Sexual Dysfunction in Men
What is sexual dysfunction?
Sexual dysfunction is a physical or psychological problem that prevents you from reaching sexual satisfaction for yourself or your partner. Sexual dysfunction in men is a common health problem that affects men of any age, but it is more common when age is more advanced. The treatment can often help men suffering from sexual dysfunction, suggests the best sexologist in Chandigarh. The main types of sexual dysfunction are:
- Erectile dysfunction (difficulty having/maintaining an erection)
- Premature ejaculation (reaching orgasm too fast)
- Delayed or inhibited ejaculation (reaching orgasm too slow or not even having it)
- Low libido (reduced interest in sex)
What causes sexual dysfunction?
There are many factors which cause sexual dysfunction in men or women. It is categorized into two part, one is the physical cause and other is psychological causes, says sexologist in Bahadurgarh.
The physical causes of sexual dysfunction, in general, can be:
- Low levels of testosterone
- Prescription medications (antidepressants, medications for high blood pressure)
- Disorder of blood vessels such as atherosclerosis (hardening of the arteries) and high blood pressure
- Stroke or nerve damage due to diabetes or surgery
- Alcoholism and drug use
The psychological causes may include:
- Concern about sexual performance
- Marital problems or in the personal relationship
- Depression, feelings of guilt
- Effects of a sexual trauma of the past
- Stress and anxiety related to work
How does sexual dysfunction affect men?
The most common problems faced by men with sexual dysfunction are problems with ejaculation, having and maintaining an erection, and a decrease in sexual desire, says sexologist in Rohtak.
The problems with ejaculation are:
- Premature ejaculation (PE) – ejaculation that occurs before or just after penetration.
- Inhibited or delayed ejaculation – ejaculation that does not pass or that takes a long time to pass
- Retrograde ejaculation – during orgasm, the ejaculate is forced backward, towards the bladder, instead of towards the penis.
The exact cause of premature ejaculation (PE) is unknown. While in many cases the anxiety for the performance during the sexual act can be the premature ejaculation, other factors can be:
- Temporary depression
- A history of sexual repression
- Low self-confidence
- Lack of communication or a conflict not solved with the couple
Sexologist in Bhiwani suggested that the breakdown of serotonin (a natural chemical that affects mood) may play a role in premature ejaculation. Certain drugs, including some antidepressants, as well as nerve damage to the back or spine, can affect ejaculation.
Physical causes of inhibited or delayed ejaculation can 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 problems in the personal relationship.
Retrograde ejaculation is more common in men with diabetes who suffer from diabetic nerve damage. Problems with nerves in the bladder and neck of the bladder force the ejaculate to flow backward. In other men, retrograde ejaculation may be a side effect of some medications, or they may occur after an operation on the neck of the bladder or prostate, says sexologist in Sonipat.
Erectile dysfunction (ED)
Erectile dysfunction (ED) is the inability to have or maintain an erection to have a sexual relationship. ED is quite common, there are studies that show that about half of Indian men over 40 years of age are affected. The causes of ED include:
- Diseases that affect blood flow such as hardening of the arteries
- Disorders of the nerves
- Stress, conflicts in personal relationships, depression, and anxiety for performance
- Injuries to the penis
- Chronic diseases such as diabetes and high blood pressure
- Unhealthy habits such as smoking, drinking too much alcohol, eating too much, and lack of exercise
Low libido (decreased sexual desire)
Low libido means that your desire or interest in sex has decreased. The disease is often related to low levels of the male hormone testosterone. Testosterone maintains sexual desire, sperm production, muscles, hair, and bones. Having low testosterone levels can affect your body and your mood, says sexologist in Panipat.
Depression, anxiety, or difficulties in personal relationships can also cause decreased sexual desire. Diabetes, high blood pressure, and certain medications such as antidepressants can also contribute to low libido.
How is sexual dysfunction diagnosed in men?
Your sexologist in Jhajjar can begin the diagnostic process with a physical examination. Physical evidence may include:
- Blood tests to see your testosterone levels, blood sugar (for diabetes), and cholesterol
- Take blood pressure
- A rectal exam to examine the prostate
- Examination of your penis and your testicles
Other tests can show if you have problems with nerve impulses or blood flow to the penis.
Your sexologist in Chandigarh can also ask you about your symptoms and your medical and sexual history. Although these questions may seem very personal, do not feel embarrassed. It is important to answer honestly so that they can recommend the best treatment. You may be sent to a different type of doctor (urologist, endocrinologist, or nephrologist, for example) who can help you.
How is sexual dysfunction treated in men?
Many of the cases of sexual dysfunction can be corrected by treating the mental or physical problems that cause them. The treatments include:
- Medications – medications that help improve sexual function by increasing blood flow to the penis. They are safe and effective for most men.
- Hormone therapy – low levels of testosterone are increased by hormone replacement therapy that includes injections, patches, or gels.
- Psychological therapy – a psychological counselor to help you treat your feelings of anxiety, depression, fear, or guilt that may affect your sexual function.
- Mechanical aids – vacuum devices and implants in the penis that can help some men with erectile dysfunction.
Can you prevent sexual dysfunction in men?
While sexual dysfunction cannot be prevented, dealing with the causes of dysfunction can help you better understand and deal with the problem when it occurs. To help maintain good sexual function:
- Follow your doctor’s treatment plan for any medical / health conditions.
- Limit the consumption of alcohol.
- Stop smoking.
- Get treated, if you need it, for any emotional or psychological problems such as stress, depression, and anxiety.
- Communicate better and more often with your partner.