Sexual Health for Men (cont.)

MEMBER QUESTION:
My boyfriend can't feel sex. We've been told it's due to rough masturbation. We didn't have sex and he didn't masturbate for a long time, but it didn't work. Can rough masturbation cause no sensitivity during sex?

BURROWS:
Many men have a difficult time reaching sexual climax with vaginal intercourse when they are accustomed to masturbation or manual stimulation. It appears to be less of a problem of lack of sensitivity, but these men need more stimulation at a greater frequency than through vaginal intercourse. It may be worthwhile to have a testosterone check as occasionally, when testosterone is low, there is less penile sensitivity.

MEMBER QUESTION:
My husband had a trauma injury to his urethra. It was torn in half. The urologist reattached and after months of surgery he is normal, except for a sexual problem with erection. Is it normal for problems to occur in this way? He is also a heavy alcohol user. Is this the problem? I read in articles that use of alcohol produces sexual problems.

BURROWS:
Urethral disruption or trauma, such as your husband's, can injure the nerves which create erection. Upward of 50 percent of men with urethral reconstruction after trauma will have lost potency. Medications such as Viagra, Levitra or Cialis may help. Other options such as vacuum erection device (VED) and injection therapy are also available. Certainly the alcohol intake is a factor, but I suspect the majority of the impotency is from the injury and the subsequent repair.

MEMBER QUESTION:
I am currently taking samples of Levitra and Cialis and they have helped with erection, but I am having problems with achieving an orgasm. There seems to be less sensitivity in the penis. I do have Type 2 Diabetes. Is there anything I can do?

BURROWS:
Lack of sensitivity may be a sign of low testosterone. This should be checked through a blood test. Diabetes can slowly injure the nerves that contribute to penile sensitivity. This problem however, is irreparable and I would suggest having the testosterone checked and replaced if it is indeed low. Give it more time.

MEMBER QUESTION:
Recently I had a birthmark removed from my groin area. It was a simple cut and stitch. Before removal, I would have erections easily, but afterwards, I haven't been able to. It has been about two weeks. I am young, I don't smoke, I have a healthy diet and I am not overweight. Could you please help?

BURROWS:
Give it more time.

"Regular ejaculation daily, weekly, or monthly, depending on the man's sexual habits, is helpful for prostate health and preserving sexual function."

MEMBER QUESTION:
Will ejaculation (intercourse or masturbation) daily be good or bad or really doesn't make any difference for prostate health? I assume regular ejaculation, whatever that is, is good for my prostate.

BURROWS:
Regular ejaculation daily, weekly, or monthly, depending on the man's sexual habits, is helpful for prostate health and preserving sexual function. There does not appear to be an upper limit or lower limit.

MEMBER QUESTION:
I masturbate a lot and now I have white bumps on both sides of the head of my penis. What can I do for this?

BURROWS:
These are likely pearly papules, a harmless benign condition, but you should see your doctor for confirmation that you do not need any treatment.

MEMBER QUESTION:
I have experience with Viagra. Is there any reason to switch?

BURROWS:
There's no reason to switch other than curiosity's sake. Viagra is very effective and safe.

MODERATOR:
We are almost out of time, Dr. Burrows. Before we wrap things up for today, do you have any final words for us?

BURROWS:
Male sexual medicine, treatment of potency, and management of men's hormones have very recently been getting attention. This is a new field but an old problem. A lot of new medications that can treat libido, premature ejaculation and erectile dysfunction are on the horizon. A man or couple should never be afraid or embarrassed to bring these topics up with their physician because very likely in your community there is someone specialized in this new area of medicine.

Supplements seem to be advertised everywhere you look. There does not appear to be a single supplement at this point that has greater than placebo effect. Spend your money wisely.

Erectile dysfunction may also be a symptom of underlying medical conditions, such as coronary artery disease, hypertension, diabetes or heart disease. These should all be addressed and discussed in the evaluation of erectile dysfunction.

"A lot of new medications that can treat libido, premature ejaculation and erectile dysfunction are on the horizon."

MODERATOR:
Our thanks to Peter Burrows, MD, for joining us today. And thanks to you, members, for your great questions. I'm sorry we couldn't get to all of them.

©1996-2005 WebMD Inc. All rights reserved.