Sexual Problems In Men: Low Libido, Erectile Dysfunction, Orgasm

Sexual Problems In Men: Low Libido, Erectile Dysfunction, Orgasm

Sexual Health is an important part of human life, regardless of age, civil status or sexual orientation. It is also an important part of the foundation of the couple and contributes to the quality of life. Sexual problems in men are very common and affect sexual health. Many health problems can be cured. So it's important for me to talk to the doctor about these issues. The definition of sexual dysfunction is inappropriate sexual intercourse. This definition depends on the individual's interpretation of what he judges satisfactorily. In general, sexual dysfunction can affect the quality of life, and even more importantly, it can be the first symptom of another medical or psychological problem. Any sexual complaints should be taken seriously and evaluated.

Keywords: Sexual problems, Sexual dysfunction, Low libido, erectile dysfunction, premature ejaculation, disordered orgasm, treatment, Risk factors.

Please if you need any consultation about Sexual Problem, you can contact us in comments and take our free recommendation.

Evaluating sexual dysfunction begins with a precise medical, sexual, and psychological date, followed by a physical examination. The second step should not be ignored because sexual dysfunction can have many causes. Sometimes patient partners can take part in the assessment and can also provide useful information.

During the interview with the doctor, the exact medical, psychological and sexual history is obtained. Some of the questions you ask for may be intimate and may make you feel embarrassed to answer fully. It is imperative to provide the right information, although it is understandable that it can be time to talk about this convenient. Having a good relationship with your doctor is always good. Some of the questions your doctor may ask may be related to the frequency of your sexual relationship, your sexual orientation, if the frequency or quality of sexual relations is satisfactory, and the number of your spouse, including the other. They also ask for non-sexual complaints.

A complete physical examination is performed including assessing the pulses in the legs and a thorough examination of the external genitalia (penis, scrotum, and perineum) and their reflexes.

One of the possible tests is a nocturnal tumescence test to evaluate nocturnal erections. Your physician might also ask for tests for penile blood vessel function or some tests of the nervous system to help differentiate between possible causes of sexual dysfunction.

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. 

sexual problems in men

Causes Of Low Sex Drive 

Aging is one of factors of low sexual desire. though many older men have a robust interest in sex. Like most other human traits, the sex drive varies. Most men are in the normal range; some are extraordinarily driven toward sexual behavior. But there are men with very low sexual interest. These are men who suffer from hypoactive sexual desire disorder (HSDD). In this case the person has low desire for sex and absent sexual. It causes marked distress or interpersonal difficulty, this disease is not a result of medical illness, another psychological disorder, or the effects of a drug.

Problems such as diabetes; conditions such as obesity, high blood pressure, and high cholesterol; and HIV drugs, some hair-loss remedies, and other medications can negatively affect sexual desire.

People who have stressful job sexual desire may decrease. This is because stress can disrupt hormone levels. Your arteries can narrow in times of stress. This narrowing restricts blood flow and potentially causes erectile dysfunction. 

A more recent JCEM study found that men with low testosterone levels also had lower sleep efficiency. The study concluded that decreased levels of total testosterone are linked with less healthy sleep, particularly in older men.

Depression changes all parts of a person’s life. People with depression experience a reduced or complete lack of interest in activities they once found pleasurable, including sex.

Restless legs syndrome(RLS) is the uncontrollable urge to move your legs. A study found that men with RLS are at higher risk for developing erectile dysfunction than those without RLS. Erectile dysfunction (ED) occurs when a man can’t have or maintain an erection.

Low testosterone levels cause low sexual desire. Other causes such as chronic disease, medications, and other drug use. Other hormones, like as low levels of thyroid hormone or, rarely, high levels of prolactin, a hormone produced in a gland at the base of the brain.

Low Libido In Men 

The definition of low libido is when sexual desire is diminished or absent. The definition also varies according to the patient's level of satisfaction of his own sexual desire. Some men can be very fulfilled with what some men consider scarce sexual activity. The person that lacks sexual desire won't want to initiate the sexual relation. If the act is initiated, low libido can also present itself as the inability to attain an erection. If the patient experiences a first episode of erectile dysfunction without any previous sexual symptoms and adequate nocturnal erection, the cause is probably psychogenic and the problem is not the erection. It is also important to specify if the low libido is new in onset or if one has always felt this way about sexual relations.

Also Read about Low Libido In Women 

Sexual desire problems affect a small percentage of men in the general population. Libido is mainly a hormonal and brain phenomenon. Sexual desire requires normal levels of testosterone (male hormone) in the blood and a certain attraction for the partner in question.

low libido in men has some Risk factors like: Age because testosterone concentration will decrease over the years, Alcohol consumption, Malnourishment, Smoking, Drug consumption, Conditions requiring medication that lowers testosterone, depression, benign prostatic hyperplasia (BPH), pain, and prostate cancer.


sexual problems in men

Erectile Dysfunction

Erectile dysfunction (ED) Disability for obtaining or maintaining erection is satisfactory. The prevalence of erectile dysfunction varies with age. Approximately 16% of men 50 to 59 years of age suffer from erectile dysfunction and 44% of those aged 70 to 75 years old. There are three types of erections - those caused by touch stimulation, those caused by mental stimulation and those who experience men during sleep. This classification can be important when the cause of erectile dysfunction has not yet been determined.

