What are varicoceles?
Varicoceles are when veins called pampiniform plexus become enlarged inside your scrotum (the sac that protects and holds the testicles). About ten to fifteen males out of one hundred have varicocele; it is like getting a varicose vein in your leg.
This condition is most common in young men; and affects the left side of the scrotum more than the right side, because the male anatomy is not the same on both sides.
Varicoceles can be on both sides at the same time, but this is rare.
Your spermatic cord (each testicle is holding up by a spermatic cord) transfers blood to and from your testicles.
It’s not certain what causes varicoceles; but the principal cause could be a problem with blood flow in the spermatic cord.
Many experts believe a varicocele forms when the valves inside the veins in the cord prevent your blood from flowing properly; which leads the veins to dilate. This might cause damage to the testicle and lead to infertility.
When varicocele occurs in puberty, it’s often because of the immediate growth they undergo during puberty. The testicles need more blood than normal as they develop, and any problem in the veins can keep the blood from getting where it needs to go.
What are the symptoms of varicoceles?
Varicoceles often don’t present symptoms; but sometimes you may notice:
• Dull testicular pain or scrotal aching; which often gets better when you lie down, and get worse while doing certain activities.
• Inflamed testicle or scrotum.
• Male infertility.
• Sensation of a mass above the affected testicle.
• Enlarged veins that are quite noticeable.
• Testicular atrophy: The majority of the testicle comprises sperm-producing tubules. When damaged, as from varicocele, the testicle contracts and softens. We can’t explain why the testicle shrinks, but the malfunctioning valves allow blood to pool in the veins, which can result in increased pressure in the veins and exposure to toxins in the blood that may cause testicular damage.
• Infertility: Temperature changes inside the scrotum due to blood accumulation in veins; this higher temperature may affect sperm formation, movement (motility), and function.
In the physical exam, the doctor can feel above your enlarged testicle a mass that does not trigger discomfort upon palpation.
If you have a large varicocele, your doctor might ask you to stand, take a deep breath and hold it while you bear down (Valsalva maneuver); this helps your doctor detect abnormal amplification of the veins.
Sometimes the physical exam is inconvincing, so your doctor might order a scrotal ultrasound (a test that uses high-frequency sound waves to create precise images of the male’s testicles and surrounding tissues). In certain cases, other imaging might be recommended to rule out other causes for the varicocele, such as a tumor compressing the spermatic vein.
The size of the mass in your testicle helps your doctor classify your varicocele on a grading scale of 0-3.
A Grade 0 is the smallest, and can be diagnosed only with the help of an ultrasound.
Grade 3 is the largest, and means your varicocele is big enough that it changes the shape of your scrotum and can be diagnosed with the physical exam.
Varicoceles require treatment only if:
• You have pain
• You have problems with your fertility
• Your right testicle is growing more than the left
There are no medicines to prevent or treat varicoceles.
If you do need treatment, the goal will be to remove the veins that supply blood to your spermatic cord. You might have:
Varicocelectomy: This surgery is performed to remove enlarged veins in your scrotum; and to restore proper blood flow to your reproductive organs, under local or general anesthesia through a small cut into your scrotum.
Laparoscopic surgery: The doctor makes a small incision in your abdomen and passes a tiny instrument through the incision to see and repair the varicocele; this procedure requires general anesthesia.
After those two surgical treatments, you may notice:
• Varicoceles don’t go away, or come back
• Your testicular artery gets injured
Percutaneous embolization: A radiologist inserts a tube into a vein in your groin or neck through which instruments can be passed; the radiologist inserts a coil by using X-rays, to deflect blood away from the enlarged vein in your scrotum, under general anesthesia.
Risks that can follow this procedure include:
• Varicoceles don’t go away, or comes back
• The coil moves
• An infection
After embolization, you can return to work after two days, and begin exercising after seven to 10 days.
If you have the procedure to help with fertility, the doctor will test you in 3-4 months; that’s how long it takes for new sperm to grow. You’ll probably see improvements in 6 months, but it could take a year.
