THE ROLE OF MALE SEXUAL PROBLEMS IN INFERTILITY

This can be described on the basis of the three phases of sexual responses:

Impaired Libido

Loss of interest in sex is less often complained by men than by women. The consequent difficulties in arousal or ejaculation are more commonly the presenting complaints in men.

Erectile (Arousal) Impotence

The condition results from a failure of the erectile reflex so that vaso-congestion of the penile cavemous sinus does not occur. This is most common disorder presented by males at sexual dysfunction clinics (Bancroft and Cole, 1976; Hawton, 1982). Erectile impotent males are generally older than males with ejaculatory problems. Erectile dysfunction can be primary or secondary.

Primary causes include learning failures, religious conflicts causing fear of sexual expression and interrupted early sexual encounters. Secondary causes are common and can be physical due to fatigue, debility, endocrine (diabetes), neurological (multiple sclerosis) and drugs such as oestrogen for prostrate cancer therapy. Secondary causes can also be psychological i.e endogenous depression and marital discord.

Orgasmic Dysfunction

Premature ejaculation: Although, there is no rule as to how long a man should be able to continue coitus without ejaculation, doing so before vaginal penetration is clearly premature. It occurs typically in young males, extremely common and probably always due to psychological factors.

Retarded ejaculation: Inability to ejaculate or difficulty in doing so is relatively uncommon. It typically occurs in inhibited men. The disorder varies from ejaculating only with masturbation, while in others it is total as they are also unable to ejaculate through masturbation. Hypotensives and anti-depressants may predispose to this problem

The contribution of male factor in sub-fertility appears to be on the increase. In line with this, scientific research and improvements in our understanding of this trend will help to improve management of modalities. The Hope Valley Fertility Clinic, being at the forefront of infertility management in Nigeria, actively monitors ongoing research world-wide. This, no doubt, has contributed not only to our ability to disseminate current infertility related information but also has assisted us to continually improve our management technique.

The Hope Valley Fertility Clinic is run by the best fertility specialist in Nigeria known as Dr. Michael Ogunkoya (08033069466). He was trained in the best medical schools in USA, London and Wales. Feel free to visit us:

THE HOPE VALLEY FERTILITY CLINIC

Plot 31, Block 113, Gbemileke Akinsonwon Street, Opposite Treasure Garden, 3rd or Ikate Roundabout, Lekki Phase 1, Lagos-Epe express Way, Lagos
08033069466