Sexual problem also known as sexual dysfunction means a problem at any stage of the sexual response cycle which thwarts a man or couple from feeling pleasure from their sexual activity. Sexual response cycle has four phases which are: excitement, plateau, orgasm, and resolution.
Below are the major types of male sexual dysfunction:
- Erectile dysfunction (finding it difficult to getting/keeping an erection)
- Premature ejaculation (reaching orgasm too quickly)
- Delayed or inhibited ejaculation
- Low libido (a reduction in sexual interest)
What are the causes of sexual dysfunction in men?
The physical causes of total sexual dysfunction can be:
- Low levels of testosterone
- Over the counter drugs (antidepressants, high blood pressure medications)
- Blood Vascular disorders such as atherosclerosis (arterial hardening) and high blood pressure
- Damage to the nerve or stroke as a result of diabetes or surgery
- Smoking
- Alcoholism and drug addiction
Psychological causes of sexual dysfunction can include:
- Thinking about sexual performance
- Relationship problems or marital issues
- Depression, feelings of guilt
- Effects of past sexual trauma
- Stress and anxiety at work
How do sexual problems affect men?
Ejaculation disorders, erectile dysfunction, and inhibition of sexual desire are the major and most common sexual problems in men.
What are Ejaculation Disorders?
There are various types of ejaculation disorders in men, including:
- Premature ejaculation: This refers to ejaculation occurring before or immediately after penetration.
- Inhibited or retarded ejaculation: This is when ejaculation is slowed down.
- Retrograde ejaculation occurs when at orgasm, the ejaculates are forced back into the bladder, not through the urethra and out the end of the penis.
What Is Erectile Dysfunction?
This is also referred to as impotence, erectile dysfunction is defined as the inability to achieve and/or maintain an erection suitable for sexual intercourse. The causes of erectile dysfunction include diseases affecting blood flow, such as atherosclerosis (arterial hardening); nervous disorders; psychological factors such as stress, depression and performance anxiety (nervousness over his ability to perform sexually); and penile injuries. Chronic illness, some medications and the condition called Peyronie’s disease (scar tissue in the penis) can also cause erectile dysfunction.
What Is Inhibited Sexual Desire?
Inhibited desire also known as loss of libido concerns the reduction of desire or interest in sexual activity. Reduced libido can occur as a result of physical or psychological factors. It is associated with low levels of testosterone hormone. It can also be caused by psychological problems such as anxiety and depression; medical illnesses such as diabetes and high blood pressure; certain drugs, including some antidepressants; and relationship difficulties.
How Are Male Sexual Problems Diagnosed?
In order to diagnose sexual problem in men, the doctor will probably begin with a complete history of symptoms and physical examination. He or she may order further examinations to exclude all medical problems that may contribute to the malfunction. Your doctor may refer you to other healthcare professionals, including urologists (a specialist in the urinary tract and a male reproductive system), sexologists and other counselors.
How sexual problem in men are treated?
Majority of the cases of sexual problem can be corrected by treating basic physical or psychological problems. Treatment strategies may include the following:
Medical Treatment: this is the treatment of any physical problem that may contribute to sexual problems in men.
Drugs: some medications such as Cialis, Levitra, Staxyn, Stendra or Viagra can help improve erectile function in men by increasing the rate at which blood flow to the penis. Promescent is a drug which has been found to be used in the treatment of premature ejaculation. The topical spray is applied to the penis and contains lidocaine, which reduces sensitivity and provides better control of ejaculation.
Hormones: Men with low levels of testosterone may benefit from testosterone replacement therapy.
Psychological Therapy: Therapy with a trained counselor can help an individual with a sense of anxiety, fear or guilt that can affect their sexual function.
Mechanical aids: Mechanical aids such as vacuum devices and penile implants have been found to be helpful in men with erectile dysfunction.
Education and communication: Educating an individual about sex and sexual behaviors and responses may help a man overcome his anxieties about sexual performance. Having an open discussion with your partner about your wants and concerns also helps to overcome many obstacles to a healthy sex life.
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