{"id":17685,"date":"2020-04-15T17:06:21","date_gmt":"2020-04-15T17:06:21","guid":{"rendered":"https:\/\/urosassociats.com\/tratamientos\/andrology-and-venerology\/"},"modified":"2026-04-08T12:56:11","modified_gmt":"2026-04-08T12:56:11","slug":"andrology-and-venerology","status":"publish","type":"project","link":"https:\/\/urosassociats.com\/en\/treatments\/andrology-and-venerology\/","title":{"rendered":"Andrology and Venereology"},"content":{"rendered":"<div id=\"cmsmasters_row_q0ivmykyhq\" class=\"cmsmasters_row cmsmasters_color_scheme_default cmsmasters_row_top_default cmsmasters_row_bot_default cmsmasters_row_boxed\">\n<div class=\"cmsmasters_row_outer_parent\">\n<div class=\"cmsmasters_row_outer\">\n<div class=\"cmsmasters_row_inner\">\n<div class=\"cmsmasters_row_margin\">\n<div id=\"cmsmasters_column_xlabzu7bx\" class=\"cmsmasters_column one_first\">\n<div class=\"cmsmasters_column_inner\"><div class=\"cmsmasters_tabs tabs_mode_tour tabs_pos_left\">\n<ul class=\"cmsmasters_tabs_list\">\n<li id=\"cmsmasters_tabs_list_item_4lw16xjdy\" class=\"cmsmasters_tabs_list_item\">\n<a href=\"#\" class=\"cmsmasters-icon-custom-27\">\n<span>PATHOLOGY \/ SYMPTOMS:<\/span>\n<\/a>\n<\/li><li id=\"cmsmasters_tabs_list_item_gh2muy6pqm\" class=\"cmsmasters_tabs_list_item current_tab\">\n<a href=\"#\" class=\"cmsmasters-icon-custom-arrow-right\">\n<span>Male Infertility<\/span>\n<\/a>\n<\/li><li id=\"cmsmasters_tabs_list_item_3f0aa9yo2\" class=\"cmsmasters_tabs_list_item\">\n<a href=\"#\" class=\"cmsmasters-icon-custom-arrow-right\">\n<span>Erectile dysfunction<\/span>\n<\/a>\n<\/li><li id=\"cmsmasters_tabs_list_item_d7j97w9m86\" class=\"cmsmasters_tabs_list_item\">\n<a href=\"#\" class=\"cmsmasters-icon-custom-arrow-right\">\n<span>Premature Ejaculation<\/span>\n<\/a>\n<\/li><li id=\"cmsmasters_tabs_list_item_pz3av8ps9p\" class=\"cmsmasters_tabs_list_item\">\n<a href=\"#\" class=\"cmsmasters-icon-custom-arrow-right\">\n<span>Peyronie&#039;s disease<\/span>\n<\/a>\n<\/li><li id=\"cmsmasters_tabs_list_item_iqymxkk9se\" class=\"cmsmasters_tabs_list_item\">\n<a href=\"#\" class=\"cmsmasters-icon-custom-arrow-right\">\n<span>Penile fractures<\/span>\n<\/a>\n<\/li><li id=\"cmsmasters_tabs_list_item_dfbk26k0j8\" class=\"cmsmasters_tabs_list_item\">\n<a href=\"#\" class=\"cmsmasters-icon-custom-arrow-right\">\n<span>Men&#039;s sexually transmitted diseases<\/span>\n<\/a>\n<\/li><li id=\"cmsmasters_tabs_list_item_h7m4fzo9p\" class=\"cmsmasters_tabs_list_item\">\n<a href=\"#\" class=\"cmsmasters-icon-custom-8\">\n<span>TREATMENTS:<\/span>\n<\/a>\n<\/li><\/ul>\n<div class=\"cmsmasters_tabs_wrap\">\n<div id=\"cmsmasters_tab_4lw16xjdy\" class=\"cmsmasters_tab\">\n<div class=\"cmsmasters_tab_inner\">\n<ul>\n<li><span style=\"color: #000000;\">MALE INFERTILITY.<\/span><\/li>\n<li><span style=\"color: #000000;\">ERECTILE DYSFUNCTION.<\/span><\/li>\n<li><span style=\"color: #000000;\">PREMATURE EJACULATION.<\/span><\/li>\n<li><span style=\"color: #000000;\">PEYRONIE&#8217;s DISEASE.<\/span><\/li>\n<li><span style=\"color: #000000;\">PENILE FRACTURES.<\/span><\/li>\n<li><span style=\"color: #000000;\">SEXUALLY TRANSMITTED DISEASES OF MEN.<\/span><\/li>\n<\/ul>\n<\/div>\n<\/div><div id=\"cmsmasters_tab_gh2muy6pqm\" class=\"cmsmasters_tab active_tab\">\n<div class=\"cmsmasters_tab_inner\">\n<h2><span style=\"color: #000000;\"><b>Male infertility<\/b><\/span><\/h2>\n<p style=\"text-align: justify;\"><span style=\"font-weight: 400; color: #000000;\">About 10-15% of couples are infertile. This means they cannot conceive a child, despite having had frequent, unprotected sex for a year or more. Almost 50% of the time the cause is male.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-weight: 400; color: #000000;\">Male infertility is due to low sperm production, abnormal sperm function, or obstructions that prevent sperm release. Illness, injury, chronic health problems, lifestyle, and other factors can influence male infertility.<\/span><\/p>\n<h3 style=\"text-align: justify;\"><span style=\"color: #000000;\"><b>Symptoms<\/b><\/span><\/h3>\n<p style=\"text-align: justify;\"><span style=\"font-weight: 400; color: #000000;\">The main sign of male infertility is the inability to conceive a child. There may be no other obvious signs or symptoms. In some cases, however, the signs and symptoms are caused by underlying problems, such as an inherited disorder, a hormonal imbalance, dilation of the veins around the testicle, or a condition that obstructs the passage of sperm.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-weight: 400; color: #000000;\">Although most men with male infertility do not notice symptoms (except the inability to conceive), signs and symptoms associated with male infertility may include:<\/span><\/p>\n<ul style=\"text-align: justify;\">\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400; color: #000000;\">Problems with sexual function, such as difficulty ejaculating or ejaculating small amounts of fluid, reduced sex drive, or problems maintaining erection (erectile dysfunction).<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400; color: #000000;\">Pain, swelling, or a lump in the testicle area.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400; color: #000000;\">Recurrent respiratory infections.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400; color: #000000;\">Inability to smell.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400; color: #000000;\">Abnormal breast growth (gynecomastia).<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400; color: #000000;\">Decreased facial or body hair, or other signs of chromosomal or hormonal abnormalities.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400; color: #000000;\">Lower than normal sperm count (less than 15 million sperm per milliliter of semen or a total sperm count less than 39 million per ejaculation).<\/span><\/li>\n<\/ul>\n<h3 style=\"text-align: justify;\"><span style=\"color: #000000;\"><b>Medical causes<\/b><\/span><\/h3>\n<p style=\"text-align: justify;\"><span style=\"font-weight: 400; color: #000000;\">Male fertility problems can be due to various health problems and medical treatments. These include:<\/span><\/p>\n<ul style=\"text-align: justify;\">\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"color: #000000;\"><b>Varicocele.<\/b><span style=\"font-weight: 400;\">  It is a dilation of the veins that drain the testicle. It is the most common reversible cause of male infertility. Although the exact reason varicoceles cause infertility is unknown, it may be related to abnormal testicular temperature regulation. Varicoceles produce a decrease in sperm quality. Treatment of varicoceles can improve sperm count and function, and could potentially improve outcomes when assisted reproductive techniques, such as in vitro fertilization, are used.