Issues Around Sexuality And Aging Must Be Recognized
Because of this, oth urinary incontinence and later-life sexuality are likely to be under-reported as coexisting health problems, said David Lee, MD, of Manchester Metropolitan University in England and the lead author in the ELSA study, in a press release. Given the relatively high occurrence of incontinence, particularly among women, healthcare professionals should be aware of the potential impacts on quality-of-life and well-being, and recognize that sexual activity and satisfaction are key factors in this equation.
Can A Uti Cause Erection Problems
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What Can A Urologist Do For Erectile Dysfunction
Many men suffer from erectile dysfunction. See our guide on how a Urologist can help you treat your erectile dysfunction.
Erectile dysfunction is a major sexual health problem affecting more than 30 million men in the United States who cannot maintain normal erections. Its prevalence has been estimated to be as high as 50% in some populations, and its occurrence increases with age.
In addition, erectile dysfunction is associated with other health problems, such as coronary artery disease, depression, urinary tract infections, mental illness, heart disease, low blood sugar, low testosterone, other sexual issues, and osteoporosis.
The prevalence of erectile dysfunction increases with age, with up to half of the men aged 60-70 years affected, along with low testosterone. ED is a common and potentially disabling condition with other underlying conditions that affect the quality of life.
Your primary care doctor will often tell you that sexual dysfunction is common. Many men have sexual problems in their personal life or other condition related to the male reproductive system. There are two types of ED: organic and psychogenic.
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Symptoms Of An Enlarged Prostate
As mentioned above, the most common symptoms of an enlarged prostate are urination problems. Its because the prostate portion surrounding the urethra narrows the normal passage of urine. These problems become worse as the patient gets older.
The progression prolongs which some patients may not even realize. They learn to live with the symptoms and sometimes wont even report them. However, it is crucial to recognize the symptoms of an enlarged prostate and consult your doctor.
Heres a list of the most important symptoms .
Effects Of Luts/incontinence On Male Sexual Function: Epidemiological Data
Many large studies over the last years have proved the coexistence of SD in men with storage and voiding LUTS. Statistics from the Health Improvement Network database showed that from 11,327 men in the UK, there was a rise in the overall prevalence of recorded SD from 1.7% in 2000 to 4.9% in 2007. The odds ratio for ED was 3.0 for storage LUTS, 2.6 for voiding LUTS, and 4.0 for voiding and storage LUTS. The EpiLUTS study show off an impact of OAB on sexual health. Both OAB wet and OAB dry were associated with poor sexual health, diminished enjoyment of sex , and decreased sexual activity. OAB dry/wet was very significant predictors of ED and ejaculatory dysfunction in men. According to a study by Rosen et al., the attendance and severity of LUTS are independent risk factors for SD in older men .
LUTS are common in older men. While LUTS have a multifactorial etiology, BOO/BPH has traditionally been considered as one of the most common causes of LUTS. These symptoms, which include dribbling and urgency with leaking, nocturia, and difficulty in urinating, can also impact the sexual function, probably due to impact on QoL .
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The Basics: How An Erection Occurs
At its most basic level, an erection is a matter of hydraulics. Blood fills the penis, causing it to swell and become firm. But getting to that stage requires extraordinary orchestration of body mechanisms. Blood vessels, nerves, hormones, and, of course, the psyche must work together. Problems with any one of these elements can diminish the quality of an erection or prevent it from happening altogether.
Nerves talk to each other by releasing nitric oxide and other chemical messengers. These messengers boost the production of other important chemicals, including cyclic guanosine monophosphate, prostaglandins, and vasoactive intestinal polypeptide. These chemicals initiate the erection by relaxing the smooth muscle cells lining the tiny arteries that lead to the corpora cavernosa, a pair of flexible cylinders that run the length of the penis .
Figure 1: Anatomy of the penis
The penis is made up of three cylindrical bodies, the corpus spongiosum which contains the urethra and includes the glans of the penisand two corpora cavernosa , that extend from within the body out to the end of the penis to support erection. Blood enters the corpora cavernosa through the central arteries.
What Causes Prostate Enlargement
The causes of prostate enlargement are not yet fully understood but are thought to be related to the male sex hormone which controls the growth of the prostate. The prostate is initially quite small, but as men age, testosterone feeds the prostate and it starts to get bigger. From birth to around the early teenage years, the prostate increases in size by around 8 times. It doubles again in size from around the early 20s through to 50 years of age, and then doubles again by around the age of 80. With such large increases in size, its easy to see why the prostate can begin to squeeze the urethra and make it difficult to urinate.
There may also be a genetic link to prostate enlargement, because the sons of men with an enlarged prostate are more likely to develop prostate disease.
