Men's Sexual Health
Men’s sexual health is about so much more than simple intimacy—it's a pillar of overall physical and emotional well-being. At the Center for Male Reproductive Medicine & Vasectomy Reversal, our approach is comprehensive, compassionate, and steeped in decades of specialized medical expertise.
Men’s Sexual Health at the Center for Male Reproductive Medicine & Vasectomy Reversal
With over 20,000 successful procedures, numerous professional accolades, and a strong record of clinical research and innovation, our team is at the forefront of evidence-based, results-driven men's healthcare. Our commitment to strict clinical standards and personalized attention underscores our dedication to earning and maintaining patient trust and excellence at every step. Book a consultation with us today if you're ready to experience a renewed sense of confidence, intimacy, and overall well-being.
A Holistic Perspective on Sexual Health
While many people associate men’s sexual health strictly with performance or libido, the reality is that it intersects with nearly every aspect of a man’s life. By taking a holistic view of our patients, we look at diet, exercise, emotional well-being, overall lifestyle, and the specific medical factors influencing sexual health.
Common Concerns in Men’s Sexual Health
Erectile Dysfunction (ED)
- ED is more common than many men realize and can stem from vascular issues, hormonal imbalances, stress, or other underlying conditions
- In many cases, it’s the result of restricted blood flow caused by problems like high cholesterol, diabetes, or hypertension
- Certain medications and lifestyle factors—such as smoking, obesity, or a sedentary routine—may also contribute
- Beyond the physical components, ED sometimes involves a psychological aspect, with anxiety and depression exacerbating the condition
- Recognizing both medical and emotional triggers is crucial for developing an effective, customized treatment plan that can restore confidence and intimacy
Low Libido
- Decreased sexual drive can be related to low testosterone levels, depression, stress, or even certain medications
- In some men, chronic stress at work or in personal life can dull sexual interest over time, while others may experience dips in libido due to hormonal fluctuations or imbalances
- Additionally, mental health conditions like anxiety and depression can lessen sexual desire
- Identifying the root cause—whether a physical factor like thyroid dysfunction or an emotional component like relationship strain—is key to formulating a targeted therapy that often includes hormone optimization, lifestyle changes, or counseling
Fertility Challenges
- Male infertility accounts for about half of infertility cases when couples struggle to conceive
- Factors like low sperm count, reduced sperm motility, or structural blockages within the reproductive tract can underlie these challenges
- At the Center for Male Reproductive Medicine & Vasectomy Reversal, our use of advanced diagnostics—such as hormonal assays, semen analyses, and imaging tests—helps us pinpoint the exact cause
- From microsurgical sperm retrieval to in-office procedures like MESA (Microsurgical Epididymal Sperm Aspiration), we offer cutting-edge solutions that can address even the most complex infertility scenarios
- With a comprehensive approach, we help couples pursue their dreams of parenthood with renewed hope and high success rates
Premature Ejaculation
- Often tied to psychological factors, hormonal imbalances, or nerve sensitivity, premature ejaculation can affect intimacy and a man’s self-confidence
- Stress or performance anxiety can create a cycle of worry that exacerbates the issue, while certain neurotransmitter imbalances may also play a role
- Treatment options range from specialized behavioral techniques and counseling to address psychological triggers to localized therapies or prescription medications that help manage sensitivity
- By tackling the underlying contributors—whether physical, psychological, or both—men can often find lasting relief and a more satisfying, stable sexual experience
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Comprehensive Diagnostic Evaluations
Because a range of interlinked factors can influence men’s sexual health, our diagnostic process is both broad in scope and carefully tailored:
- Medical History and Lifestyle Review: Understanding stress levels, diet, and exercise habits helps us see the bigger picture.
- Hormonal Testing: Testosterone, estrogen balance, thyroid function, and other hormonal markers can reveal hidden imbalances that contribute to low libido or erectile difficulties.
