Sexual wellbeing is an important aspect of the life of a man regardless of his age, status or sexual preference. At the same time many men experience some form of sexual disorder. The most common sexual disorder is erectile dysfunction.
Sexual issues are very common among men and have an effect on sexual wellbeing. Many of these sexual health conditions can be handled. And it’s critical for the person to talk about these issues with a doctor.
Generally, the sexual reaction process involves excitement, plateau, climax and resolution. Desire and anticipation are also a part of the sexual reaction stages of arousal. Although evidence shows that sexual dysfunction is normal, it is a subject many individuals are reluctant to talk about.
Defining sexual dysfunction is the failure to have satisfying sexual intercourse. That description relies on what is satisfactorily determined by each individual’s own understanding. Sexual dysfunction may, in addition, reduce the quality of life and, most specifically, can be the first symptom of another medical or psychological concern.
Every sexual complaint should be investigated and treated seriously. The first and most essential thing you should do if you are having a sexual concern is to speak to a medical professional frankly and freely about your problems.
Your health care professional would undoubtedly inquire about your marriages, relationships, prior sexual activity, any trauma background, potential depressive symptoms, as well as any other pressures or problems that may conflict with your capacity to perform sexually. And if required will prescribe pills like Sildenafil.
Causes of Sexual Problems
Male sexual dysfunction may be a consequence of a physical or psychological issue.
- Physical causes: Some of the physical as well as medical disorders may lead to sexual functioning issues. Such illnesses entail diabetes, cardiac and cardiovascular (blood vessel) illness, neurological conditions, hormonal problems, chronic illnesses such as liver or kidney malfunction, and substance addiction and intoxication.
Additionally, the side effects of some medicines, including certain antidepressant medicines, can impair sexual desire and urges.
- Psychological causes: Include job-related tension and anxiety, issues over sexual performance problems, marriage or intimacy issues, loneliness, feelings of shame, and previous sexual trauma impact.
Treatment of Sexual Disorders
- Sex therapy — Sex therapies can be a tremendous benefit to people who are having a marital dilemma that their main practitioner can not treat. Sometimes, counsellors are just successful marriage counsellors.
The time and commitment to collaborate with a skilled therapist is well spent for the pair who want to continue celebrating their sexual partnership.
- Behavioural therapies — Which include different methods, including observations into the relationship’s negative behaviours, including strategies such as self-stimulating to address pleasure and/or orgasm issues.
- Mechanical aids: Aids like vacuum machines and penile implants can support people with erectile dysfunction (the failure to achieve or sustain an erection).
- Psychotherapy — Treatment with a professional psychologist may help a patient overcome previous sexual distress, feelings of discomfort, anxiety or shame, and negative self-image, both of which can influence current sexual performance.
- Education and interaction — Awareness about sex and sexual attitudes and reactions can help a person conquer his or her sexual role anxieties. Clear dialogue about your desires and issues with your partner also helps solve other obstacles to balanced sex life.
- The dose of medication — A change in the drug can improve when a dosage is the source of the dysfunction.
For males, drugs such as sildenafil (Cenforce), tadalafil (Cialis), vardenafil (Levitra, Staxyn), and avanafil (Stendra) can help to strengthen sexual function by improving blood flow.
Some common sexual disorders in men are discussed below –
- Erectile Dysfunction
Erectile dysfunction (impotence) is the failure to keep an erection strong enough for sex to sustain it.
Occasionally getting erection problems isn’t usually a reason to worry or to be alarmed. Nevertheless, if erectile dysfunction is a persistent concern it will cause tension, affect your self-confidence and lead to issues in your relationships. Problems having or sustaining an erection may also be a symptom of a deeper medical condition that needs medication and an increase in risk factor for cardiovascular disease.
Speak to the doctor if you’re worried regarding erectile dysfunction — even though you’re nervous and embarrassed. Treating an underlying disorder is often enough to cure erectile dysfunction. For other cases, it may be appropriate to take drugs or other similar therapies.
When classified there are three forms of erections — those caused by physical stimuli, those induced by mental stimuli, and those experienced by people when they are sleeping. If the causes of erectile dysfunction have yet to be identified, this distinction may be significant.
