Can hernias directly lead to erectile dysfunction. How does hernia repair surgery impact sexual function. What are the potential complications of untreated hernias. Is there a connection between hernias and testosterone levels.

Understanding Hernias and Their Potential Impact on Sexual Function

Hernias, particularly inguinal hernias, are a common medical condition affecting many adult males. While hernias themselves are unlikely to directly cause erectile dysfunction (ED), there are potential connections between hernias, their treatment, and sexual health that merit exploration.

An inguinal hernia occurs when abdominal contents protrude through weak areas in the abdominal wall near the groin. According to the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), approximately 27% of adult males will develop an inguinal hernia at some point in their lives. Given the prevalence of this condition, it’s crucial to understand its potential impact on sexual function.

Do Hernias Directly Cause Erectile Dysfunction?

Hernias themselves do not typically cause ED directly, as they do not involve sexual organs in their development. However, the discomfort and psychological impact of having a hernia may indirectly affect sexual function in some individuals.

Potential Indirect Effects of Hernias on Sexual Health

• Pain or discomfort in the groin area
• Reduced confidence or self-esteem due to visible bulge
• Anxiety about engaging in sexual activity
• Limited mobility or range of motion during intimate encounters

Hernia Repair Surgery and Its Impact on Sexual Function

While hernias themselves may not directly cause ED, the surgical repair of hernias, particularly inguinal hernias, can have temporary effects on sexual function. It’s important to understand these potential impacts and how they typically resolve over time.

Short-Term Effects of Hernia Repair Surgery on Sexual Function

A 2020 review of studies involving 4,884 people found that some males experienced pain and sexual dysfunction after surgery to repair inguinal hernias. Specifically:

• Approximately 9% of males reported pain during sexual activity
• Around 5% experienced sexual dysfunction, defined as difficulty completing intercourse

It’s crucial to note that these effects are typically temporary and resolve as the surgical site heals.

Long-Term Outcomes of Hernia Repair Surgery on Sexual Function

Interestingly, research has shown that hernia repair surgery can have positive long-term effects on sexual function. A 2016 study found that males experienced improved sexual function after surgery compared to their preoperative condition. This improvement was particularly noticeable in the later stages of recovery.

Factors Contributing to Improved Sexual Function Post-Surgery

• Elimination of pain or discomfort caused by the hernia
• Removal of visible bulge, potentially improving self-confidence
• Increased mobility and range of motion
• Reduced anxiety about potential hernia complications

Recovery and Resuming Sexual Activity After Hernia Repair

Many individuals undergoing hernia repair surgery are concerned about when they can safely resume sexual activity. While recovery times can vary, there are general guidelines to follow.

General Timeline for Resuming Activities Post-Surgery

• Daily activities: Usually within 3-5 days following the procedure
• Sexual activity: Discuss with your doctor for personalized advice

It’s normal to experience mild pain and swelling in the groin area and testicle after surgery. Your doctor will recommend appropriate pain relief options. Typically, pain subsides within two weeks, but it’s important to contact your healthcare provider if you experience severe or persistent pain.

When to Seek Medical Advice

If you’re concerned about your sexual function or if ED persists beyond the expected recovery period, it’s crucial to consult with your doctor. They can provide guidance, recommend treatments, and offer tips for managing ED.

Treatment Options for Erectile Dysfunction

While ED resulting from hernia repair surgery is typically temporary, some individuals may require treatment. The approach to treating ED depends on its underlying cause and may include various options.

Lifestyle Modifications

• Quitting smoking
• Limiting alcohol consumption
• Maintaining a healthy diet and exercise routine
• Managing stress through relaxation techniques

Medication Adjustments

Some medications can contribute to ED. Your doctor may review your current medications and make adjustments if necessary.

Counseling

Addressing emotional or psychological causes of ED through therapy or counseling can be beneficial for some individuals.

Medications for ED

Prescription medications such as sildenafil (Viagra) or tadalafil (Cialis) can be effective in treating ED for many men.

Surgical Interventions

In some cases, surgery to rebuild arteries or implant a device to facilitate erections may be recommended.

