Uro-Andrology Specialist Prof. Dr. Halim Hattat states that there may be problems such as loss of performance, decrease in sexual desire, prostate enlargement, low motivation in middle-aged men and said, “People think that they are the only ones experiencing these problems and do not apply to a specialist. But all of them have treatment, you should definitely go to a doctor,” he said.
“LOSS OF PERFORMANCE STARTS”
Noting that appropriate treatments are applied to people, Prof. Dr. Calligrapher said, “As people’s complaints increase, they continue their lives without telling anyone, without consulting a doctor. In this way, they can distance themselves from their partners and sexuality. As a matter of fact, a natural slowdown in sexual functions starts from the age of 30, before reaching middle age. There is a change in the veins, nerves and muscles of the penis, that is, in the local tissue in the genital area. This impairs its ability to achieve and maintain an erection. Especially in men who eat unhealthy, have weight problems, do not exercise, consume excessive alcohol, and smoke, penile tissue is even more adversely affected. This effect is exacerbated in those with risk factors such as diabetes, high blood pressure, high cholesterol, and nervous system problems. Thus, in middle age, the problem of hardening in the organic sense arises. Problems such as not being able to achieve an erection, not being able to maintain an erection, and the penis not being as fit as before in case of erection occur. In such problems, a full organic examination is made and the ones suitable for you are selected from the recommended treatments for erectile dysfunction. For this purpose, new treatments such as pills, injections and penile iron can be applied.
“SEXUAL WISH AND MOTIVATION LOWERS”
Stating that another change that has occurred since the age of 30 is related to the testosterone hormone, Prof. Dr. Hattat said, “Testosterone, known as the male hormone, decreases at a rate that will give clinical symptoms when it comes to middle age. The most important symptom of this is the complaint of sexual reluctance. In addition, side complaints such as decrease in general sexual appetite and arousal, fatigue, weakness, weight gain, bone weakness are also seen. The frequency and quality of morning stiffness decreases. Sexual responses to visual stimuli decrease. In the past, sexual urges could be triggered by even a thought, but now more tactile stimuli are needed. In this case, testosterone deficiency is detected with a simple blood test. According to the severity of testosterone deficiency, hormone treatments can be used.
“A DIFFERENT INCREASE CAN BE GIVEN”
Stating that changes in the local tissue of the penis and testosterone can trigger premature ejaculation in middle-aged men, Assoc. Dr. Calligrapher said, “Even though premature ejaculation is a long-standing complaint, it can be a problem that has been delayed by getting erection several times a night before. When erection deteriorates in middle age, premature ejaculation gains priority this time. Again, men who have difficulty in achieving an erection can make it a habit to ejaculate prematurely in order not to lose their hardness. Such a situation does not give the time they need, especially for spouses who are aroused later than men and need more extensive stimulation to orgasm. There are many treatment options that we can apply today in premature ejaculation. A noticeable increase in ejaculation time can be achieved with drug treatments, local support to the penis, and homework that will facilitate ejaculation control.
“CURVACY CAN DEVELOP THE PENIST”
Saying that many men will begin to experience penile curvature from the age of 40, Prof. Dr. Halim Hattat, “Even though genetic factors are effective, penile curvature becomes more common in diabetes or compulsive sexual relationships. The biggest problem in curvature is experienced at the time of hardening. The curvature of the penis during the erection process can cause difficulty and pain in sexual intercourse. Over time, the hardening also deteriorates. In addition to drug treatments for Peyronie’s (penile curvature), some special penile injections and penile iron can be used. In very advanced cases, surgical operation is needed,” he said.
“EVERY MAN GROWS THE PROSTATE”
Stating that every man in his forties will begin to have a benign growth in the prostate tissue, Prof. Dr. Calligrapher said, “By the age of 60, prostate enlargement is seen in 60 percent of men. Unlike cancer, this is a benign growth. This growth causes urinary tract obstruction in one-third of men, requiring treatment. Complaints such as intermittent urination, difficulty urinating, and getting up to urinate at night are seen frequently. Urinary complaints also negatively affect sexual life. For this reason, it is beneficial to have a prostate check-up in middle ages. It is necessary to follow prostate enlargement with PSA (prostate specific antigen) and examination results, and with methods such as ultrasound when needed. Thus, it is easier to diagnose a possible prostate cancer in the future.”