • We offer guidance and counseling regarding sex after cancer. We work closely with cancer specialists at Duke because male sexual disorders are a common side effect of cancer treatment. Our cancer survivorship program encourages a proactive approach to managing the sexual side effects of cancer treatment. We offer counsel and guidance on the available treatment options before your treatment begins.
  • We have convenient locations in Raleigh and Durham. You can make an appointment with a board-certified urologist at one of our convenient locations: Duke Urology of Raleigh, Duke Urology Men's Health Center in Raleigh, or Duke Urology in Durham. 

Erectile dysfunction and Peyronie's Disease

Ejaculation disorders

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