Male Sexual Health

Male sexual health is about more than just sex — it plays a significant role in a man’s overall physical and emotional well-being.

Healthy sexual function signifies that hormones are balanced and that the heart, nerves, and blood vessels are working properly. When issues arise with sexual function, they can point to larger health concerns like diabetes, low testosterone, or cardiovascular problems.

Dr. Sean P. Nikravan, MD, FACE, provides expert sexual healthcare for both men and women. The care he provides empowers patients to restore their vitality, intimacy, and confidence through expert sexual health and hormone care.

What are some common sexual health issues men face?

Some of the most common concerns include:

• Erectile dysfunction (ED)
• Hypogonadism
• Low libido (reduced sex drive)
• Premature ejaculation
• Low testosterone
• Peyronie’s disease
• Post-SSRI sexual dysfunction

These issues can affect men at different stages of life. They often have links to common problems like stress, aging, chronic illness, and hormone imbalances.

What is low testosterone?

Low testosterone, or low T, can result from aging, obesity, certain medications, or conditions like pituitary gland disorders. It may cause symptoms like:

• Fatigue
• Decreased sex drive
• Difficulty achieving or maintaining erections
• Mood changes
• Loss of muscle mass

Low T is quite common as men enter middle age — the same time women go through menopause. Some people refer to the symptoms men experience from falling testosterone levels in middle age as andropause.

What is hypogonadism, and how is it treated?

Hypogonadism is a condition that affects some males where the testes produce insufficient levels of testosterone—the hormone responsible for regulating libido, bone density, muscle mass, red blood cell production, and mood. This hormonal deficiency can result from a problem in the testes (primary hypogonadism) or from issues with the hypothalamus or pituitary gland (secondary hypogonadism).

Symptoms of hypogonadism may include low libido, erectile dysfunction, fatigue, reduced muscle mass, mood changes, and infertility. Diagnosing hypogonadism involves a thorough clinical evaluation and blood tests to measure testosterone and related hormone levels.

Treatment typically includes testosterone replacement therapy (TRT). In cases of secondary hypogonadism, medications that stimulate the body’s natural hormone production, such as clomiphene citrate or hCG, may be appropriate. Dr. Nikravan and his team personalize each treatment plan and provide regular monitoring to ensure optimal hormone levels and safety.

Are there non-surgical treatments for ED?

Yes, most cases of erectile dysfunction (ED) can be effectively managed without surgery. Erectile dysfunction is a common condition influenced by physical, hormonal, and psychological factors. It can often be the first sign of an underlying health issue, such as cardiovascular disease or diabetes, making professional evaluation essential.

Non-surgical treatment options for ED include:

• Oral medications
• Hormone therapy
• Penile vacuum devices
• Counseling or sex therapy
• Shockwave therapy
• Intracavernosal injection (ICI) therapy
• Lifestyle modifications

Most men respond well to a combination of these approaches. Dr. Nikravan personalizes each treatment plan based on the underlying cause and your overall health to ensure the best outcomes without the need for invasive procedures

When should I see a doctor about sexual health concerns?

If you’re having trouble with sexual performance, dragging through the day, or just not feeling like yourself, it’s worth getting checked out — these symptoms don’t have to be part of getting older. Many men delay seeking help, but early treatment can make a big difference in both sexual function and quality of life

Dr. Nikravan and his team take a personalized, respectful approach. They start by listening to your concerns and doing a complete evaluation, including reviewing your medical history and sexual history. They may also take lab tests or request imaging studies to get to the root of the problem.

What treatments help with male sexual health problems?

Treatment options for male sexual health problems may include:

• Lifestyle changes
• Medication
• Managing any underlying conditions
• Testosterone replacement therapy (TRT)
• Phosphodiesterase type 5 inhibitors
• Intracavernosal injections
• Regenerative therapies

It’s important to treat the whole person and not just the symptoms. Dr. Nikravan helps you understand your options and works to find a safe, effective plan that fits your goals.

Sexual health isn’t just about hormones — it’s about confidence, energy, and feeling like yourself again. Call the offices of Dr. Sean P. Nikravan, MD, FACE, or request a confidential consultation online today