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What is Delayed Ejaculation?

What is Delayed Ejaculation Gulfshore Urology FloridaDelayed ejaculation may sound like a good time, but those who experience it often struggle with the physical and psychological side effects this symptom can create. The reason for it can stem from various different causes, and not all of them are physical. Sometimes psychological or emotional factors may play a role. Other times it may be a combination of all three.

Delayed ejaculation may also be called impaired ejaculation. It is defined by a man taking an extended period of sexual stimulation to reach a climax and release semen from the penis. In some cases, this may lead to the man being unable to ejaculate at all (anejaculation).

Delayed ejaculation can be a temporary or lifelong issue, depending on its cause. It’s important to note that men will experience delayed ejaculation from time to time. This is completely normal.

Delayed ejaculation doesn’t have a specific time frame that indicates whether you’re having this issue. While some men with delayed ejaculation require over 20 or 30 minutes to achieve an orgasm, it can be defined by any case where you find yourself stopping sexual activity prior to ejaculation due to fatigue, loss of erection, or physical irritation. You should see a doctor when delayed ejaculation is ongoing or it becomes stressful for you or your partner.

What Caused Delayed Ejaculation?

Pinpointing the reason for delayed ejaculation can sometimes be tricky. Doctors have actually separated delayed ejaculation into certain types based on the patient’s symptoms. Those types are:

  • Lifelong: When delayed ejaculation is present since the patient’s sexual maturity
  • Acquired: When delayed ejaculation occurs under certain circumstances
  • Generalized: When delayed ejaculation is present only with certain partners or types of stimulation
  • Situational: When delayed ejaculation is limited to specific situations

Each of these types have different causes. The act of sexual stimulation and orgasm requires the collaboration of brain, nerves, and muscles. When one of these is off, it can impact your ability to successfully have sexual intercourse.

Sometimes this can be caused by drugs or disease interfering with your physical ability to climax. Your nerves are the messengers between your brain and your muscles. If the instruction to orgasm never makes it from point A to point B, you won’t be able to ejaculate. Low hormones or testosterone levels can increase your risk, too.

There are also psychological causes, such as depression, anxiety, fear, or shame. These can be both a reason for your delayed ejaculation or a side effect, depending on when they occur. Psychological causes can also be coupled with physical ones.

Lastly, you may simply be struggling to find adequate stimulation. If your sexual partner isn’t able to achieve the stimulation you’re used to for achieving an orgasm, it can prevent you from having one.

If you find yourself struggling with delayed ejaculation, don’t try to diagnose and resolve it on your own. Seeking help from a qualified health professional can help you pinpoint the cause and find a solution that works best for you.

Gulfshore Urology is a Urology Office located in Southwest Florida. We have locations in Naples, Bonita Springs, and Marco Island. To set an appointment, please call 239-333-3200.

  Gulfshore   Jun 06, 2017   Uncategorized   Comments Off on What is Delayed Ejaculation?   Read More

How Menopause Can Affect Urological Health

how menopause can affect urological health gulfshore urologyAs we get older, our bodies change. Hormones fluctuate and we experience symptoms we may not have had or known about in our younger years. It can be alarming for women to experience changes in their vaginal and urological health during menopause, but that doesn’t necessarily mean you have to learn to live with the symptoms.

Many women experience hesitation or an urge to ignore the different health issues that may arise with the age and a change in estrogen levels, but we encourage our patients to make an appointment. Many symptoms can be treated, such as vaginal dryness, frequent UTI’s, and more.

Here’s What You Need to Know About Menopause

Menopause is the end of a woman’s reproductive cycle. The symptoms may begin just before your body stops menstruating or after. Because the female body has a finite number of eggs that it produces within a lifetime, there comes a point when it stops producing them.

On average, this happens after 40, but for some women in may occur earlier. It’s usually triggered by a health condition or surgical procedure that may cause damage to the ovaries and their function. Hysterectomies, premature ovarian failure, and chemotherapy are both known causes of premature menopause.

However, natural menopause doesn’t just happen overnight. It’s a gradual transition that spans over several years. Perimenopause starts when the ovaries begin to produce less and less estrogen. This continues on until the ovaries stop producing eggs, which usually happens between 1 to 2 years after estrogen begins to drop. During this period, the symptoms of menopause begin to show.