<\/span><\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"color: #000000;\"><b>Infection.<\/b><span style=\"font-weight: 400;\">  Some infections can interfere with sperm production or health, or cause scarring that blocks sperm. These include inflammation of the epididymis (epididymitis) or testicles (orchitis), and some sexually transmitted infections, such as gonorrhea or HIV. Although some infections can cause permanent testicular damage, sperm can be retrieved more often.<\/span><\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"color: #000000;\"><b>Ejaculation problems.<\/b><span style=\"font-weight: 400;\">  Retrograde ejaculation occurs when semen enters the bladder during orgasm instead of emerging from the tip of the penis. Various health conditions can lead to retrograde ejaculation, including diabetes, spinal injuries, medications, and bladder, prostate, or urethra surgery. Some men with spinal cord injuries or certain diseases cannot ejaculate semen, even though they still produce sperm. Often, in these cases it is still possible to retrieve sperm for use in assisted reproduction techniques.<\/span><\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"color: #000000;\"><b>Antibodies that attack sperm.<\/b><span style=\"font-weight: 400;\">  Anti-sperm antibodies are immune system cells that mistakenly identify sperm as harmful invaders and try to eliminate them.<\/span><\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"color: #000000;\"><b>Tumors.<\/b><span style=\"font-weight: 400;\">  Cancer and nonmalignant tumors can directly affect the male genital organs through glands that release hormones associated with reproduction, such as the pituitary gland, or from unknown causes. In some cases, surgery, radiation, or chemotherapy to treat tumors can affect male fertility.<\/span><\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"color: #000000;\"><b>Undescended testicles.<\/b><span style=\"font-weight: 400;\">  In some men, one or both testicles do not descend from the abdomen into the sac that normally contains the testicles (scrotum) during fetal development. Decreased fertility is more likely in men who had this disorder.<\/span><\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"color: #000000;\"><b>Hormonal imbalances.<\/b><span style=\"font-weight: 400;\">  Infertility may be due to disorders of the testicles or an abnormality that affects the hormonal systems, such as the hypothalamus, pituitary gland, and adrenal and thyroid glands. Low testosterone levels (male hypogonadism) and other hormonal problems have several underlying causes.<\/span><\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"color: #000000;\"><b>Defects of the tubules that carry sperm.<\/b><span style=\"font-weight: 400;\">  Various tubes carry sperm. These can be blocked due to various causes, for example, inadvertent injury during surgery, previous infections, trauma or abnormal development, such as cystic fibrosis or similar inherited disorders. Blockage can occur at any level: inside the testicle, in the tubes that drain the testicle, in the epididymis, in the vas deferens, near the ejaculatory ducts, or in the urethra.<\/span><\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"color: #000000;\"><b>Chromosomal defects.<\/b><span style=\"font-weight: 400;\">  Inherited disorders, such as Klinefelter syndrome, in which a man is born with two X chromosomes and one Y chromosome (instead of one X and one Y), cause abnormal development of the male reproductive organs. Other genetic syndromes associated with infertility are cystic fibrosis, Kallmann syndrome, and Kartagener syndrome.<\/span><\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"color: #000000;\"><b>Problems with sexual intercourse.<\/b><span style=\"font-weight: 400;\">  They can be problems maintaining or maintaining an erection sufficient for sexual intercourse (erectile dysfunction), premature ejaculation, painful sexual intercourse, anatomical abnormalities such as having a penile curvature or an opening of the urethra under the penis (hypospadias), or psychological or relationship problems that interfere with sexual intercourse.<\/span><\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"color: #000000;\"><b>Celiac disease.<\/b><span style=\"font-weight: 400;\">  Celiac disease, a digestive disorder caused by gluten sensitivity, can lead to male infertility. Fertility may improve after implementing a gluten-free diet.<\/span><\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"color: #000000;\"><b>Some medicines.<\/b><span style=\"font-weight: 400;\">  Testosterone replacement therapy, long-term anabolic steroid use, cancer drugs (chemotherapy), certain antifungal drugs, some ulcer medications, and other medications can affect sperm production and decrease male fertility.<\/span><\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"color: #000000;\"><b>Previous surgeries.<\/b><span style=\"font-weight: 400;\">  Certain surgeries can prevent you from having sperm in ejaculation, including vasectomy, bilateral inguinal hernia repairs, scrotal or testicle surgeries, prostate surgeries (benign and malignant), and major abdominal surgeries performed for testicular and rectal cancers, among others. In most cases, surgery can be performed to reverse this blockage or retrieve sperm directly from the epididymis and testicles.<\/span><\/span><\/li>\n<\/ul>\n<h3 style=\"text-align: justify;\"><span style=\"color: #000000;\"><b>Environmental causes<\/b><\/span><\/h3>\n<p style=\"text-align: justify;\"><span style=\"font-weight: 400; color: #000000;\">Excessive exposure to certain environmental elements, such as heat, toxins, and chemicals, can reduce sperm production or function. Specific causes include:<\/span><\/p>\n<ul style=\"text-align: justify;\">\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"color: #000000;\"><b>Industrial chemicals.<\/b><span style=\"font-weight: 400;\">  Long-term exposure to benzenes, toluene, xylene, pesticides, herbicides, organic solvents, paint materials, and lead can contribute to decreased sperm count.<\/span><\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"color: #000000;\"><b>Exposure to heavy metals.<\/b><span style=\"font-weight: 400;\">  Exposure to lead or other heavy metals can also cause infertility.<\/span><\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"color: #000000;\"><b>Radiation or x-rays.<\/b><span style=\"font-weight: 400;\">  Radiation exposure can reduce sperm production, although it will often return to normal in the long run. With high doses of radiation, sperm production can decrease permanently.<\/span><\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"color: #000000;\"><b>Excessive heat in the testicles.