- Semen Analysis (When Relevant): When fertility is a concern, analyzing sperm count, motility, and morphology can clarify the underlying issues and guide an effective action plan.
- Physical Examination: This may include an assessment for varicoceles (enlarged veins in the scrotum), prostate irregularities, or other potential contributors to sexual dysfunction.
Treatment Options and Tailored Therapies
There is no one-size-fits-all solution to men’s sexual health. Depending on the diagnosis, treatment could involve:
Hormone Optimization
If low testosterone or other hormonal imbalances are identified, hormone replacement therapy or focused medication protocols can correct levels and enhance sexual performance and desire.
Lifestyle Modifications
Small but powerful changes, such as improving diet, exercising regularly, and reducing stress through mindfulness or counseling, can impact sexual function.
Medications
Oral medications for erectile dysfunction, along with specific off-label prescriptions, can significantly improve sexual function and confidence.
Microsurgery or Interventional Procedures
If a structural issue like a varicocele or blockage is identified, surgical repair can address the root of the problem. In cases of male infertility, advanced techniques such as micro TESE (Microsurgical Testicular Sperm Extraction) or MESA (Microsurgical Epididymal Sperm Aspiration) can help retrieve viable sperm to achieve pregnancy via IVF.
Why Choose the Center for Male Reproductive Medicine & Vasectomy Reversal for Optimizing Men’s Sexual Health?
At the Center for Male Reproductive Medicine & Vasectomy Reversal, our mission is to provide exceptional outcomes through safe methods in a compassionate environment.
Our skilled team, led by Dr. Werthman, specializes in men's sexual and reproductive health. We prioritize ongoing education and employ advanced technology, including state-of-the-art microscopes, to deliver personalized care.
We adhere to the highest ethical standards from organizations like the American Urological Association and the American Society for Reproductive Medicine, ensuring transparency and open discussions about treatment risks and expectations.
If you're looking for expert care tailored to your needs, schedule a consultation with us today. We’re here to help you achieve improved sexual health and renewed vitality.

FAQ
What role does age play in men’s sexual health?
As men age, it's normal for hormone levels to decline, but a significant drop in sexual function isn't inevitable. Many men stay sexually active well into later years. If you experience ongoing issues with erections or libido, it could indicate an underlying health problem rather than just aging. Consulting a professional can help determine whether it's a natural change or a treatable condition.
Are over-the-counter supplements effective for boosting men’s sexual performance?
Although some supplements market themselves as libido boosters or ED remedies, their efficacy and safety are not always backed by robust clinical evidence. In addition, certain unregulated supplements can interact with prescription medications or contain hidden substances. We recommend speaking with a qualified healthcare provider before starting any supplement regimen. Often, targeted lifestyle changes or medical interventions are more reliable pathways to improved sexual function.
How long does it typically take to see improvements from hormone replacement therapy or lifestyle modifications?
Results vary by patient. Some men may notice improved energy, mood, or libido within weeks of starting hormone replacement therapy. Lifestyle changes like diet and exercise may take longer but provide lasting benefits for sexual health and overall well-being. Consistency and follow-up are essential.
Is it possible to have a vasectomy without affecting my sexual drive or performance?
Yes. A vasectomy involves cutting or sealing the tubes that carry sperm; it does not change testosterone levels or blood flow to the penis. Most men experience no impact on sexual desire, performance, or orgasm. If you have specific concerns about the procedure’s potential effects on your sexual health, a consultation can clarify what to expect based on your unique medical history.
What should I do if standard ED medications aren’t working for me?
Several strategies are worth considering, such as adjusting medication dosages, combining therapies, or addressing performance anxiety. If oral medications are ineffective, options like penile injections, vacuum devices, or implant surgery may be explored. A re-evaluation can help identify issues with current treatments and lead to a more personalized approach.

Schedule Your Consultation Today
Schedule a private consultation Dr. Phillip Werthman to learn about your sexual health options and get all of your questions answered.
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