Erectile Dysfunction
Over 30 million men in the United States suffer from erectile dysfunction (the inability to achieve or maintain an erection satisfactory for intercourse). This number is projected to double in the next 20 years.
The majority of Dr. Kavoussi's research has focused on erectile dysfunction and he is committed to treating patients suffering from this difficult problem to help improve the quality of life for these men and their partners. The good news is that nearly every case is treatable.
At AFRM we offer a gamut of treatment options for erectile dysfunction ranging from medical to local to surgical therapy, including expertise in penile prosthesis implants. We will cater therapy for what is most appropriate for the individual patient to improve the couples’ quality of life. Options for treatment include oral medications (PDE5-inhibitors such as Viagra, Levitra, Cialis), vacuum erectile devices, urethral suppositories, injections, and penile prosthetics. The prosthetic implant selected will be selected on an individual basis and include the options of malleable devices (bendable) and inflatable devices.
In addition to his clinical interests in the field of reproductive medicine, Dr. Kavoussi has been involved in basic science research which focused on alternate pathways that may cause erectile dysfunction as well as ground breaking work on how prostate cancer surgery may result in erectile dysfunction at the cellular level in an animal model.
Erectile Dysfunction Videos
Erectile dysfunction after prostate cancer surgery
Erectile Dysfunction Articles
- May 22, 2012
- Gum Disease and Bedroom Bummer for Men
Living with erectile dysfunction, or impotence, can be a huge blow to a man's ego and, in some cases, his health. If doctors know who is at risk, they can take steps to stop erection problems.
Men with periodontitis, a severe form of gum disease, may have an increased risk of impotence.
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- April 27, 2012
- New Drug for Erectile Dysfunction
Read MoreThe medication Stendra (avanafil) has just been approved by the U.S. Food and Drug Administration to treat erectile dysfunction, the FDA announced today.
Approximately 30 million men in the U.S. have difficulty getting or maintaining an erection, according to the FDA's release. This inability to have a satisfactory sex life can negatively impact a person's quality of life and personal relationships.
- January 28, 2012
- Maladies of Men Only
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Men and women have much in common. But let's face it: there are some obvious
differences between the sexes, especially when it comes to sexual health.
Just as women have their own set of distinct health issues, there are many health problems
that only concern men. Low testosterone and erectile dysfunction (impotence) are two prime
examples of men's sexual health problems.
- March 31, 2010
- Ejaculatory and Erectile Disorders
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A look at ejaculatory and erectile disorders:
Men, are you able to make love so that both you and your partner are satisfied? While women are often satisfied in myriad of ways sexually, including achieving orgasm(s), for men, erection, orgasm and subsequent ejaculation are the culmination of the sex act. So what do you do if you "come" too soon, too late, or not at all? Premature ejaculation (PE) is the most common sexual complaint, more common than erectile dysfunction." says Dr. Parviz Kavoussi, a urologist and partner at Austin Fertility & Reproductive Medicine.
- June 1, 2010
- Rock 'n Roll Lifestyle
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Erectile dysfunction can be remedied by a healthier lifestyle
The same poor health habits that can lead to heart disease, diabetes and cancer also can contribute to erectile dysfunction (ED). Maintaining a healthy lifestyle is essential to having a vibrant sexual health.
If men see their sexual value falling, maybe those personal habits need a closer look. Men with ED should lay off the 'drugs and rock 'n roll'...
Peyronie’s Disease
Peyronie’s disease is the growth of fibrous plaques in the tunica albuginea (the fibrous envelope around the erectile bodies in the penis) resulting in an abnormal curvature in the penis. This can interfere with the man’s ability to have intercourse. It can occur independently from or concomitantly with erectile dysfunction. Peyronie's can be an extremely frustrating issue, but one that does have solutions. We offer surgical therapy for Peyronie’s disease to correct the curvature of the penis to allow for resumption of intercourse, improvement of cosmesis, and resolution of pelvic pain in the partner.
