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. The June 23/30, 2004, issue of JAMA includes
an article about the various types of male sexual dysfunction and
treatments for them.
MAIN TYPES OF MALE SEXUAL DYSFUNCTION
CAUSES OF MALE SEXUAL DYSFUNCTION
- Low libido (sexual interest)
- Erectile dysfunction (ED, difficulty achieving or maintaining an erection)
- Premature ejaculation (reaching orgasm [sexual climax] too quickly)
- Delayed or inhibited orgasm
- Physical abnormalities of the penis
DIAGNOSING MALE SEXUAL DYSFUNCTION
- Problems in the relationship with the sexual partner can lead to sexual dysfunction
- Lowered levels of the male hormone testosterone (a condition known as
hypogonadism) can cause low libido or ED.
- Certain drugs, such as antidepressants and blood pressure medications, can cause
- Erectile function can be impaired by a stroke or by nerve damage from diabetes or
- Disorders affecting blood vessels, such as atherosclerosis (hardening of
the arteries) and high blood pressure, are risk factors for ED.
- Other possible causes of sexual dysfunction include smoking, obesity,
depression, anxiety disorders, and alcoholism.
If you think you are experiencing male sexual dysfunction, see your
TREATING MALE SEXUAL DYSFUNCTION
- Your doctor
will ask you to describe the problem and will ask questions to help
determine whether the cause is physical, psychological, or a combination of both.
- A general physical examination, including examination of the penis and testicles,
will be performed, and other tests may be done to evaluate your health.
- Blood tests may be done to determine if there is a hormonal problem contributing
to sexual dysfunction.
- For psychological causes of sexual dysfunction, such as relationship problems, counseling,
either individually or as a couple, may be beneficial. Sexual therapy with a therapist
in sexual dysfunction may also help.
- Depression or anxiety disorders may need
- Any physical problems that may be affecting sexual function should be addressed.
- If a medication is interfering with sexual function, it may be possible to change
or discontinue the medication.
- Prescription medications that treat erectile dysfunction may help a man achieve
and maintain erections.
- Prescription medications
that treat erectile dysfunction may help a man achieve and maintain erections.
- Other non surgical treatments include injections therapy and vacuum erection device.
is indicated when other options fail and consists of inflatable and semirigid
penile implants. Surgery
can be performed on an outpatient basis.