MAN-o-pause: What is Andropause, exactly?

Just as women face menopause, men face a similar situation where the production of sex hormones in our bodies naturally and gradually decreases with age. In men, such a condition is known as andropause.


For most of us, Andropause is a matter of “when” and not “if”. Andropause can begin in the fourth decade of life, affecting about 5% of men. Andropause then progresses to affect 30% in their 50s, and 45% of men in their 60s. This figure rises exponentially to 70% and 90% for men in their 70s and 80s, respectively.

Could I be going through Andropause?

The symptoms of Andropause become more severe over time.

Initially, when testosterone levels are low…

As Andropause progresses due to persistently low testosterone levels, the following physical symptoms manifest:

What you can do

Committing to lifestyle changes to control weight will help to improve the treatment of such chronic conditions, and slow the progress of Andropause.

Furthermore, maintaining good control of your chronic condition and weight will reduce the risks of heart conditions and stroke.

At the same time, see a doctor, who can then concentrate on managing your sexual health, addressing any signs of erectile dysfunction, premature ejaculation, or lack of libido. Your doctor may also recommend Testosterone Replacement Therapy to improve this condition.

How do I know if I have low testosterone level or hormonal imbalances?

The only way is to check through blood tests the various hormones that may be the cause of the various symptoms listed above. You should also consider consulting a doctor to understand further and what treatment options there are.

Erectile Dysfunction – When it Gets Harder To Get Hard ED

Erectile Dysfunction – When It Gets Harder To Get Hard

Once a taboo topic for men, Erectile dysfunction (ED) has received more attention as a prevalent and serious issue for men and their sexual partners since the 1990s. The emergence of more readily available and efficient treatment alternatives, particularly in primary healthcare provider settings, is causing an increase in the number of males seeking assistance.

According to studies, up to 20% of sexually active males experience erectile dysfunction. As men age up, this number gets higher, with as many as 86% of men who are 80 years of age or older having ED.

What causes erectile dysfunction?

Erectile dysfunction is a complex disorder that can be influenced by several causes like:

ED is not life-threatening, but it can be an early sign of a more serious condition, like diabetes or heart disease. Worse still, ED can significantly affect a man’s quality of life, relationships, and sense of wellbeing.

Options for Treating Erectile Dysfunction

The first thing to do is to talk to your doctor if you suspect you may have erectile dysfunction. Due to advances in medical science, the number of safe and efficient treatments for erectile dysfunction has increased recently.

Before doing anything else, your doctor will have to understand the underlying cause of ED, factor in your age and consider any other existing diseases like heart problems or blood pressure issues.

Dealing with ED might be as simple as making some lifestyle adjustments, such as reducing alcohol consumption, quitting smoking, and losing weight. If any medicine is the cause of your erectile dysfunction, your doctor might advise you to cut back on the dosage or switch to another prescription.

Besides that, there are a whole host of medically-proven erectile dysfunction treatments like counseling, oral medicines, injectables, vacuum pumps, Extracorporeal Shockwave Therapy (ESWT), and surgery.

Medications Taken Orally

When it comes to oral medications for ED, PDE5 inhibitors have become the most common type of medication available. This class of medications is effective in more than 80% of patients, and work by increasing blood flow to penile tissue.

When taking such medication, possible side effects include headache, nasal stuffiness, flushing, and mild muscle ache.

If you have heart disease and are taking nitrates, it is likely that your doctor will advise you not to take them at the same time as this can cause a significant drop in blood pressure. It is also dangerous to combine PDE5 inhibitors and alkyl nitrites.

Finally, please be sure to notify your doctor of any other medications you are taking, including over-the-counter medications and herbal supplements before you continue with any PDE5 inhibitor prescription drugs.

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Emergency Contraception

What Is Emergency Contraception?

Emergency oral contraception, also known as Plan B, is a safe and efficient medicine commonly used to prevent unexpected pregnancies.

Who should use emergency contraception?

The following situations are where you might be considering emergency contraception:

After unprotected sexual activity

In the event of potential contraception failure or inappropriate use, such as

Is Emergency Contraception a Good Option for Me? 

There will be a consultation with your doctor to determine if emergency contraception is appropriate for you. During this consultation, your doctor may ask you some questions to ensure that you are not currently pregnant.

If you have any other medical problems or are taking any long-term medications, please tell your doctor as some drugs may interact with or reduce the efficacy of oral emergency contraception.

Breastfeeding mothers can still use emergency oral contraception, but may have to discard breast milk for up to a week afterwards.

How do Emergency Contraception work?

Ovulation Delay or Prevention

Emergency contraception works by postponing or preventing ovulation, or the release of an egg.

What kinds of emergency contraception are there?

72 hours pills and the 120 hour pill are the most commonly available forms of oral emergency contraception in Singapore.

72 hour Pills 120 hour Pill
Timing Effective up to 72 hours from time of intercourse Effective up to 120 hours from time of intercourse
Doses 1 tablet as soon as possible and 1 tablet 12 hours later 1 tablet as soon as possible

How effective is emergency oral contraception?

When used properly, emergency oral contraception has a 95% or higher success rate. This success rate is influenced by how soon after intercourse it is used, with success rates ranging from 95% to 100%.

While oral emergency contraception has a high success rate, it is not completely foolproof. If your period is late, you should still perform a urine pregnancy test.

