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Men have concerns about their sexual health that range from problems with achieving or maintaining an erection to troubling bumps, lumps and discharge. They also have physical concerns such as abnormal blood flow, cholesterol-clogged arteries and damage from previous urological surgery.
The Basics
Men experience a wide range of problems related to their sexual health. These include trouble getting or maintaining an erection; pain during sex (dyspareunia); and difficulty reaching orgasm. Often, these issues are the result of underlying medical conditions or mental health concerns and can be treated effectively once identified.
Unfortunately, many healthcare providers avoid broaching the topic of sexual and reproductive health with their patients, fearing that their patients may find the discussion uncomfortable or irrelevant. This is a huge obstacle to getting the care that men need.
More conversations are needed that support the health and well-being of men, including their sexual and reproductive health, and that break down the taboos surrounding sexuality and sex. Men need screening and clinical care, education about safer sex behaviours, and counselling on topics such as contraception, shared responsibility for parenting and decision-making, and the rights of both men and women to have healthy and satisfying sexual experiences.
The Foundations
Men need screening and clinical care that address their specific health needs. This includes testing for sexually transmitted infections, including HIV. It also includes counselling and education about safer sex behaviours, shared responsibility for contraception and parenting, and human rights to sexual autonomy and pleasure.
According to the NFSG, over a million men in each of the three sexual risk behaviour categories neither used a condom at their last sex nor received nontesticular STI or sexual health care in the past year. These findings suggest that men’s sexual health is not a priority for the majority of providers and that their care, when they receive it, does not adequately cover the full spectrum of their needs.
Fortunately, a global framework for reaching men with person-centred health services was recently unveiled by WHO in collaboration with UNAIDS. This framework lists WHO evidence-based recommendations for reaching men with person-centred care across the 3 core pillars of patient-centred care – access to care, quality of services and support services.
The Lifestyle
A comprehensive approach to men’s sexual and reproductive health would include, at a minimum, HIV, STD, and birth control services for all sexually active men; testing and counselling for men who have or might be at risk of having erectile dysfunction; and a testicular exam and semen analysis for all sexually active men.
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Men often have unrealistic expectations about how long sex should last, and the viewing of pornography may influence their ideas. This can have serious consequences for both sex performance and mental well-being. In addition, several men experience physical problems that can interfere with sexual functioning such as low testosterone levels, prostate issues, or a penis too small for normal function resulting in Peyronie’s disease. These problems can be diagnosed and treated by a trained sex therapist in a safe, confidential setting.
The Tools
Throughout history, men have used a variety of tools to help them reach their sexual wellness goals. From ancient aphrodisiacs to modern pumps and pills, each tool has its advantages and disadvantages.
Regardless of their gender, most people want to be sexually healthy and enjoy a fulfilling intimate relationship. To achieve this goal, they often resort to a combination of diet, exercise, and lifestyle habits.
Some of these factors are obvious and some are less so. For example, many young men emphasized the importance of using condoms when engaging in unprotected sex. This approach involved seeking instruction on condom use through social media or by reviewing the instructions in a condom box and practicing applying the condom to themselves or a proxy. Men also emphasized the importance of regular cardiovascular exercises that boost blood circulation and heart health. This in turn improves libido and sexual stamina. Lastly, most people emphasized the importance of maintaining a positive attitude about their sex lives.