Men require stimulation to experience an erection; they require blood flowing from the lungs, and to have veins that can keep the blood in place. Medicines like cenforce can also be prescribed as they have sildenafil nitrates. Any of the several steps in this process could fail, making erectile dysfunction a complicated investigational problem.
Symptoms of Erectile Dysfunction
Erectile dysfunction means the penis can not achieve or sustain a proper erection. The level of onset, the occurrence of spontaneous erections and the consistency of erection should be stated to the physician whether it can be attained but not sustained. The performance of an erection can also be measured as per the stiffness and durability.
Erectile dysfunction with abrupt development and no prior sexual disorder history indicates a psychogenic explanation unless past surgery or genital damage has occurred. The lack of nocturnal erections indicates an underlying neurological or vascular issue.
Eventually, if an erection is not maintained the absence can be linked to a neurological root cause or vascular issue. If you have found some issues with your erectile function, talk with the physician.
Erectile dysfunction indications can include persistent:
- inability to have an erection
- inability to sustain an erection
- diminished sexual desire
Other ED-related sexual disorders include:
- premature ejaculation
- delayed ejaculation
- Anorgasmia: or failure to reach orgasm after significant stimulation
Speak to your physician if you have either of these problems, especially if they go on for 3 or more months. They will help identify how an underlying cause requiring diagnosis is causing side effects and resulting in erectile dysfunction.
Causes of Erectile Dysfunction
There are many causes of erectile dysfunction.
Neurological causes include:
- Heart attack
- Spinal cord or spinal damage
- Multiple sclerosis
- Pelvic injury
- Prostate operation (even with nerve-sparing treatment it may require up to 24 months to restore proper sexual function)
- Testicular torsion
- Nervous system tumours
- Diabetic neuropathy
Cardiac causes include:
- Arteriovenous fistula
- Congenital dysfunction
Hormonal symptoms involve:
- lower blood testosterone rate (the patient can get an erection but may not often be adequately insipid for penetrative sex)
- Cushing’s disease
- Addison’s disease
Pharmacological factors typically involve:
- Antidepressants (mainly SSRIs)
- Sympathetic blocks (clonidine, guanethidine, or methyldopa)
- Thiazide anti-inflammatories
Testicular dysfunction factors usually involve:
- Peyronie’s disease
Psychological factors include:
- Lack of empathy towards the other individual
- Apprehension of disappointment
Functional symptoms include:
- Bicycling damaging the nerves and penile tissue
There are several potential triggers for ED, and that both mental and physical factors can also be involved. Typical factors include:
- Cardiovascular disorder
- Hypertension; or elevated blood pressure
- High cholesterol
- Lower testosterone rates or other hormonal imbalances
- Chronic kidney disease
- Increased ageing
- Interpersonal issues
- Certain prescription drugs like those used to control hypertension or depression
- Sleep disturbances
- Substance usage
- Drinking too much alcohol
- Using nicotine products
- Other health problems, such as Parkinson’s or multiple sclerosis (MS)
- Injury to the pelvic area from accident or operation
- Peyronie’s disease that allows scar tissue to form in the penis
Erectile Dysfunction can be caused by either one or more of these reasons. Which is why consulting with the physician is crucial, so that they can iron out or handle any underlying health problems.
Treatment Options for Erectile Dysfunction
People suffering from erectile dysfunction today have several alternatives. The doctor could recommend a difference in lifestyle choices before offering pharmacological support.
Since some symptoms of erectile dysfunction are issues where improvements in behaviour can have a beneficial impact, it would be effective to address these problems.
Hence, physical activity, a balanced diet, avoidance of smoking, and reduction of alcohol intake will all affect erectile function. Changes in lifestyle might also entail the use of a more genital-friendly bicycle seat. And there is also the possibility of being prescribed oral drugs like Sildenafil to help with erectile dysfunction.
Several nonsurgical therapies and treatments for erectile dysfunction are accessible.
Oral pharmacological treatment
A group of drugs called phosphodiesterase (PDE-5) inhibitors is the first line of pharmacologic medication. This category includes Cenforce which contains sildenafil nitrates (Viagra), Levitra (vardenafil), Avanafil (Stendra), and tadalafil (Cialis).
They may enhance the ability to achieve and sustain the erection, and for this drug to function, sexual arousal is always essential. This should be taken sometime before the sexual activity is anticipated, but it does have a long time-frame.
