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Male Sexual Disorders & Dysfunctions
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- Premature Ejaculation
- Male Orgasmic Disorder
- Libido Problems
- Inhibited Sexual Desire
- Ejaculation Disorders
- Inhibited or retarded ejaculation
- Retrograde ejaculation
- Diagnosing Male Sexual Problems
- Medical Treatments
- Testicular Cancer
- Testicular Cancer Self Examinations
- Male Genitalia Diagram
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A persistent or recurrent involuntary delay in orgasm and ejaculation or the inability of orgasm. (Note: This is sometimes confused with retrograde ejaculation—a condition in which a mans ejaculate enter the bladder instead of out through the urethra.)
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Causes
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The cause is rarely physical and more commonly psychological, associated with a traumatic sexual experience, strict religious upbringing, hostility, over control, or lack of trust. |
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Treatment
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Psychological exploration and counseling. |
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Warnings
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A baby born to a woman with type B may develop it and become a chronic carrier. |
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Libido Problems
Inhibited Sexual Desire
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Inhibited desire, or loss of libido is a decrease in desire for, or interest in sexual activity. Reduced libido may be caused by lack of sleep, physical or psychological issues, such as anxiety and depression; medical illnesses, such as diabetes and high blood pressure; certain medications, including some anti-depressants; and relationship difficulties. It has been associated with low levels of the hormone testosterone. If the cause for low libido is low testosterone levels, there are creams, patches, and shots that can be used as remedies. Current data suggests that testosterone does not cause prostate cancer but if you have prostate cancer, additional testosterone may stimulate the cancers growth, so men who are taking testosterone should have their prostate and their prostate-specific antigen (PSA) levels checked annually.
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Ejaculation Disorders
There are different types of ejaculation disorders, including:
Premature Ejaculation
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Premature ejaculation refers to ejaculation that occurs before or soon after penetration. This is one of the most common sexual problems among men. Typically a young man still on his training wheels will reach orgasm quicker than an older man, as he is highly aroused and has not yet learned to control his ejaculation. It has been shown that the longer the period since the last orgasm the quicker a young man may reach orgasm. During early sexual relations ejaculation may be nearly instantaneous upon sexual contact. PE also occurs with men of all ages and experience levels. Unfortunately, many men are what I like to call 3-minute men, they ejaculate rapidly but have not satisfied their partner. PE is best described as being the inability to delay ejaculation to a point that is mutually desirable for both partners.
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Inhibited Or Retarded Ejaculation
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This is when ejaculation is slow to occur.
Premature and inhibited ejaculation are sometimes caused by psychological factors. Factors such as a lack of attraction for a partner, past traumatic events or a strict religious background where the man views sex as sinful may cause premature ejaculation. The most common form of this sexual dysfunction in men, often is due to nervousness over how well he will perform during sex. Certain drugs, including some anti-depressants, may affect ejaculation, as can nerve damage to the spinal cord or back. |
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This occurs when, at orgasm, the ejaculate is forced back into the bladder rather than through the urethra and out the end of the penis. Retrograde ejaculation is common with male diabetics who suffer from diabetic neuropathy (nerve damage). This is due to problems with the nerves in the bladder and the bladder neck that allow the ejaculate to flow backward. Retrograde ejaculation may occur after an operation on the bladder neck or prostate, or after certain abdominal operations. Some medications, particularly those used to treat mood disorders, may cause problems with ejaculation. Retrograde ejaculation is also common in gay men. Some say that this may be related to the fears of infection believed to be brought on by “safer sex” campaigns.) |
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Regardless of the sexual dysfunction not being able to reach orgasm or reaching it too soon are problems that can almost always be overcome. Some problems require professional assistance and prescription medication. Other problems can be cured through self help, more open communications with your partner and experience.