A little more than half of the infertile men who have the procedure benefit from it. Surgery is also successful for most teens who have it to fix slow testicular growth.
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?
Testosterone is an important male hormone, produced in the testicles.
Testosterone is important for:
-building muscles and bone mass,
-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,
-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)
Several chronic illnesses can reduce your sex drive:
-Type 2 diabetes.
-High blood pressure.
-Chronic lung, heart, kidney, and liver failure.
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 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.
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.
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.
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
-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.
-Provides flaccidity when deflated.
-The fluid reservoir is part of the pump.
| -The erection is not firm enough.
-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.
-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.
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.
-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.
-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 whether Erectile dysfunction or Premature ejaculation can significantly affect his daily life
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.
ERECTILE DYSFUNCTION CAUSES:
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
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.
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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.
No matter how civilized we become, deep down inside, we are all animals. And, the way we bring forth our animalistic needs is by our sexual instincts. Now, you might think that celebrities and famous personalities won’t have weird sexual kinks and fetishes that a normal human being would have. But, in reality, they are also humans and thus, they also have sexual kinks and fetishes.
However, because of their huge persona, these celebrities always try to keep a low key on their sex life. They want to be as discrete as possible when it comes to their sex life. But, the will not stop paparazzi from capturing shots of celebrities that will create a media scandal. Most of these shots are sexual and these risqué incidences drive people crazy.
But, after some time, the tide goes down; nobody will remember those incidences and life will move on at a steady pace. However, if you search, you will find many such juicy sex scandals all over the internet. So, which are the most notable incidences that you should search for? In this article, we have accumulated such sex scandals that you should know about.
Rihanna: The Sub
There are a lot of Rihanna fans out there who worship her for her amazing voice. But, do you know that this amazing singer has a kink. She loves to be submissive in bed. She admitted this in 2011 in an interview. According to that interview, Rihanna believes that being a submissive liberates her and gives her a sense of freedom. In her life, she takes a lot of decisions on her own. So, she likes when someone else makes the decisions for her.
Miley: The Foreplay Bombshell
Miley Cyrus is one name that is constantly coming up in almost every article about celebrities and sex. So, you might also end up searching for her playboy porn videos. Look, in a podcast, Miley said that she doesn’t like foreplay and wants to start pounding from the beginning. And, if she wants to have foreplay, then it will be with a girl. She also went on to say that when it comes to sex, she is ready to do anything and she loves sex.
Paris Hilton: The Sex Tape
Perhaps, the one porn video that ruined a career and created a huge scandal in the Hollywood industry is the Paris Hilton sex tape. You can still find that video on various sites to watch sex videos free. She was with her then-boyfriend Rick Solomon at that time and it was a huge scandal. Nowadays, celebrities having sex tapes leaked are a common thing. But, back then, it wasn’t that common and now, people don’t even remember Paris Hilton. And, that sex tape literally ruined what could’ve been a successful career.
Kim Kardashian: The Sex Tape
You may like Kardashians, you may dislike Kardashians, but one thing is for sure, you cannot ignore Kardashians. Yes, they are always on the news. Now, you have heard how the sex tape of Paris Hilton ruined her career. However, there is one 18+ video that made a girl, a celebrity. Yes, we are talking about Kim Kardashian and her sex tape. And, if you love watching porn videos, watching Kim’s sex tape will be much more enjoyable than watching the Paris Hilton sex tape.
Kris and Cara: Joining the Mile-High Club
Having sex 30,000 feet high up in the sky has been a wish for many. But, there are very few people who can join the esteemed Mile-High club. However, you should know that many celebrities are a member of this fictitious club. Two celebrities who openly admitted to being a part of the Mile-High club are Cara Delebigne and Kris Jenner. Celebrities doing on the aeroplanes will encourage a lot of people to do the same as well.
Finally, these were some of the biggest sex scandals that you can find on the internet. When they did happen, they were the headlines of various media sources. Therefore, reliving those scandals on the internet will be fun and juicy, something any curious mind would want to have.