Potential Complications of Untreated Hernias

While the focus of this article is on the relationship between hernias and sexual function, it’s crucial to understand the potential risks of leaving a hernia untreated.

Serious Complications of Untreated Hernias

• Strangulation: Blood flow to the hernia can be cut off, causing tissue death
• Intestinal obstruction: Food or fluids may become blocked in the intestines, which can be life-threatening
• Chronic pain and discomfort
• Increased risk of hernia enlargement over time

These potential complications underscore the importance of seeking medical attention and appropriate treatment for hernias, even if they are not currently causing significant discomfort or affecting sexual function.

Hernias and Hormonal Connections: Exploring Potential Links

While the direct relationship between hernias and hormones like testosterone is not fully understood in humans, some research has suggested potential connections that warrant further investigation.

Animal Studies and Hormonal Influences on Hernia Formation

A 2018 animal research study indicated that certain hormones, such as estrogen, might play a role in the formation of inguinal hernias in male mice. However, it’s important to note that these findings have not been conclusively demonstrated in human subjects.

Hernias and Testosterone Levels in Humans

There is currently no direct evidence that hernias cause low testosterone levels in human males. However, the study noted that inguinal hernias most often affect older men, who typically have lower testosterone levels due to natural aging processes.

Areas for Future Research

• Investigating the potential hormonal factors contributing to hernia formation in humans
• Exploring the relationship between age, testosterone levels, and hernia risk
• Examining whether hormonal therapies could play a role in hernia prevention or treatment

Living with Hernias: Strategies for Maintaining Sexual Health and Overall Well-being

For individuals living with hernias or recovering from hernia repair surgery, there are several strategies to maintain sexual health and overall well-being.

Open Communication with Healthcare Providers

Discussing concerns about sexual function with your doctor is crucial. They can provide personalized advice and address any specific issues you may be experiencing.

Pelvic Floor Exercises

Strengthening the pelvic floor muscles through targeted exercises can potentially improve sexual function and support overall recovery after hernia repair surgery.

Stress Management Techniques

• Meditation
• Deep breathing exercises
• Yoga or gentle stretching
• Engaging in hobbies or activities that promote relaxation

Maintaining a Healthy Lifestyle

Adopting and maintaining healthy habits can support overall health and potentially improve sexual function:

• Regular exercise (as approved by your healthcare provider)
• Balanced, nutritious diet
• Adequate sleep
• Limiting alcohol and avoiding tobacco use

Exploring Intimacy Beyond Intercourse

During recovery or if experiencing temporary sexual dysfunction, couples can explore other forms of intimacy and connection:

• Non-penetrative sexual activities
• Sensual massage
• Emotional bonding through shared activities or conversations

By implementing these strategies and maintaining open communication with healthcare providers and partners, individuals can navigate the challenges of living with hernias or recovering from hernia repair surgery while supporting their sexual health and overall well-being.

Advancements in Hernia Treatment and Their Impact on Sexual Function

As medical technology and surgical techniques continue to advance, new approaches to hernia treatment are emerging that may have implications for sexual function and recovery.

Minimally Invasive Surgical Techniques

Laparoscopic and robotic-assisted hernia repair surgeries are becoming increasingly common. These minimally invasive approaches often result in:

• Smaller incisions
• Reduced post-operative pain
• Faster recovery times
• Potentially lower risk of complications affecting sexual function

Innovative Mesh Materials

Ongoing research into biocompatible and absorbable mesh materials for hernia repair may lead to reduced long-term complications and improved outcomes, including those related to sexual function.

Personalized Treatment Approaches

Advancements in diagnostic imaging and genetic testing may allow for more personalized hernia treatment plans, potentially minimizing the risk of sexual dysfunction and other complications.

Future Directions in Hernia Research and Treatment

• Investigating non-surgical interventions for small, asymptomatic hernias
• Developing targeted therapies to strengthen abdominal wall tissues
• Exploring the potential of regenerative medicine in hernia prevention and treatment

As these advancements continue to evolve, individuals facing hernia diagnosis and treatment may benefit from improved outcomes and reduced impact on sexual function. It’s important to discuss the latest treatment options with your healthcare provider to determine the best approach for your specific situation.