What are the possible side effects of Emergency Oral Contraception?

Nausea and vomiting are the most common side effects of emergency oral contraception. If vomiting occurs within 2-3 hours of taking the pill, a second dose may be necessary.

In addition to discomfort in the abdomen, emergency oral contraception can also cause alterations in a person’s menstrual cycle, such as spotting. Your period should still start a week after the anticipated date. A urine pregnancy test might be recommended if there was an unusual delay in menstruation, which could be a symptom of pregnancy.

How Often Should You Use Emergency Contraception?

It should not be used more than once per month or each menstrual cycle. Emergency contraception is not intended to be a long-term method of contraception, nor does it offer protection from STDs (STIs).

What other methods of birth control are available?

If you’ve had to use oral emergency contraception several times, you might want to think about the other more conventional methods of contraception. These might include both short-term, reversible forms of contraception like birth control pills and hormone patches or longer-term methods like implants and intrauterine devices (IUD).

IUDs are unique in the sense that they are both long-term and reversible in nature. The copper-bearing (IUD) last several years, and is one of the comparable contraceptive options available in addition to emergency oral contraception.

Premature Ejaculation – Can’t Stop When You Pop?

Premature Ejaculation – Can’t Stop When You Pop?

When a man ejaculates during sexual activity earlier than he or his partner would prefer, the condition is known as premature ejaculation (PE). Both the parties typically experience a mutual kind of stress from the sense that they might not have been fully satisfied. The good news is that this stress can be avoided, because we can now treat PE.

Premature Ejaculation – More common than you think!

You are not alone. In fact, the most typical sexual issue confronting males is premature ejaculation, with 1 in 3 men experiencing it.

So, why can’t you last longer in bed? There are 2 main reasons why you cannot last longer in bed:

Psychological factors tend to more play a more common role in many PE, while physical issues are rare. The most typical psychological elements include:

If we want to look at potential biological factors, they could be:

Is there a remedy for premature ejaculation?

If your premature ejaculation stems from psychological factors, we urge you to consult your doctor and work with him to find a solution to your issue. With help from professionals, therapy and effort, you can overcome PE and look forward to an even better sexual relationship with your spouse.

When Should I Get Help?

If you do not think that your PE stems from psychological factors, it is recommended that you visit a doctor to seek medical assistance. This is especially so if you experience any or all of the following:

Options for Premature Ejaculation Treatment

Premature ejaculation can be treated with behavioural techniques, topical creams, and oral medications.

It may take some time to treat Premature Ejaculation, so be patient and find the treatment that works best for you. For the best results, it is recommended that you combine behavioural techniques and medication.

Behavioural Methods

The following methods may help to postpone ejaculation:

Oral Medication

There is currently only one officially available medicine for the treatment of PE. At the same time, a doctor may prescribe erectile dysfunction medication if he thinks ED is the cause of your issue. Studies have shown that taking both medications together is extremely effective for treating premature ejaculation, even if you do not have erectile dysfunction. Doctors can also prescribe pain relievers, which can delay ejaculation.

These prescription medications are usually taken before intercourse.

STD Testing

STD Testing

Why the importance of regular STD testing?

If you engage in sexual activity of any kind, routine STD (sexually transmitted disease) testing is important, even if you use protection.

It is important to detect STDs through testing, as some STDs may not exhibit any symptoms or indicators. If either party engages in sexual activity with multiple partners, your risk of contracting an STD or STI (sexually transmitted infection) increases considerably. Additionally, the risk goes up if a person engages in risky sexual behaviors like unprotected sex, or if their sexual partner is known to have an STD. The only way to guarantee your health while leading an active and fulfilling sex life is regular and prompt STD testing.

In Singapore, STD testing is no longer taboo or difficult to discuss. When you get an STD test, your doctor will evaluate you based on your medical history and sexual activity. STD testing is a routine checkup that is performed in private, professional, and comfortable medical settings by kind, understanding medical professionals.

Symptoms of STDs and STIs

Although some STDs or STIs may not have any symptoms, various STDs may exhibit distinct symptoms. Additionally, some STDs only show symptoms late in the course of infection. If you are sexually active, STD testing is crucial to identify any underlying issues quickly.

STDs may cause a variety of symptoms, such as:

A thorough risk analysis, which includes STD testing, is advised for anyone who suspects that they have an STD. With quick STD testing for early detection available, a vast majority of STDs can be entirely cured.

Process of STD Testing in Quinn

Since every person is unique, it is crucial to be open and honest with your doctor while choosing the best course of action. At Quinn, our doctors believe in conducting our patient tele-consultations in a discrete, nonjudgmental, and open-minded manner.

Before recommending the appropriate STD test, the doctor will begin by evaluating your medical history, risk factors, and background(s).

However, if you prefer to do self-testing for STDs, we also offer STD screening kits based on the tests you would like to do. These will be delivered to you with a simple instruction leaflet included in each kit. Those instructions help you make sure that your self-test is conducted safely, and accurately.

If an STD test requires blood samples, a certified phlebotomist will take your blood at our partner DTAP Express clinic. If you need to give a urine or swab sample, the in-clinic staff will also provide you with the necessary self-test kit.

All results from self-testing will be reviewed by our doctors at Quinn before being sent to you via email. If our doctors believe that follow-up is required, you will be notified via email at the same time.

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