Sexual Problems

There are a number of terms that “Sexual Problems” can refer to. Also known as Sexual Dysfunction or even Sexual Malfunction are difficulties a man experiences during any normal sexual activity which includes the stages or Desire, arousal and in conclusion the orgasm.

Studies have shown that most sexual problems result from psychological factors such as anxiety, guilt worry and the biggest of them all stress.

Types of Sexual Problems: 

There are typically considered four categories of sexual problems. Disorders which relate to sexual desire, arousal, and orgasm.

Sexual Desire Problems: 

Men who suffer from decreased or non-existent sexual desire, which includes lack of libido, sexual activity (including masturbation) or fantasies. This lack of sexual desire may also be lack of overall sexual desire or just the current partner.  There are numerous reasons for this, the most common being low testosterone levels in the body, psychiatric conditions such as anxiety or depression.

Sexual Arousal Problems: 

Typically referred to as Erectile Dysfunction, arousal problems have also been impotence. It’s often that sexual arousal problems are manifested as an aversion or avoidance to sexual contact with a partner. For men this may be a partial or complete erection failure or simply a lack of sexual excitement relating to sexual activity. Additionally, there may be medical causes to these disorders, such as decreased blood flow or poor vascular pressure within the penis.
There are two main types of Sexual Arousal Problems, Erectile Dysfunction and Premature Ejaculation.

Orgasm Problems: 

An Orgasm problem is typically when there is either an absence of an orgasm or an extreme delay following normal sexual excitement and arousal. These problems can originate through physical, psychological or even pharmacological causes. Once such example of a pharmacological cause are the use of anti-depressants which have a side-effect of delaying or even entirely eliminating orgasms altogether.

Causes of Sexual Problems:

There are many factors which may result in a person experiencing a sexual problem. These may result from emotional or physical causes. Sexual problems may arise from emotional factors, including interpersonal or psychological problems. Interpersonal problems may arise from marital or relationship problems, performance anxiety, or from a lack of trust and open communication between partners, and psychological problems may be the result of depression, sexual fears or guilt, past sexual trauma, sexual disorders, among others.

Sexual dysfunction is especially common among people who have anxiety disorders. Ordinary anxiousness can obviously cause erectile dysfunction in men without psychiatric problems, but clinically diagnosable disorders such as panic disorder commonly cause avoidance of intercourse and premature ejaculation.

Sexual activity may also be impacted by physical factors. These would include use of drugs, such as alcohol, nicotine, narcotics, stimulants, antihypertensives, antihistamines, and some psychotherapeutic drugs. For women, almost any physiological change that affects the reproductive system—premenstrual syndrome, pregnancy, postpartum, menopause—can have an adverse effect on libido. Injuries to the back may also impact sexual activity, as would problems with an enlarged prostate gland, problems with blood supply, nerve damage (as in spinal cord injuries). Disease, such as diabetic neuropathy, multiple sclerosis, tumors, and, rarely, tertiary syphilis may also impact on the activity, as would failure of various organ systems (such as the heart and lungs), endocrine disorders (thyroid, pituitary, or adrenal gland problems), hormonal deficiencies (low testosterone, estrogen, orandrogens), and some birth defects.

Uncommon Male Sexual Problems:

Erectile dysfunction from vascular disease is usually seen only amongst elderly individuals who have atherosclerosis. Vascular disease is common in individuals who have diabetes, peripheral vascular disease, hypertension and those who smoke. Any time blood flow to the penis is impaired, erectile dysfunction is the end result.

Hormone deficiency is a relatively rare cause of erectile dysfunction. In individuals with testicular failure like in Klinefelter’s syndrome, or those who have had radiation therapy, chemotherapy or childhood exposure to mumps virus, the testes may fail and not produce testosterone. Other hormonal causes of erectile failure include brain tumors, hyperthyroidism, hypothyroidism or disorders of the adrenal gland. Structural abnormalities of the penis like Peyronie’s disease can make sexual intercourse difficult. The disease is characterized by thick fibrous bands in the penis which leads to a deformed-looking penis. Drugs are also a cause of erectile dysfunction. Individuals who take drugs to lower blood pressure, uses antipsychotics, antidepressants, sedatives, narcotics, antacids or alcohol can have problems with sexual function and loss of libido.

Priapism is a painful erection that occurs for several hours and occurs in the absence of sexual stimulation. This condition develops when blood gets trapped in the penis and is unable to drain out. If the condition is not promptly treated, it can lead to severe scarring and permanent loss of erectile function. The disorder occurs in young men and children.