Low libido in men

Low libido in men

Physical and psychological issues can cause low libido in men; so don’t hesitate to book your appointment at Modern Care Clinic with dr. Fouad Khoury, to continue a normal sexual life and to avoid problems in your relationship.

What is low libido in men?

Low libido in men describes a decreased interest in sexual activity; it means that the man is losing interest in sex from time to time.

Why does libido decrease in men?

-Low testosterone

Testosterone is an important male hormone, produced in the testicles.
Testosterone is important for:
-building muscles and bone mass,
-sperm production,
-your sex drive.
A young man with a low testosterone level will have a low libido; but with age, it’s normal to have a diminution of the testosterone hormone, and if it will be an issue for the older man; he will be able to consult his doctor to take supplements to increase his testosterone levels.


Taking certain medications can cause low libido in males by reducing testosterone hormone level:
-blood pressure medications,
-chemotherapy or radiation treatments for cancer,
-hormones used to treat prostate cancer,
-certain antidepressants.

-Restless legs syndrome (RLS)

Restless legs syndrome is the uncontrollable urge to move your legs.
Men with RLS are at higher risk for developing erectile dysfunction (ED) than those without RLS, which will cause a low sex drive.


Depression may be the main cause of decreased sexual desire in men; low libido is also a side effect of some antidepressants, including:
-serotonin-norepinephrine reuptake inhibitors (SNRIs)
-selective serotonin reuptake inhibitors (SSRIs)

-Chronic illness

Several chronic illnesses can reduce your sex drive:
-Type 2 diabetes.
-High blood pressure.
-High cholesterol.
-Chronic lung, heart, kidney, and liver failure.

-Sleep problems


With age, the testosterone level and the man’s sexual capacity are reduced, which leads to a decrease in SEXUAL PLEASURE AND DESIRE.


-Low self-esteem

Low self-esteem may also cause anxiety about sexual performance; which can lead to issues with the erection, and reduced sexual desire.


Alcohol abuse decreases the production of testosterone.

-Drug use

Side effects of low libido

A decreased sex drive is a very big issue for a man, it leads to several psychological problems like:
-Loss of self-confidence.
Erectile dysfunction.
-Relationship conflict.
-Low self-esteem.

How to treat low libido in men?

The treatment of low libido in men depends on the cause; treatments include:
-Live a healthier lifestyle: eating a healthier diet, sleep enough, reduce stress, reduce alcohol consumption.
-Switch medication, if the one you’re on is affecting your libido.
-Testosterone replacement therapy.
– If your low libido has psychological causes, you may need to visit a therapist for relationship counseling.

You should know your body and tell your doctor what you’re feeling; that’s the only way to know if the problem is physical, psychological, or both.
You should know that the medications that help you get and keep erections don’t boost libido.


Penile Prosthesis the  BEST surgical treatment for ED in Lebanon

Penile Prosthesis the BEST surgical treatment for ED in Lebanon

Penile prosthesis


A penile prosthesis or Penile Implant is the best surgery that helps men with erectile dysfunctions when other treatments failed.

This procedure involves placing a prosthetic device or penile implant inside the penis and scrotum; so the patient can get a sufficient erection for sexual activities. And it lasts for 45 minutes to 1 hour under general or spinal anesthesia.

Penile implants are required when the medications are not efficient, and in some severe cases like Peyronie’s disease (fibrous scar tissue that develops on the penis and causes curved painful erections).

Follow the link for more information about Erectile Dysfunction.


Types of penile implants:

The patient should speak with his urologist to determine which implant is the best for him.


Type of penile implant



Three-piece inflatable

 -Natural and rigid erection.

-Provides flaccidity when deflated.


 -The implant may sometimes not be effective (because of the large number of its parts).

 -Requires the presence of a reservoir in the abdomen.



Two-piece inflatable

 -Provides flaccidity when deflated.

 -The fluid reservoir is part of the pump.

 -The erection is not firm enough.

Semirigid rod

 -Low chance of malfunction. ( due   to   the absence of the reservoir   and the   pump)

 – Easy to use.

 -Can be difficult to conceal under clothing.

 -a penis that is always slightly rigid.

 -possible difficulty with urination.


The inflatable implants required a pump inside the scrotum; so the patient should squeeze the pump to achieve an erection; the pump is located under the loose skin of the scrotal sac, between the testicles.

The device contains two chambers, and when the chambers are inflated by the pump; the patient then has an erection; when the patient is finished, he can deflate the device.

Follow the link for more details about the types of penile implants.


Which type of implant does the doctor choose?

