Sexual Problems in Male: Causes, Diagnosis, Treatments

Healthy and satisfying sex life is crucial for a couple’s overall mental, physical and emotional well-being. Sex is supposed to be enjoyable, but in case it’s not, something needs to be fixed. A sex problem or sexual dysfunction can be anything that prevents you from getting the desired satisfaction from sexual activity/intercourse.

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While research suggests that sexual dysfunction is common (43% of women and 31% of men report some degree of difficulty), it is a topic that many people are hesitant to discuss. Fortunately, most cases of sexual dysfunction are treatable, so it is important to share your concerns with your partner and doctor.

Here are some common causes of sexual dysfunction in men:

The cause of sexual dysfunction can be physical or psychological. Physical causes include low testosterone, medical conditions such as diabetes and vascular diseases, certain medications, drug abuse, smoking, and alcoholism. On the other hand, psychological reasons include stress, anxiety, depression, trauma, relationship issues, etc.

Erectile dysfunction (ED)

Erectile dysfunction (ED) or male impotence, is a medical condition in which a man is unable to develop and/or maintain a firm penile erection, required for sexual activity. Potential causes for ED include natural aging, certain medications, vascular disease, diabetes, stress, and depression. Generally, to prevent ED, following a healthy diet and lifestyle is suggested. But, if it doesn’t go, you should see your doctor.

Premature ejaculation

Premature ejaculation (or early ejaculation) affects nearly 30% of men. As the name suggests, premature ejaculation is a condition in which a man rapidly ejaculates after sexual stimulation (usually within less than a minute), leaving the partners sexually dissatisfied. Causes of PE include stress, depression, anxiety, issues in the relationship, and low self-esteem. If PE strikes your sex life, talk to your doctor for treatment.

Low libido

It might happen that a man loses the natural desire or drive to have sex. Common factors linked with low libido are stress, anxiety, depression, certain medications, and some medical conditions such as diabetes and high blood pressure. If you witness a drop in your level of sexual desire over time, talk to your doctor about the underlying reason, and seek apt treatment.

Other ejaculatory disorders

Apart from Premature ejaculation, there exist other ejaculatory disorders as well:
Inhibited ejaculation: When ejaculation takes too long to occur, it is called inhibited or delayed ejaculation.
Retrograde ejaculation: When at the time of orgasm, the ejaculate is forced back into the bladder, instead of getting discharged through the urethra and out of the end of the penis, it is known as retrograde ejaculation.

How Are Male Sexual Problems Diagnosed?

To diagnose a man’s sexual problem, the doctor likely will begin with a thorough history of symptoms and a physical exam. He or she may order other tests to rule out any medical problems that may be contributing to the dysfunction. The doctor may refer you to other health professionals, including a urologist (a doctor specializing in the urinary tract and male reproductive system), sex therapist, and other counselors.

Can Sexual Problems Be Cured?

The success of treatment for sexual dysfunction depends on the underlying cause of the problem. The outlook is good for dysfunction that is related to a treatable or reversible physical condition. According to WebMD Mild dysfunction that is related to stress, fear, or anxiety often can be successfully treated with counseling, education, and improved communication between partners.

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