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FAQS

Erectile dysfunction (ED), formerly termed impotence, is defined as the failure to achieve or maintain a rigid penile erection suitable for satisfactory sexual intercourse. This can profoundly impact one’s quality of life and relationships. Erectile dysfunction (ED) is a common issue prevalent among men in Australia and worldwide. It is projected by the Internal Journal of Impotence Research that the worldwide prevalence of erectile dysfunction is expected to increase to 322 million men by 2025.

The cause of erectile dysfunction can be physical or psychological or both.  Problems with the male reproductive system, physical factors and chronic health conditions can all play a part in contributing to ED, sometimes the cause is unclear.

– Health Direct & Better Health Vic

According to Hopkins Medicine, Erectile Dysfunction can be linked to heart disease as certain high blood pressure medications can contribute to ED.

When a man experiences ED, it can be an early warning sign of potential underlying heart disease.

This is often an uncomfortable topic to discuss with your local doctor so contact us today to book an appointment.

Ejaculation is a complex process predominantly controlled by our brain system, called the autonomic nervous system. Many different body parts are involved during ejaculation, including the brain, nerves, hormones, muscles around your reproductive organs, and fluid production. Generally, ejaculation involves two main phases: emission and expulsion. According to the International Society for Sexual Medicine’s definition, there are two types of premature ejaculation: lifelong premature ejaculation (LPE) and acquired premature ejaculation (APE). LPE refers to always or nearly always experiencing ejaculation within about 1 minute of vaginal penetration from the first sexual experience. APE refers to a clinically significant and bothersome reduction in latency time, often to about 3 minutes or less.

There are a variety of factors that can cause PE. It can be either lifelong or acquired relating to:

  • Performance anxiety
  • General anxiety
  • Stress
  • Erectile dysfunction
  • Relationship problems
  • Alcohol
  • Recreational drugs
  • Some medications

According to Crowdis, Leslie & Nazir (2023), there are 3 levels of severity which is based on the time to ejaculate on vaginal penetration. 

  • The first level is classified as mild and ejaculation approximately occurs within 30 seconds to 1 minute.
  • The second level is classified as moderate and ejaculation approximately occurs within 15 to 30 seconds.
  • The third level is classified as severe and approximately occurs within 15 seconds of vaginal penetration or before foreplay, at the beginning of sexual activity. 

Certain exercises can help with erectile dysfunction. Kegel exercises, or pelvic exercises, have been shown to be effective in treating erectile dysfunction. The ischiocavernosus and bulbocavernosus muscles in the pelvic area, which surround the penis, are active during an erection.

An array of non-medical solutions can assist with premature ejaculation (PE), including:

  • Engaging in solo stimulation about one to two hours prior to intercourse.
  • Employing a condom to reduce sensitivity.
  • Practicing deep breathing techniques to momentarily delay the ejaculatory response, an involuntary reflex triggering ejaculation.
  • Opting for a sexual position with your partner on top, allowing them to withdraw when nearing climax.
  • Experimenting with alternative positions that may be less stimulating.
  • Taking a pause and shift focus away from sexual thoughts.

As the majority of men reach over the age of 45, they typically have some form of erectile dysfunction (Better Health). The occasional failure is normal which can accumulate from a variety of factors including excessive alcohol consumption, anxiety, tiredness or drugs. – Better Health Vic & The Hart Centre

ED and PE can occur at the same time, with a bidirectional relationship where having one can increase the risk of the other.

This connection can partly be due to a person’s mental state. For instance, individuals with ED may rush to ejaculate before losing their erection, leading to premature ejaculation. This can become a challenging habit to break.

Conversely, those with PE might experience performance anxiety, which can negatively impact their ability to achieve and maintain an erection.

An Accredited Practising Dietitian (APD) is a credential approved by Dietitians Australia (DA), an industry body for dietitians. 

To become registered as an APD, dietitians must meet strict standards established by the National Alliance of Self Regulating Health Professions (NASRHP), adhere to DA’s code of conduct, and commit to continuous professional development to ensure they possess the knowledge and skills outlined in the National Competency Standards for Dietitians.

You can search for the registration of any dietitians by typing their name into the DA websites.

No, you do not need a referral to see a dietitian. Anyone can consult a dietitian at any time by booking an appointment. If you wish to learn more about nutrition and receive individualised dietary advice, please feel free to contact the Holmen’s Health team to arrange a consultation with our dietitians.

It is understandable that you might feel confused and overwhelmed when deciding what to eat or drink in order to improve sexual function.

At Holmen’s Health, our dietitians are well-trained in the field of dietetics, particularly in sexual health. This enables us to provide the best practice to address any of your dietary concerns and offer professional yet practical advice tailored to every individual issue.

Your initial session involves a few assessments that allow us to learn more about you. For example, we will take physical measurements such as weight and height, ask about your medical history and current medical conditions, and inquire about your eating habits and lifestyle.

All the information you provide will help develop more suitable and tailor-made dietary recommendations and meal plans for you.

This varies according to your goals and situation. After the initial session, any further review sessions will be discussed and decided upon between you and your dietitian.

Sex therapy is a specialised form of counseling aimed at addressing concerns related to sexuality and intimacy. Whether you’re experiencing difficulties with arousal, performance, communication, or relationship issues, sex therapy provides a safe and supportive space to explore and address these concerns with the guidance of a trained therapist.

Sex therapy can assist individuals and couples with a wide range of concerns, including erectile dysfunction, premature ejaculation, low libido, sexual pain disorders, difficulties with orgasm, sexual trauma, communication challenges, and navigating sexual orientation or identity issues.

Sex therapy sessions typically involve confidential discussions with a therapist to explore your concerns, feelings, and experiences related to sexuality and intimacy. Your therapist may also provide education, exercises, and techniques to help you overcome challenges and improve your sexual well-being. Therapy may be conducted individually or with a partner, depending on your needs.

No, sex therapy is available for individuals and couples alike. Whether you’re experiencing challenges on your own or within a relationship, sex therapy offers support tailored to your unique circumstances and goals.