If anything goes wrong (such as an infection), you are in trouble. I can't stress enough that these operations are very tricky. Alternatively, he may insert two inflatable cylinders, which you can pump up when necessary. Here, the urologist opens up the penis and puts a firm rod inside. The main operation is insertion of a splint. Not many men undergo surgery to treat their erectile problems, but in a very few cases it can help. Like the other drugs, alprostadil can have side effects, which you should discuss with the doctor before using it. Muse is alprostadil in pellet form you drop it into your urinary pipe (your urethra), using a special applicator. There are two ways of administering it.Ĭaverject is an injection of alprostadil, which you stick into the side of your penis, shortly before you want to have sex. This is a medication that produces erection when it is brought into contact with the interior of the penis. Please note that all three pills can interact badly with other agents, including certain recreational drugs that are sometimes used by MSM, such as nitrites (poppers). Side-effects are mostly trivial, though there are rare instances of eye or ear damage. These three oral tablets are very similar, though Cialis has a much longer period of action. However, very often men need specific anti-ED therapy in order to get good erections. Physical causes usually need the aid of a doctor, often in very practical ways. For instance, if you smoke and drink too much, you will be advised to cut down. Where there are psychological causes of your ED, then you need help from a psychotherapist or counsellor. Also, ED very often follows a bereavement, or being ditched by someone you loved or were very dependent on. Psychological causes include depression, anxiety and guilt. Physical causes include diabetes, excessive alcohol, nicotine, cocaine, other recreational drugs, medication (especially some pills for high blood pressure), and any debilitating long-term illness. In this age group, there's a variety of causes, both physical and psychological. About 70 per cent of men aged 70 are still potent, but it's undeniable the incidence of ED does increase after the age of 60.
This often causes difficulties with erection. So they don't give as good a supply to the penis. In the older male, the arteries (the tubes that carry blood around the body) aren't as wide as they once were. Those chemicals are fine for getting you ready for a battle or a race, but they are the physiological enemies of an erection. This is because nervousness makes you release adrenaline and other hormones into the bloodstream. In the teens and twenties, ED is mostly due to anxiety ('nerves'). But if it keeps on occurring, then you need help to try and determine the cause.Īnd at the risk of being accused of generalising, I'd say that age is a good clue to the cause of ED. It could be due to tension or tiredness, or too much alcohol last night, or perhaps to some passing anxiety or guilt or some other negative feeling. Now if this only occurs once or twice, then it doesn't really matter. No matter how hard they try, the stiffness just doesn't happen. Delayed ejaculation (inability to come)Īll men occasionally find that they can't 'make it' when they want to.Erectile dysfunction (used to be called impotence).The main sexual difficulties that men who have sex with men (MSM) might run into are: They're generally the best places to get advice about HIV and you are most unlikely to encounter homophobic attitudes there. If you ever suspect that you might have acquired a sexually transmitted infection (STI), then don't wait to go along to one of the UK's excellent network of genitourinary medicine (GUM) clinics.
#NUDE GAY MEN CUM PROFESSIONAL#
But I feel that if possible, it's better to be totally open with whichever health professional you go to. Over the years, I've found gay men who come into a surgery or consulting room will sometimes pretend they are straight. So go and see someone, and don't hesitate to tell them you are gay. If you leave sex problems alone and just hope they'll get better, they probably won't.
Get yourself a spot of professional help, as soon as possible. So if you've got some sexual difficulty, don't suffer in silence.
The most important thing to realise is that these days, most of those conditions can be treated. Sex problems occur in homosexual people, just as they do in heterosexual people.