If you’re a sexually active individual, you are at a higher risk of developing what is known as sexually transmitted infections (STIs). Common strains of STIs include chlamydia, genital herpes, HIV, genital warts, pubic lice, and syphilis.
If you suspect that you may have developed some form of STI, it’s crucial to know what steps you need to take.
If you don’t know what these steps are, we’re here to provide you with the information you need on STI treatment in Las Vegas, as well as some general advice on what to do if you find yourself in this situation.
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Don’t Panic, but Don’t Ignore It Either
The first step when you suspect you have an STI is to stay calm. Panicking won’t help, and it’s essential to address the situation with a clear head. Ignoring the symptoms — like bleeding during and after sex, pain during sex, itching, and urinal pain — or hoping they will go away on their own is not a solution.
By detecting and addressing the problem early on, you can prevent further complications and minimize the spread of the infection to others.
The next step is to get tested. Testing is the only way to confirm whether or not you have an STI. In Las Vegas, there are numerous healthcare facilities and clinics that offer confidential and discreet STI testing services. You can search online for “STI Las Vegas testing centers” to find a location near you.
Remember that not all STIs cause noticeable symptoms, so getting tested is essential even if you feel fine. Many STIs can be asymptomatic or have symptoms that mimic other common illnesses.
Abstain From Sexual Activity
Between waiting for your test results and receiving appropriate treatment, it’s crucial to abstain from all sexual activities, including vaginal, anal, and oral sex. Continuing to have sex during this time can increase the risk of transmitting the infection to your partner(s). By avoiding any sexual contact, you are making the responsible and ethical choice to protect the health of both yourself and others.
Inform Your Sexual Partner(s)
If your test results come back positive for an STI, you should inform your sexual partners immediately. It can be a difficult conversation to have, but it’s necessary to ensure they get tested and receive treatment if needed.
Taking this proactive step can further inform your partners of what they need to expect moving forward so they can prepare accordingly.
Seek Medical Advice
If you receive positive test results, consult a healthcare professional for guidance on the appropriate treatment. There are several treatments for STIs that vary depending on the type of infection, its severity, and your overall health.
You’ll find healthcare providers who specialize in sexually transmitted infection treatment in Las Vegas that can recommend the most suitable treatment plan for your specific situation. Some of these treatments include antibiotics, antiviral drugs, ointments, and injections.
Complete the Prescribed Treatment
Whatever the prescribed STI treatment is, it’s crucial to complete the entire course of treatment, even if your symptoms improve before you finish the medication. Stopping treatment prematurely can lead to antibiotic resistance or incomplete eradication of the infection.
After completing your treatment, follow up with your healthcare provider for additional testing. This step is essential to ensure that the infection has been successfully treated and that you are no longer contagious. Some STIs may require multiple rounds of treatment or ongoing monitoring to manage potential complications.
In such cases, longer treatment duration and extra caution are necessary to avoid any complications.
Practice Safe Sex
Once you’ve been treated for an STI, it’s essential to practice safe sex to prevent future infections. For instance, use condoms consistently and correctly to reduce the risk of STIs. Additionally, consider discussing pre-exposure prophylaxis (PrEP) with your healthcare provider if you are at high risk of contracting HIV.
Finally, regular check-ups with your healthcare provider are essential to monitor your sexual health. They can help detect any new infections early and provide guidance on maintaining a healthy sex life.
In Las Vegas, you have access to a wide range of healthcare services, including those specializing in sexually transmitted disease (STD) and STI treatment. Be sure to take advantage of this opportunity and seek professional care to address your sexual health concerns.
Take Care of Your Sexual Health
Suspecting you have an STI can be a worrying experience, but it’s crucial to take action promptly. Getting tested, seeking treatment, and taking preventive measures are essential steps in managing STIs and maintaining a healthy sex life.
Remember that there is no shame in seeking help, and healthcare professionals in Las Vegas are here to support you on your journey to sexual health and well-being.
Finding blood in your semen can be alarming and concerning. However, in most cases, it is not a serious health problem, a symptom, or a bigger underlying health issue. In many cases, it can be resolved without treatment. However, it is best to consult a medical professional to help rule out certain risks or diseases.
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What Is Blood in Semen?
The condition of having blood mixed with your semen is medically known as hematospermia or hemospermia. It can make the semen appear brownish-red or red in color.
Although the presence of blood in semen is not normal, it is reasonably common. The condition can affect men of all ages. However, hematospermia is more often observed among men between the ages of 30 and 40 years.
What Are the Causes of Hematospermia?
There are several possible causes of the blood mixing with semen. These include:
- Infections: This is one of the most common causes of hematospermia, especially among younger men. Infections of the prostate, seminal vesicles, or other parts of the genitourinary system can lead to blood mixing with semen. In other cases, the blood can be due to urinary tract infection (UTI).
- Recent urological procedure: Blood in the semen may sometimes happen after a recent urological procedure, such as a prostate biopsy or a vasectomy. After a prostate biopsy, it may take 20 ejaculations or a few weeks until there is no blood present.
- Trauma: Trauma or injury to the genital area — such as during vigorous sexual activity or a sports-related accident — can cause hematospermia. In such cases, the presence of blood is often temporary and should resolve with time.
