Introduction

Concomitant insomnia and obstructive sleep apnea (OSA), or COMISA, means insomnia and OSA occur at the same time, whether that’s long-term, or from time to time. Both conditions on their own have detrimental effects on overall and sexual health as well as one’s quality of life. These sleep disorders can contribute to issues such as heart problems, anxiety, depression, mood changes, and erectile dysfunction (ED).

Introduction

Erectile dysfunction (ED) is one of the most common sexual dysfunctions in biological males, affecting a significant population and usually increasing in prevalence with age. Previous studies have shown that physical activity can help with erectile function; aerobic exercises and activities can enhance vascular function, reduce inflammation, and improve blood flow, which all contribute to good erectile function. However, aerobic activities are not accessible for every individual and may be more difficult to do, especially as men age. Walking is accessible, simple, and free, making it a good exercise to incorporate into daily routines and potentially improve erectile function.

Introduction

Erectile dysfunction (ED) is a common condition that can impact a man’s confidence, relationships, and overall quality of life. While there are many treatments available, some men choose a penile implant as a long-term solution, especially when other options don’t work. However, one of the biggest concerns for patients considering this surgery is how their penile length will be affected.

Introduction

Erectile dysfunction (ED) happens when a man struggles to get or keep an erection firm enough for sexual activity. This condition can result from issues with nerves, blood flow, hormones, or mental health. ED is common, especially as men age, with about 37% of men aged 70–75 experiencing it.

Introduction

Sexual motivation involves the brain’s emotional, thinking, and movement systems working together to drive actions like approaching or initiating sexual activity. Sexual arousal and lying can affect brain activity, which can be measured through motor-evoked potentials (MEPs). MEPs are signals recorded from muscles when specific brain areas, like the motor cortex, are stimulated using transcranial magnetic stimulation (TMS), which uses electromagnetic pulses to temporarily activate parts of the brain.

Introduction

Erectile dysfunction (ED) is a common issue after prostate surgery, known as radical prostatectomy (RP), with rates varying widely between 10% and 87%. This range is due to factors like patient age, differing definitions of ED, and sometimes overly positive self-reports. ED after RP significantly impacts quality of life and can contribute to depression, as it affects men’s sense of self and masculinity.