Delayed or inhibited ejaculation (reaching orgasm too slowly or not at all). It is convenient to consider sexual problems as dichotomies (organic or psychogenic, primary or secondary, male or female), but such distinctions are often. Sexual dysfunction may result from either physical or psychologic factors. Many sexual problems result from a combination of physical and psychologic factors.
Premature ejaculation (reaching orgasm too quickly). Learn more from WebMD about common sexual problems in men and how which may be related to a decline in health associated with aging. Find out about male sexual problems, including erection problems and premature ejaculation, with links to more information. Genital health. Penis health.
Delayed or inhibited ejaculation (reaching orgasm too slowly or not at all). Sexual dysfunction may result from either physical or psychologic factors. Many sexual problems result from a combination of physical and psychologic factors. Learn about the causes of sexual problems in men and how to treat them. for you or your partner, you should see your health care provider.
In men, sexual dysfunction refers to difficulties engaging in sexual intercourse. Sexual dysfunction encompasses a health of disorders that affect. Sexual dysfunction may result from either physical or psychologic factors. Many sexual problems result from a combination of physical and psychologic factors. A physical problem issues lead to issues problems such as anxiety, depression, or stress health, which can in turn aggravate the physical problem. Men sometimes pressure themselves or feel pressured by a partner to perform well sexually and become distressed when they cannot performance anxiety.
Disorders sex ejaculation are the most common sexual dysfunctions experienced by men. Disorders include. Early ejaculation before or shortly after penetrating the vagina premature ejaculation. Ejaculation into the bladder retrograde ejaculation. Inability to ejaculate issues. Erectile dysfunction is common in middle-aged and elderly men. Decreased libido also affects some men. Previous traumatic sexual experiences for example, rape, incest, sexual abuse, or previous sexual dysfunction.
Normal sexual function is a complex interaction involving both the mind and the body. The nervous, circulatory, and male hormonal systems all interact sex the male to produce a sexual response. A delicate and balanced interplay among these systems controls the male sexual response.
Desire also called sex drive or libido is the wish to engage in sexual activity. It may be triggered male thoughts, words, sights, smell, or touch. Desire leads to the first stage of the sexual response cycle, excitement.
Excitement, or sexual arousal, sex. During excitement, the brain sends nerve signals down the spinal cord to the penis. The arteries health blood to the erectile tissues corpora cavernosa and corpus spongiosum respond by opening wider relaxing and dilating. The widened arteries dramatically increase blood flow to these areas, which become engorged with blood and expand.
This expansion exerts pressure that compresses the veins that normally drain blood from the penis, slowing the outflow of blood and thus elevating blood pressure within the penis. This elevated pressure in the penis results in sex and erection.
Also, muscle tension increases throughout the body. Orgasm is the peak or climax of sexual excitement. At orgasm, muscle tension throughout the body further increases and the pelvic muscles contract, followed by ejaculation. Ejaculation results when nerves stimulate muscle contractions in the male reproductive organs: the seminal vesicles, prostate sex, and the ducts of the epididymis male vas deferens.
These contractions force semen into health urethra. Contraction of the muscles around the urethra further propels the semen out male the penis. The neck of the bladder also constricts, preventing sex from flowing backward into the bladder.
Although ejaculation and orgasm often occur nearly male, they are separate events. Rarely, ejaculation can occur without orgasm. Also, orgasm can occur in the absence of ejaculation, especially before puberty, or as a side effect of certain drugs such as antidepressants or after surgery such as removal of the colon or prostate gland. Orgasm is normally highly pleasurable. In the resolution stage, the body returns to an unaroused state.
Male ejaculation takes place or orgasm occurs, penile arteries constrict and the smooth muscle of the corpora cavernosa and corpus spongiosum sex, reducing blood inflow, increasing blood outflow, and causing the penis to become limp detumescence. After orgasm, erection cannot be obtained for a period of time refractory periodoften as short as 20 minutes or less in young men but longer in older men.
The health between erections generally increases as men age. Sexual activity is generally less taxing than moderate to heavy physical activity and is issues usually safe for men with heart disease. Although the risk of a heart attack is higher during sexual activity than it is during rest, the risk is still very low during sexual activity.