- Cancer: In rare cases, the presence of blood in semen can be a symptom of cancer, such as prostate cancer.
- Benign Prostatic Hyperplasia (BPH): BPH — a non-cancerous enlargement of the prostate gland — can sometimes result in hematospermia. This condition is more common in older men and may require medical management.
- Sexually Transmitted Infections (STIs): Certain STIs, such as chlamydia or gonorrhea, can lead to blood in semen. Timely testing and treatment are crucial for addressing these infections.
- Other medical conditions: Blood in semen can also be caused by other medical conditions, such as bleeding disorders or high blood pressure.
When Should You See a Doctor?
While hematospermia can often be benign and self-limiting, there are situations where seeking medical attention is advisable.
For men 40 and over, chances are higher that blood in the semen needs evaluation and treatment. This is especially true for men who:
- Repeatedly encounter blood in their semen
- Blood in semen persists for over a month
- Experience related symptoms, such as fever and painful urinating or ejaculating
- Are at risk for cancer, a bleeding disorder, or other conditions
- Are sexually active or engaged in behaviors that may increase your risk of sexually transmitted infections
Your primary care doctor or a urologist may perform a physical exam, blood tests, urine tests, or imaging tests to diagnose the cause of blood in your semen and rule out certain conditions.
If you’re under age 40 and see blood in your semen, it will more than likely resolve even without treatment. However, it is still a good idea to make an appointment with a medical professional to rule out any underlying medical conditions or STIs.
Final Words and Advice
Hematospermia is rarely a cause for much concern in itself. However, seeing blood in semen can still be alarming. Moreover, it can be a symptom for other health issues like infections.
As such, it is important to see a physician or specialist to determine the exact cause and rule out any serious underlying medical conditions.
With prompt action, proper evaluation, and treatment, most cases of hematospermia can be resolved, putting your mind at ease and ensuring your long-term health and well-being.
Testicular swelling after a vasectomy is a common occurrence that can cause discomfort and concern. In this vasectomy guide, we’ll explore the causes, symptoms, duration, and management of testicular swelling, offering valuable insights for those who have undergone or are considering this procedure.
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What Causes Testicular Swelling After a Vasectomy?
Testicular swelling after a vasectomy can be attributed to a variety of factors, such as:
- Inflammation Response: The body perceives the vasectomy as an injury and initiates an inflammatory response, increasing the blood flow to the area and releasing inflammatory substances, which causes swelling.
- Blood Accumulation: In some cases, small blood vessels may be damaged during the procedure, resulting in blood accumulation in the scrotal area, leading to swelling and bruising.
- Lymphatic Fluid Accumulation: Lymphatic vessels may also be affected, causing the accumulation of lymphatic fluid, further contributing to swelling.
How Common Is Testicular edema After a Vasectomy?
Testicular swelling is a common side effect of a vasectomy. It occurs in most individuals who undergo the procedure, though the severity and duration can vary widely from person to person. Understanding that swelling is a natural part of the healing process is crucial.
What Are the Symptoms of Testis Swelling After a Vasectomy?
Symptoms of testicular swelling after a vasectomy may include:
- Enlarged Testicles: The most apparent symptom is an increase in the size of one or both testicles.
- Pain or Discomfort: Swelling is often accompanied by mild to moderate discomfort or aching sensations.
- Tenderness: The testicles may be sensitive to touch during the initial recovery period.
Can Testis Swelling After a Vasectomy Cause Complications?
While testicular swelling is not typically a cause for concern, complications can arise if the issue is not managed correctly. Complications are rare but may include infection, hematoma (a blood clot), or sperm granuloma (a lump caused by leaking sperm). These complications can exacerbate discomfort and require medical attention.
How Long Does Testis Swelling After a Vasectomy Typically Last?
The duration of testicular swelling can vary from a few days to several weeks. Most individuals experience swelling in the first two to three days after the procedure, followed by a gradual reduction in size. Complete resolution may take several weeks to a few months.
What Kind of Follow-Up Care Is Required for Testicular Swelling After a Vasectomy?
Following your doctor’s post-operative instructions is essential if you experience testicular swelling after your vasectomy. This may include:
- Rest: Avoid strenuous activities and do not lift heavy objects for a specified period.
- Use of Supportive Underwear: Snug-fitting underwear can provide additional support and comfort during healing.
- Pain Medication: Your doctor may recommend over-the-counter pain relievers to manage discomfort.
What Lifestyle Changes Can Reduce the Risk of Testicular Swelling After a Vasectomy?
While some level of swelling is expected, there are steps you can take to minimize its severity:
- Elevate Your Legs: Resting with your legs elevated can help reduce swelling.
- Avoid Tight Clothing: Loose-fitting clothing can reduce pressure on the scrotum.
- Follow Post-Op Instructions: Adhering to your doctor’s recommendations for rest and care is crucial.
How Can Patients Manage Pain and Discomfort From Testicular Swelling After a Vasectomy?
Managing pain and discomfort from testicular swelling after a vasectomy is essential for a smoother recovery. Here’s how you can manage swelling pains:
- Apply Ice Packs: Cold packs or ice packs can be placed on the swollen area for short periods (about 10 to 15 minutes at a time) to reduce swelling and numb the discomfort.
