Male Sexual Dysfunction is a widespread issue that affects many men worldwide. Sexual  Dysfunction refers to difficulties or problems that arise during any phase of the sexual response cycle, preventing individuals from experiencing satisfaction and enjoyment from sexual activity. Itis a complex issue that can have physical, psychological, or a combination of factors contributing to its development. It can manifest in various ways and affect different aspects of sexual function, including desire (libido), arousal, erection, orgasm, and overall sexual satisfaction.

There are different types of Sexual Dysfunction that can occur in men, including:

• Erectile Dysfunction (ED): This is the inability to achieve or maintain an erection sufficient for sexual intercourse. It can be caused by physical factors such as poor blood flow to the penis, nerve damage, hormonal imbalances, or psychological factors like anxiety or depression.
• Premature Ejaculation: This is when a man ejaculates sooner than desired during sexual activity, often before or shortly after penetration. It can lead to feelings of frustration, embarrassment, and relationship difficulties.
• Delayed Ejaculation: Also known as impaired ejaculation, this condition is characterised by the inability to ejaculate or a significant delay in ejaculation despite adequate sexual stimulation. It can result from physical factors, such as certain medications or nerve damage, as well as psychological factors.
• Low Libido: Low sexual desire or lack of interest in sexual activity can be influenced by physical factors like hormonal imbalances, chronic illnesses, or medications, as well as psychological factors like stress, relationship issues, or depression.
• Other Sexual Dysfunctions: These may include conditions such as sexual pain disorders (e.g., Dyspareunia or Vaginismus), Paraphilic Disorders (e.g., Exhibitionism or Voyeurism), or sexual arousal disorders.

Male Sexual  Dysfunction is a prevalent problem that can impact men of all ages, although it becomes more common as men age. It can significantly affect a man's quality of life, self-esteem, and intimate relationships. It is estimated that up to 31% of men experience some form of Sexual  Dysfunction in their lifetime. However, Male Sexual  Dysfunction is often underreported and undertreated due to social stigma and embarrassment surrounding the topic. It is important to understand that Sexual  Dysfunction is not a reflection of masculinity or virility, but rather a medical condition that can be managed and treated. Seeking professional help and open communication with healthcare providers and partners are crucial steps in addressing Male Sexual  Dysfunction and finding appropriate solutions for better sexual health and overall well-being.

Symptoms of Male Sexual Dysfunction

Male Sexual  Dysfunction can vary depending on the specific type of dysfunction a person is experiencing. Here are some common symptoms associated with Male Sexual Dysfunction:

Erectile Dysfunction (ED):

• Difficulty achieving or maintaining an erection.
• Reduced firmness or rigidity of the penis.
• Inability to achieve satisfactory sexual intercourse.

Premature Ejaculation:

• Ejaculation that consistently occurs before or shortly after penetration.
• Inability to delay ejaculation despite a desire to prolong sexual activity.
• Feelings of frustration, embarrassment, or guilt related to the inability to control ejaculation.

Delayed Ejaculation:

• Significant delay or inability to achieve ejaculation despite adequate sexual stimulation.
• Reduced or absent orgasmic sensations during sexual activity.
• Frustration or distress due to the inability to ejaculate.

Low Libido (Low Sexual Desire):

• Lack of interest or desire in engaging in sexual activity.
• Reduced spontaneous sexual thoughts or fantasies.
• Decreased initiation or responsiveness to sexual advances.

Other Sexual Dysfunctions:

• Sexual pain or discomfort during intercourse (dyspareunia).
• Involuntary contractions of the vaginal muscles prevent penetration (vaginismus).
• Persistent or recurrent sexual interest or behaviour involving non-consenting individuals or inappropriate objects (paraphilic disorders).

Experiencing occasional difficulties or changes in sexual function is normal. However, if these symptoms persist or significantly interfere with a person's ability to have satisfying sexual experiences and impact their overall well-being, it may indicate the presence of a sexual dysfunction. Consulting with a healthcare professional specialising in sexual health at MASSH can help identify the specific cause and provide appropriate guidance and treatment options.

Causes of Male Sexual Dysfunction 

Male Sexual Dysfunction can have various underlying causes, which can be physical, psychological, or a combination of both. Here are some common causes associated with different types of male sexual dysfunction:

Physical Causes:

• Chronic health conditions such as diabetes, heart disease, or high blood pressure that can affect blood flow and nerve function.
• Hormonal imbalances, including low testosterone levels.
• Neurological disorders such as multiple sclerosis or Parkinson's disease.
• Side effects of certain medications, including those used to treat hypertension, depression, or prostate conditions.
• Substance abuse, including excessive alcohol consumption or illicit drug use.
• Pelvic injuries or surgeries that may affect the nerves, blood vessels, or muscles involved in sexual function.
• Psychological Causes:
• Anxiety, stress, or depression, which can interfere with sexual desire, arousal, and performance.
• Relationship issues, such as conflicts, poor communication, or lack of emotional intimacy.
• Body image concerns or self-esteem issues that impact sexual confidence.
• Past traumatic experiences or history of sexual abuse.
• Cultural or religious beliefs that influence attitudes towards sex and sexual expression.

Lifestyle Factors:

• Sedentary lifestyle, obesity, or poor overall physical health, which can contribute to reduced sexual function.
• Unhealthy diet and nutritional deficiencies.
• Lack of exercise or physical activity.
• Smoking, which can impair blood flow and damage blood vessels.

Age-Related Factors:

• Natural age-related changes in hormone levels, such as decreased testosterone production.
• Increased risk of medical conditions and medications associated with sexual dysfunction.

The causes of male sexual dysfunction can be interrelated and complex. Sometimes, the exact cause may be challenging to identify, requiring a thorough evaluation by a healthcare professional specialising in sexual health. By identifying and addressing the underlying causes, appropriate treatment options can be recommended to improve sexual function and overall well-being.

At MASSH, we understand the impact that male sexual dysfunction can have on your life. Our dedicated team of experts is here to provide you with compassionate care, accurate diagnosis, and effective treatment options. Whether you're seeking non-surgical interventions or considering penile implant surgery, we are committed to helping you regain your sexual confidence and improve your overall well-being. Don't let male sexual dysfunction hold you back from enjoying a fulfilling and satisfying intimate life. Take the first step towards a positive change by scheduling a consultation with our experienced team at MASSH