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Ejaculatory Dysfunction

                                          

Premature ejaculation is the most common ejaculatory problem, found in 1/3 of American men.
Other forms of ejaculatory dysfunction are Anejaculation (the inability to ejaculate in males, with or without orgasm) and/or the inability to climax.

Overview

Symptoms

  • Reduced sex drive
  • Reduced erectile function
  • Fatigue
  • Reduced lean muscle mass
  • Loss of body hair 
  • Symptoms of depression

Major Risk Factors

  • Age (20% of men over 60, 30% of men over 70, and 50% of men over 80)
  • Obesity
  • Metabolic Syndrome (high blood pressure, high blood sugar, unhealthy cholesterol levels, and belly fat)
  • HIV/AIDS

Treatments

Testosterone Therapy

Testosterone therapy can be administered in five different ways. Your physician will help choose which method is most useful for you and your specific needs. 

  • Transdermal (Topical): Topical medicines are administered via gels, creams, liquids, and patches to the external of the skin. 
  • Injection: Testosterone injections are available in both short-acting and long-acting forms and administered either weekly, bi-weekly, or monthly. 
  • Oral/Buccal (By Mouth): The Buccal dose comes in a path that you place above your canine tooth. This medication looks like a tablet, but it should not be chewed or swallowed. 
  • Intranasal: This form of testosterone comes in a gel that is pumped into each nostril as directed. 
  • Pellets: Testosterone Pellets are inserted under the skin of your upper hip or buttocks and dissolves slowly as the medication is released over the course of 3-6 months.