Male dysfunction can include any of the following conditions: lack of sexual desire or a diminishing sex drive, inability to achieve and/or maintain an erection suitable for intercourse, failure to experience ejaculation, or an inability to achieve orgasm. There are many reasons for these problems, including physical and psychological components.
Libido is crucial to sexual performance. It can be affected by health conditions, nutrition, and various drugs. Testosterone levels also play a major role in sexual desire. Depression, anxiety, and stress can also influence sexual interest.
Erectile dysfunction has many physical causes, such as underlying heart disease, vascular problems, kidney disease, or diabetes. It can also be caused by neurological problems, such as brain or spinal cord injuries. Prostate, colon, rectum, or bladder surgery may contribute to impotence problems. Radiation therapy can sometimes cause nerve damage, blocking blood flow to the penis. Venous leak may also affect proper blood circulation.
Ejaculation problems may be a result of diabetes, bladder surgery, or certain drugs that affect the sympathetic nervous system. Failure to achieve orgasm can occur due to decreased penile sensitivity, lack of sensation due to drugs or alcohol, or psychiatric conditions. Premature ejaculation can often be treated with SSRIs, or counseling.
Treatment options for male dysfunction include oral medications, mechanical devices, urethral suppositories, penile injection therapy, psychological evaluation, hormonal treatment, and surgical intervention. Vacuum pumps and constriction rings can be used to achieve and maintain an erection. However, the treatment preferred by most men is drug therapy. Drugs have had consistent, positive results. There are some drugs that these medications should not be combined with, such as nitrates or alpha-blockers. There are also medical conditions, such as a recent stroke or heart attack that may prohibit the use of these drugs. Always check with your doctor before using. Any medications that you are currently taking should also be evaluated.
As a last resort, surgical intervention might be necessary. Penile implants or vascular reconstruction or repair may be needed. These surgeries are rare, and generally have not been shown to have consistent long-term benefits.
If you are suffering from male dysfunction, the important thing to remember is that there is help available. Talk with your doctor to find the treatment that is right for you.