In conclusion, while hernias themselves may not directly cause erectile dysfunction, the complex interplay between hernias, their treatment, and sexual function highlights the importance of comprehensive care and open communication with healthcare providers. By understanding the potential impacts, exploring treatment options, and implementing strategies for overall well-being, individuals can navigate hernia-related challenges while maintaining their sexual health and quality of life.

Hernia and erectile dysfunction: Is there a link?

A hernia is unlikely to cause erectile dysfunction (ED) or affect sexual function directly. However, some people may experience temporary sexual issues after surgery to repair certain types of hernias.

Surgery to repair a common type of hernia known as an inguinal hernia may cause pain that can affect sexual function until the area heals.

An inguinal hernia occurs when contents of the abdomen bulge through weak areas in the abdominal wall on either side of the groin.

According to the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), about 27% of adult males develop an inguinal hernia at some point.

This article discusses hernias and male sexual function, hernia repair surgery, ED, and more.

A note about sex and gender

Sex and gender exist on spectrums. This article will use the terms “male,” “female,” or both to refer to sex assigned at birth. Click here to learn more.

Was this helpful?

A hernia is not likely to cause ED directly, as no sexual organs are involved in their development.

However, some males may experience temporary sexual dysfunction after they undergo surgery to repair a hernia.

Inguinal hernias mainly affect males and are the most likely type of hernia to have some effect on erectile function due to their location in the groin.

Doctors will most often treat inguinal hernia with surgery. Without treatment, a person may be at risk of serious complications, such as the death of tissues inside the hernia.

Learn about male sexual problems.

A 2020 review of studies involving 4,884 people found that some males experienced pain and sexual dysfunction after surgery to repair inguinal hernias.

It found that around 9% of the males experienced pain during sexual activity, and around 5% experienced sexual dysfunction. The study defined sexual dysfunction as having difficulty completing intercourse.

However, pain and sexual dysfunction after inguinal hernia repair are typically temporary.

Other research has found that inguinal hernia surgery can positively affect sexual function. A 2016 study found that males experienced improved sexual function after surgery compared with the preoperative period.

The researchers noted that pain or a bulge in the groin from inguinal hernias could affect sexual function. Hernia repair surgery significantly improved sexual function in the participants, especially in the later period after surgery.

Learn about hernia repair surgery.

A person should discuss with their doctor when it is safe to engage in sexual activity after the surgery. People can usually resume daily activities within 3–5 days following the procedure.

There may be some mild pain and swelling in the groin area and testicle after surgery, and a doctor will recommend pain relief options.

The pain typically recedes within 2 weeks, but a person should contact their doctor if it is severe or persistent.

ED that results from hernia repair surgery is typically temporary.

However, if a person is concerned about their sexual function or if ED persists, they should contact a doctor. They may recommend treatments and tips for managing ED.

Treatments for ED depend on the cause of the issue. Treatments may include:

• making lifestyle changes, such as stopping smoking and limiting alcohol consumption, if applicable
• changing certain medications that may contribute to ED
• receiving counseling to address emotional or psychological causes of ED
• taking medications to treat ED, such as sildenafil (Viagra) or tadalafil (Cialis)
• having ED surgery to rebuild arteries or implant a device to make the penis erect

Overall, doctors associate inguinal hernias with a good outlook if a person undergoes surgery to repair the hernia.

Although some people may experience sexual dysfunction and pain after surgery to repair a hernia, this is usually temporary. Surgery to repair a hernia can lead to an improvement in sexual function.

If a person does not receive treatment for an inguinal hernia, they are at risk of serious complications. The blood flow to the hernia can be cut off, causing tissues to die.

This can also cause intestinal obstruction, which is when food or fluids become blocked in the intestines. It can be life threatening.

This section answers common questions about hernias and ED.

Can a hernia cause low testosterone?

A 2018 animal research study suggests that certain hormones, such as estrogen, may play an important role in forming inguinal hernias in male mice.