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Sex And Urinary Tract Infections The Connection
Sexual intercourse can introduce bacteria into the women’s urinary tract, causing the infection to grow and spread. Since during intercourse, the urethra comes in contact with the anus and the genital area, the bacteria can enter and affect the uterus and even the kidneys.
Every time a woman is involved in intercourse, she is at risk of a UTI. The infection is also called honeymoon cystitis since frequent intercourse can increase the chances of contracting the infection. Women with multiple sexual partners are also at a higher risk of the infection.
What Causes Benign Prostatic Hyperplasia
Its a little hard to say for sure what causes BPH.
What we do know for a fact is that men go through two main stages of prostate growth in their lives first at puberty, where the prostate doubles in size, and then growth begins around the age of 25 and continues during most of a mans life.
BPH is known to surface in this second stage, and mostly affects men above the age of forty. Autopsy data has found evidence of the condition in about 90 percent of men above the age of eighty.
The growth of the prostate in this second stage may be linked to androgens in the body. Men produce testosterone throughout their lives. They also produce estrogen the female hormone but only in small amounts.
When testosterone levels drop as they inevitably do with age a higher proportion of estrogen may remain.
This increase in the ratio of Estrogen or its receptors to testosterone may directly and indirectly affect the growth of prostate cells.
Another possible cause is DHT or dihydrotestosterone. This male hormone is a bit of a villain. It is a major cause of alopecia in men, but is however useful for the development and maintenance of the prostate.
Unfortunately, this role can be dangerous for the adult prostate, as DHT can cause excessive growth.
BPH may also result when there is an imbalance between the production and death of prostate cells. When the imbalance is in favor of cell proliferation, it can lead to BPH.
How Does An Erection Work
When sexual arousal occurs, the nerves in the body release chemicals that increase the blood flow to the penis. The blood then flows into the two hollow chambers of the penis. The spongy tissues that make up the hollow chambers trap the blood in the penis and cause a firm erection.
Similarly, when a man reaches climax, another set of nerve signals instructs the muscular tissues to contract in the penis. Hence, it causes a firm blood circulation which causes the erection. Moreover, you might be aware that when there is no sexual arousal, the penis appears limp and soft. Further, the size of the penis can vary due to many factors, including cold, warmth, or worry. It depends on the blood circulation that takes place in the penis.
How To Prevent Prostate Enlargement
This article was medically reviewed by Luba Lee, FNP-BC, MS. Luba Lee, FNP-BC is a board certified Family Nurse Practitioner and educator in Tennessee with over a decade of clinical experience. Luba has certifications in Pediatric Advanced Life Support , Emergency Medicine, Advanced Cardiac Life Support , Team Building, and Critical Care Nursing. She received her Master of Science in Nursing from the University of Tennessee in 2006.There are 11 references cited in this article, which can be found at the bottom of the page. This article has been viewed 16,404 times.
Prostate enlargement can lead to urinary tract problems, so of course you want to prevent it if you can. Unfortunately, there are no sure-fire ways to do so. However, you can get regular checkups in hopes of catching the issue early and heading it off with treatment. Otherwise, try exercising and watching your weight, as those factors can put you at risk for developing an enlarged prostate.
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Ways To Prevent Erectile Dysfunction
While there are many risk factors associated with erectile dysfunction, it might also occur due to aging as the body weakens over time. Therefore, you should know some of the best preventative measures to avoid experiencing ED. Heres what you can do as part of your daily life:
- Regular exercise
- Reduce stress through talking, walking, and other minimal effort activities
- Consult the best doctors to handle health conditions that might link with erectile function disorders
- Avoid smoking/alcohol/substance abuse
- Take help and therapies for mental issues such as anxiety, depression, stress disorders, etc.
International Prostate Symptom Score
Youll be asked to complete a questionnaire to assess your symptoms. Each question has five possible answers that carry a score, and your overall score is used to assess the severity of your symptoms.
The checklist includes the following questions.
Over the past month:
- How often have you had the sensation of not completely emptying your bladder after urinating?
- How often have you had to urinate again less than two hours after finishing urinating?
- How often have you found that you stopped and started again when urinating?
- How often have you found it difficult to postpone urination?
- How often have you had a weak stream of urine?
- How often have you had to push or strain to begin urinating during the course of one night?
- How often have you had to get up during the night to urinate?
After your GP has assessed the severity your symptoms, theyll aim to rule out other conditions with similar symptoms using certain tests.
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Dont Wait To Get Help: Early Treatment = Better Outcomes
The silence is tragic because with medical help, most UI conditions can be cured or at least lessened and controlled. UI is easier to treat in early stages, and there are effective therapies for it. You should be seen by a urologist or a urogynecologist, says Dr. Dmochowski.
Here are some common forms of UI and their treatment options.
Stress incontinence Incontinence related to effort sneezing, laughing, lifting, jumping, or anything that increases abdominal pressure.
