Male sex

Male Sexual Function and Its Disorders: Physiology, Path physiology, Clinical Investigation, and Treatment

Introduction
DISORDERS of sexual function are common among men of all ages, ethnicities, and cultural backgrounds.
It has been recently estimated that more than 152 million men worldwide experienced erectile dysfunction in 1995, and that this number will rise by 170 million, to approximately 322 million by the year 2025.

Significant advances in the understanding of the physiology and path physiology of male sexual function, and in methods of its investigation and treatment, have been attained during the past three decades. In the field of physiology, the nature and elements of the normal sexual response have been delineated, and functional activities of all penile structures have been clarified and integrated.

Disorders of Male Sexual Function

Sex disorders of the male are classified into disorders of sexual function, sexual orientation, and sexual behavior. Disorders of sexual orientation and disorders of sexual behavior are believed to be entirely due to psychological etiologies; hence, they are discussed elsewhere.

The National Institutes of Health (NIH) Consensus Development Conference advocated that “erectile dysfunction” be used instead of “impotence” to describe disorders of male sexual function and defined the new terminology as the “inability to achieve an erect penis as part of the overall multifaceted process of male sexual function.” However, use of the term “erectile dysfunction” to refer to all aspects of male sexual dysfunction would be inappropriate.

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PENIS
This is the main male organ for coitus. This is considered the core symbol of masculinity. It is made of three bodies & covered with skin This varies in size from man to man in flaccid state.The largest organ was 14 cm (5.5 inches) in the flaccid state. It belonged to a slim man who was 5′ 7″ tall (170 cm).The smallest penis measured 6cm (2.25 inches). It belonged to a fairly heavily built man of 5′ 11″ (180cm).
GLANS
The tip of the penis is known as glans. It is an expansion of the corpus spongiosum. The base of the glans projects out from the main body
of the penis and this projecting margin is called corona.
PROSTATE
This gland appears to be a sexual organ. In animals which have seasonal sexuality, it is noticed, that the prostate enlarges during a mating season & then shrinks until the next. In the grown up human male, it is about 4 cms across at its base and is the size of a chestnut. The prostate is composed of muscular and glandular tissue. Its secretions pass down about 20 small ducts which lead to the section of the urethra that pierces the prostate gland, but their purpose is not yet fully understood.
SEMEN
This is a mixture of secretion from the prostate seminal fluids & spermatozoa from the testes. When a man reaches climax in sexual play, semen starts coming out of the penis with pressure. Each time in two days about 2 to 6 ml of semen comes out when man reaches orgasm.
SMEGMA
In clinical terms it is- sebaceous secretion about the penisor labia. Smegma is a mixture of dead skin cells & skin grease and looks like soap as it hides under the foreskin of the penis. In women it is found near clitoris. The presence of it denoted the poor standard of person’s hygiene, and it can contribute in transmitting diseases.
SPERM
This is the protozoa in semen. This is a male cell, which is capable of penetrating the ovum. Each sperm has an oval shaped head, a centre portion & A long tail. They are generated by testes and once shot into female reproductive tract, they live only a few hours. Many sperm hit the ovum before one pierces the exterior by means of enzyme action & penetrates it. Once one sperm enters the ovum,another sperm cannot enter in it
TESTES
Testes are fairly uniform in size about 4-5 cms in length, 2-5 cms in breadth & 3 cms in width. They are situated below penis. It’s main function is to produce sperms. Inside the testes there are about 250 glandular lobes.
Tiny tubes collect the spermatozoa & eventually they enter the epididymis where a maturing process usually occurs.