However, there is no evidence that hernias directly cause low testosterone in human males.

According to the study, inguinal hernias most often affect older men, who typically have lower testosterone levels.

Can hernia repair cause ED?

Some people may experience temporary ED due to pain after surgery.

What is a common complication of a hernia?

The most frequent complication is the strangulation of tissue inside the hernia. This cuts off blood flow to the hernia, and the tissue inside it can die.

Hernias, such as an inguinal hernia that people can develop in the groin area, are not likely to affect sexual function or cause ED directly.

Sometimes, people experience temporary sexual dysfunction after surgery to repair the hernia.

However, surgery to repair a hernia can have a positive effect on sexual function, as it can alleviate pain and the bulging of tissue in the groin.

A person should not avoid treatment for a hernia — without treatment, a hernia can develop into serious complications.

Hernia and erectile dysfunction: Is there a link?

A hernia is unlikely to cause erectile dysfunction (ED) or affect sexual function directly. However, some people may experience temporary sexual issues after surgery to repair certain types of hernias.

Surgery to repair a common type of hernia known as an inguinal hernia may cause pain that can affect sexual function until the area heals.

An inguinal hernia occurs when contents of the abdomen bulge through weak areas in the abdominal wall on either side of the groin.

According to the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), about 27% of adult males develop an inguinal hernia at some point.

This article discusses hernias and male sexual function, hernia repair surgery, ED, and more.

A note about sex and gender

Sex and gender exist on spectrums. This article will use the terms “male,” “female,” or both to refer to sex assigned at birth. Click here to learn more.

Was this helpful?

A hernia is not likely to cause ED directly, as no sexual organs are involved in their development.

However, some males may experience temporary sexual dysfunction after they undergo surgery to repair a hernia.

Inguinal hernias mainly affect males and are the most likely type of hernia to have some effect on erectile function due to their location in the groin.

Doctors will most often treat inguinal hernia with surgery. Without treatment, a person may be at risk of serious complications, such as the death of tissues inside the hernia.

Learn about male sexual problems.

A 2020 review of studies involving 4,884 people found that some males experienced pain and sexual dysfunction after surgery to repair inguinal hernias.

It found that around 9% of the males experienced pain during sexual activity, and around 5% experienced sexual dysfunction. The study defined sexual dysfunction as having difficulty completing intercourse.

However, pain and sexual dysfunction after inguinal hernia repair are typically temporary.

Other research has found that inguinal hernia surgery can positively affect sexual function. A 2016 study found that males experienced improved sexual function after surgery compared with the preoperative period.

The researchers noted that pain or a bulge in the groin from inguinal hernias could affect sexual function. Hernia repair surgery significantly improved sexual function in the participants, especially in the later period after surgery.

Learn about hernia repair surgery.

A person should discuss with their doctor when it is safe to engage in sexual activity after the surgery. People can usually resume daily activities within 3–5 days following the procedure.

There may be some mild pain and swelling in the groin area and testicle after surgery, and a doctor will recommend pain relief options.

The pain typically recedes within 2 weeks, but a person should contact their doctor if it is severe or persistent.

ED that results from hernia repair surgery is typically temporary.

However, if a person is concerned about their sexual function or if ED persists, they should contact a doctor. They may recommend treatments and tips for managing ED.

Treatments for ED depend on the cause of the issue. Treatments may include:

• making lifestyle changes, such as stopping smoking and limiting alcohol consumption, if applicable
• changing certain medications that may contribute to ED
• receiving counseling to address emotional or psychological causes of ED
• taking medications to treat ED, such as sildenafil (Viagra) or tadalafil (Cialis)
• having ED surgery to rebuild arteries or implant a device to make the penis erect

Overall, doctors associate inguinal hernias with a good outlook if a person undergoes surgery to repair the hernia.

Although some people may experience sexual dysfunction and pain after surgery to repair a hernia, this is usually temporary. Surgery to repair a hernia can lead to an improvement in sexual function.

If a person does not receive treatment for an inguinal hernia, they are at risk of serious complications. The blood flow to the hernia can be cut off, causing tissues to die.