After perimenopause is actual menopause. A woman doesn’t reach menopause until a year after their last menstruation. This is when eggs have ceased to release and most of your body’s estrogen ceases to be produced.

Symptoms of menopause include:

  • Hot flashes
  • Vaginal dryness
  • Sleep deprivation
  • Mood changes
  • Urinary symptoms
  • Painful intercourse

Postmenopause is the rest of a woman’s years after menopause. During this time, the symptoms of menopause usually diminish. However, there are several bodily changes, symptoms, and health risks that tend to occur during this time. These health risks are caused to the loss of estrogen.

The good news is that many of them are treatable thanks to modern medicine.

Urological Conditions Caused by Menopause

There are several different urological conditions that arise in women during menopause. They are quite common, as well, and nothing you should feel shy about discussing with your urologist. We see these cases on a regular basis, understand how they can impede your quality of life, and can help you find solutions to help ease or eliminate negative symptoms.

One of the most common issues is frequent urinary tract infections (better known as UTI’s). The frequency during and after menopause is caused by changes in the urinary tract, which occur due to a lack of estrogen.

This lack of estrogen allows bad bacteria to thrive, overpowering the good bacteria in your system and causing infections. Drinking plenty of water can help flush the bad bacteria out of your system. However, women with frequent UTI’s (two or more over the span of six months) may be recommended topical estrogen cream by their doctor.

Menopause can also cause issues with incontinence. Again, this is a result of the lack of estrogen, which supports the tissues within the urinary tract. Weakened tissue can lead to incontinence, yet there are several lifestyle changes that can lessen or help eliminate this issue.

Reducing bladder irritation, scheduling bathroom breaks every two to three hours, practicing Kegel exercises, quitting smoking, and losing excess weight are all great ways to help lessen the impact of incontinence.

You also are at heightened risk for kidney stone and kidney disease. The best way to keep your kidneys in good health, especially in your older years, is to stay hydrated, eat well, exercise, and lead a healthy lifestyle.

If you find yourself experiencing symptoms of menopause or any of the associated urological issues, be sure to set up an appointment with your doctor. It’s important that you identify and address these medical issues so that you can prevent them from getting worse. There are safe and effective solutions available to treat the urogynecological consequences of menopause.

Gulfshore Urology is a Urology Office located in Southwest Florida. We have locations in Naples, Bonita Springs, and Marco Island. To set an appointment, please call 239-333-3200.

 

  Gulfshore   Jun 06, 2017   Uncategorized   Comments Off on How Menopause Can Affect Urological Health   Read More

Why Women are More Prone to Bladder Infections than Men

Why Women are More Prone to Bladder Infections than Men

Gulfshore Urology Bladder InfectionsBladder infections, or cystitis, can occur in both men and women, but it is much rarer in males than their female counterparts. In fact, bladder infections are so common in women that most will experience at least one in their lifetime.

Why is that? To understand the reason behind female proneness to bladder infections, you must first understand what it is, what causes it, and how.

What is a Bladder Infection?

Cystitis is an infection that occurs when bacteria finds its way into the bladder. Particularly, E. Coli. When caught early, they are not very serious. However, if ignored, they can grow exponentially worse, traveling to the kidneys where they can leave permanent damage when left untreated.

For women, sex can often be the culprit of this kind of infection because vaginal intercourse makes it easier for the bacteria to reach the bladder via the urethra. Risks are also increased by the use of spermicides, condoms, and the hormonal fluctuations caused by pregnancy.

Why are Women More Prone to Bladder Infections than Men?

The reason women are more likely to develop bladder infections than men comes down to basic anatomy. Female urethras are much shorter than male urethras. Approximately an inch and a half in length to be exact. This means the bacteria doesn’t have to travel nearly as far to reach the bladder.

Another risk enhancing attribute involves the location of the urethra. Located next to the vagina and anus, it is much easier for bacteria to travel from those two areas to the urethra.

