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Male Sexual Health

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Men's Health in Primary Care

Part of the book series: Current Clinical Practice ((CCP))

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Abstract

This chapter starts with a discussion of the sexual history, which is used to screen for sexual dysfunction and the risk for sexually transmitted infections in men. However, this is often omitted in the primary care setting for several reasons including inadequate time and provider and patient discomfort. Tips are discussed to help providers overcome these barriers. Several sexual dysfunctions are reviewed in this chapter. Erectile dysfunction is highlighted due to its high prevalence and association with multiple other conditions including cardiovascular, psychiatric, and endocrine disorders. Treatment for erectile dysfunction can be costly but is often very effective with multiple options. Various treatments for erectile dysfunction with risks and benefits are discussed. Premature ejaculation is also very common, and pharmacologic and behavioral treatments are discussed in detail. Other less common sexual dysfunctions briefly discussed are hematospermia and painful ejaculation. Over-the-counter treatments to enhance sexual dysfunction are becoming increasingly prevalent, yet efficacy and risks of common ingredients may pose some risk to men who take them. Finally, men play a factor in many cases of infertility. Terminology, etiology, diagnostics, and treatments of male infertility will be reviewed.

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Authors and Affiliations

  1. Spectrum Family Medicine, Family Medicine Residency Clinic, Grand Rapids, MI, USA

    Harland Holman MD

  2. Department of Family Medicine, Spectrum Health, Grand Rapids, MI, USA

    Mark Armstrong DO

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  1. Harland Holman MD
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  2. Mark Armstrong DO
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Correspondence to Harland Holman MD .

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  1. Depts. of Family Medicine and Urolo, University of Michigan Medical Scho, Ann Arbor, New York, USA

    Joel J. Heidelbaugh

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Holman, H., Armstrong, M. (2016). Male Sexual Health. In: Heidelbaugh, J. (eds) Men's Health in Primary Care. Current Clinical Practice. Humana Press, Cham. https://doi.org/10.1007/978-3-319-26091-4_9

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