Male Sexual Function

Male Sexual Health

Care for sexual function, fertility and hormonal concerns

Supportive Care for Men’s Sexual Health Through the Urology and Endocrinology Departments

Sexual health is an important part of overall well-being and quality of life. Male sexual health care focuses on understanding physical, emotional and hormonal factors that affect sexual function in men, as well as their relationships and confidence.

Care at Lahey Clinic is provided through the Center for Sexual and Reproductive Health in collaboration with the Institute of Urology, offering evaluation and treatment for a wide range of concerns related to men’s sexual health, fertility and hormone balance.

Multidisciplinary Team with Expertise in Men’s Sexual Health

Men’s sexual health concerns often involve more than one body system. Care is coordinated across specialties.

Depending on individual needs, care may involve:

  • Urologists who specialize in sexual medicine
  • Endocrinology specialists
  • Reproductive and fertility care specialists

This team-based approach helps address both symptoms and underlying causes.

Sexual Health Conditions in Men

Many conditions can affect sexual function and comfort. Care is available for a wide range of concerns, including:

  • Erectile dysfunction (ED) and impotence
  • Painful sexual activity
  • Peyronie’s disease (penile curvature)
  • Penile fracture
  • Penile deformities and complications of circumcisions
  • Disorders of ejaculation and orgasm
  • Disorders of arousal (excitement)
  • Low sex drive
  • Low testosterone levels
  • Infertility
  • Varicocele (enlarged veins in the scrotum)
  • Klinefelter syndrome

Gender-affirming sexual health care is available for people whose sexual health needs are connected to gender identity or transition-related care.

More About Male Sexual Health

Diagnosis & Evaluation

Evaluation begins with a detailed conversation about symptoms, health history and goals. Exams and testing are performed with attention to privacy and comfort.

Diagnostic care may include physical exams, hormone evaluation and blood testing. This information helps guide a clear and personalized plan of care.

Specialized Treatment Options

Treatment for sexual dysfunction in men is personalized and may involve more than one approach. Options may include:

  • Medication for erectile dysfunction, including oral therapies and penile injection therapy
  • Oral, topical, and injectable treatments for hormonal abnormalities (e.g. low testosterone)
  • Counseling and sex therapy for men
  • Lifestyle guidance to support overall sexual and reproductive health
  • Surgical therapies to treat erectile dysfunction and abnormalities of the penis
  • Microsurgical treatment for varicoceles, infertility, and chronic testicular pain

Care plans are adjusted over time based on response and goals.

Male Fertility & Hormone Concerns

Sexual health care can also help with fertility and hormone concerns. A urologist can evaluate and treat issues like low testosterone, problems with sperm production or delivery, and conditions such as gynecomastia (enlarged breast tissue in men). For those trying to have children, a urologist can find and treat many causes of male infertility.

For those considering permanent birth control, vasectomy services are available.