Dr. Pawan Kapoor

Sexual Health & Performance Disorders

Sexual health and performance disorders in men commonly include erectile dysfunction (ED) (difficulty achieving/maintaining erection), premature ejaculation (PE) (ejaculation sooner than desired), low libido (reduced sexual desire), and other issues like delayed ejaculation or Peyronie’s disease (penile curvature). These conditions are prevalent, often linked to vascular, hormonal, neurological, psychological, or lifestyle factors. They can significantly affect confidence, relationships, and overall well-being. A urologist, andrologist, or sexual health specialist provides thorough evaluation and individualized treatment.

This diagram highlights common factors contributing to sexual dysfunction:

Conservative and Lifestyle Management for Mild to Moderate Disorders

Most cases improve with non-invasive approaches. Adopt a healthy lifestyle: regular exercise (especially aerobic and strength training), balanced diet, weight management, smoking cessation, and moderate alcohol intake to enhance vascular health and testosterone levels.

Pelvic floor exercises (Kegels) strengthen muscles that support erection and ejaculatory control. Practice by contracting the muscles that stop urine flow, holding briefly, then relaxing.

Medical and Advanced Treatments for Persistent Disorders

When lifestyle measures are insufficient, evidence-based options include:

  • Oral medications (PDE5 inhibitors like sildenafil or tadalafil) for ED, enhancing blood flow during arousal.
  • Topical anesthetics or oral SSRIs for PE to delay ejaculation.
  • Hormone therapy if low testosterone is confirmed.

Non-surgical devices include vacuum erection devices (penis pumps) that create an erection by drawing blood into the penis.