I have developed my professional work in Urology for many years and my experience in Sexual Medicine has been the product of more than thirty years, in which I have dedicated myself to attending patients, to training as a researcher, to my Doctoral Thesis and to writing a few books. I am grateful to Top Doctors for the opportunity to present my reflections in case they could be of help to anyone.
Sexual Medicine has been established in Europe for many years and aims to offer solutions to men suffering from disorders of both sexual desire and sexual performance, in the areas of sexual potency, penile deformities, sexual pleasure and semen emission, fertility and male contraception.
In these problems, the causes are sometimes physical, sometimes chemical (hormonal or metabolic) and sometimes psychological. In many cases, in addition to a physical cause, there is often a psychological factor due to the loss of confidence that the response is adequate, so that the patient presents a mixed cause of his sexual problem. We treat men, then. Men with problems in some part of their sexuality, or in several parts, but men who want to solve these problems, or at least try to do so. These men have a relationship with their partners that is not only sexual but also interpersonal. This may also be the origin of some of the problems. And in addition, that partner has his own sexuality, in which there may be problems that affect our patient. So it is a set of considerations that we must address when we approach a patient who tells us that he or she has a problem in his or her sexual life.
Twenty-first century Sexual Medicine offers good results in most disorders, especially those of physical or organic origin. Psychological problems should be sought and treated if they appear and when it is the behavior in relation to sexuality that is altered, we start a sexual therapy, sometimes supported by medical or physical therapies, resorting to physiotherapy.
It so happens that disorders in the sexual sphere are often “the tip of the iceberg” and indicate that there is a problem in the body, in all or part of it, which warns us through this disorder. We often find diseases that were not known in patients who consult for disorders of their sexual function. Thus, sexual problems behave as a marker of health, and we can say that sexual health is integral health.
I hope to have other opportunities to explain some of these disorders, with a desire to spread them, using clear words that are well understood, so that whoever comes to this platform can find help if they need it.
With my best wishes for your health,
Francisco Juarez del Dago
Doctor of Medicine