Symptoms

Symptoms of a bladder infection include:

  • A burning sensation or pain while urinating
  • Feeling the need to urinate frequently, but little to no urine is released when you do
  • Lower belly pain
  • Cloudy or smelly urine
  • Blood in your urine
  • Fever
  • Chills
  • Nausea
  • Vomiting
  • Pain in one side of the back just below your ribs (where your kidneys are located)

If you are experiencing these symptoms, you will want to make an appointment with your urologist.

How to Prevent Bladder Infections

The best way to prevent cystitis is to remain hydrated and urinate often. Always relieve yourself after engaging in sexual intercourse and maintain proper hygiene. For women who have already gone through menopause, it may be advantageous to use vaginal estrogen to help stave off these sort of infections as well.

Should you have any questions regarding bladder infections or urological health, you should contact your local urologist. Gulfshore Urology currently has several expert physicians on staff, as well as locations in Naples, Bonita Springs, and Marco Island.

  Rolando R. Rivera   Apr 17, 2016   Uncategorized, Urinary Tract Infection, Urology   Comments Off on Why Women are More Prone to Bladder Infections than Men   Read More

What is Peyronie’s Disease?

Peyronie’s DiseaseMen who are experiencing painful erections with a significant bend may be suffering from Peyronie’s Disease. This harmful disease is caused by scar tissue called “plaque” that builds up inside the penis and can cause a side or upward bend, painful erections and in some cases erectile dysfunction.

Some men may be tempted to “wait it out” and hope that the problem corrects itself. There are cases where the body heals itself. However, if left untreated, Peyronie’s Disease can lead to an increased or permanent bend in the penis, which is why it’s important to contact your urologist if you’re experiencing any of the symptoms.

Symptoms

Symptoms of Peyronie’s Disease include:

  1. Penis pain
    Men suffering from Peyronie’s Disease may experience pain during erection, without an erection, or both.
  2. Significant bend in the penis
    Plaque caused by Peyronie’s Disease can cause an upward or sideways bend in the penis.
  3. Internal scar tissue
    Peyronie’s Disease is caused by scar tissue known as “plaque” that can be felt inside the penis. In some cases, you may only notice this while the penis is erect.
  4. Erectile dysfunction
    More severe cases of Peyronie’s Disease can lead to erectile dysfunction.

Cause

While researchers have yet to ascertain a specific cause for Peyronie’s Disease, doctors and researchers have come to believe that it may be a result of:

  1. Acute, chronic or repetitive internal injury or trauma to the penis
    This trauma may or may not be remembered by the patient, as the injury results in internal bleeding within the penis, which then develops plaque as it heals.
  2. An auto-immune disorder
    In some cases, the body’s immune system may be working against the patient, attacking its own cells and organs which can lead to plaque buildup. Patients may notice scars in places like the hand (Dupuytren’s contracture) or suffer recurrent plantar fasciitis.

What doctors do know is that the symptoms of this disease is caused by the plaque. While Peyronie’s Disease is most commonly found in middle-aged men, there is no age range for the diagnosis. It can occur in men both young and old.

Treatment

Peyronie’s Disease is a serious condition that can have long-term effects. Should you be experiencing any of the symptoms above, you should make an appointment with your urologist immediately.

There are treatments available for Peyronie’s Disease, depending on the severity. After your doctor has conducted an evaluation, he or she will determine which treatment is necessary, if any. Treatment can be as simple as a prescription or injections. Patients at Gulfshore Urology have shown significant improvements after taking Xiaflex, a drug produced by Auxilium.

Should these treatments not yield results, surgery may be considered to remove the plaque or alter the tissue opposite of it to counter the bend in the penis. However, this is only in extreme cases in which erectile dysfunction caused by this disease prevents the patient from engaging in sexual activity.

The healing process for Peyronie’s Disease takes time, and usually varies anywhere between six to eighteen months.

Prevention

Currently, there are no preventative measures established to avoid Peyronie’s Disease, as the exact cause is still unknown. However, researchers have found that a healthy, drug-free lifestyle with good diet and nutrition can help reduce your risk as can avoiding vigorous sexual activity that can cause major or microscopic injury to the penis.

  Rolando R. Rivera   Jan 13, 2016   Uncategorized   Comments Off on What is Peyronie’s Disease?   Read More