- Avoidance of caffeine and fluid intake reduction
- Bladder relaxant medications that suppress bladder spasms and contractions
- Interstim, a sacral nerve stimulator that acts like a pacemaker for the bladder. This is a minimally invasive surgical implant.
Mixed incontinence A combination of stress and urge incontinence.
- A combination of treatments used for both types of UIs generally bladder behavior retraining, a pelvic muscle exercise program, and biofeedback
Specifically Just How To Consider Sex Differently
Affection can be attained in a variety of techniques without depending upon the stamina of an erection. Attempt to develop proximity as opposed to vanilla sex.
All 4 drugs improve the results of nitric oxide an all-natural chemical your body creates that loosens up muscles in the penis.
At work to sex-related excitement, this elevates blood circulation along with helping you to get an erection.
An erection is not promptly produced by taking these tablet computers. Initial nitric oxide release from your penile nerves calls for to be triggered by sex-related enjoyment.
These medicines amplify that signal, enabling regular penile attributes in some people.
Oral erectile dysfunction medicines are not aphrodisiacs, will certainly not produce pleasure along are not needed in people that obtain regular erections.
It is essential to keep in mind that the does, periods, in addition to unfavorable impacts of the medications, differ. Along with flushing as well as nasal blockage, unfavorable impacts consist of migraine headaches, aesthetic adjustments, backaches, in addition to indigestion.
In order to figure out which medication will function best for you, your medical professional will certainly evaluate your comprehensive situations. Unfortunately, these medicines would certainly not function immediately.
You would definitely need to handle your physician to locate the most effective medicine along with dosage for you.
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Anxiety Erectile Dysfunction Frequent Urge To Urinate And Frequent Urination
- Medical Author: Melissa Conrad Stöppler, MD
Reviewed on 10/15/2020
There are a number of conditions that could be the cause of these symptoms. Urinary tract infection and poorly controlled diabetes are two possible causes for frequent urination. Erectile dysfunction can be related to both physical and emotional conditions. Keep a record of your symptoms and when they occur. Talk to your doctor if you are concerned about any symptoms.
While the list below can be considered as a guide to educate yourself about these conditions, this is not a substitute for a diagnosis from a health care provider. There are many other medical conditions that also can be associated with your symptoms and signs. Here are a number of those from MedicineNet:
How Does It Occur
Normally the urinary tract does not have any bacteria or other organisms in it. Bacteria that cause UTI often spread from the rectum to the urethra and then to the bladder or kidneys. Sometimes bacteria spread from another part of the body through the bloodstream to the urinary tract. Urinary tract infection is less common in men than in women because the male urethra is long, making it difficult for bacteria to spread to the bladder.
Urinary tract infection may be caused by a sexually transmitted disease. Sometimes a stone in the urinary tract blocks the flow of urine and causes an infection. In older men, an enlarged prostate can cause a urinary tract infection by keeping urine from draining out of the bladder completely. Infection might also be caused by the use of a catheter used to drain the bladder or by urethral stricture, which is a narrowing of the urethra by scar tissue from previous infections or surgical procedures.
You may be more likely to have a UTI if you have diabetes or another medical problem that affects the immune system.
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Tips To Avoid Urinary Tract Infection Caused Due To Sexual Intercourse
Urination before and after intercourse can help you remove bacteria from your tracts as soon as they enter, not allowing them to multiply and grow into an infection. It is one of the many ways to avoid UTI.
Drink plenty of water
Water can help in avoiding growth of bacteria. It also helps in frequent urination which can keep these problems away.
Practising proper hygiene before and after intercourse can also help in avoiding Urinary tract infections. Make sure you clean your genital areas properly to avoid growth of any bacteria that may have entered.
Spermicides can increase the risk of UTIs and should not be the preferred birth control. Use of diaphragm as birth control can also cause UTI. Sticking to safer options or as suggested by your doctor may be the best way to avoid infection.
Disclaimer: Tips and suggestions mentioned in the article are for general information purposes only and should not be construed as professional medical advice. Always consult your doctor or a professional healthcare provider if you have any specific questions about any medical matter.
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When To See A Doctor For A Physical Exam
You should see a doctor if you are having difficulty getting an erection. You may have erectile dysfunction and an underlying condition that needs to be treated, such as high blood pressure. Your doctor will ask you about your symptoms, risk factors, and medical history. They will also perform a physical examination. This will help your doctor to identify the cause of your problem. Your doctor will recommend the treatment that is best for you.
If you have any of the following symptoms, you should see your doctor:
Its painful to have an erection.
Its painful to have an erection that lasts for a long time.
You are unable to achieve an erection.
You have an erection that lasts for a long time, but its painful.
You have an erection that lasts for too long, but its not painful.
A burning feeling when you get an erection.
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