Male Sexual Dysfunction
Erectile Dysfunction, Peyronie's Disease, Ejaculation Disorders and Low Libido
Call for an AppointmentFew men want to talk about their sexual problems, and many don’t seek treatment despite the relief it can bring.
Often, sexual problems that affect men can be effectively treated with medication, psychological counseling, mechanical aids, and surgery. If you have erectile dysfunction (ED), Peyronie's Disease, premature ejaculation, low libido, or other low testosterone-related conditions ( low T), we can help. Our men’s health specialists ensure you understand the cause of your sexual problem and how to manage it when it occurs. Our goal is to help you have a healthy sex life, improve your sense of well-being, and your peace of mind.
About Male Sexual Dysfunction
Low T or Testosterone Deficiency
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 they age.
Erectile Dysfunction (ED)
Erectile dysfunction is defined as being unable to get or keep an erection that is firm enough to have sex.
Peyronie’s Disease
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.
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.
Duke Health offers locations throughout the Triangle. Find one near you.
Ejaculation Disorders Treatments
Behavioral Techniques
Your doctor may instruct you in several behavioral changes that can help you learn to delay ejaculation during sex.
Psychological Counseling
May be recommended to help reduce performance anxiety and help you find better ways to cope with stress.
Topical Anesthetics
May be recommended to reduce sensation and help delay ejaculation during sex.
Medication
Medications that keep the bladder neck muscle closed during ejaculation may be prescribed if retrograde ejaculation results in male infertility. Other medications may be prescribed to delay ejaculation.
Where you receive your care matters. Duke University Hospital is proud of our team and the exceptional care they provide. They are why our urology program is nationally ranked, and the highest ranked program in North Carolina, according to U.S. News & World Report for 2021–2022.
Why Choose Duke
Personalized Treatment
We develop personalized treatment plans that take into account your age and lifestyle. Together we choose the best option for you.
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. This is important as low T symptoms -- decreased sex drive, fatigue, falling asleep after dinner, memory and concentration difficulties, bone density loss and diminished work performance -- 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 also be symptoms of these conditions.
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.