Recent tendency of world population is becoming to increase the aged people. In the situation, as very serious problem, average life span of men is several years shorter than women. That is suggesting that we, as specialist of clinical andrology, should justly have attention and make effort to care health of aged male people, and moreover keeping their QOL and well aging.
Then, thinking about what is physiologically the most key function of masculine activity. I believe that the Sleep Related Erection (SRE) is the symbol of masculine physiology, just same as menstruation in women, even though rather daring idea. SRE／Morning Erection as last SRE, are the fundamental function on maleness, being supported by androgen and male cerebral function.
Especially for over 60years old (so-called matured aged male, maintaining of such SRE／Morning Erection is very important factor for having the self-confidence and self-actualization from standing point of biological health and mentality, and furthermore for certifying still not severely arterial sclerosis which related to cardio-vascular episode.
Awareness of sound Morning Erection surely stimulates their mentality as masculine spirit and highly motivation of life activity and suggests to some extent the healthiness of whole body artery.
Then, in this presentation, I would like to discuss the clinical significance of SRE／Morning Erection, in even high aged men, from standing of Men’s Health Medicine and Clinical Andrology.
The condom has been used to prevent unwanted pregnancy as well as sexually transmitted diseases throughout human history since Crete or ancient Egyptians era. In Asian countries, ancient Chinese used the silk made condom with oil lubricant and Japanese also used the leather made hard condom with dual purpose of disease prevention and penile supporter.
The quality of sexual function and desire in aging male will change. Normal age-related change in erectile function will affect sexual desire. These symptoms include a decrease in blood flow to the scrotum and penis; reduced tensing of the scrotal sac and delayed erection. Penile sensitivity also decreases with age. Aging contributed to the process of erectile dysfunction through increased oxidative stress–one of which is due to induced eNOS uncoupling, endothelial dysfunction in the penis, structural changes of the artery, and reduced level of sex hormones in circulation. Many of these changes can be related to or exacerbated by several causes.
As in the Mediterranean and most of the other parts of the world, Korea in the Neolithic era was a matriarchal society. The so called Hong San culture of Ancient Korea, now in north-eastern China, proves it with many remains including the ‘Goddess of Fertility’. However, with the establishment of political community and patriarchy in 3 millennium BC, it changed to a male dominant society. During the Three Kingdom and Unified Shilla Period, Koreans enjoyed relatively free sex and intermarriage was not strange, especially in the Royal Family of Shilla. Unlike in China.
Aim: Studies have shown sexual dysfunctionality in 20-25% of infertile couples. Polycystic Ovarian Syndrome (PCOS) is the most common hormonal disorder among women of reproductive age and is a leading cause of infertility. Infertility may alter a woman’s sexual expression by causing or exacerbating sexual problems as a consequence of the diagnosis, investigation and treatment of infertility. Adequate sexual function can contribute to the success of fertility treatments. This study aims to assess sexual function in infertile and PCOS women in relation to their age, body mass index and duration of infertility. The prevalence of Female Sexual Dysfunction (FSD) and PCOS in infertile women and its correlation with infertility was also evaluated. And to find the relationship between Female Sexual Dysfunction and testosterone levels in women with Polycystic Ovary Syndrome (PCOS).
Studies on Exogenous Stem Cells (SCs), owing to their regenerative capacity, represent one of the most promising methods to restore Erectile Dysfunction (ED). However, insufficient source, invasive procedures, ethical and regulatory issues hamper their use in clinical applications. The endogenous SCs/progenitor cells resident in organ and tissues play critical roles for organogenesis during development and for tissue homeostasis in adulthood. Even without any therapeutic intervention, human body has a robust self-healing capability to repair the damaged tissues or organs. Therefore, SCs-for-ED therapy should not be limited to a supply-side approach.
This study was designed to examine the relationship between sexual activity, sexual behaviour, sexual problems, lifestyle and sexual knowledge among sexually active women and men. We describe measures of sexual partnerships, sexual practices, sexual problems, attitude towards sex and sexual knowledge. We compare measures of sexuality for those 18-73 years old, by age, separately for men and women using sexual function questionnaire, IIEF-5, FSFI and Sexual complaints screener for women. We evaluated the prevalence of sexual activity, behaviours, and problems in a sample of 400 adults.
The aim of this presentation is to explain the curative treatment of male psychogenic sexual dysfunction by sex therapy and psychotropic drugs (without PDE5 inhibitors). Normal sexual response is restored and patient remains pill free after 10 to 12 weeks of treatment with weekly or fortnightly session of sex therapy and psychotropic drugs. This reduces the PDE 5 inh dependency and non-responsiveness later on. My experience as sex therapist treating male psychogenic sexual dysfunction since 1996 in Muslim society like Pakistan will be shared. Sexual dysfunctions are either predominantly psychogenic or predominantly organic.