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Sexual Problems in Men
A sexual problem, or sexual dysfunction, refers to a problem during any phase of the sexual response cycle that prevents the individual or couple from experiencing satisfaction from the sexual activity. The sexual response cycle has four phases:-
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 us or visit one of our branches around South Africa for special assistance.
What Causes Sexual Problems?
Sexual dysfunction can be a result of a physical or psychological condition.
Many physical or medical conditions can cause problems with sexual function. These conditions include heart, diabetes and vascular (blood vessel) disease, neurological disorders, hormonal imbalances, chronic diseases such as liver failure or kidney, and alcoholism plus drug abuse. In addition, the side effects of certain medications, including some antidepressant drugs, can affect sexual desire and function.
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.
Who Is Affected by Sexual Problems?
Both men and women are affected by sexual problems. They can occur in adults of all ages. Among those commonly affected are seniors, which may be related to a decline in health associated with aging.
How Do Sexual Problems Affect Men?
These are the most common sexual problems in men are erectile dysfunction, ejaculation disorders, and inhibited sexual desire.
What Are Ejaculation Disorders?
There are different types of ejaculation disorders, including:
What is Erectile Dysfunction?
- Premature ejaculation - its referred to as ejaculation that occurs before or very 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.
Also known as impotence or erectile dysfunction is defined as the inability to attain or maintain an erection suitable for intercourse.
Causes of erectile dysfunction include:
What Is Inhibited Sexual Desire or loss of libido?
- Diseases affecting blood flow, such as atherosclerosis (hardening of the arteries)
- Nerve disorders
- Psychological factors, such as stress, depression, and performance anxiety (inability to sexually perform)
- Injury to the penis
- Chronic illness
- Certain medications
- Scar tissue in the penis can also cause erectile dysfunction
Inhibited desire, or loss of libido, refers to a decrease in desire or interest in sexual activity.
Weak Erections (also known as impotence or erectile dysfunction) is not a disease, but a secondary condition brought on by other, primary causes. It is a side effect, a symptom of something else.
What Are Erection Problems?
When men become sexually aroused, hormones, muscles, nerves, and blood vessels all work with one another to create an erection. Nerve signals, sent from the brain to the penis, stimulate muscles to relax. This, in turn, allows blood to flow to the tissue in the penis. Once the blood fills the penis and an erection is achieved, the blood vessels to the penis close off so that the erection is maintained. Following sexual arousal, the veins to the penis again open up, allowing the blood to leave.
At some point in a man's life, he may have difficulty achieving or maintaining an erection. Erection problems occur when you canít achieve or maintain an erection thatís firm enough to have sexual intercourse. For most men, this problem occurs occasionally and isn't a serious issue. However, if you are unable to achieve an erection one-quarter of the time or more, you may have a health problem that requires medical attention. Erection problems are also known as:
What Are the Common Causes of Erection Problems?
- Erectile dysfunction (ED)
- Sexual dysfunction
The causes of erection problems can be physical, psychological, or a combination of the two. Physical causes of erection problems are more common in older men. They occur because of disorders that can affect the nerves and blood vessels responsible for causing an erection.
Physical causes of erectile problems include:
- Heart disease
- Atherosclerosis (hardening of the arteries)
- High blood pressure
- High cholesterol
- Parkinson's disease
- Multiple sclerosis
- Peyronie's disease (development of scar tissue in the penis, causing painful erections)
- Certain medications, including diuretics, beta blockers, muscle relaxers, or antidepressants
- Alcoholism or substance abuse
- Long-term tobacco use
- Trauma or injury to the spinal cord or genital region
- Congenital genitalia problems, such as hypospadias or epispadias
- Liver or kidney disease
- Treatment for prostate problems
Erection problems can also be due to psychological causes. Psychological issues can distract a man of any age from becoming aroused and include:Anxiety over not being able to achieve or maintain an erection
Prolonged emotional distress related to economic, professional, or social issues
Premature ejaculation is uncontrolled ejaculation either before or shortly after sexual penetration. It happens with minimal sexual stimulation and before the person wishes. It may result in unsatisfactory sex for both partners. This can increase the anxiety that may add to the problem. It is one of the most common forms of male sexual dysfunction. It has probably affected every man at some point in his life.
What causes premature ejaculation?
Most cases of premature ejaculation do not have a clear cause. With sexual experience and age, men often learn to delay orgasm. Premature ejaculation may occur with a new partner. It may happen only in certain sexual situations or if it has been a long time since the last ejaculation. Psychological factors such as anxiety, guilt, or depression can also cause it. In some cases, it may be related to a medical cause such as hormonal problems, injury, or a side effect of certain medicines.
What are the symptoms?
The main symptom is an uncontrolled ejaculation either before or shortly after intercourse begins. Ejaculation occurs before the person wishes it, with minimal sexual stimulation.
How is premature ejaculation diagnosed?
Our doctor will discuss your medical and sexual history with you. He will do a thorough physical exam. Our doctor may want to talk to your partner also. Premature ejaculation can have many causes. So your doctor may order lab tests to rule out any other medical problem.
How is it treated?
In many cases premature ejaculation gets better on its own over time. Treatment may not be needed. Practicing relaxation techniques or using distraction methods may help you delay ejaculation. For some men, stopping or cutting down on the use of alcohol, tobacco, or illegal drugs may improve how well they can control ejaculation.
Loss of Libido
Loss of libido (sex drive) is a common problem affecting up to one in five men - and even more women - at some point in their life.
It's often linked to personal stress, or important life-changing events such as pregnancy, childbirth or breastfeeding.
However, an unexpected loss of libido - especially when it lasts for a long time or keeps returning - can also indicate an underlying personal, medical or lifestyle problem, which can be upsetting to both partners in a relationship.
If youíre concerned about your libido, especially if your diminished sex drive distresses you or affects your relationship, make an appointment at one of our clinics in Pretoria or Johannesburg so that we can discuss with you any underlying causes and possible medical or psychological treatments.
Most Common Reasons for loss of Libido
The first thing you should consider is whether you're happy in your relationship. Do you have any doubts or worries that may be the real reason for your loss of sexual desire?
If you've been in a relationship for a long time, you may have become overfamiliar with your partner and feel a degree of erotic dissatisfaction. This is quite common and can have a negative effect on your sex drive.
Relationship problems are among the most common causes of loss of libido. For help and advice, you may find it useful to contact us now and we will be able to assist you. Another thing to consider is whether the problem is a performance issue that makes sex difficult or unfulfilling. For instance, many men experience erectile dysfunction or ejaculation, and women can experience painful sex.
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