Sexual Dysfunction

Male sexual dysfunction is a general term that includes a variety of problems, such as:

difficulty achieving an adequate erection
difficulty maintaining an adequate erection
low sexual desire
rapid ejaculation
difficulty achieving orgasm
physical changes or deformities of the penis with erection

All of these conditions can greatly affect a man’s sense of confidence and his ability to enjoy his sexual life. These are important issues, and at Men’s Health Boston we treat sexual dysfunction very seriously. There is a variety of treatments now available for these problems, most of which can be successful. Men’s Health Boston men with sexual dysfunction receive a comprehensive evaluation which includes a history and physical examination, and any tests that are indicated. This evaluation provides information regarding the treatment that best suits the causes of this problem and will lead to satisfying results.


Erectile Disfunction Erectile Dysfunction (ED) is the inability to achieve and sustain an erection adequate for sexual intercourse. ED affects millions of men in the U.S and world-wide. There are many risk factors associated with ED such as diabetes mellitus (DM), heart and vascular disease, radical pelvic surgery and other chronic illnesses. At Men’s Health Boston, men with ED receive a comprehensive evaluation which includes a history and physical examination, laboratory tests, and specialized diagnostic tests that provide information regarding the nerves and blood supply to the penis. We have a wide variety of treatments available for men with ED, and can help the vast majority of men who wish to regain their ability to have satisfying sex. IIEF (International Index of Erectile Function) Questionnaire
Penile Prosthesis (Implant)
The penile prosthesis (“implant”) is a highly effective and satisfying treatment option for men with ED or Peyronie’s disease. This option is usually reserved for men for whom medical therapies have failed or who are not satisfied with other treatment modalities. The most common implant is an inflatable device that is placed inside the two erection chambers of the penis, with a pump placed inside the scrotum. When the man desires an erection, he finds and squeezes the pump. Fluid is transferred to the cylinders in the penis and the penis becomes erect. After sex, the penis is deflated. The surgical procedure takes less than two hours. Men can stay overnight in the hospital or go home the same day, if they prefer. Most men are surprised at how natural the penis looks and feels after placement of a penile prosthesis. Candidates include men after treatment for prostate cancer, men with diabetes, or any man with erection problems who is not satisfied with other treatments. Physicians at Men’s Health Boston have extensive experience with penile prosthesis surgery, and we have published our results in several medical journals. Satisfaction rates are very high, for men, and for their partners.
Peyronie’s Disease Peyronie’s Disease causes a number of troubling symptoms for men, including painful erection and penile curvature. It is caused by scar tissue of the tunica albuginea, which is the lining of the penile chambers involved in creating an erection. In some men the scar tissue (“plaque”) develops after an injury to the penis, such as severe bending of the penis during sex. However, most men with Peyronie’s Disease do not recall any such traumatic event. The cause in these men is unknown, but it is believed that genetic factors may predispose some men to Peyronie’s Disease. Men with Peyronie’s Disease are often very troubled psychologically by their condition. A variety of treatments are available. Pills and creams are often prescribed, but studies have not shown these to be consistently effective. The most effective treatments are surgery and injection of medications into the plaque itself. Men’s Health Boston has extensive experience and expertise in the treatment of Peyronie’s Disease. Many men can be successfully treated without surgery.