Main Forms of Male Sexual Dysfunction

Erectile dysfunction. You can diagnose erectile dysfunction when you repeatedly develop an inability to have an erection or maintain it enough during coitus. It should not be confused with isolated or occasional erection failure which, although often experienced embarrassingly is commonplace and can occur in any man in good physical and mental health. The vast majority of men experience one or another of these periods without their life or that of their partner being disturbed. Erectile dysfunction affects about 20% of men aged 50 to 59, a proportion increasing with age and the onset of diseases with advancing age, warns sexologist in Delhi. Nevertheless, a healthy man can remain sexually active all his life.

Drop in desire. The breakdown of sexual desire affects men as well as women. A multiplicity of factors can interfere with desire. Hormones, medications, health status, depression, anxiety, relationship, culture, values, economic status, and social context are some of them. In fact, a true desire disorder is diagnosed when the loss of libido occurs for no apparent reason and persists over time. Factors involved in erectile dysfunction can also alter the taste for sexual activity, says the best sexologist in Delhi.

Premature ejaculation. We can diagnose this sexual disorder when, in a systematic and uncontrolled way, the man ejaculates very quickly, before he wants it, and this in a systematic way, sometimes even before having penetrated his or her partner. The phenomenon may also be present or not during masturbation. Again, this situation may occur occasionally in a normal and healthy man; it happens to most men, one day or another, to ejaculate quickly, well before the time they would have liked. In a man suffering from premature ejaculation, the phenomenon is not occasional, it is a constant. This sexual disorder would affect about a third of men, says top sexologist in Delhi.

Delayed ejaculation or anejaculation. The man who suffers from it has difficulty in ejaculating, only achieves it if the coitus is very long or even, he can never ejaculate (anejaculation). The frequency of this disorder is increasing. It may be due to health problems (diabetes, neurological disease ...), or to taking certain medications, especially antidepressants. In other cases, it is linked to a psychological restraint, a lack of letting go or the overconsumption of X images causing excitement to rise in a particular way not found in a relationship says sexologist doctor in Delhi.

States or situations causing sexual dysfunction

Among the main ones:

Physical health problems. Many health problems can cause erectile dysfunction and sometimes a weaker sex drive.

• Diabetes: excess glucose in the blood affects the mechanisms of erection;

• Cardiac disorders or atherosclerosis (formation of plaques on the wall of the arteries, which shrinks their diameter);

• High blood pressure;

• Overweight or obesity;

• Chronic neurological disease (Parkinson's disease, multiple sclerosis, etc.);

• Depression;

• Androgen deficiency: hormonal disorder leading to a decrease in androgenic hormones (testosterone family) hormones essential to the functioning of desire, excitement, erection.

• Spinal cord injury following an accident, depending on the location and severity of the injury. For example, a lesion at the level of the neck can alter erection related to desire but preserve the reflex erection, linked to a reflex center located at the bottom of the back.

Drugs or treatments. Some treatments (for example, benign prostatic hypertrophy) or medications (such as antidepressants, antihistamines, and high blood pressure medications) affect the ability to have an erection or sexual desire, says sex specialist in Delhi.

Smoking, alcohol or drug abuse. They can contribute to erectile dysfunction or ejaculation difficulties.

Difficulties in the couple. Unresolved conflicts with the partner often affect the desire to engage in sexual intercourse and to be intimate with the partner (s).

Latent or unrecognized homosexuality can have consequences on the progress of sexual relations.

Stress, depression, anxiety. The nervous tension generated by concerns (worries related to work, family, financial difficulties, personal history, etc.), anxiety and depression often reduce energy and sexual desire, says sex doctor in Delhi. There may also be apprehension about sex because of previous bad experiences or the fear of failure, called performance anxiety.

In case of premature ejaculation. Its origin often involves a set of factors, the essential factor of which is the lack of learning of the skills necessary to delay ejaculation. Other factors are undoubtedly involved, genetics, hypersensitivity of the penis glans, anxiety related to sexual performance or relationship difficulties with the partner.