There are several factors that the doctor put into consideration before deciding which implant will be the most suitable, including:

-The age of the man.

-Size of the penis, glans, and scrotum.

-Any history of previous abdominal or pelvic surgery.

-The presence of colostomy.

-A history of a kidney transplant.

-Whether or not the penis is circumcised.

-Health and well-being.

 Penile implants don’t increase sexual desire or sensation.


Who should not get an implant?

-patient with uncontrolled diabetes.

-presence of a pulmonary or urinary infection.

-bladder obstruction

-when the erectile dysfunction is the result of a relationship conflict (the cause should be medical).


Penile implant = LOW RISK

– Low risk of infection (1-3%).

-low risk of mechanical failure (95% working at 5 years).


Some TIPS before and after the surgery

Before the surgery you should:

– stop taking aspirin and anti-inflammatory drugs before 7 to 10 days.

– Stop eating or drinking after midnight before your surgery.

– Shave the surgery site.

After the surgery:

– Physical and sexual activities can be resumed after 4 or 6 weeks.

-the patient should take an antibiotic to prevent infection; and medications to ease the pain.

You should call your doctor if:

fresh and ongoing bleeding, significant discoloration of the penis, high fever, unable to urinate, cannot control pain, spreading redness, continuous drainage from the wound, progressive swelling of the penis, scrotum, or incision site.


Is the Prosthesis noticeable?

Men who have undergone the prosthesis surgery can notice the small surgical scar where the bottom of the penis meets the scrotal sac, or in the lower abdomen just above the penis, other people probably will be unable to know that a penile implant exists.


Finally, we believe that the penile implant is effective in its ability to restore the patient’s capacity to engage in sexual activities and regain what was lost due to a medical issue.

And the patient should not forget that ejaculation is not affected by this procedure.






TOGETHER towards a better prognosis with Rezum water vapor!

TOGETHER towards a better prognosis with Rezum water vapor!

Rezum Water Vapor

Rezum water vapor is the best therapy for prostatic hyperplasia.

We have a better prognosis with Rezum water vapor.

What is benign prostatic hyperplasia (BPH)?

BPH is the most common prostate problem in men especially at the age of 50 and over. It is a condition in which the prostate, a gland of normal volume 18 to 20g and which has the role of secreting a liquid that accompanies the sperm to nourish it, grows in size in the transitional zone.

BPH is also called benign prostatic enlargement and affects the urinary system; on the other hand, the congestion of the prostate does not cause urinary problems because it is located in the peripheral zone.

Having BPH does not seem to increase the risk of developing prostate cancer, but a man who has BPH may have undetected cancer at the same time.

To help detect prostate cancer in its early stages, a prostate screening is recommended every year for men from the age of 50. If the man has a family history of prostate cancer, the screening should be done at age 40. Screening tests for prostate cancer must be accompanied by a blood test for a substance called prostate-specific antigen (PSA) and the digital rectal exam (DRE).

Follow the link for more information about Prostatic hyperplasia.


In BPH, the prostate gland surrounds the urethra or the enlargement of the prostate can lead to the blockage of the urethra so you can develop urinary problems: difficulty urinating, low stream of urine, frequent urination at night, constant need to urinate, dark reddish urine, weak lower limbs, back pain…


-digital rectal exam: the doctor inserts a finger into the rectum to check the volume of your prostate.

-urine test: to cancel the diagnosis of a urine infection that has similar symptoms.

-blood test to cancel a kidney problem.

-Prostate-specific antigen (PSA) blood test: PSA is a substance produced in your prostate; there is an increase in the rate of PSA in the case of BPH.

And a cystoscopy is recommended to look into the bladder.



The first step and decision are to take a drug.

The options include:

-Alpha-blockers: These medications relax bladder neck muscles and muscle fibers in the prostate, so the patient can urinate without any problem. But the alpha-blockers can cause a delayed ejaculation (the seminal fluid goes back into the bladder).

-Medications that reduce the volume of the prostate but cause erectile dysfunction.

-Medications for erectile dysfunction (Cialis): these drugs given every day can also cause relaxation of the muscles of the bladder.

Medication may not have a good prognosis for life, sometimes it may last for 6 months.

Surgical treatment:

-Transurethral resection of the prostate (TURP): This operation is usually performed under general anesthesia, a surgeon passes an instrument called a resectoscope through the opening of the penis and into the urethra and rises towards the prostate to remove the excess prostate tissue. But the disadvantage is that the patient who takes anticoagulants must stop them before the operation, and this surgery causes a problem in ejaculation.

