WhatsAppHolistic Care in Male and Female Sexual Health
The Academic Hospital Sexual Dysfunction Treatment Center assesses sexual function problems seen in both men and women in their hormonal, vascular, neurological and psychosexual dimensions. Specialists in andrology, gynecology, psychiatry and clinical psychology work together in the unit to carry out a holistic diagnostic and treatment process. All consultations take place in complete confidentiality; examination and treatment information is not shared with third parties without the patient's consent.
Contents
What Is Sexual Dysfunction?
Sexual dysfunction is the general name for problems experienced during sexual desire, arousal, orgasm or intercourse that adversely affect the quality of life of the individual or the couple. The origin of the problem may be physical (hormonal, vascular, neurological), psychological (anxiety, depression, trauma) or a combination of these two components. Each case is assessed in its own specific context; instead of a standardized treatment protocol, an individual plan is drawn up.
Which Symptoms and Conditions Are Addressed?
A broad range of conditions affecting both men and women is assessed at the center:
In men:
- Erectile dysfunction (inability to achieve or maintain an erection)
- Premature ejaculation
- Delayed ejaculation or retrograde ejaculation
- Reduced libido; low sexual desire due to hypogonadism (testosterone deficiency)
- Peyronie disease: abnormal curvature of the penis and painful erection
- Sexual function problems developing after diabetes, hypertension, prostate surgery or neurological disease
In women:
- Hypoactive sexual desire disorder: a marked decrease in sexual desire and fantasies
- Difficulty with sexual arousal: insufficient lubrication and impaired genital blood flow
- Orgasmic disorder (anorgasmia): inability to reach orgasm despite adequate stimulation
- Dyspareunia: pain during or after intercourse
- Vaginismus: involuntary contraction of the vaginal muscles preventing penetration
- Vulvovaginal atrophy: vaginal dryness and pain due to the decrease in estrogen after menopause
- Sexual problems linked to hormonal disorders (thyroid, prolactin, estrogen)
When Should You Consult a Doctor?
The following situations require medical assessment:
- Sexual function difficulty lasting longer than six weeks that affects the relationship or quality of life
- Fatigue, weight change or mood disturbance accompanying low sexual desire, which may suggest a hormonal cause
- Situations in which an erection cannot be achieved at all, or cannot be maintained long enough for intercourse
- Contraction or pain preventing vaginal penetration at every sexual attempt
- Pain or abnormal discharge in men during or after intercourse
- Sexual problems developing after underlying conditions such as diabetes, cardiovascular disease or prostate surgery
- Performance anxiety that seriously affects relationship life or self-confidence
Diagnostic and Assessment Methods
Diagnosis begins with a detailed medical history and physical examination; the necessary tests are then planned:
| Method | What is assessed |
|---|---|
| Testosterone (total and free), FSH, LH, prolactin, thyroid hormones and cortisol; investigates the hormonal basis of libido and erection problems | |
| Measures penile blood flow; establishes the diagnosis of arterial insufficiency and venous leak | |
| Assessment of spontaneous night-time erections; clarifies the distinction between organic and psychogenic origin | |
| Glucose, HbA1c and lipid profile; assessed bearing in mind that erectile dysfunction may be a marker of cardiovascular risk | |
| A structured clinical interview exploring relationship dynamics, history of trauma, and symptoms of anxiety and depression | |
| Systematic assessment of the domains of sexual function in female patients using a standardized scale | |
| Assessment of vulvovaginal atrophy, vaginal tone and the condition of the pelvic floor |
Treatment Approaches
The treatment plan is individualized according to the origin of the problem and the patient's preferences:
| Treatment | Scope and application |
|---|---|
| First-line drug treatment in erectile dysfunction; offers high efficacy and a favorable safety profile in patients without cardiovascular risk | |
| Applied in injection, gel or skin patch form once hypogonadism is confirmed; used in men and, where necessary, in women at a low dose | |
| Extracorporeal shock waves applied to penile tissue in erectile dysfunction of vascular origin; stimulates the formation of new blood vessels | |
| A permanent solution in advanced organic erectile dysfunction that does not respond to any medical treatment; malleable or inflatable implant options are available | |
| Local or systemic estrogen in menopause-related vulvovaginal atrophy and low sexual desire; low-dose testosterone where necessary | |
| Pelvic floor exercises and graded dilator applications with a specialist physiotherapist in vaginismus and dyspareunia | |
| Cognitive behavioral therapy in performance anxiety, vaginismus, anorgasmia and couple relationship problems; conducted as couple therapy where necessary | |
| A combination of behavioral techniques (stop-start and squeeze methods), topical agents and pharmacological support | |
| Collagenase injection or drug treatment in the conservative phase; corrective surgery in advanced cases |
Appointments for the Academic Hospital Sexual Dysfunction Treatment Center: 444 0 353
Book an AppointmentTreatment of Sexual Dysfunctions at Academic Hospital
The Academic Hospital Sexual Dysfunction Treatment Center carries out hormone testing, penile color Doppler ultrasonography, gynecological assessment, psychosexual interviews and treatment follow-up under one roof. The center works routinely with the following departments:
- Andrology: diagnosis, medical treatment and planning of surgical options in male sexual health
- Urology: management of erectile dysfunction, Peyronie disease and penile prosthesis surgery
- Gynecology and Obstetrics: gynecological examination and assessment of dyspareunia and vaginismus
- Endocrinology and Metabolic Diseases: management of hormonal causes related to hypogonadism, thyroid and prolactin
- Psychiatry: pharmacological treatment planning in accompanying depression and anxiety disorder
- Psychology: psychosexual therapy, cognitive behavioral therapy and couple therapy sessions
- Physical Medicine and Rehabilitation: delivery of pelvic floor rehabilitation and the graded dilator program
Frequently Asked Questions
Answers to the questions most frequently asked about the Sexual Dysfunction Treatment Center are given below.
References
The general information given on this page about the diagnostic methods and treatment options for sexual dysfunction is supported by the reliable health sources listed below.
- American Urological Association, "Erectile Dysfunction: Diagnosis and Treatment Guideline", auanet.org
- International Society for Sexual Medicine, "What Are the Types of Female Sexual Dysfunction?", issm.info
- Mayo Clinic, "Female Sexual Dysfunction: Symptoms and Causes", mayoclinic.org
- PubMed Central, "Management of Male Sexual Dysfunction: A Review", ncbi.nlm.nih.gov
The information on this page is for informational purposes only; it does not replace medical examination, diagnosis or treatment. Please consult a healthcare institution regarding your complaints.
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