These four drugs improve the benefits of nitric oxide — an organic chemical created by your body that soothes the tissues of your penis. During the response to perceived sexual arousal, this enhances blood supply and helps you to have an erection.
Having one of those capsules won’t create an erection immediately. Firstly, sexual arousal is required to allow nitric oxide to be released from the penile nerves. These drugs enhance the signal, causing certain people to have natural penile activity. Oral erectile dysfunction drugs aren’t aphrodisiacs, aren’t going to induce anticipation and aren’t used in people with healthy erections.
Side effects include disruptions in vision, flushing, backache and muscle aches. Over time the majority of side effects will diminish. There will generally be practically no side effects.
If you take nitrates, phosphodiesterase inhibitors have not been advised as both drugs taken at the same time could cause extreme hypotension (increased low blood pressure). There are also other forms of oral medicine accessible.
Apomorphine increases penile erection. Plus there are many more. When the first one doesn’t work, you can consult a doctor for certain forms of medicine. You should also explore other recovery choices.
Certain form of pharmacological treatment is a solvent which can be added to both the urethra to enhance erection.
Penis base (intracavernous) injections can help obtain and sustain an erection. There are various types of treatments which can be injected — variations of papaverine, alprostadil, and medications. Those shots are known to be the most effective erectile dysfunction therapies. For those who do not accept oral treatments, they are often handy.
Adverse effects involve priapism (long erection and soreness) and fibrosis (scarring) however they are uncommon. These side effects (especially sustained and painful erection) are avoided in ways. Throughout the outset of this form of therapy, the patient must obey the instruction and advice given. Intracavernous injection contraindications involve sickle cell anaemia, epilepsy and serious psychiatric illness.
Vacuum constriction system
That is a silicone cylinder attached to a vacuum-generating device which generates a downward pressure which attracts the blood to the penis and makes room for an erection. To retain the stability, an elastic band must be positioned at the base of the penis. The foreskin base should stay flaccid, which may rotate the genitalia. Additional effects cause complications with the ejaculation, penile pressure and blood pooling due to punctured blood vessels.
Various surgical procedures to cure erectile dysfunction are accessible.
Penile vascular surgery
Bypass surgery may be done where the flow of blood in the penis is interrupted by acute occlusion of the arteries. For any medical operation, the medical harm to the patient must be weighed. Not every patient will account for this kind of procedure.
Different forms of prosthesis — malleable, mechanical, and inflatable. A patient should speak to his doctor about the kind he would like. After 10 to 15 years most prostheses will require replacement.
Surgical risks include inflammation, mechanical failure, leakage of the valve, perforation, shortening of the foreskin, auto inflation and discomfort.
Prevention of Erectile Dysfunction
The easiest way of preventing erectile dysfunction is to make healthier decisions in the diet and handle any underlying health problems. For example:
- Meet with the doctor to treat diabetes, heart disease, or other symptoms of chronic health illnesses.
- See the doctor for routine medical check-ups and screening examinations.
- Avoid drinking, restrict or prohibit alcohol, and refrain from using illicit drugs.
- Work out daily.
- Follow steps to bring down stress.
- Seek assistance with anxiety, depression and other mental health problems.
Lifestyle Changes to Help Prevent Erectile Dysfunction
For certain men, lifestyle decisions induce or escalate an erectile dysfunction. Here are some measures which can help:
- Quit, if you smoke. If you are having trouble leaving, get help. Start removing cigarettes, as well as over-the-counter gum or lozenges, or ask the doctor for prescription medicine that could help you stop.
- Being overweight may cause or worsen erectile dysfunction.
- Involve physical exercise within your everyday routine. Workout can assist with underlying problems that play a significant role in a variety of areas in erectile dysfunction, including reducing stress, making you lose weight and increasing blood flow.
- Get treated for drinking or drug addiction dependency problems.
- Work on problems surrounding relationships. Consider therapy for partners whether you have difficulty enhancing contact with your spouse, or coping with your own on issues.
Erectile dysfunction might become a subject of psychological and emotional discomfort for both you and your partner whether either cause is physical, mental or a mixture of all of the above. Here are a few precautions you should take:
- It’s safe not to assume that this is a long-term problem.
