A sexual dysfunction is a mental or physical problem that prevents your partner or you from experiencing sexual satisfaction.

What causes sexual dysfunction?

There are many causes for sexual dysfunction that can lead to physical problems.

  • Low levels of testosterone
  • Prescription medication (antidepressants, high blood pressure medications).
  • High blood pressure and blood vessel disease such as atherosclerosis (hardening the arteries).
  • Diabetes or surgery can cause strokes or nerve damage.
  • Smoking
  • Drug and alcohol abuse
  • Psychological reasons could include:
  • Concerns about sexual performance
  • Problems in the marital or romantic relationship
  • Feelings of guilt and depression
  • Past sexual trauma can have devastating effects
  • Anxiety and stress at work

What does it mean for men to have sexual dysfunction?

Problems with ejaculation and getting and maintaining erection are the most common issues men with sexual dysfunction face.

Ejaculation disorders

Ejaculation problems are:

  1. – Premature ejaculation is ejaculation that takes place before or shortly after penetration.
  2. – Ejaculation that is delayed or inhibited – Ejaculation that takes too long or does not work
  3. – Retrograde ejaculation is when the ejaculate is forced into the bladder backwards instead of into his penis.

1.- It is not known what causes premature ejaculation. Although performance anxiety in intercourse is often the reason for premature ejaculation (PE), there are other possible causes.

  • Stress
  • Temporary depression
  • Sexual repression in the past
  • Low self-confidence
  • Communication problems or conflict that have not been resolved with a partner.

Studies have shown that serotonin, a chemical that affects mood and is responsible for premature ejaculation. Ejaculation may be affected by certain drugs, such as antidepressants and nerve damage to the spine or back.

2.- Chronic (long-term), medical side effects, alcohol abuse, and surgeries may all contribute to delayed or inhibited ejaculation. The problem could also be caused by psychological factors like depression, anxiety, stress, and relationship problems.

3.- Retrograde ejaculation occurs more often in diabetic men who have suffered from nerve damage. The ejaculate will flow backwards when there are problems with the nerves that supply the bladder and bladder neck. Retrograde ejaculation in other men may occur as a side effect or after surgery to the bladder neck.

Erectile Dysfunction (ED)

Erectile dysfunction (ED), is the inability to conceive or maintain a sexual relationship. Studies show that ED is quite common in America, with approximately half of all men over 40 suffering from it. ED can be caused by:

  • Blood flow-related diseases such as hardening the arteries.
  • Nerve disorders
  • Stress, relationship conflict, depression, performance anxiety.
  • Penis injuries
  • Diabetes and high blood pressure are chronic diseases.
  • Negative habits like smoking, alcoholism, eating too many calories, and not getting enough exercise are all unhealthy.
Low libido (lower sexual desire)

Low libido is a sign that you have less desire to sex. Low levels of testosterone, the male hormone, are often responsible for this condition. Testosterone is essential for maintaining sex drive and sperm production. It also maintains muscles, hair, bones, and muscle mass. Low testosterone levels can have a negative impact on your body and mood.

A decreased sex drive can be caused by depression, anxiety, and relationship problems. Low libido can be caused by high blood pressure, diabetes, or certain antidepressants.

How to diagnosis sexual dysfunction in men?

A physical exam may be the first step in diagnosing you. A physical examination may include:

  • Tests to determine your testosterone, blood sugar (for diabetics), and cholesterol.
  • Blood pressure
  • Rectal examination to check your prostate
  • Examining your testicles and penis

You may also need to have other tests done to determine if there are any problems with blood flow or nerve impulses.

Your doctor might also ask about your symptoms, medical history, and sexual history. These questions can seem personal but don’t be embarrassed. You must answer these questions honestly in order to get the best possible treatment. A different doctor may be able to help you (e.g., a sex therapist or endocrinologist).

What is the treatment for male sexual dysfunction?

Treatments for the mental and physical disorders that lead to sexual dysfunction are often able to correct many cases. These are some of the treatments:

  • Medications are medications that improve sexual function by increasing blood flow and the penis. Most men can safely and effectively use Sildenafil, Vardenafil, and Levitra (r),
  • Hormone therapy: Low testosterone levels can be increased with hormone replacement therapy, which includes injections, patches or gels.
  • Psychological therapy is a type of counseling that helps you to deal with anxiety, depression, fear, guilt, and other issues that could affect your sexual function.
  • Some men may benefit from mechanical aids such as penile implants and suction devices.

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