{"id":34421,"date":"2024-07-23T07:01:39","date_gmt":"2024-07-23T07:01:39","guid":{"rendered":"https:\/\/updates-www.mccdn.io\/vitals\/?p=34421"},"modified":"2025-05-02T15:33:54","modified_gmt":"2025-05-02T15:33:54","slug":"your-sexual-health-questions-answered-by-a-urologist","status":"publish","type":"post","link":"https:\/\/updates-www.mccdn.io\/vitals\/your-sexual-health-questions-answered-by-a-urologist\/","title":{"rendered":"Your sexual health questions answered by a urologist","gt_translate_keys":[{"key":"rendered","format":"text"}]},"content":{"rendered":"

Maybe you\u2019ve had this experience \u2014 you\u2019re at a doctor\u2019s appointment and you have a question about your sexual health, but you feel self-conscious so you hesitate to ask.<\/p>\n

Mark Anderson, MD, a board-certified urologist<\/a> at MultiCare Urology Puyallup<\/a>, refers to these as \u201cdoorknob questions.\u201d<\/p>\n

\u201cThey\u2019re often the ones that people wait to ask until the very end of the appointment, when their hand is on the doorknob to leave,\u201d he says. \u201cWe know it can feel embarrassing sometimes, but your sexual health is part of your overall health, so we welcome these questions.\u201d<\/p>\n

Here are answers to six sexual health questions patients commonly ask Dr. Anderson.<\/p>\n

Q: I\u2019m having trouble getting an erection. Is that normal?<\/strong><\/p>\n

Difficulty getting or maintaining an erection \u2014 known as erectile dysfunction (ED) \u2014 is common as you age, particularly if you\u2019re over 50. However, just because ED is common doesn\u2019t mean you should ignore it. It\u2019s important to talk to your doctor or other health care provider about erection difficulties, regardless of your age.<\/p>\n

\u201cThe first thing we do is look at your overall health because the risk factors that lead to erectile dysfunction are the same ones that will shorten your lifespan,\u201d Dr. Anderson says. \u201cOnce we determine what\u2019s causing ED, then we can work toward treating those issues and setting realistic goals for sexual functioning.\u201d<\/p>\n

There are often multiple factors that contribute to ED, from underlying conditions like hypertension, heart disease or diabetes, to side effects from medications. There can also be a psychological component \u2014 depression, anxiety<\/a> and high levels of stress<\/a> can contribute to ED, Dr. Anderson shares. Your lifestyle makes a difference, too.<\/p>\n

\u201cHabits that are good for your overall health, like getting enough quality sleep, exercising regularly and minimizing alcohol use, are also going to support your sexual health,\u201d he says.<\/p>\n

\"call<\/h3>\n

Erectile dysfunction symptoms and treatments<\/h3>\n

Learn more<\/a><\/p>\n


\nQ. Is there a male version of menopause, and do I need testosterone replacement?<\/strong><\/p>\n

As you age, your testosterone levels will naturally fall, but it\u2019s gradual, happening in small increments over the course of decades \u2014 unlike what happens during menopause. While declines in testosterone<\/a> can lead to changes that affect your body, most men don\u2019t need hormone replacement therapy.<\/p>\n

But if you experience symptoms like fatigue, low sex drive or changes in your ability to think and remember, then you should talk to your provider.<\/p>\n

\u201cSometimes lifestyle factors can lead to these symptoms, so it\u2019s important to examine those,\u201d Dr. Anderson says. \u201cWe can also check your testosterone level with a blood test, and if it falls below a certain threshold, we can discuss the risks and benefits of testosterone replacement therapy.\u201d<\/p>\n

Dr. Anderson advises against taking testosterone supplements without first talking to a doctor or other health care provider. Testosterone supplements touted online are not tested or regulated by the U.S. Food and Drug Administration (FDA). They may offer little to no benefit and can also pose risks to your health.<\/p>\n

Q. My penis curves when erect. Should I be worried about it?<\/strong><\/p>\n

A mild degree of curvature can be normal, whether it\u2019s developed over time or you\u2019ve had it your whole life. Sometimes Peyronie\u2019s disease, a condition where scar tissue builds up in the penis, can cause it to bend or curve. This condition can lead to erectile dysfunction, cause pain or interfere with sex.<\/p>\n

\u201cCurvature in the penis doesn\u2019t need to be treated unless it\u2019s causing a problem for you or your sexual partner,\u201d Dr. Anderson says. \u201cIf that\u2019s the case, then we can evaluate your situation. Sometimes the curvature may resolve or settle on its own, and in other cases treatment may be necessary.\u201d<\/p>\n

Common treatments for Peyronie\u2019s disease include injectable medication or surgery.<\/p>\n

Q. I feel something weird in my scrotum. What\u2019s normal to feel down there?<\/strong><\/p>\n

The scrotum is the sac that houses and protects your testicles. Any bumps you feel are most likely part of your normal anatomy or cysts \u2014 benign growths that can contain fluid or other tissue.<\/p>\n

However, lumps or bumps can also be a sign of testicular cancer<\/a>, particularly if the mass grows quickly over the course of a few months.<\/p>\n

\u201cIf you notice something new or different that persists, or if you\u2019re experiencing pain or swelling in your groin area, then it\u2019s best to get it checked out,\u201d Dr. Anderson says. \u201cTesticular cancer is rare but can be treated and, in some cases, even cured.\u201d<\/p>\n

Q. How do I know if my semen is normal?<\/strong><\/p>\n

Semen is typically whitish-gray and thick, but its consistency and shade can vary across individuals. The only time you should be concerned is if there is blood in your semen.<\/p>\n

\u201cWhile this can be alarming, it typically doesn\u2019t indicate a serious problem,\u201d Dr. Anderson says. \u201cIt can be a sign of a prostate condition or an infection, so you should still make an appointment with your doctor to have it looked at.\u201d<\/p>\n

Q: My partner and I aren\u2019t having luck getting pregnant. Should I get my fertility tested?<\/strong><\/p>\n

If you and your partner have been actively trying to conceive for at least a year without success, then it may be time to seek a urologist for an evaluation.<\/p>\n

\u201cOften the focus is on women, at least initially, in these situations,\u201d Dr. Anderson says. \u201cBut men need to have a thorough workup, too.\u201d<\/p>\n

During an evaluation, your provider will review your medical history, perform a physical exam and order a semen analysis to examine the volume and quality of your sperm.<\/p>\n

As with sexual health, lifestyle factors can also affect fertility. Maintaining a healthy weight, living an active lifestyle, eating a nutritious diet and avoiding substances like tobacco and marijuana can support sperm health.<\/p>\n","protected":false,"gt_translate_keys":[{"key":"rendered","format":"html"}]},"excerpt":{"rendered":"

Maybe you\u2019ve had this experience \u2014 you\u2019re at a doctor\u2019s appointment and you have a question about your sexual health, but you feel self-conscious so you hesitate to ask. Mark Anderson, MD, a board-certified urologist at MultiCare Urology Puyallup, refers to these as \u201cdoorknob questions.\u201d \u201cThey\u2019re often the ones that people wait to ask until […]<\/p>\n","protected":false,"gt_translate_keys":[{"key":"rendered","format":"html"}]},"author":367,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[127,71],"tags":[],"class_list":["post-34421","post","type-post","status-publish","format-standard","hentry","category-healthy-living","category-mens-health"],"acf":[],"yoast_head":"\nYour sexual health questions answered by a urologist - MultiCare Vitals<\/title>\n<meta name=\"description\" content=\"Your sexual health is part of your overall health. 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