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:-

  • Excitement
  • Plateau
  • Orgasm
  • Resolution
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.

Physical causes

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.

Psychological causes

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:

  • 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.

What is Erectile Dysfunction?

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:

  • 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
What Is Inhibited Sexual Desire or loss of libido?

Inhibited desire, or loss of libido, refers to a decrease in desire or interest in sexual activity.