Sexual health is the most important part of a man's life, no matter his age, social status, or sexual orientation. A good sexual performance is one of the greatest confidence boosters for a man. Yet, it is essential to understand that there are several factors that can hinder total satisfaction during in bed such as erection problems and performance anxiety. Failure to satisfy your woman can have serious implications on your self esteem and relationship.
Male sexual problems refer to the problem during any phase of the sexual response cycle that prevents the man from experiencing satisfaction from the activity. Generally the sexual response cycle has four phases: excitement, plateau, orgasm, and resolution.
Again the size of a man’s penis, as well as its hardness and sensitivity, plays a huge role in sexual satisfaction for both man and woman involved.
Unfortunately, it’s extremely common for men to suffer from issues with their penises, like premature ejaculation, erectile dysfunction, and small size. When sex begins to fail in a relationship, the problem can snowball into bigger and bigger problems.
The main causes for male sexual problems
There are so many causes for sexual problem. But the main causes for sexual dysfunction in men can be a result of a physical or psychological problem.
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.
Types of sexual dysfunction in male
Commonly the four types of sexual dysfunction include disorders involving:
- Erectile dysfunction
- Premature ejaculation
- Low sexual desire or libido
- Disordered/ inability orgasm
Those sexual problems will be described separately, but understand that some medical conditions can affect two or more disorders at the same time.
1. Erectile dysfunction (ED)
Erectile dysfunction (ED) is the inability to acquire or maintain a satisfactory erection. The prevalence of erectile dysfunction varies according to the patient's age.
There are three types of erections -- those caused by tactile stimulation, those caused by mental stimulation, and those that men experience while sleeping. This classification can be important when the cause of erectile dysfunction is yet to be determined.
In order to have an erection, men need stimuli; they need blood arriving from the arteries and a vein capable of locking the blood in place. Each of the numerous steps in this system can fail making erectile dysfunction a complex problem for investigation.
Erection problems can have many causes. These include: Physical problems, such as injury to nerves or loss of blood supply to the penis . Other health problems, such as diabetes, high blood pressure, anxiety, and depression.
According to the Cleveland Clinic, as many as 52 percent of men experience erectile dysfunction, with it affecting 40 percent of men age 40, and 70 percent of men age 70. Men who have heart disease, diabetes and are taking certain medications have higher risks of experiencing erectile dysfunction.
Main causes for erectile dysfunction
There are numerous potential causes of erectile dysfunction. The main causes include:
- Fear of non-performance
- Loss of feeling toward the other person
- Spinal cord or back injury
- Multiple sclerosis
- Prostate surgery Priapism
- Nervous system tumor
- Low testosterone blood level
Symptoms of erectile dysfunction
Erectile dysfunction will cause the penis to be unable to acquire or maintain a satisfactory erection. It is important to specify to the doctor the rapidity of onset, the presence of nocturnal erections, and the quality of the erection if it can be attained but not maintained. The quality of an erection can be judged according to the rigidity and the functionality (Is the penis erect enough to allow for vaginal penetration?
Erectile dysfunction with sudden onset and no previous history of sexual dysfunction suggests a psychogenic cause, unless there was a previous surgery or a genital trauma. The loss of nocturnal erections will suggest a neurologic or vascular cause. Finally, when an erection is not sustained, its loss may be due to an underlying psychological cause or vascular problem. Talk to your doctor if you have noticed any problems with your erectile function.
2. Premature ejaculation
Premature ejaculation is the most common of the ejaculatory disorders; approximately 20% to 30% of men will have premature ejaculation. Ejaculation problems involve the improper discharge of sperm, prostatic, and seminal vesicle fluid through the urethra.
There are three different types of premature ejaculation:
- Premature ejaculation is ejaculation after minimal or no physical stimulation.
- Retarded ejaculation is ejaculation after a long delay of physical stimulation.
- Retrograde ejaculation is orgasm without ejaculation, also called "dry" ejaculation.
Causes for premature ejaculation
There are many potential causes of premature ejaculation. These include neurological causes that affect the following areas:
- Central control of ejaculation
- Innervation to the seminal tract
- Sensory innervation to the genitalia/prostate
In some cases, premature and inhibited ejaculation is caused by psychological factors, including a strict religious background that causes the person to view sex as sinful, a lack of attraction for a partner, and past traumatic events.Premature ejaculation, the most common form of sexual dysfunction in men, often is due to nervousness over how well he will perform during sex.
Premature ejaculation may be caused by negative conditioning and penile hypersensitivity.
Symptoms of premature ejaculation
Mainly the premature ejaculation includes:
- Brief ejaculatory latency
- Loss of control
- Psychological distress in the patient and/or partner
However, premature ejaculators will only have about a minute or less of intravaginal time before they ejaculate.
3. Low sexual desire or libido
The definition of low libido is when sexual desire is diminished or absent. The definition also varies according to the patient's level of satisfaction of his own sexual desire. Some men can be very fulfilled with what some men consider scarce sexual activity.
Causes for low libido in male
Researchers have identified many causes as contributing to the diminishment of sexual desire. The principle causes include:
- Medications (SSRIs, anti-androgen's, 5-alpha-reductase inhibitors, opioid analgesics)
- Hypoactive sexual disorder
- Recreational drugs
- Relationship problems
- Other sexual dysfunction (fear of humiliation)
- Hormonal problems such as hyperthyroidism
Symptoms of low libido
The person that lacks sexual desire won't want to initiate the sexual relation. If the act is initiated, low libido can also present itself as the inability to attain an erection. If the patient experiences a first episode of erectile dysfunction without any previous sexual symptoms and adequate nocturnal erection, the cause is probably psychogenic and the problem is not the erection. It is also important to specify if the low libido is new in onset or if one has always felt this way about sexual relations.
