February 20, 2021
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Sexual dysfunction is quite common, despite the common beliefs and irrespective of gender, age or sexual orientation. While talking about male sexual dysfunction, it is helpful to understand that such a sexual problem can affect anyone, for which the causes can be both biological and psychological.
Sexual dysfunction in men essentially refers to the inability to perform sexually. This occurs when one cannot get or maintain an erection to participate in sexual intercourse or to derive satisfaction. However, other common problems also include premature ejaculation, inhibited sexual desires or delayed ejaculation, and low libido.
Although erectile dysfunction is not always a cause for concern, continuation of erection troubles may be a symptom for underlying health conditions or affect your mental health. The sexual reaction cycle goes in the following order: appetence, arousal, orgasm and resolution, depending on which disorders in sexual function can be classified. Hence, there is a need to understand and distinguish between partial functional impairment and those dysfunctions which require treatment.
The most common male sexual dysfunction is failure or trouble to have an erection or arousal. While it is not very common in young males, mostly men above 40 years of age suffer from ED. The process involved in male sexual arousal is quite complex to include the brain, emotions, hormones, nerves, blood vessels and muscles. An erection is caused due to increased blood flow into the penis, which is stimulated by sexual thoughts or direct contact with the penis.
Excitement in a man would cause the penis muscles to relax, which allows increased blood flow through the arteries to fill up the two chambers inside. With the chambers being filled up with blood, the penis grows rigid.
Various psychological and physical factors or sometimes, a combination of both could result in trouble in having or to maintain an erection. The causes can vary which include diseases that affect the blood flow, for instance, hardening of the arteries, nervous disorders, injury to the penis, high cholesterol, diabetes, obesity, high blood pressure and Perkison’s diseas. Moreover, relationship problems, sleep disorder or stress, depression and performance pressure can have severe effects too. Erectile dysfunction also results from unhealthy habits such as smoking, alcohol consumption, overeating and lack of exercise.
Hence, it is vital to consult your doctor on what would be the best way to get treated, or if there is any underlying health condition. Sometimes, a combination of medications and therapy help to treat ED.
Oral medications which help to stimulate your blood flow into the penis include avanafil, sildenafil, tadalafil and vardenafil. In case of low levels of testosterone, you may be recommended testosterone therapy.
Sometimes, a vacuum pump treatment may be used as well, to stimulate an erection. Blood is drawn to the penis using a pump-like device which leads to an erection.
Distresses with ejaculation includes premature ejaculation (ejaculation occurs too soon), inhibited or delayed ejaculation (when ejaculation takes a very long time) or retrograde ejaculation (rather than ejaculation being through the penis, it is forced back into the bladder).
As is the case with other male sexual dysfunctions, studies suggest that ejaculation disorders too can be caused due to a combination of physical and psychological factors. Sexual repression or any such history, affects as much as stress or low self-confidence or an unhealthy relationship with the partner. Alcohol or substance abuse, smoking, side effects from other medicines are among the few causes to be on lookout for. Diabetic nerve damage is the most common reason for retrograde nerve damage.
Low libido refers to decreased interest or desire on sex. The definition is varied according to what each person considers as sexual satisfaction.
Apart from the above mentioned factors, this may be caused due to low levels of male sex hormone, ie, testosterone. Testosterone is responsible for male sex drive, sperm production, muscle, bone and hair. If the level of the hormone decreases, it could affect your body as well as mood.
In such a case, treatment would mean raising the level of testosterone by hormone replacement therapies through injections, gels and patches.
A counsellor may be recommended to consult in case of psychological causes such as anxiety, depression, or guilt aroused through inability to perform sexually.
Given any kind of treatment, the first and foremost thing to do is to recognize the problems and have a healthy relationship with the doctor. You may approach a sexologist or if recommended, a psychiatrist or psychologist to fathom the causes and treatment for your sexual dysfunction.
You can always opt to alter your lifestyle if you realize that most of your problems may be related to an unhealthy diet, or lack of exercise, sleep etc. More often, the causes lie in our daily routine. For instance, try to have a regular sleeping pattern, maintaining at least six-seven hours of sleep every day.
If you are having problems with your partner, communicate with them. It is very crucial to have a healthy relationship for a fulfilling sexual life.
Avoid alcohol consumption or smoking. Substance abuse is never a solution to any problem.
Plan your diet and keep a track of the food habits. Exercise regularly. You will find that working out regularly will not only significantly improve your sexual life but also elevate your overall mood.