Erectile dysfunction causes the penis to not gain or maintain an appropriate erection. It is important to refer to the physician for the onset of rapid onset, the presence of an overnight erection and the quality of the erection if it can be achieved, but not maintained. The quality of the erection can be due to the strength and functionality (Is the penis erect enough to allow for vaginal penetration?). Erectile dysfunction with sudden onset and no previous history of sexual dysfunction suggests a psychogenic cause, unless there was a previous surgery or a genital trauma. The loss of nocturnal erections will suggest a neurologic or vascular cause. Finally, when an erection is not sustained, its loss may be due to an underlying psychological cause or vascular problem. Talk to your doctor if you have noticed any problems with your erectile function.

In order to have an erection, men need stimuli; they need blood arriving from the arteries and have veins capable of locking the blood in place. Each of the numerous steps in this system can fail making erectile dysfunction a complex problem for investigation.

The risk factors for erectile dysfunction include: Obesity, Smoking, Diabetes, High blood pressure, High cholesterol, Cardiovascular disease, Medication, use Obstructive sleep apnea, syndrome, Systemic sclerosis (scleroderma),Peronei’s disease, Prostate cancer treatment. 

Premature Ejaculation

Early ejaculation is the most common musculoskeletal disorder; approximately 20% to 30% of men experience premature ejaculation. Ejaculation problems include spontaneous evacuation of the sperm, prostate, and seminal fluid through the urethra. There are three types of early ejaculation: early ejaculation of ejaculation after minimal or no physical stimulation. Ejaculation is delayed after a long physical stimulation, ejaculation. Erectile retrograde orgasm without ejaculation, also called "dry" ejaculation. Classically, premature ejaculation includes: Brief ejaculatory latency, Loss of control, Psychological distress in the patient and/or partner.

Generally, premature ejaculators will only have about a minute or less of intravaginal time before they ejaculate.

Retarded ejaculation will present as a long delay of intravaginal time to the point where the patient will not be satisfied with the sexual relation.

An ejaculation or retrograde ejaculation is the experience of a dry orgasm. The semen doesn't go out of the urethra. It can either flow to the bladder instead or not be produced at all. Following the sexual act in the latter case, patients will notice the presence of semen in their first urine.

Treatment is different due to the cause of early ejaculation. Sexual couples or psychological treatment can be useful when the psychological causes are involved. Other therapies do not include trying to "keep it." Drug treatment has also been successful. Drugs used to treat early ejaculation are serotonin reuptake inhibitors (SSRIs) and triangular antidepressants (TCAs).


Disordered orgasm is the inability to reach an orgasm after adequate stimulation. Orgasm is still a phenomenon that is poorly understood.  

Anorgasmia will be treated with psychiatric help or by treating the underlying cause.  

Sexual Dysfunction In Men

There are normal changes in sexual function in the elderly. Older men can have the following symptoms of sexual dysfunction: Longer delay between stimulation and erection, Erection is less turgid, Ejaculation is less strong, Ejaculatory volume is smaller, Time between erections is longer, Less sensitivity to tactile stimuli, Lower testosterone, Orgasm is attained more slowly.

These phenomena can be experienced as patients grow old. Nevertheless, it can be addressed so that those affected can still have a very satisfactory sexual life.

sexual problems in men


Treatments Of Sexual Problems In Men

There are some treatment options for low sexual desire. Hormonal treatments include oral compounds that are in pill form, subcutaneous creams, suppositories or patches that are absorbed through the skin. Lack of sexual desire, or sexual disinterest, is probably the most common sexual complaint these days.   Sexual desire involves the brain and the brain's chemical messaging system is intimately linked to sexual desire. One of those messengers is dopamine.  

Each cause of low sexual desire has its own treatment. When the root cause is psychological, sex therapy can offer men specific techniques and strategies for regaining their enjoyment of sex. "It is not psychotherapy; it is psychology counseling focused on sexual issues," Goldstein explain.

The use of testosterone seems to have a direct role in sexual desire and has been shown to increase desire, but try not use it in long-term, it has  potential side effects, including cardiovascular and liver dysfunction.

Antidepressants may cure depression-related low desire, although many of these medications decrease sexual desire, at least initially.

Sex Therapy is used when no causative medical disorder is found, individual or couples therapy is often recommended.

Psychiatrists, psychologists, and sexologists can be involved in the management of sexual dysfunction. Psychiatrists or psychologists can especially help when the cause of the dysfunction is psychogenic. Therapies targeting cognition and behavior usually have good success rates. Sexologists can also contribute to these therapies.

While a relationship there may be a difference between two partners in their level of sexual desire, which does not necessarily mean that the partner with the lower level of sexual desire has Hypoactive Sexual Desire Disorder.


Lifestyle changes can be useful to help treat or improve sexual dysfunction, but more importantly, they can have an impact before the development of the disease itself. You can prevent the incidence of sexual troubles by having a healthy lifestyle; exercise regularly, eat well, limit alcohol consumption, and quit smoking, if you are a smoker. Lifestyle changes take time and effort, but the results are worthwhile.

Please if you need any consultation about Sexual Problem, you can contact us in comments and take our free recommendation.

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