<\/b><span style=\"font-weight: 400;\">  High temperatures affect sperm production and function. Although studies are limited and inconclusive, frequent use of saunas or hot tubs can temporarily affect sperm count. Sitting for extended periods, wearing tight clothing, or working with a laptop on your legs for long periods can also increase the temperature of the scrotum and slightly reduce sperm production.<\/span><\/span><\/li>\n<\/ul>\n<h3 style=\"text-align: justify;\"><span style=\"color: #000000;\"><b>Health, lifestyle and other causes<\/b><\/span><\/h3>\n<p style=\"text-align: justify;\"><span style=\"font-weight: 400; color: #000000;\">Other causes of male infertility include:<\/span><\/p>\n<ul style=\"text-align: justify;\">\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"color: #000000;\"><b>Drug use.<\/b><span style=\"font-weight: 400;\">  Anabolic steroids used to stimulate muscle strength and growth can cause the testicles to contract and decrease sperm production. Also, cocaine or marijuana use can temporarily reduce the number and quality of sperm.<\/span><\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"color: #000000;\"><b>Consumption of alcoholic beverages.<\/b><span style=\"font-weight: 400;\">  Alcohol consumption can lead to a decrease in testosterone levels, can cause erectile dysfunction, and decrease sperm production. Liver disease caused by excessive alcohol consumption can also cause fertility problems.<\/span><\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"color: #000000;\"><b>Smoking tobacco.<\/b><span style=\"font-weight: 400;\">  Men who smoke are more likely to have a low sperm count compared to those who don&#8217;t smoke. It is possible that passive smoking also affects male fertility.<\/span><\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"color: #000000;\"><b>Emotional stress.<\/b><span style=\"font-weight: 400;\">  Stress can interfere with the hormones needed to produce sperm. Severe or prolonged emotional stress, including problems with fertility, can affect sperm count.<\/span><\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"color: #000000;\"><b>Depression.<\/b><span style=\"font-weight: 400;\">  Research shows that the chances of getting pregnant can decrease if the male partner has severe depression. In addition, depression in men can cause sexual dysfunction due to reduced libido, erectile dysfunction, or delayed or inhibited ejaculation.<\/span><\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"color: #000000;\"><b>Weight.<\/b><span style=\"font-weight: 400;\">  Obesity can impair fertility in several ways, causing sperm to directly impact themselves and causing hormonal changes that reduce male fertility.<\/span><\/span><\/li>\n<\/ul>\n<h3 style=\"text-align: justify;\"><span style=\"color: #000000;\"><b>Diagnosis<\/b><\/span><\/h3>\n<p style=\"text-align: justify;\"><span style=\"font-weight: 400; color: #000000;\">A detailed medical history and thorough physical examination is the mainstay for the initial diagnosis of infertility.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-weight: 400; color: #000000;\">Several tests are indicated to diagnose male infertility:<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"color: #000000;\"><b>The spermogram <\/b><span style=\"font-weight: 400;\">measures the number of sperm per milliliter of semen, their motility, vitality and whether abnormal forms are identified.<\/span><b> <\/b><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"color: #000000;\"><b>Semen culture <\/b><span style=\"font-weight: 400;\">rules out infections in the genital organs that should be fixed.<\/span><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"color: #000000;\"><b>Testicular ultrasound  <\/b><span style=\"font-weight: 400;\">It measures the volume and anatomy of the testicles and epididymis. Abnormal volume and various anatomical alterations may be related to many causes of infertility.<\/span><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"color: #000000;\"><b>Blood tests <\/b><span style=\"font-weight: 400;\">tell us if there is any hemametric or organic factor that may be influencing infertility.<\/span><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"color: #000000;\"><b>The hormonal profile<\/b><span style=\"font-weight: 400;\">  It measures the levels of testosterone and pituitary hormones. If any of these hormones are altered, it can indicate that there is a condition that must be corrected to recover fertility.<\/span><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"color: #000000;\"><b>The karyotype<\/b><span style=\"font-weight: 400;\"> is a chromosomal study that rules out genetic alterations linked to infertility.<\/span><\/span><\/p>\n<h3 style=\"text-align: justify;\"><span style=\"color: #000000;\"><b>Treatment<\/b><\/span><\/h3>\n<p style=\"text-align: justify;\"><span style=\"font-weight: 400; color: #000000;\">At Uros Associats we establish therapies practically from the first consultation. We prescribe medications that help improve sperm count and motility; we provide guidance on certain lifestyle changes that may benefit the recovery of fertility; If there is erectile dysfunction or premature ejaculation, we initiate specific treatments for each of these conditions. For infections in the seminal tract we indicate specific antibiotics. As for the most complex pathologies, such as obstructions of the seminal ducts or genetic syndromes linked to infertility, we collaborate in assisted reproduction therapies, most of them surgical, minimally invasive.<\/span><\/p>\n<h3 style=\"text-align: justify;\"><span style=\"color: #000000;\"><b>Prevention<\/b><\/span><\/h3>\n<p style=\"text-align: justify;\"><span style=\"font-weight: 400; color: #000000;\">There are many types of male infertility that cannot be prevented. However, you can avoid some of the known causes of male infertility. For example:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400; text-align: justify;\" aria-level=\"1\"><span style=\"font-weight: 400; color: #000000;\">Don&#8217;t smoke.<\/span><\/li>\n<li style=\"font-weight: 400; text-align: justify;\" aria-level=\"1\"><span style=\"font-weight: 400; color: #000000;\">Limit or eliminate alcohol consumption.<\/span><\/li>\n<li style=\"font-weight: 400; text-align: justify;\" aria-level=\"1\"><span style=\"font-weight: 400; color: #000000;\">Don&#8217;t use drugs.<\/span><\/li>\n<li style=\"font-weight: 400; text-align: justify;\" aria-level=\"1\"><span style=\"font-weight: 400; color: #000000;\">Maintain a healthy weight.<\/span><\/li>\n<li style=\"font-weight: 400; text-align: justify;\" aria-level=\"1\"><span style=\"font-weight: 400; color: #000000;\">Avoid factors by which the testicles can be exposed to heat for a long time.<\/span><\/li>\n<li style=\"font-weight: 400; text-align: justify;\" aria-level=\"1\"><span style=\"font-weight: 400; color: #000000;\">Reduces stress.