- Avoid Strenuous Activities: Refraining from strenuous physical activities or lifting heavy objects during your recovery period is crucial.
- Use a Scrotal Support Pillow: Some individuals find comfort in using a soft scrotal support pillow or cushion when sitting or lying down.
Testicular swelling is a common side effect of a vasectomy, resulting from the body’s natural healing response. While it can cause discomfort, it’s usually temporary and manageable. If you experience severe or prolonged swelling or notice signs of infection or other complications, consult your healthcare provider promptly.
Discover the Common Risk Factors That May Cause Erectile Dysfunction. Some men are unable to develop or maintain an erection during sexual intercourse with a partner. Unfortunately, Erectile dysfunction (ED) can affect a man at any time but it is more common with increasing age. It may add unnecessary stress to a relationship or cause problems with self-esteem.
While the root cause of ED differs among men, there are a number of potential underlying causes. Below, patients can take a closer look at the most common risk factors for erectile dysfunction and learn about helpful treatment options in Las Vegas, NV.
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What causes ED?
Erectile dysfunction can be an occasional issue, while others may experience it on a more consistent basis. Either way, it can be a source of great concern. Many factors contribute to the development of ED, including:
- Age: Many studies have demonstrated that ED is increasingly prevalent with age, especially among men with declining testosterone levels.
- Obesity: Blocked arteries can make it impossible for blood to travel to the penis during intercourse. Being overweight or obese only adds to this risk.
- Lifestyle choices: Smoking cigarettes and regularly consuming large amounts of alcohol can also damage the blood vessels and impede blood flow.
- Emotional issues: Problems like depression and anxiety take a toll on the body in many ways. It can be hard to focus on sexual activity, especially if there is an issue related to work, finances, or even a relationship.
- Medications: Certain medications cause ED as a side effect. These include certain blood pressure medications, antidepressants, and antipsychotics.
- Some medical conditions: Diabetes and Peyronie's disease are two examples of conditions that lead to ED, especially when left untreated for too long.
What treatment options are available for ED?
Lifestyle modifications may help manage mild to moderate symptoms of ED. These changes may include regular diet and exercise to lose weight, quitting smoking and drinking, and reducing stress levels. Improving your overall health is known to be effective in reducing ED symptoms and improving sexual function.
However, some lifestyle changes are not enough to resolve ED completely, especially in severe or chronic cases. We recommend seeing a trained professional in Las Vegas, NV with experience in men’s sexual health to get the help you need. Options may include:
- Medication: This common ED treatment involves taking a pill before sexual activity. Oral medications work by relaxing the muscles and increasing blood flow to the penis.
- Platelet-rich plasma (PRP) therapy: Treatment requires taking a small amount of the patient's blood and using it to encourage the growth of new blood vessels and improve circulation. PRP therapy is nonsurgical and minimally invasive.
- Shockwave therapy: Shockwave therapy uses sound wave technology to improve blood flow to the penis. Treatment is also nonsurgical but may require one or several sessions to produce long-lasting results.
Treat ED and improve sexual function
We understand that erectile dysfunction can be difficult to discuss with a partner, let alone a medical professional. Board-certified physician Dr. Raj Singh and the team at HEALOR™ erectile dysfunction clinic in Las Vegas are proud to offer a wide range of solutions like oral medications, PRP therapy, and shockwave or soundwave therapy in Las Vegas, NV. Call today to request a private appointment and see how we can help you. We can help you achieve optimum health and live a life that you love.
Do Gay And Bisexual Men Have A Higher Risk Of Anal Cancer? Believe it or not, your sexual behaviors can influence your risk of developing certain types of cancers. In patients who are exposed to HPV (human papillomavirus) through sexual activity, the risk of developing these cancers increases dramatically. More specifically, gay and bisexual men have an elevated risk level for anal cancer.
At HEALOR™ in Las Vegas, NV, board-certified physician Dr. Raj Singh understands the unique needs of the LGBTQ+ community and is committed to providing a comprehensive array of health services designed specifically for LGBTQ+ patients. In this blog, you’ll find more information about why certain patients have a higher risk of developing anal cancer, how we screen for anal cancer, and what signs or symptoms may mean you should seek an evaluation.
Why are gay men more likely to get anal cancer?
While some patients may have no symptoms at all, most people with anal cancer develop one or more symptoms of the disease over time. These may include:
- Bleeding per rectum
- Pain in the rectum or anus
- Change in bowel habits
- Can’t control bowel movements
- Narrow stools
- Palpable lump near rectum
If you are having symptoms that are suspicious of anal cancer, particularly if you are in a high-risk group, like gay and bisexual males, schedule an appointment to be screened for anal cancer or HPV at your earliest convenience.
How do you test for anal cancer?
During your initial consultation, Dr. Singh will thoroughly discuss your symptoms and personal history, answer any questions you may have, and perform a physical evaluation. Based on these findings, Dr. Singh may recommend either a digital rectal exam (DRE), a Pap smear, or both be used to evaluate for the presence of HPV or anal cancer.
Is anal cancer curable?
