Sexual Dysfunction
What is Sexual Dysfunction?
Sexual dysfunction is any psychological or physical problem preventing you or your partner from being sexually satisfied. It includes erectile dysfunction, low libido or reduced sexual desire, and ejaculatory disorders. Research suggests that approximately 31% of men have some degree of sexual dysfunction. Many men find it difficult to discuss their sexual dysfunction, but it is important to express your concerns with a physician because most cases are easily treatable.
Erectile Dysfunction
Erectile dysfunction (ED) is the inability to achieve or maintain an erection adequate for sexual function. Approximately 50% of men ages 40 and older have some element of erectile dysfunction. ED is also common among younger men, especially those who are struggling with fertility or hormone issues. ED is prevalent among the LGBTQ+ community, as studies have shown that gay and bisexual men have higher rates of ED compared to heterosexual men. ED is often associated with other health issues, such as diabetes or cardiovascular disease. ED affects not only the sexual health of the individual, but also has an impact on his psychological well-being, relationships, and quality of life. Thankfully, there are many effective treatment options available.
Low Libido or Reduced Sexual Desire
Decreased interest in sex is known as low libido and it is frequently linked to low levels of testosterone. This hormone plays a key role not only in maintaining sex drive and erections but also in maintaining muscle mass, energy levels, bone density, and body hair. Other conditions, such as diabetes and depression, can cause low libido.
Ejaculatory Disorders
- Premature Ejaculation: ejaculating sooner than desired
- Delayed Ejaculation: ejaculating later than desired
- Anejaculation: inability to ejaculate
- Anorgasmia: inability to orgasm
- Retrograde Ejaculation: during orgasm, ejaculate goes backward into the bladder rather than out of the tip of the penis
Causes of Sexual Dysfunction
- Low testosterone levels
- Obesity
- High blood pressure
- Diabetes
- Medication: SSRIs (selective serotonin reuptake inhibitors), blood pressure medications, etc.
- Stroke
- Liver failure
- Smoking, alcohol, drugs
- Trauma
- Pelvic, prostate, or penile surgery
- Radiation
- Anxiety: some men will experience performance anxiety, which can cause different types of sexual dysfunction, such as premature ejaculation and erectile dysfunction
- Depression
- Relationship problems
- Stress