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Erectile Dysfunction and Family Planning for Men

Erectile dysfunction is also referred to as male impotence and can be a demoralising condition for men. It is defined as the inability to obtain a satisfactory erection for sexual activity.

There are many reasons that this can happen, from physical health problems to psychological problems such as stress or relationship issues. Whilst it is more common among men over 65, it can affect men of all ages.

There are various treatments available, from natural supplements and lifestyle advice to some surgical options. In a confidential consultation with one of our specialists, the cause of the problem can be identified and suitable options discussed with each patient.

Vasectomy

Sperm are made inside the tubules of the testes. These tubules join together to form approximately 20 ducts that drain from the testis into the epididymis (the soft area behind the testis); from there the sperm pass to the vas deferens. The vas deferens carries the sperm to the pipe in the penis where they are released during ejaculation.

Vasectomy involves dividing and blocking the vas deferens on each side of the scrotum, just above the testes, with the intent of preventing passage of sperm. The operation is most commonly done under local anaesthetic; this involves an injection into the scrotal skin and around the vas (without sedation). There is no need to fast prior to the procedure. After the operation you will have a stitch on each side of the scrotum that will dissolve on its own, usually within 2 weeks. Semen specimens are required a few weeks after the procedure to ensure sperm are no longer present.