<\/span><\/li>\n<li style=\"font-weight: 400; text-align: justify;\" aria-level=\"1\"><span style=\"font-weight: 400; color: #000000;\">Avoid exposure to pesticides, heavy metals and other toxins.<\/span><\/li>\n<\/ul>\n<\/div>\n<\/div><div id=\"cmsmasters_tab_3f0aa9yo2\" class=\"cmsmasters_tab\">\n<div class=\"cmsmasters_tab_inner\">\n<h2 style=\"text-align: justify;\"><span style=\"color: #000000;\"><b>Erectile dysfunction<\/b><\/span><\/h2>\n<p style=\"text-align: justify;\"><span style=\"font-weight: 400; color: #000000;\">  Erectile dysfunction (impotence) is the inability to get an erection or maintain it firmly enough to have sexual intercourse.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-weight: 400; color: #000000;\">Although more than half of men at some point in their lives have had erection problems occasionally, not constituting a source of concern, it can become a serious inconvenience if it is frequent or constant. Established erectile dysfunction can produce a lot of stress, instability in relationships, lack of confidence and self-esteem problems. Erectile dysfunction, in addition, can be an incipient sign of some other underlying disease, which should be diagnosed.  <\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-weight: 400; color: #000000;\">The symptoms of erectile dysfunction are:<\/span><\/p>\n<ul style=\"text-align: justify;\">\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400; color: #000000;\">Constant problems getting and\/or maintaining an erection<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400; color: #000000;\">Decreased libido (sex drive)<\/span><\/li>\n<\/ul>\n<h3 style=\"text-align: justify;\"><span style=\"color: #000000;\"><b>Causes<\/b><\/span><\/h3>\n<p style=\"text-align: justify;\"><span style=\"font-weight: 400; color: #000000;\">Male sexual arousal is a complex process involving the brain, hormones, emotions, nerves, muscles, and blood vessels. Erectile dysfunction can be the result of a problem with any of these factors. Similarly, stress and mental health concerns can lead to erectile dysfunction or make it worse.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-weight: 400; color: #000000;\">Sometimes erectile dysfunction is due to a combination of physical and psychological issues. For example, a minor physical illness that slows your sexual response can make you anxious about maintaining an erection. This anxiety can lead to or worsen erectile dysfunction.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-weight: 400; color: #000000;\">Some of the physical and psychological causes that can generate erectile dysfunction are:<\/span><\/p>\n<ul style=\"text-align: justify;\">\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400; color: #000000;\">Heart disease<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400; color: #000000;\">Atherosclerosis<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400; color: #000000;\">High cholesterol level<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400; color: #000000;\">High blood pressure<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400; color: #000000;\">Diabetes<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400; color: #000000;\">Obesity<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400; color: #000000;\">Metabolic syndrome: condition involving increased blood pressure, high insulin levels, body fat around the waist, and high cholesterol levels<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400; color: #000000;\">Parkinson&#8217;s disease<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400; color: #000000;\">Multiple sclerosis<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400; color: #000000;\">Some medications, including many used for high blood pressure<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400; color: #000000;\">Smoking<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400; color: #000000;\">Peyronie&#8217;s disease: scar tissue inside the penis<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400; color: #000000;\">Alcohol and other substance abuse<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400; color: #000000;\">Sleep disorders<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400; color: #000000;\">Treatments for prostate cancer or an enlarged prostate<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400; color: #000000;\">Surgeries or injuries affecting the pelvic area or spinal cord<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400; color: #000000;\">Depression, anxiety or stress, relationship or mental health problems<\/span><\/li>\n<\/ul>\n<h3 style=\"text-align: justify;\"><span style=\"color: #000000;\"><b>Risk factors<\/b><\/span><\/h3>\n<p style=\"text-align: justify;\"><span style=\"font-weight: 400; color: #000000;\">Some risk factors for erectile dysfunction are:<\/span><\/p>\n<ul style=\"text-align: justify;\">\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400; color: #000000;\">Diabetes mellitus<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400; color: #000000;\">High blood pressure<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400; color: #000000;\">Smoking<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400; color: #000000;\">Overweight or obesity<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400; color: #000000;\">Some medical treatments, such as those of the prostate, chemotherapy, blood pressure medications, antidepressants, antihistamines, analgesics.  <\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400; color: #000000;\">Trauma to the pelvis, spine or diseases that cause spinal degeneration and\/or peripheral nerves.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400; color: #000000;\">Alcohol and drug use.<\/span><\/li>\n<\/ul>\n<p style=\"text-align: justify;\"><span style=\"font-weight: 400; color: #000000;\">As a man ages, the sexual response slows, but this is not necessarily considered erectile dysfunction; Therefore, age itself should not be taken as a risk factor.<\/span><\/p>\n<h3 style=\"text-align: justify;\"><span style=\"color: #000000;\"><b>Prevention<\/b><\/span><\/h3>\n<p style=\"text-align: justify;\"><span style=\"font-weight: 400; color: #000000;\">A healthy life, avoiding the aforementioned toxins, taking care of weight, performing moderate physical exercise and following a regular medical check-up, is the fundamental pillar to maintain good erectile function throughout life.  <\/span><\/p>\n<h3 style=\"text-align: justify;\"><span style=\"color: #000000;\"><b>Diagnosis<\/b><\/span><\/h3>\n<p style=\"text-align: justify;\"><span style=\"font-weight: 400; color: #000000;\">To diagnose erectile dysfunction, in Uros Associats we collect the patient&#8217;s medical history in detail, a complete urological physical examination is performed and blood tests are indicated that inform us about the general hematimetric, lipid and hormonal condition. In certain cases, imaging tests, such as penile ultrasound, will be required. Most of the time invasive or expensive tests are not needed.<\/span><\/p>\n<h3 style=\"text-align: justify;\"><span style=\"color: #000000;\"><b>Treatment<\/b><\/span><\/h3>\n<p style=\"text-align: justify;\"><span style=\"font-weight: 400; color: #000000;\">Treatment of erectile dysfunction is usually multimodal. Key lifestyle changes are proposed (weight reduction, physical exercise, smoking cessation), safe medicines adapted to the patient&#8217;s preferences are prescribed (orally or injectable) and their progress or deterioration in the field of sexuality is closely monitored. If the drugs prove not to be enough, the penile prosthesis will be offered: an implantable device that is voluntarily activated in the corpora cavernosa of the penis and that is usually the definitive solution to erectile dysfunction. The prosthesis is, in most cases, a safe option for patients in whom it is indicated, allowing the person to have satisfactory sexual intercourse. This device does not affect sexual sensations and does not prevent orgasm or ejaculation.<\/span><\/p>\n<\/div>\n<\/div><div id=\"cmsmasters_tab_d7j97w9m86\" class=\"cmsmasters_tab\">\n<div class=\"cmsmasters_tab_inner\">\n<h2 style=\"text-align: justify;\"><span style=\"color: #000000;\"><b>Premature ejaculation<\/b><\/span><\/h2>\n<p style=\"text-align: justify;\"><span style=\"font-weight: 400; color: #000000;\">Premature ejaculation is diagnosed when in a persistent way, ejaculation and orgasm occur before or as soon as they penetrate and this occurs against the will of the male. For us to talk about premature ejaculation, this problem must appear in a frequent way, and cause problems to one or both members of the couple.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-weight: 400; color: #000000;\">It is called primary premature ejaculation, when this problem occurs from the first sexual intercourse and acquired when it appears later.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-weight: 400; color: #000000;\">It is a very frequent problem. It affects approximately 30% of men and is underdiagnosed by fear or embarrassment to consult the doctor.<\/span><\/p>\n<h3 style=\"text-align: justify;\"><span style=\"color: #000000;\"><b>Aftermath<\/b><\/span><\/h3>\n<p style=\"text-align: justify;\"><span style=\"font-weight: 400; color: #000000;\">Premature ejaculation can produce:<\/span><\/p>\n<ul style=\"text-align: justify;\">\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400; color: #000000;\">loss of self-esteem.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400; color: #000000;\">anxiety in the male and his partner.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400; color: #000000;\">poor satisfaction with their sex life.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400; color: #000000;\">Low level of partner satisfaction.<\/span><\/li>\n<\/ul>\n<h3 style=\"text-align: justify;\"><span style=\"color: #000000;\"><b>Diagnosis<\/b><\/span><\/h3>\n<p style=\"text-align: justify;\"><span style=\"font-weight: 400; color: #000000;\">To diagnose premature ejaculation, a good medical history and physical examination are almost always sufficient.  <\/span><\/p>\n<h3 style=\"text-align: justify;\"><span style=\"color: #000000;\"><b>Treatment<\/b><\/span><\/h3>\n<p style=\"text-align: justify;\"><span style=\"font-weight: 400; color: #000000;\">Although many cases of premature ejaculation resolve on their own over time, persistent cases can benefit from various sexual re-education techniques and pelvic floor exercises. These techniques teach delaying orgasm. Kegel exercises strengthen the pelvic floor and improve control of the ejaculatory reflex.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-weight: 400; color: #000000;\">Some medications may be used to delay ejaculation. Some are topical (usually anesthetic and applied to the glans), and others are oral.  <\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-weight: 400; color: #000000;\">In Uros Associats we have an excellent andrological service, specialized in treating all cases of premature ejaculation. Multimodal therapy is the preferred weapon of our unit, which guarantees the control of almost all cases.<\/span><\/p>\n<\/div>\n<\/div><div id=\"cmsmasters_tab_pz3av8ps9p\" class=\"cmsmasters_tab\">\n<div class=\"cmsmasters_tab_inner\">\n<h2 style=\"text-align: justify;\"><span style=\"color: #000000;\"><b>Peyronie&#8217;s disease or penile curvature  <\/b><\/span><\/h2>\n<p style=\"text-align: justify;\"><span style=\"font-weight: 400; color: #000000;\">Peyronie&#8217;s disease is a noncancerous condition that results from fibrous scar tissue forming on the penis and causing curved and painful erections. Penises vary in shape and size, and having a curved erection is not necessarily a cause for concern. But Peyronie&#8217;s disease causes significant curvature or pain in some men or their partners.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-weight: 400; color: #000000;\">This can prevent you from having sex or can make it harder to get an erection. In many men, Peyronie&#8217;s disease also causes stress and anxiety. Penis shortening is another common concern.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-weight: 400; color: #000000;\">This disease sometimes goes away on its own but in others it will remain and\/or get worse. Treatment can prevent it from getting worse or even improve symptoms. Even if you&#8217;ve had the condition for some time, treatment can help improve bothersome symptoms, such as pain, curvature, and shortening of the penis.<\/span><\/p>\n<h3 style=\"text-align: justify;\"><span style=\"color: #000000;\"><b>Symptoms<\/b><\/span><\/h3>\n<p style=\"text-align: justify;\"><span style=\"font-weight: 400; color: #000000;\">Signs and symptoms of Peyronie&#8217;s disease may come on suddenly or develop progressively. Include:<\/span><\/p>\n<ul style=\"text-align: justify;\">\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400; color: #000000;\">Scar tissue. Scar tissue affects the corpora cavernosa and can be felt under the skin; It can be small or very extensive and affect one or several areas of the penis at a time.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400; color: #000000;\">A significant curvature of the penis. The penis may curve upwards, curve downwards, or bend to one side.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400; color: #000000;\">Erection problems. Peyronie&#8217;s disease can cause problems achieving or maintaining an erection.  <\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400; color: #000000;\">Shortening of the penis. The penis may shorten as a result of La Peyronie&#8217;s disease.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400; color: #000000;\">Pain. You may feel pain in your penis, with or without erection.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400; color: #000000;\">Other deformities of the penis. In some men with Peyronie&#8217;s disease, the erect penis may have a narrowing, indentations, or even an hourglass appearance, with a tight, narrow band around the shaft of the penis.<\/span><\/li>\n<\/ul>\n<p style=\"text-align: justify;\"><span style=\"font-weight: 400; color: #000000;\">The curvature and shortening of the penis associated with the disease could get progressively worse. However, at some point the condition stabilizes, usually after about three to 12 months.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-weight: 400; color: #000000;\">Pain during erections usually improves within a year or two, but scar tissue, penile shortening, and curvature often remain. In some men, both the curvature and pain associated with Peyronie&#8217;s disease improve without treatment.<\/span><\/p>\n<h3 style=\"text-align: justify;\"><span style=\"color: #000000;\"><b>Causes<\/b><\/span><\/h3>\n<p style=\"text-align: justify;\"><span style=\"font-weight: 400; color: #000000;\">The cause is not fully known, although common causes have been established in about half of the cases.  <\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-weight: 400; color: #000000;\">Repeated injuries to the penis during sexual intercourse, physical exercises, pelvic or transurethral surgeries or an accident with impact on the penis can lead to improper healing of the injured part (in this case the penis) and therefore a formation of scar tissue in the form of a nodule. The scar produces an abnormal curvature of the erect penis. The tightness of this scar nodule during an erection produces pain and a disfigured appearance.  <\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-weight: 400; color: #000000;\">Heredity may play a role in cases of Peyronie&#8217;s disease. The condition is more common if the patient has first-degree relatives who have had the disease.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-weight: 400; color: #000000;\">Connective tissue disorders, such as Dupuytren&#8217;s contracture on the palms of the hands or soles of the feet, and some diseases that can compromise wound healing, such as diabetes mellitus, have also been linked.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-weight: 400; color: #000000;\">Age, without a doubt, contributes as well. The disease is more common in males 50-60 years of age.<\/span><\/p>\n<h3 style=\"text-align: justify;\"><span style=\"color: #000000;\"><b>Diagnosis<\/b><\/span><\/h3>\n<p style=\"text-align: justify;\"><span style=\"font-weight: 400; color: #000000;\">A medical history and physical examination are critical to the diagnosis of Peyronie&#8217;s disease. Patients are also asked to take selfies of the erect penis from various angles, to establish the severity of the curvature.  <\/span><\/p>\n<h3 style=\"text-align: justify;\"><span style=\"color: #000000;\"><b>Treatment<\/b><\/span><\/h3>\n<p style=\"text-align: justify;\"><span style=\"font-weight: 400; color: #000000;\">The Andrology unit of Uros Associats has extensive expertise in the management of Peyronie&#8217;s disease. Not all cases require treatment, only those in which the condition compromises the erection, causes pain to the patient or his partner or prevents penetration into a sexual intercourse. In many cases, fibrous plaque is required to stabilize before targeted treatment can be carried out.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-weight: 400; color: #000000;\">There are several therapies available, from drug treatments, injection of substances that degrade scar connective tissue within plaque or penile remodeling surgeries. The choice of therapy will depend on the time of evolution of the disease, the extent of the plaque, the degree of curvature of the penis and the initial length of the limb. The therapies are agreed in detail with the patient.<\/span><\/p>\n<\/div>\n<\/div><div id=\"cmsmasters_tab_iqymxkk9se\" class=\"cmsmasters_tab\">\n<div class=\"cmsmasters_tab_inner\">\n<h2 style=\"text-align: justify;\"><span style=\"color: #000000;\"><b>Penile fracture<\/b><\/span><\/h2>\n<p style=\"text-align: justify;\"><span style=\"font-weight: 400; color: #000000;\">Penile fracture occurs if trauma occurs with the erect penis. It consists of the partial rupture of the tunica albuginea, which is the fibrous lining of the corpora cavernosa. Most often it happens during sexual intercourse, in which the penis accidentally bends sharply. It is a painful injury, manifested with a sudden sound described as a click, loss of erection and the appearance of a bruise on the penis, around the fracture.<\/span><\/p>\n<h3 style=\"text-align: justify;\"><span style=\"color: #000000;\"><b>Risk factors<\/b><\/span><\/h3>\n<p style=\"text-align: justify;\"><span style=\"font-weight: 400; color: #000000;\">Although rare, penile fracture can occur in certain cases:<\/span><\/p>\n<ul style=\"text-align: justify;\">\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400; color: #000000;\">Very vigorous sexual intercourse.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400; color: #000000;\">Certain sexual positions, in which the penis is more susceptible to colliding sharply with the pelvis of the partner and therefore to injury.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400; color: #000000;\">Anal sex.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400; color: #000000;\">Aggressive masturbatory practices.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400; color: #000000;\">Use of some sex toys.<\/span><\/li>\n<\/ul>\n<h3 style=\"text-align: justify;\"><span style=\"color: #000000;\"><b>Diagnosis<\/b><\/span><\/h3>\n<p style=\"text-align: justify;\"><span style=\"font-weight: 400; color: #000000;\">Medical history and physical examination is usually sufficient to diagnose penile fracture. In some cases, penile ultrasound or magnetic resonance imaging of the penis may be indicated. These tests help locate the fracture, measure its extent and rule out the involvement of other structures, such as the urethra.<\/span><\/p>\n<h3 style=\"text-align: justify;\"><span style=\"color: #000000;\"><b>Treatment<\/b><\/span><\/h3>\n<p style=\"text-align: justify;\"><span style=\"font-weight: 400; color: #000000;\">Penile fracture is an emergency. If not treated immediately it can produce permanent deformations of the penis or permanent erectile dysfunction. Surgical exploration is, with few exceptions, the standard indication. It consists of stripping the penis, locating the lesion and repairing it with stitches. The outlook will depend on many factors, including adherence to postoperative care indicated after repair.  <\/span><\/p>\n<\/div>\n<\/div><div id=\"cmsmasters_tab_dfbk26k0j8\" class=\"cmsmasters_tab\">\n<div class=\"cmsmasters_tab_inner\">\n<h2 style=\"text-align: justify;\"><span style=\"color: #000000;\"><b>Men&#8217;s sexually transmitted diseases<\/b><\/span><\/h2>\n<p style=\"text-align: justify;\"><span style=\"font-weight: 400; color: #000000;\">Sexually transmitted diseases (STDs), or sexually transmitted infections (STIs), are usually acquired through sexual contact. The organisms (bacteria, viruses, or parasites) that cause sexually transmitted diseases can be passed from one person to another through blood, semen, or vaginal fluids and other body fluids.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-weight: 400; color: #000000;\">Sometimes these infections can be transmitted nonsexually, such as from mother to child during pregnancy or childbirth, or through blood transfusions or shared needles.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-weight: 400; color: #000000;\">Sexually transmitted diseases do not always have symptoms. It&#8217;s possible to get sexually transmitted diseases from people who seem perfectly healthy and don&#8217;t even know they have an infection.<\/span><\/p>\n<h3 style=\"text-align: justify;\"><span style=\"color: #000000;\"><b>Signs and symptoms<\/b><\/span><\/h3>\n<p style=\"text-align: justify;\"><span style=\"font-weight: 400; color: #000000;\">These diseases can have very flowery symptoms or be completely asymptomatic. Signs and symptoms that may indicate a sexually transmitted infection include:<\/span><\/p>\n<ul style=\"text-align: justify;\">\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400; color: #000000;\">Sores or bumps on the genitals or oral or rectal area<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400; color: #000000;\">Pain or burning when urinating<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400; color: #000000;\">Discharge from the penis<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400; color: #000000;\">Unusual or strange-smelling vaginal or urethral discharge<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400; color: #000000;\">Unusual vaginal bleeding<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400; color: #000000;\">Pain during sex<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400; color: #000000;\">Pain and swelling of the lymph nodes, particularly in the groin, although sometimes more widespread<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400; color: #000000;\">Pain in the lower abdomen<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400; color: #000000;\">Fever<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400; color: #000000;\">Rash on the trunk, hands, or feet<\/span><\/li>\n<\/ul>\n<p style=\"text-align: justify;\"><span style=\"font-weight: 400; color: #000000;\">Signs and symptoms may appear a few days after exposure, or it may take years before you have any noticeable problems, depending on the germ causing you.  <\/span><\/p>\n<h3 style=\"text-align: justify;\"><span style=\"color: #000000;\"><b>Causes<\/b><\/span><\/h3>\n<p style=\"text-align: justify;\"><span style=\"font-weight: 400; color: #000000;\">STDs can be caused by bacteria, parasites, or viruses:<\/span><\/p>\n<ul style=\"text-align: justify;\">\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400; color: #000000;\">Bacteria (gonorrhea, syphilis, chlamydia)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400; color: #000000;\">Parasites (trichomoniasis)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400; color: #000000;\">Virus (human papillomavirus, genital herpes, HIV, hepatitis A, hepatitis B, hepatitis C)<\/span><\/li>\n<\/ul>\n<h3 style=\"text-align: justify;\"><span style=\"color: #000000;\"><b>Risk factors<\/b><\/span><\/h3>\n<p style=\"text-align: justify;\"><span style=\"font-weight: 400; color: #000000;\">Factors that may increase the risk of STDs include:<\/span><\/p>\n<ul style=\"text-align: justify;\">\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400; color: #000000;\">Having unprotected sex. Vaginal or anal penetration of an infected partner if a latex condom is not used greatly increases the risk of contracting a sexually transmitted infection. Inappropriate or inconsistent use of condoms can also increase the risk. In oral sex, infections can also be transmitted if done without a latex condom or dental dam.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400; color: #000000;\">Having sexual contact with several partners. If you have sexual contact with more people, the greater your risk will be.  <\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400; color: #000000;\">Having a history of sexually transmitted infections. Having a sexually transmitted infection makes it easier for another sexually transmitted infection to take hold.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400; color: #000000;\">Alcohol abuse or drug use.  <\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400; color: #000000;\">Drug injection. Needle sharing transmits many serious infections, including HIV, hepatitis B, and hepatitis C.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400; color: #000000;\">Being young. Half of sexually transmitted infections occur in people between 15 and 24 years of age.<\/span><\/li>\n<\/ul>\n<h3 style=\"text-align: justify;\"><span style=\"color: #000000;\"><b>Complications<\/b><\/span><\/h3>\n<p style=\"text-align: justify;\"><span style=\"font-weight: 400; color: #000000;\">Possible complications include:<\/span><\/p>\n<ul style=\"text-align: justify;\">\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400; color: #000000;\">Pelvic pain<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400; color: #000000;\">Pregnancy complications<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400; color: #000000;\">Eye inflammation<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400; color: #000000;\">Arthritis<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400; color: #000000;\">Pelvic inflammatory disease<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400; color: #000000;\">Sterility<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400; color: #000000;\">Cardiopathy<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400; color: #000000;\">Certain cancers, such as cervical, penile, and rectal cancer, associated with the human papillomavirus<\/span><\/li>\n<\/ul>\n<h3 style=\"text-align: justify;\"><span style=\"color: #000000;\"><b>Prevention<\/b><\/span><\/h3>\n<p style=\"text-align: justify;\"><span style=\"font-weight: 400; color: #000000;\">To prevent STDs, it would be most appropriate to:<\/span><\/p>\n<ul style=\"text-align: justify;\">\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400; color: #000000;\">Vaccination. Getting vaccinated early, before sexual exposure, is also effective in preventing certain types of STDs. There are vaccines to prevent human papillomavirus, hepatitis A and hepatitis B.