Sexual Dysfunction

Sexual Dysfunction

Sexual dysfunction is any physical or psychological problem that prevents you or your partner from getting sexual satisfaction. Male sexual dysfunction is a common health problem affecting men of all ages, but is more common with increasing age. Treatment can often help men suffering from sexual dysfunction.
The main types of male sexual dysfunction are:
Erectile dysfunction (difficulty getting/keeping an erection)
Premature ejaculation (reaching orgasm too quickly)
Delayed or inhibited ejaculation (reaching orgasm too slowly or not at all)
Low libido (reduced interest in sex)
 
What causes sexual dysfunction ?
Physical causes of overall sexual dysfunction may be:
Low testosterone levels
Prescription drugs (antidepressants, high blood pressure medicine and many other health related problems)
Blood vessel disorders such as atherosclerosis (hardening of the arteries) and high blood pressure
Stroke or nerve damage from diabetes or surgery
Smoking
Alcoholism and drug abuse
Psychological causes might include :
Concern about sexual performance
Marital or relationship problems
Depression, feelings of guilt
Effects of past sexual trauma
Work-related stress and anxiety
 
How does sexual dysfunction affect men ?
The most common problems men face with sexual dysfunction are troubles with ejaculation, getting and keeping an erection, and reduced sexual desire.
Ejaculation disorders.
Problems with ejaculation are:
Premature ejaculation (PE) — ejaculation that occurs before or too soon after penetration
Inhibited or delayed ejaculation — ejaculation does not happen or takes a very long time
Retrograde ejaculation — at orgasm, the ejaculate is forced back into the bladder rather than through the end of the penis
 
The exact cause of premature ejaculation (PE) is not known. While in many cases PE is due to performance anxiety during sex, other factors may be :
Stress
Temporary depression
History of sexual repression
Low self-confidence
Lack of communication or unresolved conflict with partner
 
Studies suggest that the breakdown of serotonin (a natural chemical that affects mood) may play a role in PE. Certain drugs, including some antidepressants, may affect ejaculation, as can nerve damage to the back or spinal cord.
Physical causes for inhibited or delayed ejaculation may include chronic (long-term) health problems, medication side effects, alcohol abuse, or surgeries. The problem can also be caused by psychological factors such as depression, anxiety, stress, or relationship problems.
Retrograde ejaculation is most common in males with diabetes who suffer from diabetic nerve damage. Problems with the nerves in the bladder and the bladder neck force the ejaculate to flow backward. In other men, retrograde ejaculation may be a side effect of some medications, or happen after an operation on the bladder neck or prostate.
 
Erectile dysfunction (ED)
Erectile dysfunction (ED) is the inability to get and keep an erection for sexual intercourse. ED is quite common, with studies showing that about one half of men over age 40 are affected. Causes of ED include:
Diseases affecting blood flow such as hardening of the arteries
Nerve disorders
Stress, relationship conflicts, depression, and performance anxiety
Injury to the penis
Chronic illness such as diabetes and high blood pressure
Unhealthy habits like smoking, drinking too much alcohol, overeating, and lack of exercise
 
Low libido (reduced sexual desire)
Low libido means your desire or interest in sex has decreased. The condition is often linked with low levels of the male hormone testosterone. Testosterone maintains sex drive, sperm production, muscle, hair, and bone. Low testosterone can affect your body and mood.
Reduced sexual desire may also be caused by depression, anxiety, or relationship difficulties. Diabetes, high blood pressure, and certain medications like antidepressants may also contribute to a low libido.
 
How is male sexual dysfunction diagnosed ?
Your doctor may begin the diagnosis process with a physical exam. Physical tests may include:
Blood tests to check your testosterone levels, Semen Analysis, Blood Sugar (for diabetes), and Cholesterol
Blood pressure check
Rectal exam to check your prostate
Examination of your penis and testicles
 

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