With early detection and prompt treatment, most cases of anal cancer can be successfully treated. For this reason, it is critical that patients with an elevated risk for developing anal cancer seek routine evaluations, monitor any potential signs or symptoms of an HPV infection, and understand how to prevent the disease. Some things that high-risk patients can do to lower their risk of developing anal cancer include:
- Wear a condom
- Limit number of sexual partners
- Do not smoke
- Get the HPV vaccine (if eligible)
- Get screened for HPV and anal cancer
With these simple steps, even high-risk patients can greatly reduce their risk of developing anal cancer.
Protect yourself against HPV and anal cancer with LGBTQ+ care in Las Vegas, NV
At HEALOR™, our knowledgeable team is committed to helping all patients live a healthy and fulfilled life. By identifying and understanding personal risk factors and how to minimize them, patients can feel more confident about their health and safety. To learn more about your own risk factors for anal cancer, call to schedule your private consultation with board-certified physician Dr. Raj Singh today.
Can Diabetes Cause Sexual Dysfunction in Men and Women? Diabetes is one of the most common chronic health conditions in the United States, affecting tens of millions of Americans. While people are generally aware of some of the long-term health effects of the disease, a lesser-known issue for those who have diabetes is sexual dysfunction. Preventing diabetes or managing it if you already have it can help prevent complications, including sexual dysfunction. So, Las Vegas, NV area residents who have the disease or are at a higher risk should consult with double board-certified physician Dr. Raj Singh MD and the HEALOR™ team.
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What is diabetes?
In a person with diabetes, their body fails to produce sufficient amounts of the hormone insulin or uses the insulin it does produce inefficiently. Without effective insulin production, the glucose our bodies create from the food we eat remains in the blood. Diabetes consists of two main types, Type 1 and Type 2, but over time, both types can cause organ damage that results in death. For Las Vegas, NV residents, Dr. Singh and the team at HEALOR™ will use blood tests to diagnose diabetes.
What are the symptoms of diabetes?
Symptoms of diabetes are mostly consistent across both types of the disease, including frequent urination, increased thirst, unintended weight loss, fatigue, extreme hunger, mood changes, irritability, and blurry vision. One symptom of Type 2 that’s not usually present in Type 1 is tingling, numbness, or pain in the hands or feet.
What are the long-term complications of diabetes?
In many cases, diabetes can be successfully managed, though there is no cure for diabetes. The long-term health implications of diabetes affect nearly every system of the body, and it can increase your risk of death from stroke, heart disease, or organ damage.
Here is a look at some of the most common complications from diabetes:
- Cardiovascular disease
- Heart attack
- Limb loss
- Kidney disease
- Eye damage
- Bacterial and fungal infections of the skin
- Hearing impairment
- Alzheimer’s disease
- Sexual dysfunction
Can diabetes cause sexual dysfunction in men and women?
Yes, in fact, sexual dysfunction is common in men and women with diabetes. Studies have estimated that as many as 75% of men with diabetes will have erectile dysfunction (ED) during their lives, and men who have diabetes develop age-related ED 10 – 15 years earlier than men who don’t have diabetes.
One reason why men with diabetes have higher rates of ED is that the disease can cause damage to blood vessels, nerves, and muscles, which can affect those required to achieve and maintain an erection.
Sexual dysfunction in women with diabetes is as common as men with the disease, with similar percentages of women who have diabetes reporting some degree of sexual dysfunction. The most common are lack of vaginal lubrication, decreased sexual desire, and orgasmic dysfunction. As with men, it’s suspected that diabetes-related decreased blood flow and nerve damage contribute to sexual dysfunction for women with diabetes.
Consult with our team of experts today
Diabetes does not have to be a death sentence, and that extends to your sex life. Dr. Raj Singh and the team at HEALOR™ in Las Vegas, NV can help you manage your diabetes and avoid complications like sexual dysfunction. Schedule a consultation with our team today to prevent diabetes from destroying this important part of your life.
Erectile Dysfunction Specialists in Las Vegas, Nevada
As men become older, male sexual health becomes an important concern. Male sexual health concerns can be related to erectile dysfunction, premature ejaculation, delayed ejaculation, pain during sex, decreased sexual desire.
In this blog we will discuss in detail issues related to erectile dysfunction.
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Erectile dysfunction is defined as inability to achieve erection sufficient enough for penetration, or the erection may not last long enough for a meaningful sexual encounter.
We are seeing a significant increase in the rate of erectile dysfunction, this is no longer considered a disease of the elderly. Environmental toxicity, excessive stress, highly processed diets, all of these can lead to hormonal disturbances which have been associated with decreased sexual desire, decreased morning time erections which in turn can lead to atrophy of the penile muscle and erections become difficult to achieve and maintain.
Major causes of erectile dysfunction:
- Endocrine disorders such as diabetes mellitus type 1 and type 2, pituitary tumors
- Drug abuse with medications such as cocaine, methamphetamine
- Cardiac problems such as coronary artery disease, congestive heart failure
- Uncontrolled high blood pressure
- Alcohol abuse
- Neurological injury
- Porn induced erectile dysfunction
- Lack of a attraction to the partner
- Chronic kidney disease
- Liver problems
- Lung disease such as asthma and emphysema
- Peyronie’s disease
- Penile trauma
- Multiple sclerosis
- Spina bifida
Porn induced erectile dysfunction:
Pornography has been associated with increased rate of a sexual dysfunction, if you are interested in learning more about this topic, please click the link below to watch my detailed video on this topic.
