If you don't want to disclose your sexual orientation, you might be less likely to seek help after an assault. Still, the only way to break the cycle of domestic violence is to take action — the sooner the better. If you're a target of domestic violence, tell someone about the abuse, whether it's a friend, loved one, health care provider or other close contact.
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Consider calling a domestic violence hotline and creating a plan to leave your abuser. Don't let fear of homophobia or the stigma associated with homosexuality prevent you from seeking routine health care. Instead, take charge of your health. Look for a doctor who puts you at ease.
Identify yourself as gay or bisexual, and ask about routine screenings recommended for men in your age group — such as blood pressure and cholesterol measurements and screenings for prostate, testicular and colon cancers. If you're not in a long-term, mutually monogamous relationship, schedule regular screenings for sexually transmitted infections. Share any other health concerns you might have with your doctor as well. Early diagnosis and treatment help promote long-term health. Mayo Clinic does not endorse companies or products. Advertising revenue supports our not-for-profit mission.
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Get updates. Give today. Healthy Lifestyle Adult health. Products and services. Free E-newsletter Subscribe to Housecall Our general interest e-newsletter keeps you up to date on a wide variety of health topics. Sign up now. Health issues for gay men and men who have sex with men Understand important health issues for gay men and men who have sex with men — from sexually transmitted infections to depression — and get tips for taking charge of your health.
By Mayo Clinic Staff. References Makadon HJ.
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Primary care of gay men and men who have sex with men. Accessed Sept. Makadon HJ, et al. Philadelphia, Pa.: It may be very difficult for a gay man to admit to having any problems with sex. After all, our sexuality is part of what makes us gay men. But because this false view exists, we tend to measure ourselves against it. Erections are funny things. When we were sixteen they seemed to happen all the time, even when they were not wanted. Almost every man experiences a time when their erection is less strong than they would like, but sometimes it becomes a problem. Erectile dysfunction ED is when you are unable to get or keep an erection suitable for sexual intercourse or another chosen sexual activity.
If your erection is never OK either with a partner or with masturbation, and is never there when you wake up , then it is likely to be a physical problem in the body. If your erections are fine except with a partner, then it is more likely to be a psychological problem in the mind.
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Often people have a combination of physical and psychological issues, which together cause problems. Physical causes of ED include diabetes, multiple sclerosis and problems with the blood supply to the penis importantly this may mean the blood supply to the heart will also be affected in the future, so if you have ED, it is wise to see your GP for a general health check.
Occasionally there is a problem with the male hormone, testosterone, especially. Having a psychological problem with sex does not mean that there is anything else wrong with your mental health. Help is available for both the physical and psychological causes of sexual problems. There are drugs that can help with erection difficulties.
Oral treatments tablets are called phosphodiesterase pronounced phos- pho- di- es- ter- ase inhibitors PDE5i. Men who have less firm erections may find their condom slips off. A PDE5i may help prevent this and make sex safer by producing a firmer erection. You should not take a PDE5i if you are taking a medicine that contains nitrates, because this combination can cause the blood pressure to drop too low. PDE5i should only be prescribed by a doctor who will take your health and other medications into consideration.
Do not buy medicines online — they may be fakes! A drug called alprostadil which is the same as a chemical that the penis produces naturally when it becomes erect can be injected into the shaft of the penis.
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This allows more blood to flow into the penis and get trapped there, which helps you get and keep an erection. Injection therapy is very successful in those men who do not respond to tablets.
Invicorp is another type of injection therapy used to treat ED. It contains two active ingredients aviptadil and phentolamine mesilate ; one increases blood flow to the penis to get an erection while the other traps the increased amount of blood in the penis to keep the erection. Invicorp may work well for men who have found little success with other ED treatments and some may find it less uncomfortable to use than alprostadil injections. The pellet dissolves and gives you an erection. Vacuum pump devices draw blood into the penis to get an erection, and it is trapped there with a special ring at the base of the penis to keep the erection.
Surgically implanted devices, which strengthen the penis from inside, are available for the very few people for whom producing an erection is not possible in any other way. DE has been considered a rare problem, but it is being seen more often in gay men referred to specialist clinics. Retrograde ejaculation is where you may not see any fluid semen after orgasm.
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If this happens, you may also have noticed that when you first pass water after intercourse it is cloudy. This is because the semen is being expelled backwards into the bladder. If so, it can then usually be treated by a doctor. If you have a regular partner it is often useful if he goes to some of the clinic visits with you. Together they will identify factors that trigger the problems and design a specific treatment programme to resolve or reduce their impact. Sex therapy is considered highly effective in addressing the main causes and contributing factors of sexual difficulties.
And it helps people to develop healthier attitudes towards sex, improve sexual intimacy, become more confident sexually, and improve communication within the relationship. Sex therapy can also be used in combination with other forms of treatment. Your GP or another health professional on the NHS may be able to refer you for sex therapy depending on area , or you can contact a therapist directly and pay privately.