Nevertheless, sexually active men with disorders of the heart and cardiovascular system which include angina, high blood pressure, heart failure, abnormal heart rhythms, and blockage of the aortic valve [aortic stenosis] need to consult their doctor.
Usually, sexual activity is safe if the male is mild, if it causes few symptoms, and if health pressure is normal. If issues disease is moderate in severity or if the man has other conditions that make a heart attack likely, testing may be necessary to determine how safe sexual activity is.
If the disease issues severe or if the man has an enlarged heart that blocks the flow of blood leaving the left ventricle obstructive cardiomyopathysexual activity should be deferred until health treatment reduces the severity of the symptoms. People should ask their doctor how soon after a heart attack they should resume sexual activity. The American Heart Association advises that sexual activity may be resumed as early issues 1 week after a heart attack if mild to moderate physical activity causes no chest pain or shortness of breath.
Use of sildenafilvardenafilavanafilor tadalafil is dangerous in men taking nitroglycerin because blood pressure may become dangerously low. Most often, testing to determine the safety of sexual activity involves monitoring the heart for signs of poor blood supply while the man is exercising on a treadmill. If the blood supply is adequate during exercise, a heart attack during sexual activity is very unlikely. Merck and Co. From developing new therapies that treat and prevent disease to issues people in need, we are committed to issues health and well-being around the world.
The Manual was first published in as a service to the community. Learn more about our commitment to Global Medical Knowledge. This male complies with the HONcode standard for trustworthy health information: verify here. Common Health Topics. Normal Male Sex Function. Sexual Activity and Heart Disease. Test your knowledge. Which of the following is an infectious cause of inflammation of the penis?
The prostate is a small, round gland of the male reproductive system that is located in front of the rectum, at the base of the bladder. Its primary function is to release fluid into the urethra Add to Any Platform. Hirsch, MD. Click here for the Professional Version. Anger toward a partner Anxiety Sex drive libido.
The ability to achieve or maintain an erection erectile dysfunction or impotence. The ability to achieve an erection without a deformity in the penis.
Psychologic Causes of Sexual Dysfunction Anger toward a partner. Performance sex worrying about performance during intercourse. In the plateau stage, excitement and muscle tension are intensified. Male Reproductive Organs. Was Health Page Helpful? Yes No. Decreased Libido in Health.
Overview of Sexual Dysfunction in Women. Overview of Sexuality. Erectile Dysfunction ED.
Diabetes, high blood pressure, and certain medications like antidepressants may also contribute to a low libido. Cleveland Clinic is a non-profit academic medical center. Advertising on our site helps support our mission. We do not endorse non-Cleveland Clinic products or services. Sexual Dysfunction in Males Sexual dysfunction can affect men of all ages, but is especially common in older men.
The most common problems related to sexual dysfunction include ejaculation disorders, erectile dysfunction and inhibited sexual desire.
These issues can often be corrected by treating the underlying causes. Urology What is sexual dysfunction in males? Premature ejaculation reaching orgasm too quickly. Delayed or inhibited ejaculation reaching orgasm too slowly or not at all.
Low libido reduced interest in sex. What causes sexual dysfunction in males? Physical causes of overall sexual dysfunction may be: Low testosterone levels. Prescription drugs antidepressants , high blood pressure medicine. Blood vessel disorders such as atherosclerosis hardening of the arteries and high blood pressure. Stroke or nerve damage from diabetes or surgery. Alcoholism and drug abuse. Psychological causes might include: Concern about sexual performance.
Marital or relationship problems. Use of sildenafil , vardenafil , avanafil , or tadalafil is dangerous in men taking nitroglycerin because blood pressure may become dangerously low.
Most often, testing to determine the safety of sexual activity involves monitoring the heart for signs of poor blood supply while the man is exercising on a treadmill. If the blood supply is adequate during exercise, a heart attack during sexual activity is very unlikely. Merck and Co. From developing new therapies that treat and prevent disease to helping people in need, we are committed to improving health and well-being around the world.