Porn Induced Sexual Dysfunction
Psychogenic versus Organic erectile dysfunction
In psychogenic erectile dysfunction, erectile dysfunction appears rapidly, is only present in certain situations and not all the time. Most common causes are performance anxiety, depression, uncontrolled anxiety, lack of attraction for the partner.
Organic erectile dysfunction generally has an underlying pathology and erectile function declines over months and years
Medication induced erectile dysfunction
Certain medications are associated with problems with erection. All the list is quite extensive these are some of the common ones
- Spironolactone: suppresses testosterone production, blocks testosterone receptors
- Ketoconazole: blocks testosterone production
- Flutamide: commonly used medication in prostate cancer, suppresses testosterone production and blocks androgen receptors
- Progesterone in high doses
- Antidepressant such as amitriptyline and nortriptyline block GnRH release
Role of hormones:
Morning time erections are nature’s Way of keeping the penile muscle healthy by exercising it on a regular basis. When min get a erection in the morning, there is a significant amount of blood flow that is pumped into the penis, replenishing the penile vasculature.
As testosterone levels decline, man may notice a decrease in the frequency of morning time erections . Over time this leads to decrease in blood flow to the penis, which causes a weakening of the penile muscle and erections become hard to maintain.
Optimizing testosterone levels is extremely important to treat erectile dysfunction
In our office at HEALOR™ ED clinic in Las Vegas , you will have a detailed evaluation by Dr. Raj Singh MD, FACP, FASN. Dr. Raj Singh has several years of experience in male sexual health, and he travels nationally to train other healthcare providers in management of erectile dysfunction and other male sexual health problems
Lab testing may include complete blood count, comprehensive metabolic panel, testosterone levels, estrogen levels, progesterone levels, DHEA, prolactin levels, TSH
Penile Doppler to assess the blood flow in the arteries and veins.
Bio ThesioMeter to assess Nerve Function
TM Flow Scan to assess for circulation issues and nerve testing
Treatment plans are customized based on hormone levels, health of the penile tissue and many other factors.
Supplements for erectile dysfunction
Many supplements can be helpful in the treatment of erectile dysfunction, while the exact mechanism of action off a lot of supplement is unknown, most of them promote increased blood flow in the penis, relaxation of blood vessels, increase sex drive and raise testosterone levels.
- Yohimbine: block Alpha receptors and increases blood flow
- L - arginine: increases blood flow through the penis
- Omega-3 with Co Q10 to reduce inflamma tion in the blood vessels and improve blood flow.
- Red wine and grape seed extract
- Horny goat weed
- Tongkat Ali
- Zinc: boost testosterone levels
- Boron: boost free testosterone levels by increasing conversion from total to free testosterone
Prescription medications for erectile dysfunction
- Low-dose sildenafil or tadalafil are used to promote blood flow to the penis
- Papaverine injection: typical dose is 30 mg twice a week. Extremely effective medication and induces erection in up to 98% of individuals
- Alprostodil: injected directly into the penis to induce erection. Injections are not painful
- Tri Mix: Triple therapy Trimix (papaverine, phentolamine, alprostadil) . Extremely effective medication in treating erectile dysfunction
Other treatments for erectile dysfunction
- Penile vacuum pump for home use to strengthen the penile muscle.
- Platelet rich plasma injection: This is a non FDA approved indication for platelet rich plasma. Blood is drawn, spun in a centrifuge, and this growth factor rich plasma is injected in the penile tissue after numbing.
- Shock wave therapy: This is a non FDA approved treatment for erectile dysfunction. A small device used which sends sound waves through the penile tissues causing micro trauma, which may promote formation of new blood vessels and nerve endings and may help improve erectile dysfunction. Sessions are often done weekly and take about 10 minutes to complete. Typically 6-8 sessions are required.
Erectile dysfunction is common, is preventable and treatable. Key to success is to start treatment early before that has been a significant decline in penile health.
If you have concerns regarding erectile dysfunction or are interested in preventing erectile dysfunction in the future, please contact our office by calling 702-362-2273 ors visiting us at HEALOR™ to schedule a visit with one of our specialists to discuss your treatment options.
6 FAQ About Erectile Dysfunction.
Sexual dysfunction causes problems with the normal sexual responses, which can interfere with a man feeling satisfied. As we age, our bodies are impacted in ways that can negatively affect our sexual experience. Ultimately, many men throughout Las Vegas, NV experience erectile dysfunction symptoms. At HEALOR™ , double board-certified physician Dr. Raj Singh specializes in sexual dysfunction treatment for both men and women. During a consultation, he can discuss erectile dysfunction symptoms, listen to your concerns, and offer treatments that can help treat your erectile dysfunction quickly.
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What is erectile dysfunction?
Erectile dysfunction (ED) is the inability to maintain an erection. Thankfully, at HEALOR™, it can be treated and managed properly. We work hard to help our patients improve their sexual health and quality of life. When you’re worried about ED or other sexual dysfunction issues, schedule an appointment to learn more about treatments available to you.