Hypogonadism/Low sex drive/Low testosterone
We offer evaluation and treatment of low testosterone. At least 13 million men suffer from the effects of low testosterone in the United Sates a year. From the age of 35, men can lose between 1-2% of their testosterone a year which can result in worsened erectile function, decreased sex drive, depressed mood, tiredness, lack of motivation, sleep disturbances, worsened spatial cognition, hot flashes, decreased fertility, increased fat mass, decreased muscle mass, decreased bone mass, worsened cholesterol levels, and deterioration of skin and hair. We at AFRM advocate replacing testosterone in these men after carefully evaluating each individual man, to help improve their quality of life by improving body composition and strength, increasing bone mineral density, improving cholesterol parameters, improving sexual desire and erectile function, and improving energy levels and decreasing fatigue. Men can be treated with other oral medications as well to maintain fertility while allowing testosterone levels to increase. Men who are no longer interested in fertility can be treated with direct testosterone replacement by multiple modalities including topical gels, injections, and testosterone pellet insertion beneath the skin (Testopel®).
A varicocele is defined as abnormally dilated scrotal veins. Varicoceles can not only have an adverse impact on a man's fertility potential, but also on his testosterone production, the other job of the testicle. Varicoceles are associated with decreased testosterone production. In studies comparing men with varicoceles to those without varicoceles, the group with varicoceles had significantly lower testosterone levels. Seventy percent (70%) of men with varicoceles improve their testosterone levels after undergoing a surgical varicocelectomy. This is typically a day surgery which takes around 45 minutes and is done through a 2-inch incision in the groin. We offer varicocelectomy as a primary treatment options for low testosterone to allow the men who respond to normalize their testosterone level while remaining off of testosterone replacement therapy. For best results, this is a procedure which men should seek out doctors who do high volumes with microsurgical training.
Hypogonadism/Low sex drive/Low testosterone Videos
Low Testosterone and Male Fertility - 10/16/2012
Testosterone and Heart Health - 02/29/2012
Hypogonadism/Low sex drive/Low testosterone Articles
- May 22, 2012
- Diabetes Linked to Low Testosterone
- If you are a man with diabetes, you are twice as likely as other men to suffer from low testosterone. But does it work the other way around? Can low testosterone boost your risk for diabetes?
Low levels of testosterone may affect how a man's body reacts to insulin, a hormone that helps control levels of blood sugar.
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- April 30, 2010
- The Lowdown on Low Testosterone
Testosterone levels impact diabetes, high blood pressure and erectile dysfunction
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By the age of 35, men's testosterone levels begin to drop by one or two percent each year. By the age of 50, 30% of men are already below the normal testosterone range and that number increases as years advance.
At 60 years of age, 60 percent of men have low testosterone! In the United States alone, 13 million men each year are diagnosed with low testosterone. The real number of men afflicted is probably much greater
- January 10, 2012
- Hypogonadism/Low sex drive/Low testosterone
Male infertility (the inability to reproduce) can be caused by a number of factors, including
varicoceles, or swollen veins in the scrotum. Now, it seems varicoceles may lead to
problems even more severe than infertility.
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Varicoceles may disrupt a man's ability to produce testosterone - a hormone that is
extremely important for keeping men in good health. However, surgery can boost
testosterone levels in men suffering from the condition.
- October 25, 2011
- Paternity Pops Testosterone
Testosterone levels lower when a newborn is in the house
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Women's bodies obviously change physically in preparation for caring for newborns. Some men experience biological changes as well.
A new study from the Philippines indicates that men's testosterone level temporarily lowers upon arrival of a new baby. The median testosterone level drop for new fathers was 26 percent in the
daytime and 34 percent in the evening.
- September 30, 2011
- Stay Lean and Keep Your Testosterone
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We know how important estrogen is for women, but did you know it’s an important hormone for men? Yup, you guys have it, too. There is an enzyme in fat cells called aromatase; it takes testosterone made by the testicles and coverts it into estrogen. The more fat cells a guy has, the more testosterone gets turned into estrogen. The less relative testosterone is kept around to act on tissues, the tougher it is to maintain muscle mass and lose fat mass. The more fat that is put on, the more testosterone is converted into estrogen, in essence dropping the testosterone level, which in turn makes it harder to burn the fat mass… and so the vicious cycle begins. That’s why hitting the gym and getting regular cardiovascular exercise to keep the waistline in check is a great way to keep more of the testosterone that’s being made as testosterone.
Ejaculatory Disorders
We offer evaluation and treatment of ejaculatory disorders including premature ejaculation, the lack of ejaculation with orgasm, and hematospermia (blood in the ejaculate).
