About Male Sexual Dysfunction

Male sexual dysfunction refers to a set of issues that interfere with a man’s ability to enjoy or participate in satisfying sexual activity. These can involve problems with libido, arousal, ejaculation, or orgasm and may arise from physical, psychological, or hormonal causes. 

While frequently experienced, many men avoid seeking help due to stigma or shame. However, identifying the problem early and receiving proper care can lead to significant improvements in sexual performance, mental health, and relationship dynamics.

Types of Male Sexual Dysfunction

• Erectile Dysfunction (ED): Difficulty achieving or keeping an erection sufficient for intercourse.
• Premature Ejaculation (PE): Ejaculation that occurs faster than intended, often within a minute.
• Delayed Ejaculation: Inability or long delay in reaching climax during sex.
• Low Libido: Noticeable decrease in sexual interest or drive.
• Anorgasmia: Ongoing trouble achieving orgasm despite stimulation.
• Peyronie’s Disease: Painful bending or curvature of the penis that affects function.

Common Signs & Symptoms of Male Sexual Dysfunction

• Trouble getting or sustaining an erection
• Ejaculation that is too quick or unusually delayed
• Reduced desire for sexual activity
• Difficulty achieving orgasm
• Anxiety surrounding intimacy
• Tension or dissatisfaction in relationships

Causes of Male Sexual Dysfunction

• Physical: Health conditions like high cholesterol, obesity, nerve issues, or hormonal imbalance
• Psychological: Stress, depression, negative body image, unresolved emotional conflict
• Lifestyle: Poor diet, alcohol dependency, smoking, lack of physical activity
• Medications: Side effects from antidepressants, anti-hypertensives, or hormonal drugs

Risk Factors of Male Sexual Dysfunction

• Being over 40 years old
• Long-term health issues like diabetes or hypertension
• Anxiety, mood disorders, or mental health conditions
• Sedentary lifestyle or lack of regular activity
• Excessive alcohol or recreational drug use
• Hormonal problems, especially low testosterone
• History of pelvic surgeries or trauma

Possible Complications of Male Sexual Dysfunction

• Disrupted relationships and intimacy problems
• Decline in confidence and personal self-worth
• Difficulty with conception if ejaculation or erection is impaired
• Neglected underlying diseases due to delay in diagnosis
• Withdrawal from social and romantic life
   

Male Sexual Dysfunction Diagnosis

Diagnosis typically includes:

• Physical Check-up: To rule out genital abnormalities or vascular problems
• Blood Tests: Evaluate testosterone levels, glucose, and cholesterol
• Erection Monitoring: Testing nighttime erections to assess physical function
• Mental Health Screening: Explore psychological or relationship-related stress
• Imaging (Doppler Ultrasound): To assess penile blood flow or fibrous plaques

Treatment Options of Male Sexual Dysfunction

• Lifestyle Changes: Diet, regular exercise, quitting tobacco, and managing stress
• Prescription Drugs: PDE5 inhibitors for ED, SSRIs for PE, or testosterone therapy
• Therapy: Sex therapy, cognitive behavioral therapy (CBT), or guided mindfulness
• Devices & Injections: For men unresponsive to oral medications
• Surgical Options: Corrective surgery or penile implants for select cases
• Joint Counseling: Encouraging partner involvement for stronger communication