Erectile dysfunction causes
First, Dr. Singh tries hard to determine the cause behind your erectile dysfunction symptoms. This allows him to treat it the best. Some common causes of erectile dysfunction include:
- Alcohol and drug abuse
- Cancer or history of cancer
- Heart disease
- High blood pressure
- Hormonal imbalance
- Kidney failure
- Nerve damage
- Neurological disorder
- Type II diabetes
Some medications, such as blood pressure medicine or antidepressants, can also affect how you sexually function. This is why it’s important to tell Dr. Singh all of the medications you’re taking during your initial visit to our Las Vegas, NV office.
Diagnosing erectile dysfunction
Diagnosing erectile dysfunction can occur without any testing and just a physical exam with Dr. Singh. When you have symptoms of erectile dysfunction in Las Vegas, NV, our doctor can pinpoint the cause of your ED so that he can resolve your dysfunction quickly. During your appointment, we will discuss your health and sexual history. From this information, he will recommend diagnostic tests that help him rule out different medical conditions that could be contributing to or causing erectile dysfunction.
6 FAQ About Erectile Dysfunction
At your visit, Dr. Singh can answer any questions you have about erectile dysfunction. Some of the most commonly asked questions include:
- What is the difference between erectile dysfunction and impotence? Most of the time, these terms are interchangeable. However, erectile dysfunction is usually used to describe a range of conditions – whether an occasional inability to maintain or sustain an erection or inability to maintain or get an erection. Impotence is the inability to have an erection completely.
- When is it important to visit a doctor when I’m experiencing potential symptoms of ED? It’s important to visit Dr. Singh whenever you’re experiencing changes with your sexual health, so he can determine the cause and treat it accordingly.
- Is erectile dysfunction a normal part of aging? No, it is not. While many older men require more stimulation to get an erection, they should still be able to.
- Can I prevent erectile dysfunction? You can reduce your chances of getting ED symptoms by reducing your risk factors for heart disease, maintaining a healthy diet, quitting smoking, avoiding alcohol, and keeping your blood pressure and cholesterol at healthy levels.
- How do you treat erectile dysfunction? Most erectile dysfunction is treated by determining the physical or psychological problem causing it. Some treatment options we offer at our Las Vegas, NV office include medication that helps improve sexual function; PRP therapy, which stimulates collagen in the penile tissue to improve blood flow; and shockwave therapy, which uses sound waves energy to help enhance flow.
- Does insurance cover this treatment? Ultimately, this depends on the treatment prescribed. If we can document a medical condition causing your symptoms, your insurance should cover at least a portion of it.
Learn more about erectile dysfunction treatment near me
At HEALOR™, Dr. Raj Singh specializes in treating erectile dysfunction symptoms in men throughout Las Vegas, NV. After a physical exam and a brief medical history discussion, he works hard to pinpoint the cause of your symptoms. Next, he can determine which treatment will benefit you best. To learn more about erectile dysfunction treatments, call our office to schedule an appointment.
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What is premature ejaculation?
Rapid ejaculation is a common sexual dysfunction that occurs when a man reaches orgasm and ejaculates too quickly during sexual activity, often before he or his partner is satisfied.
The duration of sexual intercourse before ejaculation varies widely, but on average, premature ejaculation is defined as ejaculation that occurs within one minute of penetration. However, the definition of premature ejaculation can vary depending on the individual and their partner's preferences and expectations.
How common is premature ejaculation?
Premature ejaculation (PE) is a common sexual dysfunction that affects many men worldwide. Studies suggest that approximately 1 in 3 men or 20-30% of men experience premature ejaculation at some point in their lives. However, the prevalence of PE varies widely among different populations and age groups.
It is also important to note that the definition of premature ejaculation can vary among individuals and healthcare professionals. Some definitions consider premature ejaculation as ejaculating within two minutes of penetration, while others consider it as ejaculating before the individual wishes to do so.
What is ejaculation?
Ejaculation is the process by which semen is released from the male reproductive system during sexual activity. It is a complex process that involves several organs and physiological mechanisms.
During sexual arousal, the brain sends signals to the reproductive organs, which stimulate the production of semen in the testicles. The semen then travels through the vas deferens, a tube that connects the testicles to the urethra, which is the tube that carries urine and semen out of the body. When a man reaches the point of orgasm, the muscles in the pelvic area contract, forcing the semen out of the urethra and out of the body. This process is typically accompanied by a pleasurable sensation known as ejaculation.
It's important to note that ejaculation and orgasm are not the same things, although they often occur together. Ejaculation refers specifically to the release of semen, while orgasm refers to the intense physical and emotional pleasure that typically accompanies ejaculation.
Postorgasmic illness syndrome (POIS) is a rare and poorly understood medical condition in which people experience a range of physical, cognitive, and emotional symptoms following sexual activity, particularly orgasm that can significantly affect the quality of life and can cause significant emotional distress. Most men have such extreme fatigue post-ejaculation that they start to avoid sexual activity completely.
Read the Detailed blog on How to treat symptoms of post-orgasmic illness syndrome [POIS].
What is the difference between lifelong and acquired premature ejaculation?
Acquired premature ejaculation refers to a condition where a person who previously had normal ejaculation control begins to experience a persistent and recurrent pattern of ejaculating too quickly, often with minimal sexual stimulation or before they desire to.
Lifelong premature ejaculation (LPE) is a type of PE that is present from the first sexual experience and continues throughout a man's life. It is also sometimes referred to as primary premature ejaculation.