- You should not perceive occasional sexual problems as a referendum of your health or masculinity, and do not immediately expect that the next sexual experience will again cause erection problems. It can induce fear and may worsen erectile dysfunction.
- Include your partner in intimate affairs. Your partner can see your failure to get an erection as an indication of decreased interest in sex. Your reassurance that this is not the case will improve the sexual intimacy.
- Premature Ejaculation
Premature ejaculation is by far the most prevalent of the ejaculatory disorders; premature ejaculation can occur in around 20 to 30 per cent of people. Problems of ejaculation include excessive discharge of sperm, prostatic, and seminal vesicle fluid discharges via the urethra.
There seem to be three different forms of premature ejaculation:
- Ejaculation after limited or no physical stimulus is premature ejaculation.
- Ejaculation after a lengthy pause in physical arousal is called retarded ejaculation.
- Retrograde ejaculation is unejaculated orgasm, often termed “dry” ejaculation.
Symptoms of Premature Ejaculation
Generically, premature ejaculation involves short ejaculatory duration Lack of control Emotional discomfort in the patient and/or partner. In particular, premature ejaculators will only have about one minute or less of intravaginal activity until they ejaculate.
Retarded ejaculation will pose intravaginal time as a long pause to the point that the person is not happy with the intimate relationship.
Anejaculation or retrograde ejaculation is a dry orgasm phenomenon. The sperm may not leave the urethra. Alternatively, it may either leak into the bladder or not be created at all.
Treatment For Premature Ejaculation
For premature ejaculation treatment can range from cause to condition. Sexual counselling or interpersonal counselling for partners may be helpful because it includes social conditions. Other nonpharmacological treatments include the active effort to “keep it in.”
Drug treatment has also proved effective. Selective serotonin reuptake inhibitors (SSRIs) and tricyclic antidepressants are the medicines used to prevent premature ejaculation.
Additionally is also the possibility of being prescribed oral drugs like Sildenafil.
III. Low Libido
Low libido is characterized when the sexual appetite is either reduced or absent. The term also varies based on how comfortable the patient is with his own sexual drive. Some men may be very pleased with what other people think of as limited sexual activity.
Difficulties of sexual desire concern a small number of men in the general public. Libido is primarily a function of the nerves and brains. Sexual desire needs natural testosterone levels (male hormone) in the bloodstream and some affection towards the person involved.
Causes of Low Libido
Several factors are known as adding to diminished sexual desire. These include:
- Medications (SSRIs, anti-androgens, 5-alpha-reductase inhibitors)
- Alcohol abuse
- Hypoactive sexual behavior
- Recreational drugs
- Other sexual dysfunction issues (fear of embarrassment)
- Sexual aversion disorder
- Systemic illness
- Testosterone deficit
- Loss of time
- Record of sexual abuse
- Hormonal issues
Symptoms of Low Libido
Men who lack sexual urges typically can’t initiate a sexual relationship. If the act is started, low libido will often show itself as being unable to maintain an erection.
When the person develops a first incident of erectile dysfunction despite any prior sexual signs and appropriate nocturnal erection, the condition is possibly psychogenic and the issue is not with the ability to maintain an erection.
It is also necessary to determine whether the low libido is recent to begin with, or whether one has already behaved this way towards sexual intercourse.
Are Sexual Disorders Curable?
It is curable. There are many ways to help you bring the spice and intimacy back in your relationship. And you shouldn’t feel embarrassed to talk about or to seek help.
The effectiveness of the sexual dysfunction therapy relies upon the root of the issue. The outlook is great with a disorder that has to do with a physical disorder which is treatable or reversible. Mild disorder which is linked to stress, apprehension, or anxiety may also be managed positively with therapy, awareness, and better communication with your partner.
Many men still experience a struggle with sexual activity. However, this may create anxiety for the man and his partner and also have a detrimental effect on their life when the issues are persistent. When you have issues with sexual activity regularly, visit the doctor for examination and care.
Your health care professional can help you identify strategies for coping with non-medical problems. When you have psychological obstacles to sexual activity, your health care professional may recommend you try individual psychotherapy, relationship counseling, or meet with a sex therapist.
With the right help and the ability to have an open communication about it. Men can easily find cures for sexual dysfunction issues.