Male infertility and sexual dysfunction

Men’s health specialists in Duke’s nationally ranked urology program use a wide range of therapies to treat the medical and psychological causes of erectile dysfunction and infertility. We understand the impact sexual health has on your quality of life and help you find a solution that allows you to regain sexual function, a sense of well being, and peace of mind.

Expert care for male sexual problems

Erectile dysfunction is one of the most common sexual problems in men. Approximately 50 percent of men over age 50 have erectile dysfunction (ED), which may include impotence, decreased libido, low testosterone, and Peyronie’s Disease, which is a build-up of scar tissue in the penis that leads to curvature. Our men’s health specialists see a high volume of patients, and can choose from a wide range of treatment options to meet your needs. We work with you to determine which is best for you. Our goal is to provide you with the least invasive yet most effective treatment that reliably delivers a firm and solid erection that is adequate to have penetrating intercourse of adequate duration to satisfy both you and your partner.  

Choose Duke for the treatment of sexual dysfunction because we offer:

  • Comprehensive care. We offer a variety of resources to effectively treat the cause of your sexual dysfunction. We offer support as you manage the physical and psychological effects of this condition.
  • Seamless referrals. If your sexual dysfunction or infertility is the result of an underlying health problem, you have easy access to our entire network of highly trained specialists including cardiology, sleep medicine, neurology and endocrinology.
  • Skilled surgeons. Duke surgeons are ranked in the top one percent nationally for the number of penile implant procedures performed. Our experience treating high volumes of patients lets us take on more complicated patients, including people who require revision surgeries or who have complex anatomic irregularities.
  • Infertility evaluation and treatment. Evaluating and correcting any contributing male factor simultaneously with the female evaluation can expedite the process of a successful pregnancy. With today's advancing technology, we are able to identify many causes of infertility that have previously been unexplained. We work with the Duke Fertility Center to offer all forms of infertility testing and assisted reproductive therapy. 
  • Access to novel treatments sooner. You may be eligible to participate in clinical trials that test new devices and treatments before they become widely available.
  • Early support for cancer survivors. Our cancer survivorship program encourages a proactive approach to managing the sexual side effects of cancer treatment, and educates you about available treatment options before treatment begins.
  • No-scapel vasctectomy. If you are interested in permanent male fertility control, our specially trained Duke Surgeons can perform the no-scalpel vasectomy. The procedures decreases pain and allows patients a quicker return to their normal activities.


Choosing the right treatment is based on a careful evaluation of your symptoms and medical condition. Various treatments are available to treat erectile dysfunction, low testosterone, infertility, and Peyonie's Disease. Options include:


We evaluate your medical history, listen carefully to your concerns and perform a comprehensive physical exam to determine whether your sexual dysfunction may be the result of an existing medical condition like high blood pressure or diabetes, lifestyle choices such as excessive alcohol consumption, an anatomic abnormality such as a varicocele, or an underlying genetic cause. Other tests may include:

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