Author: Dr. Albert A. S​, Senior Consultant – Urology

Introduction

In today’s fast-paced lifestyle, male sexual dysfunction and male infertility are becoming increasingly common. According to experts, these conditions often contribute to rising divorce rates and marital challenges.

While women in the younger generation are becoming more aware of these issues, many men still hesitate to seek medical help. The good news is that modern medical advancements now offer highly effective treatments for both sexual dysfunction and infertility.

If you are looking for the best urologist in Kottayam or need expert advice from a reputed urology doctor in Kottayam, Caritas Hospital’s Urology Department in Kottayam provides comprehensive evaluation and treatment for all urological and sexual health problems.

Common Causes of Male Sexual Dysfunction and Infertility

Several lifestyle and health factors can lead to reduced sexual performance and infertility in men:

• Obesity
• Lack of physical activity
• Excessive junk food consumption
• Smoking and alcohol consumption
• Sedentary jobs (like software and desk work)
• High sugar and salt intake
• Mental stress – work, family, and lifestyle pressures
• Early-onset diabetes
• Early-onset hypertension
• Dyslipidemia (imbalance in blood lipids)

These factors can reduce sexual performance and fertility in men.

Sexual Dysfunction in Men

Male sexual dysfunction generally involves two main conditions:

1. Erectile Dysfunction (ED) – Difficulty Achieving or Maintaining an Erection
   
   This condition is most common after 45 years of age. Common causes include:
   • Androgen Deficiency in Aging Male (ADAM) – reduced testosterone
   • Diabetes and hypertension
   • High cholesterol
   • Certain medications (antipsychotics, antihypertensives, prostate drugs)
2. In younger men, ED may occur due to:
   • Psychological factors
   • Sedentary lifestyle
   • Obesity and metabolic syndrome
   • Work-related and relationship stress
3. Hypogonadism
   This occurs when testosterone levels are abnormally low. Hormone therapy may be necessary for men showing delayed sexual development or symptoms of testosterone deficiency.
4. Ejaculatory Dysfunction
   • Premature Ejaculation – ejaculating too early
   • Retrograde Ejaculation – semen enters the bladder instead of exiting
   • Anejaculation – absence of ejaculation
     Though less common than ED, these are treatable with proper medical intervention from a urologist in Kottayam.

Treatment Options for Erectile Dysfunction 

Effective management of erectile dysfunction includes:

• Controlling underlying diseases like diabetes and hypertension
• Regular physical activity and lifestyle changes
• L-arginine and other supplements to improve circulation
• Medications (under a doctor’s supervision):
  1. Sildenafil (Viagra)
  2. Tadalafil
  3. Avanafil
• Penile Prosthesis Implantation in non-responsive cases

• Caritas Hospital’s Urology Department in Kottayam offers specialized care for men experiencing these conditions, ensuring privacy, comfort, and advanced treatment options.

Male Infertility

Definition: Infertility is diagnosed when a couple fails to conceive after six months of regular, unprotected intercourse. The evaluation usually begins with the male partner.

Diagnostic Tests 

• Semen analysis
• Testicular ultrasound
• Hormonal tests (FSH, LH, TSH, Prolactin)

If all results are normal, the female partner is then evaluated.

Treatment for Male Infertility

• Nearly 96% of infertility cases are treatable.
• Minor surgical procedures like Varicocelectomy (testicular vein ligation) may be required.
• Managing underlying health conditions and improving lifestyle habits significantly boosts fertility outcomes.

If you are searching for the best urologist in Kottayam to address infertility concerns, Dr. Albert A. S and the team at Caritas Hospital provide advanced diagnostic and treatment options tailored to each individual.

Prevention and Lifestyle Tips

• Maintain a healthy weight
• Exercise regularly
• Eat a balanced diet rich in fruits and vegetables
• Avoid smoking and limit alcohol
• Manage stress effectively
• Keep diabetes, hypertension, and cholesterol under control

Conclusion

Male sexual dysfunction and infertility are common but treatable conditions. With timely diagnosis and the right medical guidance from an experienced urology doctor in Kottayam, most men can regain their sexual health and fertility.

For expert consultation and comprehensive care, visit Dr. Albert A. S, Senior Consultant – Urology, at Caritas Hospital’s Urology Department in Kottayam, widely recognized as one of the best centers for men’s health and urological care.