Male Sexual Dysfunction

Male Sexual Dysfunction

Male sexual dysfunction is one of the most common health problems affecting men and is more common with increasing age. Male sexual dysfunction can be caused by physical or psychological problems.

Male sexual dysfunction is a common problem in men over the age of 40.

Causes of Male sexual dysfunction

Hormonal abnormalities, medications, psychological problems, neurological disease, or vascular insufficiency are some of the physical causes of male sexual dysfunctions.

The usual reason for male sexual dysfunction is frustration and embarrassment over a past experience, especially of erectile dysfunction. Occasionally, male sexual dysfunction may be caused by medical illness or side effects of medications, disappointment with a partner or relationship, alcohol or drug abuse, depression or anxiety, relationship stress or alienation, lack of couple time or energy, and preoccupation with children, family or career.

Many males become very apprehensive about their erectile dysfunction and fall into the vicious cycle of anticipatory anxiety, tense and unsatisfying sex and sexual evasion.

The major forms of male sexual dysfunction are:

  • Low libido (lack of sexual interest)
  • Erectile dysfunction (difficulty in achieving or maintaining an erection)
  • Premature ejaculation (reaching orgasm or climax too quickly)
  • Delayed or inhibited orgasm
  • Physical abnormalities of the penis

Treatment for Male sexual dysfunction

The first step in the treatment of male sexual dysfunction is to determine the cause of it. Certain clues in medical history and medical tests can by and large establish the primary cause.

Erectile dysfunction treatment is aimed at restoration of the two critical sexual functions: the capability to acquire and sustain erections and increasing libido levels.

Most favourable treatment varies for males with the variation in the cause of the erectile dysfunction:

  • Most males with erectile dysfunction are advised by their doctors to opt for phosphodiesterase inhibitors because of their effectiveness; ease of use and less chances of side effects. Viagra (Sildenafil), Cialis (Tadalafil), and Levitra (Vardenafil) appear to be equally effective, but Cialis tadalafil is more popular because of its longer duration of action. The use of Phosphodiesterase inhibitors is contraindicated in men taking nitrates.
  • If this option does not work for some males facing erectile dysfunction problem, they may consider penile injections and vacuum devices.
  • Surgical implantation of a penile prosthesis should be taken by men who cannot use or who have not responded to the above mentioned two treatments.
  • For male sexual dysfunction because of low serum testosterone levels, i.e. hypogonadism, testosterone replacement therapy should be the initial treatment.
  • Psychotherapy alone or in combination with psychoactive drugs may be helpful in male sexual dysfunction caused by depression or anxiety. Alpha adrenergic blocking agents have been very popular as a remedy for males with psychogenic sexual dysfunction.
  • In overweight males with erectile dysfunction, weight loss and increased physical activity are said to improve erectile function in about one third of patients.

Identify the factors that cause male sexual dysfunction and actively confront and change them.

Be open and seek treatment. Tell your partner about the erectile dysfunction issues you are dealing with. Go to the doctor with your partner. Your partner will provide the much needed emotional and moral support.