Article 18: The Influence of Peyronie's Disease, Vasectomy, and Male Contraception
Can Peyronie's disease cause erectile dysfunction?
Peyronie's disease is a fibrous, indurated disorder of the penis, also known as penile nodular disease.
Cavernous body inflammation, chronic cavernous body inflammation, or nodular penis, etc. Clinical manifestations include a single lesion on the dorsal side of the penis.
Characterized by one or more cord-like indurations, accompanied by penile pain, erectile pain, and penile curvature towards the induration.
Curvature. This disease is more common in middle-aged and elderly people. It has a slow onset and is often discovered incidentally, or felt during sexual intercourse.
It may draw attention due to severe pain or difficulty with intercourse. This disease can cause sexual dysfunction, such as erectile dysfunction.
Pain, erectile dysfunction, or impotence can affect sexual life, but generally have no other adverse consequences. Specific symptoms are as follows:
(1) Local induration: Indurations are mostly located on the dorsal side of the penis, ranging in size from as small as a grain of rice to larger ones that may involve other areas.
The entire dorsal surface of the penis is round, cord-like, or patchy in shape, hard in texture, and immobile.
The subcutaneous tissue and subcutaneous tissues are not affected.
(2) Erectile pain: caused by the stretching of fibrous tissue during erection, this condition occurs in about 50% of patients.
(3) Erectile curvature: In most patients, the induration is located on the dorsal side of the penis, affected by fibrous tissue hyperplasia.
It can cause erectile dysfunction, affecting sexual life.
(4) Dyspareunia: Dyspareunia may occur due to erectile pain and erectile curvature. Local factors
If the nodules are too large, they can restrict blood supply to the corpora cavernosa, leading to weak erections and causing difficulty in sexual intercourse.
In severe cases, this can lead to impotence.
Does vasectomy alter male sexual function?
As we all know, normal males continuously produce sperm and secrete male hormones through their testes. Sperm...
It matures within the epididymis and is stored in the tail of the epididymis; male hormones promote the development of male reproductive organs and
Stimulating normal sexual function. Vasectomy only blocks the passage of sperm in men and does not affect...
Vasectomy does not affect testicular reproductive function, nor does it interfere with testicular hormone secretion. Therefore, vasectomy does not affect the testicles.
It has no direct impact on the endocrine system or sexual activity.
It is undeniable that occasionally, some individuals may experience changes in sexual function after vasectomy.
Changes require specific analysis in these situations. The reasons for these changes generally fall into the following categories:
(1) It is completely unrelated to the ligation procedure itself, but is due to aging or the influence of certain diseases.
Therefore, this leads to changes in sexual function. These changes are temporary; they will return to normal once the primary disease or cause is treated.
After treatment, sexual function can gradually recover.
(2) Related to complications of ligation, such as the formation of a hard lump at the ligation site in some patients, or postpartum complications.
Granuloma of spermatogenesis causes discomfort and tenderness during sexual intercourse, leading to significant psychological burden and gradually increasing sexual anxiety.
Changes in functionality.
(3) The vast majority of cases are caused by psychological factors. Some doctors do not adequately explain the situation to the patient before surgery.
The patient explained this clearly, and therefore began to doubt her secondary sexual characteristics and sexual function after the surgery, feeling as if she had been castrated.
The guilt associated with vasectomy stems from the fear that it might affect future sex life; sometimes, the woman also feels guilty towards her husband about the procedure.
Questions arise about whether or not one's sexual needs can be met after the procedure, thus disrupting harmony in the couple's sex life.
The atmosphere can lead to psychogenic sexual dysfunction.
Can improper use of male contraception cause diseases?
With the implementation of family planning policies, male contraceptive methods are being increasingly promoted. However, some...
Common male contraceptive methods, if used improperly, can also cause some diseases.
When using condoms, hygiene should be observed. A condom should be used no more than once or twice.
Excessive use, especially after use, requires thorough cleaning and proper storage to prevent balanitis and posthitis caused by uncleanliness. Contraception.
Choose a condom of the correct size. Frequent use of condoms that are too tight can easily cause itching and stinging of the glans penis.
Phimosis or redundant foreskin can occasionally lead to paraphimosis. Additionally, some men may experience problems with condom material.
If the talcum powder applied to the penis triggers an allergic reaction, the glans penis may become red, painful, or ulcerated and oozing.
After one instance, condoms should be discontinued and other methods of contraception should be used. Otherwise, the glans penis may repeatedly swell.
The diseased state can even induce penile tumors.
Withdrawal method: This is generally used only occasionally when no other contraceptive measures are in place.
This method cannot be used consistently because the sudden movement of the penis just before ejaculation...
The procedure of withdrawing the penis from the woman's vagina needs to be done properly. On the one hand, it can cause a high level of mental tension, and on the other hand...
Since the man is afraid of ejaculating inside the woman, the sexual activity is somewhat affected by his mental tension.
This method can lead to sexual dysfunction, so long-term use of it can easily cause impotence, premature ejaculation, or even anejaculation.
Energy barrier.
Urethral compression method: This should only be used occasionally, as it involves manually compressing the urethra during ejaculation.
If semen is ejaculated without an outlet, it may flow backward into the bladder, potentially causing urinary tract infections.
In addition, there will be discomfort in the urethra, and burning pain during urination.
Using contraceptive films containing alkylbenzeneoxypolyethoxyethanol and other similar ingredients for birth control, some men...
Upon contact, an allergic reaction may occur on the glans penis, manifesting as tingling or swelling of the glans penis and foreskin.
If you experience itching, stinging, or redness, you should consider using other birth control methods.
Male oral contraceptives are not yet widely used, but there are frequent cases of people trying gossypol for contraception.
It's not uncommon, but the method of administration is quite complex, and the dosage must be strictly controlled. Improper use, or individual cases...
Even with regular medication, middle-aged people may sometimes experience nausea, loss of appetite, fatigue, or hypokalemia and muscle weakness.
Phenomena such as force.
The application of new contraceptive technologies such as thermotherapy, microwave contraception, and ultrasound contraception aims to increase...
To prevent sperm production, the temperature of the scrotum and testicles needs to be increased to around 42°C.
Improper use or excessively high temperatures may result in burns.