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Male Sexual Dysfunction

Sexual dysfunction in men is when they are unable to perform satisfactorily in a sexual relationship. It may be in the form of erectile dysfunction (impotence) or premature ejaculation. It is surprising common, with an estimated 1 in 10 men having had some problem with sexual function. The incidence increases with age, being just under 10% in the 20 to 40 year old and over 40% in men over 60 years.

Why is it important to achieve sexual satisfaction?
Sexual drive is a natural and healthy biological component of all species. It is what helps procreation and propagates species. Inability to achieve sexual satisfaction can have serious implications on the person, his work and family. It may lead to the partner being unable to conceive a pregnancy. It can affect his relationship with his partner, cause stress, which could reflect on his ability to achieve success at work and could lower his self esteem and self confidence.
Erectile Dysfunction (ED) / (Impotence)
This is when a man is unable to achieve or hold an erection long enough to achieve sexual intercourse. Erection involves a complex interplay of psychological stimulation and physical response, so the causes of dysfunction can be multiple.

Physical causes of ED
  • Heart disease
  • Diabetes
  • Hypertension (high blood pressure)
  • Atherosclerosis (clogging of blood vessels)
  • Smoking
  • Obesity
  • Excessive alcohol or other drug abuse
  • Low testosterone (male hormone) level or other hormone imbalance (e.g. low or high thyroid hormone levels)
  • Epilepsy
  • Multiple sclerosis
  • Peyronie's disease (fibrous tissue developing along shaft of penis)
  • Surgery or injury in the hip or lower spine area

Medications that can cause ED
  • Some anticancer drugs
  • Antidepressants or antipsychotics (given for psychological illness)
  • Drugs given for high blood pressure

Psychological causes of ED
  • Stress at home or work
  • Performance anxiety (anxiety/nervousness about being unable to perform may itself lead to problems)
  • Depression
  • Unhappy relationship with your partner

Premature Ejaculation
This is when ejaculation happens prematurely before the completion of sexual interaction. This can be caused by performance anxiety or nervousness, depression, strained relationship between partners or work/life related stress.

Treatment options for sexual dysfunction
  • Treatment of the underlying condition like diabetes, high blood pressure, hormone imbalance etc.
  • Lifestyle changes - stop smoking, reduce alcohol intake, reduce weight etc.
  • Drug treatment
  • Psychological therapy
  • Sexual counselling
  • Surgical treatment