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400; color: #000000;\">Use condoms and dental dams consistently and correctly. Use a new latex condom or dental dam for every sexual act, whether oral, vaginal, or anal. Never use an oil-based lubricant, such as petroleum jelly, with a latex condom or dental dam. Condoms made from natural membranes are not recommended because they are not as effective in preventing STIs. Keep in mind that while condoms reduce the risk of exposure to most sexually transmitted infections, they provide less protection for some sexually transmitted infections such as human papillomavirus or herpes. Non-barrier methods of birth control, such as birth control pills (oral contraceptives) or intrauterine devices (IUDs), do not protect against sexually transmitted infections.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400; color: #000000;\">There is evidence that male circumcision can help reduce a man&#8217;s risk of getting HIV from an infected woman (heterosexual transmission) by up to 60%. Male circumcision can also help prevent transmission of genital human papillomavirus and genital herpes.<\/span><\/li>\n<\/ul>\n<h3 style=\"text-align: justify;\"><span style=\"color: #000000;\"><b>Diagnosis<\/b><\/span><\/h3>\n<p style=\"text-align: justify;\"><span style=\"font-weight: 400; color: #000000;\">A medical history and physical exam are critical to the diagnosis of virtually all STDs. In addition, a complete disease testing panel is indicated (because many of these infections are contracted concomitantly). Tests can be blood, genital smear, seminal fluid analysis, or skin lesion biopsy.  <\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-weight: 400; color: #000000;\">At Uros Associats we keep the patient informed at all times of their diagnosis process, clarifying any doubts that may arise and guaranteeing confidentiality. The fear of being diagnosed with an STD should never prevent the patient from approaching one of our specialists.  <\/span><\/p>\n<h3 style=\"text-align: justify;\"><span style=\"color: #000000;\"><b>Treatment<\/b><\/span><\/h3>\n<p style=\"text-align: justify;\"><span style=\"font-weight: 400; color: #000000;\">Treatment of STIs depends on the disease or diseases being diagnosed. In many cases it is enough to comply with an antibiotic scheme and then perform clinical controls to cure the infection. In other cases, as in many viral infections, treatment may be non-curative, so we focus on solving the symptoms until the patient develops sufficient autoimmunity against the aggressor. In diseases with a more serious prognosis, such as HIV and hepatitis B or C, we refer the patient to infectious disease specialists to establish strict treatment and control, and thus avoid serious complications in the medium or long term.  <\/span><\/p>\n<\/div>\n<\/div><div id=\"cmsmasters_tab_h7m4fzo9p\" class=\"cmsmasters_tab\">\n<div class=\"cmsmasters_tab_inner\">\n<ul>\n<li><span style=\"color: #000000;\">TESTICULAR BIOPSY<\/span><\/li>\n<li><span style=\"color: #000000;\">CORPOROPLASTY<\/span><\/li>\n<li><span style=\"color: #000000;\">CORPORA CAVERNOSUM REPAIR<\/span><\/li>\n<li><span style=\"color: #000000;\">PLACEMENT <\/span><span style=\"color: #000000;\">OF PENILE PROSTHESIS<\/span><\/li>\n<li><span style=\"color: #000000;\">ERECTILE DYSFUNCTION REHABILITATION<\/span><\/li>\n<\/ul>\n<\/div>\n<\/div><\/div>\n<\/div>\n<\/div><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"cmsmasters_row_fbzrduy3gm\" class=\"cmsmasters_row cmsmasters_color_scheme_default cmsmasters_row_top_default cmsmasters_row_bot_default cmsmasters_row_boxed\">\n<div class=\"cmsmasters_row_outer_parent\">\n<div class=\"cmsmasters_row_outer\">\n<div class=\"cmsmasters_row_inner\">\n<div class=\"cmsmasters_row_margin\">\n<div id=\"cmsmasters_column_4frm87gubc\" class=\"cmsmasters_column one_first\">\n<div class=\"cmsmasters_column_inner\"><div id=\"cmsmasters_button_xu8lbdjl18\" class=\"button_wrap\"><a href=\"https:\/\/urosassociats.com\/agenda-online\/\" class=\"cmsmasters_button\"><span>Schedule your appointment<\/span><\/a><\/div>\n<\/div><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"cmsmasters_row_dkoe6htr0b\" class=\"cmsmasters_row cmsmasters_color_scheme_default cmsmasters_row_top_default cmsmasters_row_bot_default cmsmasters_row_boxed\">\n<div class=\"cmsmasters_row_outer_parent\">\n<div class=\"cmsmasters_row_outer\">\n<div class=\"cmsmasters_row_inner\">\n<div class=\"cmsmasters_row_margin\">\n<div id=\"cmsmasters_column_c24fa9c6e7\" 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src=\"https:\/\/urosassociats.com\/wp-content\/uploads\/2020\/06\/16.-MUTUA-TRANSPORTE.jpg\" alt=\"Mutual Transport\" title=\"Mutual Transport\" \/><\/div><div class=\"cmsmasters_clients_item item cmsmasters_owl_slider_item\"><img decoding=\"async\" src=\"https:\/\/urosassociats.com\/wp-content\/uploads\/2020\/06\/17.-MUTUA-GRAL-CATALUNYA.jpg\" alt=\"Mutua Gral Catalunya\" title=\"Mutua Gral Catalunya\" \/><\/div><div class=\"cmsmasters_clients_item item cmsmasters_owl_slider_item\"><img decoding=\"async\" src=\"https:\/\/urosassociats.com\/wp-content\/uploads\/2020\/06\/18.-MUTUA-MANRESANA.jpg\" alt=\"Mutua Manresana\" title=\"Mutua Manresana\" \/><\/div><div class=\"cmsmasters_clients_item item cmsmasters_owl_slider_item\"><img decoding=\"async\" src=\"https:\/\/urosassociats.com\/wp-content\/uploads\/2020\/06\/19.-SANITAS.jpg\" alt=\"Sanitas\" title=\"Sanitas\" \/><\/div><div class=\"cmsmasters_clients_item item cmsmasters_owl_slider_item\"><img decoding=\"async\" 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class=\"cmsmasters_column_inner\"><\/div><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":3,"featured_media":16954,"menu_order":0,"comment_status":"closed","ping_status":"open","template":"","format":"standard","meta":{"footnotes":""},"pj-categs":[61],"pj-tags":[],"class_list":["post-17685","project","type-project","status-publish","format-standard","has-post-thumbnail","hentry","pj-categs-urologia"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.9 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Andrology and Venereology &#8211; Uros Associats<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/urosassociats.com\/en\/treatments\/andrology-and-venerology\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" 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