Dr Maxwell Adeyemi –


The human body undergoes certain changes, from birth, toddlers, adolescence, young and mature adults, middle age, and then the geriatric years. These changes are natural developmental processes.

Men’s sexual health

Sex is an important part of life, and for many men, thinking about sex begins early, often before puberty, and lasts until death. On some level, sex is just another hormone-dependent bodily function designed to perpetuate the species. On the other hand, it is an enjoyable activity. It is also an activity that can help cement the bonds between two people.

Sexual health refers to a state of well-being that enables a man to fully participate and enjoy sexual activity. A series of physical, psychological, interpersonal and social factors influence a man’s sexual health.

Optimal male sexual health includes sexual desire (libido) and the ability to get and maintain an erection (erectile function). Physiology, mental health, and emotional factors can affect sexual desire and the ability to have sex.

Male sexual health is not simply the absence of disease. Men’s sexual health problems can manifest themselves in several ways.

Erectile dysfunction (ED) is the inability to get or maintain an erection long enough for satisfactory sexual activity. There are many factors that can cause erectile dysfunction, including stress, depression, relationship problems, abnormally low testosterone levels, damage from urologic surgery, and even arteries blocked by cholesterol. In fact, it’s often a warning sign of heart disease.

Men may also experience difficulties related to ejaculation, including premature ejaculation, delayed ejaculation, or the inability to experience orgasm during ejaculation (anorgasmia).

Male sexual health also covers the prevention and treatment of sexually transmitted diseases as well as the assessment and treatment of male infertility.

Testosterone is the hormone that gives men their “manhood”. Produced by the testes, it is responsible for masculine characteristics such as a deep voice, muscle structure and facial hair. Testosterone also promotes the production of red blood cells, improves mood, keeps bones strong, and helps thinking ability.

Testosterone levels peak in early adulthood and decline with age – about one to two percent per year starting in your 40s. By the time men reach their 50s and beyond, some of them may experience impotence or changes in sexual desire, depression or anxiety, reduced muscle mass, less energy, weight gain. weight, anemia and hot flashes. Although falling testosterone levels are part of normal aging, certain conditions can accelerate the decline. These include injury or infection; chemotherapy or radiation therapy for cancer; drugs, especially hormones used to treat prostate cancer and corticosteroids; chronic disease; stress; alcoholism and obesity.

Women’s sexual health

The sexual health of women, like that of men, is important for overall emotional and physical well-being. Many people believe that sexual activity is motivated by physical desire, and while this may be true for men, research suggests that women’s sexual motivations and responses may be more complex.

For many women, especially those over 40 or going through menopause, physical desire is not the primary motivation for having sex. A woman may be motivated to have sex to feel close to her partner or to show her feelings.

What it means to be sexually satisfied may be different for men and women, some women say that the pleasure of sexual arousal is enough, while others want to experience orgasm.

Sexual dysfunction in women

Sexual dysfunction in women is grouped into different disorders – sexual pain, desire issues, arousal issues, and orgasm difficulties. Changes in hormone levels, medical conditions, and other factors can contribute to low libido and other forms of sexual dysfunction in women. This may be due to:

1. Vaginal dryness. This can lead to low libido and problems with arousal and desire, as intercourse can be painful when the vagina is not properly lubricated. Vaginal dryness can result from hormonal changes that occur during and after menopause or while breastfeeding. Psychological problems, such as anxiety about sex, can also cause vaginal dryness. And the anticipation of painful intercourse due to vaginal dryness can, in turn, decrease a woman’s sexual desire.

2. Low libido. Lack of sexual desire can also be caused by lower levels of the hormone estrogen. Fatigue, depression, and anxiety can also lead to low libido, as can some medications, including some antidepressants.

3. Difficulty reaching orgasm. Orgasm disorders, such as delayed orgasms or the inability to have one, can affect both men and women. Again, some antidepressant medications can also cause these problems.

4. Pain during intercourse. Sometimes the pain is due to a known cause, such as vaginal dryness or endometriosis. But sometimes the cause of painful sex is elusive.

Sexual dysfunction in men

Types of sexual dysfunction that men can experience include:

1. Erectile dysfunction (ED). Erectile dysfunction can be caused by medical conditions, such as diabetes or high blood pressure, or by anxiety about having sex. Depression, fatigue, and stress can also contribute to erectile dysfunction.

2. Problems with ejaculation. These include premature ejaculation and the inability to ejaculate at all. The causes include medications, gender anxiety, a history of sexual trauma, and strict religious beliefs.

3. Low libido. Psychological issues like stress and depression, as well as anxiety related to sex can also lead to a decrease or absence of sexual desire. Lower hormone levels (low testosterone), physical illnesses, and side effects of drugs can also decrease libido in men.

Talking about sexual health

You may feel uncomfortable talking about your sexual experiences and desires, but sharing your thoughts and expectations with your partner can bring you closer and help you experience greater sexual pleasure.

1. Admit your discomfort. If you feel anxious, say so. Raising your concerns can help start a conversation. Once you start the conversation, your confidence and comfort level can increase.

2. Set a time limit. Avoid overwhelming yourself with a long conversation. Your conversations about sexual experiences and desires will become easier as you speak.

Sexual needs vary and there are many factors that can affect your appetite for sex, from stress, illness and aging to family, work and social commitments. Whatever the cause, differences in sexual desire between partners can sometimes lead to feelings of isolation or resentment.

Intimacy is more than sexual needs. Intimacy also includes emotional, spiritual, physical and recreational needs.

There could be differences in sexual desire. Discuss it and try to explore options that will satisfy you both. If a particular medication is affecting your sexual comfort or desire for sex, your doctor may be able to suggest an alternative. If a physical sign or symptom like vaginal dryness is interfering with your sexual pleasure, learn about treatment options.

Coping with sexual dysfunction

If you have sexual dysfunction you should:

• Get an accurate diagnosis and appropriate treatment for any underlying medical condition

• Talk openly with your partner about your sexual relationship.

• Avoid alcohol, tobacco and drug use

• Manage stress, anxiety and depression

• Be creative and revitalize your sexual routine

Contact Dr. Maxwell at 363-1807 or 757-5411.