Male Sexual Dysfunction 

Male sexual dysfunction is any physical or psychological condition which prevents sexual satisfaction. 

Male sexual dysfunction is a health problem that can be found in males of all ages, but gets increasingly common as men get older. The most common issues experienced by men with sexual dysfunction include erectile dysfunction, trouble ejaculating and a lowered sexual desire. 

What Causes Male Sexual Dysfunction? 

Male sexual dysfunction can stem from both physical and psychological problems. 

Physical causes can include: 

• Low testosterone 
• Smoking 
• Stroke or nerve damage as a result of diabetes 
• Alcohol and drug abuse 

Psychological causes include: 

• Depression 
• Sexual performance concerns 
• Trauma from past sexual experiences 
• Relationship problems 

What are the Symptoms of Male Sexual Dysfunction? 

Much like the causes of male sexual dysfunction, symptoms can be both physical and psychological. These include: 

• Erectile dysfunction (ED), which is the inability to get and maintain an erection during sexual intercourse 
• Premature ejaculation (PE) as a result of low self-confidence, stress or performance anxiety during sex 
• Delayed or inhibited ejaculation, which can stem from health issues, side effects of medication or surgeries
• Retrograde ejaculation, which is commonly found in men with diabetes who have experienced diabetic nerve damage 
• Low libido, or reduced sexual desire, which is often a product of low testosterone levels 

Diagnosis of Male Sexual Dysfunction 

Diagnosis of sexual dysfunction in males can begin with a complete physical examination that may include: 

• Blood tests that measure testosterone levels, blood sugar and cholesterol 
• Checking blood pressure 
• A rectal exam that checks the condition of the prostate 
• Examining the penis and testicles 

Treatments for Male Sexual Dysfunction  

In many cases, male sexual dysfunction can be treated by addressing underlying physical or psychological problems that may be causing it.  

These treatments include: 

• Medications that help increase blood flow to the penis 
• Hormone therapy that improves low testosterone levels 
• Psychological therapy that focuses on feelings of guilt, depression or anxiety 
• Mechanical aids such as vacuum devices and penile implants 

Although male sexual dysfunction cannot be completely prevented, you can maintain healthy sexual function by: 

• Quitting smoking 
• Eating a heart-healthy diet 
• Seeking treatment for any emotional or psychological problems