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Diagnosing Male Sexual Problems
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| The doctor usually begins with a thorough history of symptoms. They may order other tests to rule out contributing medical problems. You may be referred to a specialist such as a urologist (a doctor specializing in the urinary tract and male reproductive system), endocrinologist (a doctor specializing in glandular disorders), neurologist (a doctor specializing in disorders of the nervous system), or sex therapists, or other counselors. |
| Common Test Used To Evaluate Sexual Problems |
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Blood tests: To evaluate hormone levels.
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Vascular assessment – To evaluate the blood flow to the penis. The blockage in a blood vessel that supplies blood to the penis can contribute to erectile dysfunction. |
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Sensory testing: Sensory testing measures the strength of nerve impulses in a particular area of the body. This test is particularly useful in evaluating the effects of diabetic neuropathy (nerve damage). |
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Nocturnal penile tumescence and rigidity testing: This test is used to monitor erections that occur naturally during sleep. This test can help determine if a man’s erectile problems are due to physical or psychological causes. |
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Male Sexual Dysfunction Treatment. |
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Sexual dysfunction can be corrected by treating the underlying physical or psychological problems. Treatment strategies vary and may include: |
Medical Treatment
Treatment of any physical problem that may be contributing to a man’s sexual dysfunction.
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Medications: Prescription medications, such as Cialis, Viagra or Levitra, may help improve sexual function in men through increased blood flow to the penis.
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Hormones: Low levels of testosterone in a male may benefit from hormone injections (testosterone replacement therapy).
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Psychological therapy: Therapy with a trained therapist or counselor can help a person address their feelings of anxiety, fear or guilt that may be resulting in a sexual problem.
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Mechanical aids: Aids such as vacuum devices and penile implants are used by some men with erectile dysfunctions.
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Education and communication : Education about sex and sexual behaviors and responses can be very helpful to many men in overcoming an anxiety about sexual performance. Becoming more open with ones partner about your needs and concerns can result in a more rewarding and more healthy sex life.
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The success of treatment for sexual dysfunction will depend upon the cause of the underlying problem. Good results can be expected for dysfunctions that are related to treatable or reversible physical problems. The same can be said for mild dysfunctions related to fear, anxiety or stress through improved communications with ones partner, education and when as may be required, the assistance of professionals.
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While testicular cancer is not an erectile dysfunction, it is very important that you be aware of it. This cancer is potentially deadly, but curable when taken care of in a timely matter. Testicular cancer is the most common form of cancer in males age 15-35. The cancer can spread slow or rapidly depending upon its type. The survival rate is excellent, 95% five years after the cancerous testicle is removed. It is important that every male from the age of 15 on regularly examine his scrotum and search for any abnormalities or changes. A monthly self-exam is an excellent idea and an annual doctor’s exam is encouraged. Since most testicular cancers have no symptoms, the best way to discover it is with frequent self-examination.
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Testicular Cancer Self Examinations
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My nephew a cancer survivor advised that after a hot shower the skin of your scrotum is relaxed and soft and this is the best time for you to check yourself. Heck, your hands are probably warmed up already having spent a bit of time scrubbing your dick. Keep on playing with yourself and while at it perform self-examination of your testicles. Sliding that hand down an extra few inches can save your life. Even your sweetie can check you out at long as she is in a loving mood and doesn’t try to crush your balls.
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A male needs to become familiar with the normal size, shape and weight of his testicles, another great excuse for self-exploration. Anyway, one testicle, usually the left, will commonly be larger and hang lower than the other, which is normal, so don’t be alarmed.
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To perform the examination: Use both hands and gently roll each testicle between your fingers Locate the epididymis, a rope-like structure that is like a bag of worms. It will be located on the backside of each testicle near the top. This structure is not an abnormal lump.
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Also Watch For The Following:
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One of the testicles swelling or feeling abnormally heavy. |
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Breast enlargement or tenderness. |
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Sores that do not heal. |
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A small painless lump on a testicle. |
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ALWAYS report any swelling, lumps or other abnormalities to your doctor immediately. While most lumps and bumps will be benign (noncancerous), you may find cancer and when found early on it is usually completely curable and will not significantly affect either your ability to father a child or your sexual activity.
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