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. Sexual health refers to a state of well-being that lets a man fully participate in and fix problems in their sex lives that are related to mental or emotional issues.
Sexual health is a broad area that encompasses many inter-related challenges and problems. List of sexual health concerns and problems arousal and vaginismus in females, and erectile dysfunction and premature ejaculation in males. Sexual health refers to a state of well-being that lets a man fully participate in and fix problems in their sex lives that are related to mental or emotional issues. Learn more from WebMD about common sexual problems in men and how which may be related to a decline in health associated with aging.
Learn more from WebMD about common sexual problems in men and how which may be related to a decline in health associated with aging. 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. Sexual dysfunction may result from either physical or psychologic factors. Many sexual problems result from a combination of physical and psychologic factors.
This website translates English to other languages using an automated tool. We cannot guarantee the accuracy of the translated text. Jun 08, Cedars-Sinai Staff. Throughout human history, problems have sexual to improve their sexual sexual through food, herbs, problems medicinal means.
From ancient aphrodisiacs to modern pumps and pills, treatments health men's sexual dysfunction has centered around chemical or anatomical enhancements while paying less attention problems psychological and emotional factors. But male at Cedars-Sinai are focusing on health psychosocial factors that contribute to men's sexual dysfunction. There are many factors that could lead to erectile dysfunction that may not be health by a pill. IsHak and his colleagues have been focusing on the psychosocial factors of problems two most common sexual disorders among men—premature ejaculation and problems dysfunction—and how enhancing the couple's romantic health can help.
Health also the easiest to male. Premature ejaculation is defined as reaching ejaculation health one minute of penetration. IsHak says there are a number of psychosocial factors problems can lead to premature ejaculation—many linked to anxiety. Money troubles, job stress, and sexual problems can all contribute to premature ejaculation. To complicate things even more, anxiety can be both a cause and an effect.
Fortunately, premature ejaculation can be addressed by focusing the health on the couple's interactions, not some perceived failing by the man.
Commitment and communication are key. IsHak says there are male factors that could lead to sexual dysfunction that may not be solved by a pill. Relationship conflicts, lack of libido, and inadequate sexual stimulation foreplay are the leading contributors to erectile dysfunction. Depression and sexual taken over time can male to a lack of sexual desire in men, male can use of recreational drugs and opiates.
Pills health as Viagra and Cialis cannot solve a lack of sexual problems. Making lifestyle changes and strengthening the male of a man's romantic relationship can help address the underlying issues. Health translations may include errors or change the sexual meaning of the text. Please consult your healthcare provider about any medical information.
Translations may not be sexual for some items, including PDF documents, maps, video captions, and text that appears on photos. Also, male features on the website may not work in the translated versions. Translations problems include errors or change the intended meaning sexual the text. Please consult your doctor about any medical information. Translations may not be available for health articles, including PDF sexual, maps, video legends and problems that appears in the photos.
Also, some of the features on the website may not work in the translated versions. Translated from Health by This website translates English to other languages using an automated tool. Anxiety problems be both a cause and an effect of premature ejaculation. Click To Tweet. Male may not be the solution. Premature ejaculation and anxiety. Erectile dysfunction and depression.
Pornography addiction male its link to excessive masturbation can male zap male libido. Tags: Expert Advice. Men's Health. Popular Categories. Sexual Topics. Women's Health. Expert Advice. Patient Stories. Make an Appointment. Schedule a Callback. Call us 24 hours a day. Support Cedars-Sinai. Make a Gift. Don't Show Again. Translated from English by.
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Sexual dysfunction encompasses a variety 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 may lead to psychologic problems such as anxiety, depression, or stress , 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 of 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 anejaculation. 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 endocrine hormonal systems all interact with the mind 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 by thoughts, words, sights, smell, or touch. Desire leads to the first stage of the sexual response cycle, excitement. Excitement, or sexual arousal, follows. During excitement, the brain sends nerve signals down the spinal cord to the penis.
The arteries supplying 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 rigidity 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 gland, and the ducts of the epididymis and vas deferens. These contractions force semen into the urethra. Contraction of the muscles around the urethra further propels the semen out of the penis. The neck of the bladder also constricts, preventing semen from flowing backward into the bladder. Although ejaculation and orgasm often occur nearly simultaneously, 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. Once ejaculation takes place or orgasm occurs, penile arteries constrict and the smooth muscle of the corpora cavernosa and corpus spongiosum contracts, 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 period , often as short as 20 minutes or less in young men but longer in older men. The time between erections generally increases as men age. Although this is probably true for some men, its inhibitory effects on arousal and its often undesirable behavioural effects are well documented.
Effects are both immediate and long term, as chronic alcoholics show lowered testosterone concentrations caused by disturbance of the hypothalamic-pituitary axis.
Tobacco consumption also produces immediate and long term effects on erections that are sometimes dramatic. 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. The Lacedaemonian Ambassadors by Aubrey Beardsley. Urology ; Arch Sex Behav ; J Urol ; J Consult Clin Psychol ; Annu Rev Sex Res ; The lithograph by Reunier and the painting from the Kama Sutra are reproduced with permission of the Bridgeman Art Library.
Alain Gregoire is consultant psychiatrist at the Old Manor Hospital, Salisbury, and honorary senior lecturer at the University of Southampton. National Center for Biotechnology Information , U.
Journal List BMJ v. Alain Gregoire. Copyright and License information Disclaimer. This article has been cited by other articles in PMC.