Every man deserves a good state of physical, mental and social well-being in relation to sexuality. This will promote the possibility of having pleasurable and safe sexual experiences, free from coercion, discrimination and violence. Sexual health is an essential part of a man’s life, no matter his age, civil status, or sexual orientation as this contributes to the quality of life. As a man, you are experiencing sexual dysfunction when you have difficulties engaging in sexual intercourse and this encompasses a variety of disorders that affects the sex drive (libido), the ability to achieve or maintain an erection, ability to ejaculate, ability to achieve an erection without a deformity in the penis and ability to achieve an orgasm.


How does sexual function work?

Sexual actions occur with an adequate coordination between various systems of your body. It involves hormonal and neurological pathways for sexual desire to be present. An adequate erection takes blood vessels, nerves, and penile integrity. Your muscles and nerves coordinate ejaculation as well as orgasm. When you experience sexual dysfunction, your doctor needs to evaluate all the possible problems in this chain of events.


 What are the main types of sexual dysfunction in men?

  • Erectile dysfunction (difficulty having and keeping an erection)
  • Premature ejaculation (reaching orgasm too quickly)
  • Delayed ejaculation (reaching orgasm too slowly)
  • Low libido (reduce interest in sex)


Symptoms of sexual problems in men?

The most common symptoms of sexual problems in men include

  • Lack of sexual desire and fantasies, or interest in sexual contact.
  • Failure to have any erection
  • Failure to reach an orgasm despite adequate sexual stimulation and arousal
  • Achieving orgasm only after an unusually lengthy period of stimulation
  • Achieving orgasm only during masturbation or oral sex
  • Achieving orgasm only in situations that are considered bizarre or fetish
  • Premature ejaculation
  • Lack of ejaculation
  • Persistent erection not associated with sexual desire
  • Bloody ejaculation.


What causes sexual dysfunction in men?

Basically, sexual dysfunction occurs as a result of either physical or psychological factors. Many of these problems occur as a result of a combination of physical and psychological factors. When you have a physical problem, it may lead to a feeling of anxiety, depression or stress that will further aggravate the physical problem. The concept of performance anxiety can be also troublesome when your partner pressures you to perform well sexually and this way, you become distressed.

Physical causes of sexual Dysfunction

  • Low level of testosterone
  • Medications (antidepressants and antihypertensives)
  • High blood pressure and blood vessels disorder
  • Nerve damage from diabetes or surgery
  • Lifestyle such as smoking, alcoholism and drug abuse

 Psychological causes of sexual Dysfunction

  • Anger towards your partner
  • Feeling anxious
  • Feeling depressed
  • Boredom or loss of interest in a partner
  • Fear of pregnancy or losing control
  • Guilt
  • Ignorance about sexual behaviour
  • Worrying about performance during intercourse
  • Previous traumatic sexual experience such as rape, incest, sexual abuse or previous sexual dysfunction).


 How is sexual dysfunction treated?

Basically, all types of sexual dysfunction can be treated by treating the underlying cause (physical or psychological problems). These are the options available

Medication: When a type of sexual dysfunction is caused by a medication you are using, a change in that medication may help. Men with hormonal deficiencies may take hormone shots, pills, or creams. Common drugs for men include sildenafil (Viagra, tadalafil (Cialis, vardenafil (Levitra, staxyn, and avanafil (Stendra). They help improve your sexual function and works by increasing blood flow to the penis.

Use of mechanical aids– Vacuum devices and penile implants may help men suffering from erectile dysfunction.

Sex therapy – This can be very helpful to couples with a sexual problem. For the couple to enjoy their sexual relationship, it’s worth the time and effort of a trained professional.

Behavioral Treatment – it’s all about techniques into harmful behaviours in a relationship to treat problems with orgasm or arousal.

Psychotherapy – A trained counselor helps someone address sexual trauma from the past, of which may have an impact on current sexual function.

Education and communication – Sex education and on sexual behaviour and responses might help to overcome your anxieties about sexual function. Talking about your sexual needs and concerns to your partner also helps you to overcome many barriers to a healthy sex life.