What are some of the common causes of premature ejaculation?
The exact cause of premature ejaculation is not fully understood, but it is thought to be a combination of psychological and biological factors.
- Anxiety and Depression
- Relationship issues
- Performance anxiety or fear of not satisfying one's partner.
- History of sexual abuse
- Inexperience: Men who are new to sexual experiences and have not yet learned how to control their arousal may experience premature ejaculation
- Hormonal imbalances such as low or high testosterone.
- Abnormal levels of neurotransmitters in the brain such as serotonin.
- Genetics: There may be a genetic predisposition to premature ejaculation, as noted by impaired serotonin pathways in these individuals
- Certain medical conditions such as prostate problems, thyroid disorders, or neurological conditions can also increase the risk of premature ejaculation.
- Chronic inflammation of the prostate (Prostatitis). This is treated with 6 weeks of antibiotic therapy.
- Hyperthyroidism (overactive thyroid gland)
What is the difference between premature ejaculation and erectile dysfunction?
Although Erectile dysfunction and premature ejaculation can often co-exist, Premature ejaculation and erectile dysfunction are two different sexual health conditions that can affect men, and they involve different aspects of sexual function.
Premature ejaculation is a condition in which a man reaches orgasm and ejaculates too quickly during sexual activity, often before he or his partner has had the opportunity to achieve sexual satisfaction. Premature ejaculation is typically defined as ejaculation that occurs within one minute of penetration.
On the other hand, erectile dysfunction is a condition in which a man has difficulty achieving or maintaining an erection that is firm enough for sexual intercourse. Erectile dysfunction can be caused by a range of physical or psychological factors, and it can affect a man's ability to engage in sexual activity.
How is premature ejaculation diagnosed?
This is a clinical diagnosis based on history and a physical examination. There is no single diagnostic test. Healthcare providers at HEALOR will typically ask about sexual histories such as How long they have been experiencing PE, the frequency of PE episodes, and any other related factors. They may also ask about the patient's mental health, stress levels, and relationship dynamics.
Our healthcare provider may also perform a physical exam to check for any underlying medical conditions that could be contributing to the patient's PE. This may include a genital exam to check for abnormalities, such as infection or inflammation, and to rule out any structural issues that could be causing the problem.
What are some of the medical treatment options for premature ejaculation?
There are several medical treatment options available for premature ejaculation, including:
- Selective serotonin reuptake inhibitors (SSRIs): These medications are commonly used to treat depression and anxiety, but they can also be effective in treating premature ejaculation. SSRIs work by increasing the level of serotonin in the brain, which can help delay ejaculation. Some examples of SSRIs used for premature ejaculation include citalopram, dapoxetine, and paroxetine. Based on available data paroxetine has been shown to be the most effective.
- Serotonin-norepinephrine reuptake inhibitors (SNRIs):
- Tricyclic antidepressants (TCA)
- Tramadol: This is a pain medication that can also help delay ejaculation. It works by inhibiting the reuptake of certain neurotransmitters in the brain, which can help prolong sexual activity.
- Phosphodiesterase type 5 (PDE5) inhibitors: These medications, such as sildenafil (Viagra), tadalafil (Cialis), and vardenafil (Levitra), are commonly used to treat erectile dysfunction, but they can also help with premature ejaculation by improving the quality of erections and delaying ejaculation.
- Topical anesthetics: These are creams or sprays that contain a local anesthetic, such as lidocaine or prilocaine, which can help numb the penis and delay ejaculation.
- Silodosin: Typically used for enlarged prostate and to help pass kidney stones. Based on limited data this has been shown to be an effective medication when taken 2 hours prior to sexual activity.
- Dorsal nerve modulation: Does have the risk of long-term ED
- Acupuncture: Small acupuncture needles are inserted in hands, legs, forehead, pubic areas, etc. The effectiveness of acupuncture is questionable based on available data.
Can I treat premature ejaculation at home?
Yes, there are some ways to treat premature ejaculation at home. Here are some techniques you can try:
- Practice pelvic floor exercises: Kegel exercises can help strengthen the muscles that control ejaculation. These exercises involve contracting and relaxing the pelvic floor muscles, which are the muscles that support the bladder and rectum. An easy way to practice this is to hold urination midstream.
- Masturbate before sex: Masturbating a few hours before sex can help delay ejaculation during intercourse.
- Avoid watching porn before or during sexual activity to avoid overstimulation.
- Try the stop-start technique: This technique involves stopping sexual stimulation when you feel close to orgasm, waiting a few seconds, and then starting again. Repeat this process several times before allowing yourself to climax.
- Avoid using lubricants to reduce sensation.
- Use a thicker condom: A thicker condom can help decrease sensitivity and delay ejaculation. Climax-control condoms with benzocaine are specially designed to reduce sensation.
- Use desensitizing sprays or creams: These products can help reduce sensitivity and delay ejaculation. Lidocaine creams can be used 15 minutes prior to sexual activity. These creams must be thoroughly removed prior to penetration to prevent vaginal desensitization.
- Communicate with your partner: Talking to your partner about your concerns can help alleviate anxiety and stress, which can contribute to premature ejaculation.
Would circumcision help with premature ejaculation?