– Rezum water vapor: recently approved by the FDA in 2015, makes it possible to perform a prostate surgery in 5 minutes while preserving ejaculation and sexual function. 

This operation consists of throwing steam through an instrument into the enlarged area of ​​the prostate; the vapor carries energy that will be diffused into the molecules which will be killed and discarded by the immune system.

It lasts 5 to 10 minutes under local anesthesia and the number of vapor ejection depends on the volume of the prostate.

Follow the link for more information about the treatment of BPH.

Benefits of water vapor therapy :

– The procedure doesn’t cause complications, you do not have to stay in the hospital.

-return to daily activities in a few days.

-relatively painless.

-improvement of symptoms after 2 weeks.

-symptoms continue to improve for up to 3 months.

-a good prognosis of up to 15 years.

-this procedure doesn’t cause sexual dysfunctions.

After this operation, the doctor can give an antibiotic for a few days to prevent infection.

Follow the link for a descriptive interview about Rezum water vapor.



Sexual Health in Men

Sexual Health in Men

Sexual health in men whether Erectile dysfunction or Premature ejaculation can significantly affect his daily life

Erectile dysfunction

Erectile dysfunction (ED) is when a man (particularly in men over 40) has difficulty to get or keep an erection suitable for sexual relation or any other sexual activity.


Physical causes: Common causes include: heart disease, high cholesterol, high blood pressure, diabetes, obesity, Parkinson’s disease, a toxic lifestyle (tobacco use, drug or alcohol use, sleep disorders…), certain prescription medications, hormonal imbalance in testosterone (low testosterone), clogged blood vessels, surgeries or injuries that affect the pelvic area or spinal cord…

And some psychological conditions can cause an erectile dysfunction like depression, stress, relationship problems…

Complications: depression, an unsatisfactory sex life, relationship problems, no self -confidence, difficulty for your partner to get pregnant, decreased sexual desire…

To treat erection problems, the patient should first visit the doctor to find out the cause; if the cause is an underlying disease or a hormonal disorder; it must first be treated.

The doctor frequently uses Viagra, Cialis to treat erectile dysfunction (those medications help blood flow into the penis by inhibiting an enzyme phosphodiesterase E5, often called PDE5). PDE5 breaks down one of the molecules that relaxes the smooth muscles of the penis and the blood flow necessary for an erection.

If the cause is psychological, the patient should also consult a sexologist to treat the erectile dysfunction.

Healthy lifestyle changes can sometimes help erectile dysfunction:

  • -lose weight if you’re overweight
  • -stop smoking
  • -eat healthy
  • -try to reduce stress and anxiety
  • -decrease alcohol and tobacco abuse

Follow the link for more details about Erectile Dysfunction


Premature ejaculation

This is when a man ejaculates sooner than he wants to during sexual intercourse; and it is annoying for the two partners.

Premature ejaculation causes:

Psychological causes: (anxiety, relationship problems, depression, a traumatic sexual experience from childhood…)

Physical causes: (prostate problems, thyroid problems, a penis extra sensitive, using recreational drugs…)

Premature ejaculation treatment:

Psychosexual counseling, behavioral therapy ( a treatment that aims to improve self-confidence and relieve anxiety and depression by continuously training men to master certain sexual skills to delay ejaculation time; including psychotherapy and physical techniques.), anesthetic creams and gels, and medications.

You can try some measures to treat premature ejaculation: masturbate an hour or 2 before having sex, use a thick condom, take breaks during sex and think about something boring…

You might be at increased risk of premature ejaculation if you occasionally or consistently have trouble getting or maintaining an erection; fear of losing your erection might cause you to consciously or unconsciously hurry through sexual encounters.

Premature ejaculation can occasionally make fertilization difficult for couples who are trying to have a baby if ejaculation doesn’t occur intravaginally.

Follow the link for more details about premature ejaculation

Our caring team can help you overcome those issues. Book your appointment at Modern care clinic by calling us on   +96176887676 / +9614520055 or you pick your convenient timing at Modern Care.


Erectile dysfunction

Erectile dysfunction

Erectile dysfunction (ED) is a problem that needs to be diagnosed correctly. Once we find the proper cause, it becomes possible to provide with the correct treatment. Discussing ED with your doctor may be uncomfortable, but it is important to do so. Together we can discuss which treatment is best for you. call us on 96176887676 / 9614520055

Premature ejaculation

Premature ejaculation

Premature ejaculation can be a frustrating problem for you and your partner.
Treatments for premature ejaculation will vary depending on the cause and whether it is lifelong or acquired premature ejaculation. Book your appointment on 96176887676 / 9614520055