4. Disordered orgasm
Male orgasmic disorder may be defined as a persistent or recurrent inability to achieve orgasm despite lengthy sexual contact or while participating in sexual intercourse.
The individual affected by male orgasmic disorder is unable to experience an orgasm following a normal sexual excitement phase. The affected man may regularly experience delays in orgasm,or may be unable to experience orgasm altogether.
Causes for disordered orgasm
The causes of disordered orgasm include:
- Psychiatric disorder
- Diabetic neuropathy
- Multiple sclerosis
- Complications from genital surgery
- Pelvic trauma
- Drugs (alpha-blockers, antidepressants)
Symptoms of disordered orgasm
The main symptom of orgasmic dysfunction is the inability to achieve sexual climax.Having unsatisfying orgasms or taking longer than normal to reach climax are also symptoms. Women with orgasmic dysfunction may have difficulty achieving orgasm during either sexual intercourse or masturbation.
There are four types of orgasmic dysfunction:
- Primary anorgasmia is a condition in which you’ve never had an orgasm.
- Secondary anorgasmia is a condition in which you have difficulty reaching orgasm, even though you’ve had one before.
- Situational anorgasmia is the most common type of orgasmic dysfunction. It occurs when you can only orgasm during specific situations, such as during oral sex or masturbation.
- General Anorgasmia is a condition in which you can’t achieve orgasm under any circumstances, even when you’re highly aroused and sexual stimulation is sufficient.
In addition to specific symptoms involving sexual function (inability or delay in reaching orgasm after sufficient stimulation), most patients complain of anxiety, guilt, shame and frustration, and many develop bodily complaints on a psychological basis.
Treatments for Male Sexual Problems
Treatment of male sexual problems will depend on the cause and there is a range of good treatment options. Many cases of sexual dysfunction can be solved by treating the underlying physical or psychological problems. Treatment strategies may include the following:
Medical treatment: This involves treatment of any physical problem that may be contributing to a man's sexual dysfunction.
Medications: Medications, such as Cialis, Levitra, Staxyn, Stendra, or Viagra may help improve erectile function in men by increasing blood flow to the penis. Promescent is a drug used to treat premature ejaculation. The topical spray is applied to the penis and contains lidocaine, reducing sensitivity and allowing for more ejaculation control.
Penile injection therapy: Injection of alprostadil (Caverject) directly into the penis before intercourse has been approved for men who do not respond to oral drug therapy. This hormone injection increases the blood supply to the penis to produce an erection.
Psychological therapy:Therapy with a trained counselor can help a person address feelings of anxiety,fear, or guilt that may have an impact on sexual function. In the majority of cases, psychotherapy will be suggested even in those cases where psychological factors are secondary rather than the primary mechanism for the disorder. Such treatment should be rendered by therapists with special training in the disorders of sexual function and who can tactfully evaluate the sexual compatibility of the patient and his partner.
Hormones therapy: Men with the low levels of testosterone may benefit from testosterone replacement therapy.
Penile prosthesis: This is only considered when all other treatment options have failed as it requires major surgery. An inflatable rod is implanted into the penis to make it erect for intercourse.
Education and communication: Education about sex and sexual behaviors and responses may help a man overcome his anxieties about sexual performance. Open dialogue with your partner about your needs and concerns also helps to overcome many barriers to a healthy sex life.
Steps for eliminating underlying problems: If an extrinsic mechanism is discovered as the cause of the orgasmic disorder, steps should be taken to eliminate or ameliorate the problem. An example would be substance or alcohol abuse or the use of certain provocative medications.
In the case of anti hypertensives, for example, a number of equally effective agents are available if the one in current use is suspect. Therapy should be directed toward improvement of concurrent conditions such as diabetes that may be having an adverse effect on sexual function.Environmental factors that interfere with sexual activity should be corrected.
Vacuum pump therapy: A plastic tube connected to a pump is placed over the penis. The pump empties the air out of the tube and this causes blood to be drawn into the penis. A ring is then placed on the base of the penis to maintain the erection during intercourse.
Male enhancement supplement: Since male enhancement supplement can play a great role in treating male sexual problems. It can also helps men to boost their semen production. The supplement has been shown to be very effective in addressing sexual dysfunction. There are a lot of male enhancement supplement found in the market that are most effective and clinically proved. However, some of the supplements that are prescribed by doctors are:
Penis exercises: Some techniques like the Squeeze technique, edging technique or kegel exercise can helps men to overcome sexual dysfunction. You can find many books over internet on how to overcome sexual dysfunction.So, if anyone having issues related to sexual dysfunction they can be a great help for them.
A well-balanced diet, exercise, and good stress management have been shown to be equally important in treating diabetes.
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. Mild dysfunction that is related to stress,fear, or anxiety often can be successfully treated with counseling, education,and improved communication between partners.
Can sexual problems be prevented ?
While sexual problems cannot be prevented, dealing with the underlying causes of the dysfunction can help you better understand and cope with the problem when it occurs. There are some things you can do to help maintain good sexual function:
- Follow your doctor's treatment plan for any medical/health conditions.
- Limit your alcohol intake.
- Quit smoking.
- Deal with any emotional or psychological issues such as stress, depression, and anxiety. Get treatment as needed.
- Increase communication with your partner.
When should I call my doctor about sexual problems ?
Many men experience a problem with sexual function from time to time. However, when the problems are persistent, they can cause distress for the man and his partner and have a negative impact on their relationship.
If you consistently experience sexual function problems, see your doctor for evaluation and treatment. You mus follow the advise of your physician.