This can also cause intestinal obstruction, which is when food or fluids become blocked in the intestines. It can be life threatening.

This section answers common questions about hernias and ED.

Can a hernia cause low testosterone?

A 2018 animal research study suggests that certain hormones, such as estrogen, may play an important role in forming inguinal hernias in male mice.

However, there is no evidence that hernias directly cause low testosterone in human males.

According to the study, inguinal hernias most often affect older men, who typically have lower testosterone levels.

Can hernia repair cause ED?

Some people may experience temporary ED due to pain after surgery.

What is a common complication of a hernia?

The most frequent complication is the strangulation of tissue inside the hernia. This cuts off blood flow to the hernia, and the tissue inside it can die.

Hernias, such as an inguinal hernia that people can develop in the groin area, are not likely to affect sexual function or cause ED directly.

Sometimes, people experience temporary sexual dysfunction after surgery to repair the hernia.

However, surgery to repair a hernia can have a positive effect on sexual function, as it can alleviate pain and the bulging of tissue in the groin.

A person should not avoid treatment for a hernia — without treatment, a hernia can develop into serious complications.

Violation of potency in osteochondrosis and intervertebral hernia in St. Petersburg

Impotence (erectile dysfunction) – causes, symptoms, signs, age, diagnosis, treatment, prevention

Causes

Symptoms

Complications

Diagnosis

Treatment

Prognosis and prevention

Impotence is a form of erectile dysfunction in which a man has no erection at all.

Some time ago it was believed that up to 90% of all disorders are associated with psychogenic factors. New studies have shown that in most cases, the inability to perform a full-fledged sexual intercourse is due to various organic diseases, and only a small part of them is due to a psychogenic factor. Some causes of the disease can be eliminated, and some are so neglected that no treatment can return a person to the possibility of a normal erection.

Male impotence is a term that is considered obsolete. In modern medical literature, it is used very rarely. He was replaced by a new word – erectile dysfunction, and impotence will be the most severe manifestation of this pathology. According to statistics, this disorder affects 15 million men worldwide, whose age has passed over 40 years.

Causes and triggers of impotence

Finding the causes of impotence is quite difficult. It is noted that this type of erectile dysfunction often occurs in patients who suffer from stomach ulcers and angina pectoris, since all these diseases can appear due to traumatic effects on the human psyche.

Other causes may include:

• injuries of the pelvis and spine;
• degenerative-dystrophic diseases of the spine and spinal cord;
• disorders in the hypothalamic-pituitary system;
• diseases of the liver and kidneys;
• bowel disease;
• vascular disorders;
• smoking;
• drug use;
• alcoholism.

Psychogenic impotence can develop at any age and be permanent or temporary. The main reason is mental or physical overwork. Neurogenic develops against the background of injuries and diseases of the brain or spinal cord. Arteriogenic occurs due to violations of the patency of blood vessels, which happens against the background of atherosclerosis. Hormonal is associated with diabetes and other diseases that have a negative effect on the hormonal background.

As for prostatitis, it does not cause impotence, but it can significantly aggravate the course of the disease.

Symptoms of impotence

There is no consensus on the age at which impotence most often occurs. It can appear in young men, and in those who have reached middle age, and in the elderly. Symptoms of psychogenic and organic impotence are somewhat different.

Psychogenic develops absolutely suddenly, appears from time to time and everything depends on the specific situation. The main reason is stress or another mental disorder. An erection that appears at night or in the morning is preserved. Also, during intercourse, the normal tension of the penis is maintained. During masturbation, no visible disturbances occur.

Organic impotence develops gradually. It progresses, although it happens slowly, and persists throughout life if not treated. The main reason is a disease of the internal organs or the intake of certain drugs that adversely affect erection. A man does not have a night or morning erection, moreover, it can completely disappear during intercourse. Masturbation cannot change the existing situation in any way.

Additional signs of impotence may look like this:

• lack of sexual desire;
• general weakness and fatigue;
• the presence of additional symptoms depending on the affected organ;
• increased body temperature;
• premature ejaculation;
• sexual intercourse is performed no more than once a week, and sometimes even less often.

