Male Sexual Dysfunction

Sexual dysfunction and desire disorders can affect everyone, both men and women, and manifest themselves at any age. The sexuality supposed to be fulfilling can then weigh heavily on the shoulders of a couple.

Whatever the problem, it is often difficult to discern what is related to a physical impairment of what is psychological. Ideas, thoughts and feelings are as important as physical manifestations.


Main forms of male sexual dysfunction

Erectile dysfunction. Erectile dysfunction can be diagnosed when a repeated inability to have an erection or to maintain it during coitus is established. It should not be confused with the isolated or occasional erection failure which, although often experienced in a troublesome and commonplace way and can occur in any man in good physical and psychic health. The vast majority of men are experiencing such a period of time without their life or that of their partner being disrupted. Erectile dysfunction affects about 20% of men aged 50 to 59 years, a proportion increasing with age and the occurrence of diseases with advancing age. Nevertheless, a healthy man can remain sexually active throughout his life.


Lowering of desire. The breakdown of sexual desire affects men as well as women. A multiplicity of factors can impair desire. Hormones, medications, health status, depression, anxiety, relationship, culture, values, economic situation and social context are just a few. In fact, a true desire disorder is diagnosed when the decline in libido occurs for no apparent reason and persists over time. The factors involved in erectile dysfunction can also alter the taste for sexual activity.


Premature ejaculation. One can diagnose this sexual disorder when, in a systematic and uncontrolled way, the man ejaculates very quickly, before he wishes, and this in a systematic way, sometimes even before penetrating his partner. The phenomenon may also be present or not during masturbation. Again, this situation may arise occasionally in a normal and healthy man; It happens to most men, one day or another, to ejaculate quickly, well before the time they would have liked. In a man suffering from premature ejaculation, the phenomenon is not occasional, it is a constant. This sexual disorder affects about one-third of men, making it the most common sexual disorder.


Delayed ejaculation or anemia. The man who has it has difficulty ejaculating, only succeeds if the coitus is very long, or he can never ejaculate (ejaculation). The frequency of this disorder is increasing. It can be due to health problems (diabetes, neurological disease ...), or to certain medications, especially antidepressants. In other cases, it is linked to a psychic restraint, a lack of letting go or to the overconsumption of images X causing the excitation to rise in a particular way not found in a relationship of couple.


The evolution of sexuality with age

It can be reassuring to know that for most people, all physiological mechanisms to achieve sexual satisfaction are present at all ages. No matter the age. In addition, being sexually active contributes to good physical health, increasing longevity and maintaining good sexual functioning. However, couples sometimes go through a period of adjustment in the vicinity of retirement, which leads them to adapt their sexuality. Having unrealistic expectations of sexual performance may hamper this adaptation. It is normal that with age, an evolution occurs: the erection may be slower to occur and less rigid; and that sexual arousal occurring more slowly requires more direct stimulation from the partner (s).


States or situations causing sexual dysfunction

Among the main ones:

Physical health problems. Several health problems can be the cause of an erectile dysfunction and sometimes a lower libido.

Diabetes: excessive glucose in the blood damages the mechanisms of erection;

Cardiac disorders or atherosclerosis (plaque formation on the walls of the arteries, which narrows their diameter);

Arterial hypertension;

Overweight or obese;

Chronic neurological disease (Parkinson's disease, multiple sclerosis, etc.);


Androgenic deficiency: hormonal disorder leading to a decrease in the androgenic hormones (of the testosterone family), hormones essential to the functioning of desire, excitation, erection.

Injury to the spinal cord as a result of an accident, depending on the location and severity of the lesion. For example, a lesion at the level of the neck may alter the erection related to desire, but preserve the reflex erection, linked to a reflex center located at the lower back.

Drugs or treatments. Some treatments (eg benign prostatic hyperplasia) or medications (some antidepressants, antihistamines, and medications for high blood pressure) affect the ability to have an erection or sexual desire.

Smoking, alcohol or drug abuse. They can contribute to erectile dysfunction or ejaculation difficulties.

Difficulties in the couple. Unresolved conflicts with the partner often have an impact on the desire to engage in sexual intercourse and to be intimate with one's partner.

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