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Last Updated: Mar 18, 2024
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Men's Sexual Problems

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Dr. R.S.PandeySexologist • 43 Years Exp.BAMS
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Men's sexual problems:
Around 4 in 10 men experience sex problems.
Men's sexual problems can happen at any time of life, but become more common with age.

Most sexual problems can be treated - so seek medical advice if you have concerns.

Men's sex problems include:

1. Erectile dysfunction - sometimes called impotence - is a problem getting and keeping an erection for sex.
2. Premature ejaculation, this is coming sooner than he'd like to during sex.
3. Inhibited ejaculation, retarded ejaculation, when the man is slow to ejaculate.
4. Retrograde ejaculation, where the ejaculation goes into the bladder instead of out of the penis.
5. Less interest in sex, loss of sex drive or libido.

What causes men's sexual problems?

Men's sex problems may be due to:

1. Physical causes, including diabetes, heart disease and other long-term health conditions
2. Alcohol abuse
3. Drug abuse
4. Medication side-effects, including some antidepressants
5. Stress
6. Anxiety
7. Depression
8. Worries over sexual performance, unrealistic expectations about sexual performance
9. Relationship problems
10. Low testosterone

11. Past traumatic sexual experiences.

How are men's sex problems diagnosed?

A doctor will ask about symptoms, review a man's medical history and may carry out a physical examination.

A gp or sexual health clinic may be able to make a diagnosis - or a referral may be made to specialists for further assessments, tests or treatment.

Specialists who may help with men's sex problems include:

1. Urologists, who specialise in the urinary tract and reproductive system
2. Endocrinologists, who specialise in conditions affecting hormones
3. Neurologists, who specialise in the body's nerve networks
4. Sex therapists or counsellors
5. Mental health specialists.

What tests are used to diagnose men's sex problems?

Diagnostic tests for men's sex problems include:

  • Blood tests, to identify any hormone problems, such as low testosterone, and any undiagnosed medical problems, such as diabetes
  • Checking blood flow to the penis for any blockages or restrictions
  • Nerve checks, for any loss of sensation, such as complications of diabetes
  • Night-time penis rigidity tests, to check if natural erections that happen at night are stronger than a man may experience while awake, which may suggest psychological causes.
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