Many are interested in the question – at what age does impotence develop. In young men, its main cause is diseases of the pelvic organs and back injuries, which lead to disability. This can happen at any age. In men after 40 years, organic diseases become the main causes.

If erection problems occur only occasionally and under certain circumstances, for example, during severe fatigue or during illness, this cannot be considered the beginning of the development of impotence. It is important to pay attention to such a fact as the presence of a spontaneous morning erection. If it is, then the man should not have any fears.

It is also noted that in men over the age of 40, the first symptoms of erectile dysfunction occur 5, maximum 7 years before the development of a heart attack or stroke.

Complications of impotence

The inability to have a full-fledged sexual intercourse leads to a violation of normal family relations, which often becomes the reason for divorce. Men with such difficulties may also have problems in relationships with the opposite sex, with the conception of a child. All this significantly reduces self-esteem and leads to depression, neurosis, aggressiveness. In severe cases, a person runs the risk of committing suicide.

The general health of a person is also significantly deteriorating. Constant stress reduces the defenses, which causes the development of all kinds of diseases. Against this background, gastritis, ulcers, coronary artery disease, angina pectoris, bronchitis and pneumonia often develop, and these diseases further inhibit potency, making a person completely unable to have a full-fledged sexual intercourse.

Impotence diagnostics

The treatment and diagnosis of impotence is carried out by a urologist or an andrologist. However, to make an accurate diagnosis and find out the causes of erectile dysfunction, consultations with other doctors are often required – a cardiologist, gastroenterologist, oncologist, neuropathologist, neurosurgeon.

Diagnosis of impotence begins with a questioning of the patient, taking an anamnesis and his complaints. The doctor can measure pressure and temperature, examine the penis and palpate it. If necessary, tests are prescribed – blood, urine, secretion of the sex glands, hormones. A procedure for the presence of latent infections is also required. In the diagnosis, ultrasound, urethrography, ureteroscopy can be used. Help in identifying the causes of diseases CT, MRI and radiography. They can show the doctor where the pathological areas are, whether there are diseases of the brain or spinal cord, what condition the glands are in.

It is important to see a doctor as soon as possible, and not wait until impotence begins to affect life too negatively. At the initial stage of his development and with a good diagnosis, a man can return to his usual way of life again without experiencing problems during intercourse.

Impotence treatment

Treatment begins with identifying and eliminating the causes that caused this unpleasant phenomenon.

Today, all impotence remedies used can be divided into several groups:

• etiotropic, which cope with the cause of the disease;
• pathogenetic, affecting the immediate cause of the disease;
• symptomatic, allowing to eliminate symptoms;
• immunostimulating.

Impotence pills can only be prescribed by a doctor. On his advice, you can buy Trazodone, Trimipramine, Cialis, Levitra, Viagra in a pharmacy. But not always a cure for impotence is able to cope with the problem, especially if the pathology is caused by a psychological factor. Therefore, it is important to connect sessions with a psychotherapist to treatment.

If conservative therapy fails, extreme erectile dysfunction should be treated surgically. Extracavernous phalloprosthesis is one of the ways to correct the situation. However, due to technical difficulties, this type of operation is rarely performed.

Intracavernous penile prosthesis is a method that helps to achieve imitation of an erection for the last 20 years. But the choice of one or another method of treatment always remains with the doctor.

Prognosis and prevention of impotence

Without proper and timely treatment, the prognosis will always be unfavorable. As a prevention of impotence, it is recommended to avoid sexually transmitted diseases and diseases of the urinary system, hypothermia, walk more often, swim and run, stop smoking and drinking alcohol.

Nutrition should be balanced and appropriate for age, and after 50 years, blood pressure levels should be checked every month and cholesterol tests should be taken every 6 months.

Sleep should be at least 8 hours a day, and exercises should be done every day to improve blood circulation.

Author of the article:

Zavalishin Evgeny Vitalievich

urologist, specialist in ultrasound of the genitourinary system

work experience 10 years

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