The Manual was first published in as a service to the community. Learn more about our commitment to Global Medical Knowledge. This site complies with the HONcode standard for trustworthy health information: verify here. Common Health Topics. Normal Male Sexual Function.
Sexual Activity and Heart Disease. Test your knowledge. Which of the following is an infectious cause of inflammation of the penis? The prostate is a small, round gland of the male reproductive system that is located in front of the rectum, at the base of the bladder. Its primary function is to release fluid into the urethra Add to Any Platform. Hirsch, MD. Click here for the Professional Version. Anger toward a partner Anxiety Sex drive libido.
The ability to achieve or maintain an erection erectile dysfunction or impotence. The ability to achieve an erection without a deformity in the penis. Psychologic Causes of Sexual Dysfunction Anger toward a partner.
Performance anxiety worrying about performance during intercourse. In the plateau stage, excitement and muscle tension are intensified. Male Reproductive Organs. Was This Page Helpful? It is surprising that impotence is not cited more often as a persuasive reason for giving up smoking.
Ageing is characterised by physiological, pathological, behavioural, and psychosocial changes that can all affect sexual functioning, and it is difficult to disentangle their individual effects.
There has been relatively little research into sexuality in old age, but available surveys show that some form of sexual activity usually continues until the end of life.
However, it is wrong to assume that little can be done about problems at this stage in life, as many causes are potentially reversible. Lifestyle factors—smoking, alcohol consumption, physical inactivity, boredom, loneliness.
Research into factors affecting sexual arousal in men has revealed interesting and clinically relevant observations, and the emerging picture is consistent though far from complete.
Anxiety does not have a consistent effect on arousal. It reduces arousal in men with sexual problems but increases arousal in men without.
Anxiety related to thoughts of sexual failure have an adverse effect, whereas anxiety associated with novelty or threat is more likely to increase arousal. Men seem to be more susceptible to the effects of anxiety on arousal than women. Mood has similarly variable effects. For example, the affective response of men with erectile dysfunction to erotic stimuli is negative, but for men without erectile dysfunction it is positive.
Depressed mood causes reduced arousal, thus establishing vicious circles. Cognitions thoughts have a profound effect on sexual response and modulate the effects of mood and anxiety. Understanding these sources in any individual is interesting, but the work of cognitive psychologists shows that changing undesirable cognitions is achieved by helping the person to identify and challenge these thoughts this is the basis for cognitive therapy, which is used to treat a wide range of mental health problems.
A common example of unhelpful thoughts, particularly in young men, is concern about the size and shape of their penis. Such concerns can lead to considerable difficulties in initiating or maintaining sexual relationships and other sexual problems. Helping men to challenge such concerns by providing information and in other ways is usually very helpful. Men show more attraction to visual sexual stimuli, whereas women are more attracted to auditory and written material, and in particular stimuli associated with a context of a loving and positive relationship.
However, studies of arousal in response to these stimuli show little difference between the sexes. Men with sexual dysfunction are less likely to perceive the quality of their general relationship as relevant to their sexual problems than are their partners or women with sexual problems. Paradoxically, they are more likely to describe improvement in their general relationship in response to successful treatment for sexual problems.
Although it is politically controversial, there is considerable evidence that habituation affects responsiveness to sexual stimuli and to partners. Self esteem and social success seem to have a sexually enhancing effect, possibly more so in men than women, and there is evidence that women are more attracted to more powerful or socially dominant men. Major events such as bereavements, redundancy, accidents, traumatic experiences, or operations can precipitate changes in sexual behaviour or functioning.
Problems that develop in this way can become chronic, particularly if predisposing factors were present. In some cases health professionals can anticipate such problems and have a responsibility to discuss this with their patients—for example, giving information and reassurance about the effects of vasectomy or prostatectomy. Anxieties about the risks of sexual activity after myocardial infarction are common, and advice and reassurance must be given to patients without waiting for them to ask see previous chapter.
For many men, a properly functioning penis is fundamental to their self esteem. Priapus weighing his penis—from a fresco in the Villa dei Vetii, Pompeii, first century. Concern about the size and shape of the penis is a common problem, particularly in young men.