There is no clear scientific evidence that circumcision directly helps with premature ejaculation. Some studies suggest that circumcision may reduce sensitivity in the penis and thus potentially help delay ejaculation, but this effect is not universal and may not be significant enough to make a noticeable difference for most men. Additionally, circumcision is a surgical procedure that carries its own risks and potential complications, so it should not be undertaken lightly or without a clear medical indication.
Can Botox injection help with premature ejaculation?
Botulinum neurotoxin injection is a treatment that is used to temporarily paralyze muscles by blocking the release of acetylcholine, a neurotransmitter that signals muscle contractions. While Botox injections have been used for a variety of medical and cosmetic purposes, there is limited evidence to suggest that it is an effective treatment for premature ejaculation.
Some animal and human studies have shown that injection of botulinum neurotoxin into bulbospongiosus muscle delays ejaculation and could be a potential treatment option however, these studies have been small and not replicated Therefore, Botox injection is not currently considered a standard treatment for premature ejaculation. Additionally, Botox injections are not without potential risks and side effects, including pain, swelling, and temporary weakness or paralysis of nearby muscles.
What is the outlook or prognosis for premature ejaculation?
The outlook or prognosis for premature ejaculation is generally good, as there are several effective treatment options available that can help men overcome this condition. With appropriate treatment, most men can learn to control their ejaculation and enjoy longer-lasting sexual experiences.
The success of treatment may depend on the underlying cause of premature ejaculation. For example, if psychological factors such as anxiety or stress are contributing to the problem, counseling or therapy may be necessary to address these issues. On the other hand, if the condition is caused by physical factors such as inflammation or infection, treatment may focus on addressing these underlying health issues.
Overall, the prognosis for premature ejaculation is positive, and many men are able to overcome this condition with the help of their healthcare providers and appropriate treatment. It's important to talk to a healthcare provider about any concerns related to premature ejaculation and to work together to develop an individualized treatment plan.
How Does My Diet Affect My Sexual Health?
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Eating a balanced diet is important for our well-being – but did you know that food has a direct impact on our most intimate moments? Some foods may boost your libido, while others make you less interested in sex or unable to perform.
Have you experienced some unwanted changes in your sex drive? If you are concerned about your libido, eating well can improve your health and quality of life. A trained primary care provider in Las Vegas, NV can perform an evaluation of your health and nutritional sources. Read below for more information.
Can what I eat really affect my sexual health?
Yes! Food has an impact on our bodies, and that includes sexual organs. For example, issues like obesity and diabetes may be caused by a poor diet, and often leads to erectile dysfunction in men.
Another example involves high blood pressure and high cholesterol – two issues caused by a poor diet and eating too much sodium – which limits blood flow in the body. This is another contributor to erectile dysfunction in men. Women also need good blood flow to the sexual organs to become aroused and achieve orgasm.
Eating nutritious meals can prevent chronic health conditions and improve sexual dysfunction. While there is no one “perfect” diet, try eating a variety of foods from all food groups, including:
- Fruits and vegetables of all different colors (apples, spinach, and carrots)
- Whole grains (oats and quinoa)
- Lean protein sources (turkey, chicken, and fish)
- Healthy fats (avocados and olive oil)
Tips for eating well
There are several ways to improve your diet for better sexual health in Las Vegas, NV:
- Limit alcohol consumption: A glass of wine may lower your inhibitions and make sexual intercourse more engaging, but excessive amounts of alcohol may cause erectile dysfunction. Alcohol can also lead to unsafe behavior that leads to sexually transmitted infections. Try not to depend on alcohol to get in the mood.
- Try zinc: Zinc is necessary for the development of sperm and semen, and may impact testosterone production. Oysters are rich in zinc, as well as other forms of seafood, lean meats, eggs, legumes, nuts, and seeds. Zinc is also available as a supplement.
- Ask about arginine (L-arginine): This chemical relaxes the blood vessels and can promote healthy blood flow for strong erections in men. Walnuts, almonds, fish, and leafy green vegetables are all rich sources of arginine and can be easily incorporated into your diet.
How a primary care provider helps
It is possible to experience sexual dysfunction at any point in your life. These issues can be addressed with dietary and lifestyle changes, but it is important to rule out underlying health conditions. A primary care provider can provide a diagnosis and develop a comprehensive treatment plan moving forward. They may also provide guidance on diet and nutritional habits.
HEALOR™ is proud to offer a range of sexual health services for men and women. Our providers are experienced in treating many kinds of issues and provide top-of-the-line solutions that are specific to each individual.
Improve your sexual health
Sexual wellness is important for a happy and healthy life. Anyone experiencing sexual dysfunction should call a trusted primary care provider in Las Vegas, NV to get a diagnosis and discuss treatment options.
Board-certified physician Dr. Raj Singh understands that sexual health is a sensitive topic and provides compassionate and discreet services to all patients. Call HEALOR™ and book an appointment today.
Addiction treatment in Las Vegas, NV may include detoxification programs, medication therapy, counseling, or cognitive-behavioral therapy based on your unique needs. If you or a loved one struggles with addiction, don't hesitate to reach out. Call HEALOR™ to meet with an addiction specialist. Board-certified physician Dr. Raj Singh can get you started on the road to recovery.