Causes of Male Sexual Dysfunction A sexual problem, or sexual dysfunction, refers to a problem during any phase of the sexual response cycle that prevents the man or couple from experiencing satisfaction from the activity. The sexual response cycle has four phases: excitement, plateau, orgasm, and resolution.
Sexual Dysfunction in Males
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.
What Causes of Male Sexual Dysfunction?
- Physical causes: Many physical and medical conditions can cause problems with sexual function. These conditions include diabetes, heart and vascular (blood vessel) disease, neurological disorders, hormonal imbalances, chronic diseases such as kidney or liver failure, and alcoholism and drug abuse. In addition, the side effects of certain medications, including some antidepressant drugs, can affect sexual desire and function.
- Psychological causes: These include work-related stress and anxiety, concern about sexual performance, marital or relationship problems, depression, feelings of guilt, and the effects of a past sexual trauma. Causes of Male Sexual Dysfunction
What Are Ejaculation Disorders?
There are different types of ejaculation disorders in men, including:
- Premature ejaculation: This refers to ejaculation that occurs before or soon after penetration.
- Inhibited or retarded ejaculation: This is when ejaculation is slow to occur.
- Retrograde ejaculation: This occurs when, at orgasm, the ejaculate is forced back into the bladder rather than through the urethra and out the end of the penis. Causes of Male Sexual Dysfunction
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. 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: At orgasm, the ejaculate is forced back into the bladder rather than through the end of the penis. Retrograde ejaculation is most common in males with diabetes who suffer from diabetic nerve damage. Causes of Male Sexual Dysfunction
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 American 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. Causes of Male Sexual Dysfunction
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. Causes of Male Sexual Dysfunction
Low Sperm Count
Low sperm count means that the fluid (semen) you ejaculate during an orgasm contains fewer sperm than normal.
A low sperm count is also called oligospermia (ol-ih-go-SPUR-me-uh). A complete absence of sperm is called azoospermia. Your sperm count is considered lower than normal if you have fewer than 15 million sperm per milliliter of semen.
Having a low sperm count decreases the odds that one of your sperm will fertilize your partner’s egg, resulting in pregnancy. Nonetheless, many men who have a low sperm count are still able to father a child. Causes of Male Sexual Dysfunction
Benign prostatic hyperplasia (BPH) — also called prostate gland enlargement — is a common condition as men get older. An enlarged prostate gland can cause uncomfortable urinary symptoms, such as blocking the flow of urine out of the bladder. It can also cause bladder, urinary tract or kidney problems.
There are several effective treatments for prostate gland enlargement, including medications, minimally invasive therapies and surgery. To choose the best option, you and your doctor will consider your symptoms, the size of your prostate, other health conditions you might have and your preferences.
Who Is Affected by Sexual Problems?
Both men and women are affected by sexual problems. Sexual problems occur in adults of all ages. Among those commonly affected are those in the geriatric population, which may be related to a decline in health associated with aging. Causes of Male Sexual Dysfunction
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.
HOW DO I CORRECT SEXUAL DYSFUNCTION?