5 Causes of Sexual Problems in Men

Sexual health is an important part of a man’s life, no matter his age, civil status, or sexual orientation. It is also an important part of a couple’s foundation and contributes to the quality of life. Sexual problems in men are very common and impact sexual health. Many problems with sexual health can be treated. Therefore, it is important for a man to discuss these issues with a physician.

The definition of sexual dysfunction is the inability to have a satisfactory sexual relationship. This definition depends on each person’s own interpretation on what he judges satisfactory. In general, sexual dysfunction can affect the quality of life and, even more importantly, can be the first symptom of another medical or psychological problem. Any sexual complaint should be taken seriously and evaluated.

Sexual activity involves coordination between various systems of the body. Hormones and neurological pathways must be in sync for sexual desire to be present. Blood vessels, nerves, and penile integrity must all be present for an adequate erection and its maintenance during the sexual relation. Muscles and nerves coordinate ejaculation achieved when the physiological passageway for sperm (from the testicles to the urethra) is present. Orgasm is a complex phenomenon that isn’t completely understood, but it involves the coordination of muscles and nerves. When sexual dysfunction is present, the physician must evaluate all the possible problems in this chain of events.

What is the treatment for sexual problems in men?

The treatment plan depends greatly on the precise cause of the sexual problem. If the cause is psychological, help from a psychiatrist or psychologist can be helpful. Often in this situation, cognitive behavioral therapy is the treatment used. Sometimes the treatment will include couples therapy. If the cause of the diminished libido is from medications being taken, sometimes there are alternative medications without sexual side effects. For others, hormonal replacement may be suggested. Talk to a  doctor about any changes in libido you have experienced.

Many causes have been identified as contributing to the diminishment of sexual desire. They include:

• Medications (SSRIs, anti-androgens, 5-alpha-reductase inhibitors, opioid analgesics)
• Alcoholism
• Depression
• Fatigue
• Hypoactive sexual disorder

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