HOUSTON – (COMMERCIAL THREAD) – Men often find it difficult to talk about their sexual health with their doctor and even their partner. “Many patients are uncomfortable discussing topics such as erectile dysfunction, STDs and birth control,” says Dr. Mohit Khera, MD, MBA, MPH, certified urologist and professor of urology at Baylor College of Medicine in Houston, Texas. “But men shouldn’t stress in silence – having an open dialogue with a healthcare professional is one of the best ways to resolve any issues and reduce any associated anxiety.”

In honor of Sexual Health Month, Dr. Khera shares the most important questions men shouldn’t be afraid to ask when it comes to their sexual well-being.

1. Sometimes I ejaculate too fast, what happens?

Studies show that a sexual relationship can last between 33 seconds and 44 minutes, with the average duration being 5.4 minutes. That said, premature ejaculation, also known as PE, occurs when there is a recurring pattern of ejaculation usually occurring within two minutes of vaginal penetration. It can be attributed to a number of factors including anxiety, psychological issues or even a medical problem. Kegel exercises to strengthen your pubococcygeus muscles, reduce anxiety through yoga or meditation, and / or a light retardant spray such as Trojan Extended Pleasure Delay Spray, which includes benzocaine, can help slow premature ejaculation. . Bonus: It is safe to use with latex condoms, such as the premium lubricated Trojan BareSkin condoms.

2. Why is it difficult for me to finish during sex?

Delayed or impaired ejaculation occurs when it takes an extended period of sexual stimulation for a man to climax and release semen. “Sometimes it’s a lifelong problem, other times it’s acquired after a period of normal sexual function,” notes Dr. Khera. Possible triggers include certain medications, health problems, anxiety, depression, or prostate surgery. Although there is no definite time to indicate a diagnosis of delayed ejaculation, it should be brought to the attention of your doctor if this causes frustration during lovemaking or if you need to stop sexual activity during sex. due to fatigue or irritation.

3. What can I do if I have erectile dysfunction?

Fifty-two percent of men between the ages of 40 and 70 have some degree of erectile dysfunction, and every man will develop erectile dysfunction in their lifetime. “Erectile dysfunction is a progressive disease with around 70% of men suffering from this disease by the age of 70,” says Dr. Khera. Often a man’s first response to erectile dysfunction is to call his doctor and ask for a prescription for a PDE-5 inhibitor like Viagra and Cialis, drugs that work by blocking an enzyme in them. walls of blood vessels, allowing them to relax and increase blood. flow to the penis. “But patients should be encouraged to focus on lifestyle changes, such as weight loss, regular exercise, and a healthy diet, which could help improve erectile dysfunction without having to take oral prescriptions. . ” Erectile dysfunction can also be the first sign of an underlying cardiovascular problem or a medical problem such as diabetes or depression, so it’s important to talk to your doctor.

4. Why is the quantity of my ejaculate decreasing?

Erectile function isn’t the only thing affected by age. According to the National Institutes of Health, normal semen volume ranges from 1.5 to 5 ml, and men will most likely notice a gradual decrease after the age of 55. Certain medications, such as those used to help improve urination or antidepressants, can also reduce semen volume, as can neurological diseases like multiple sclerosis.

5. Is there such a thing as male menopause?

Yes, although unlike female ovaries, male testes do not lose the ability to make hormones. But as men age, there are subtle changes in their function – testosterone levels can start to drop in their mid-30s, which can lead to fatigue, insomnia, loss or weakness. muscle, concentration problems, low libido and penile narrowing. scrotum and / or testicles. But before switching to testosterone supplements, men should consider incorporating resistance training and weight lifting, as well as a diet that includes a healthy balance of fats, proteins, and carbohydrates in their lives, as these actions can naturally increase testosterone levels. “You also want to minimize stress because stress can lower testosterone levels,” adds Dr. Khera. “And get enough sleep – one study found that getting just five hours of sleep a night was linked to a 15% reduction in testosterone levels.”

6. I am worried that my penis is too small. What is the average height?

Penile anxiety is often a common concern among men, but which they rarely talk about. According to the National Institutes of Health, the average length of a penis is between 5.1 and 5.5 inches when it is erect and 3.6 inches when it is flaccid. A recent UCLA study suggests that it’s not so much length as it is girth, when it comes to sexual satisfaction. The girth was found to help bring the clitoris closer to the vagina, encouraging orgasms. At the same time, research has suggested that longer penises may be linked to neck pain.

7. Why do my testicles hurt?

Signs of pain, bumps, or swelling in the testicles don’t always signal a serious illness like cancer. “There are many causes of testicular pain, including trauma, varicoceles (swelling of the veins above the testis) and testicular cysts. Testicular tumors usually don’t cause pain. Either way, it is important that all testicular masses are assessed immediately, ”says Dr Khera.

8. How often should I get tested for STDs?

“This is where it’s important to share your sexual history with your doctor so they can decide if you need to be tested for certain STDs,” says Dr. Khera. According to the Center for Disease Control and Prevention, all adults and adolescents between the ages of 13 and 64 should be tested for at least one HIV test, while anyone who has unprotected sex should be tested for HIV at least once. at least once a year. Sexually active gay or bisexual men should be tested at least once a year for syphilis, chlamydia, and gonorrhea. Latex condoms, such as Trojan Condom Ultra Fit Bare Feel, when used correctly, are very effective in preventing the transmission of HIV and other sexually transmitted diseases, including genital herpes. “They can also reduce the risk of HPV-associated diseases such as genital warts,” adds Dr. Khera.