Understanding Sexual Dysfunction in Men

According to the WHO, the sexual health of an individual relates to their physical, mental and social well-being in connection with their sexuality. Sexual health is important for both men and women. It is this that lays the foundation of a healthy relationship and improves quality of life. However, when men, who are stereotypically expected to lead in any sexual act, suffer from sexual dysfunction, their world could turn upside down, severely affecting their intimate relationships. It thus becomes necessary to openly discuss these issues with their partner and seek help.

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What is Sexual Function?

When a man is sexually stimulated, either through physical contact or mentally, it leads to sexual arousal, which in turn leads to an erection and ultimately an orgasm. These physiological responses to sexual stimulation are explained in a four-stage sexual response cycle, first proposed in 1966 by William H. Masters and Virginia E. Johnson, in their book Human Sexual Response. The male body reacts in a different way in the four different stages of the sexual response cycle, which includes sexual desire, erection, orgasm and ejaculation, known as his sexual function. However, when there is sexual dysfunction, there is a lack of coordination between hormones and neurological pathways, along with integrity amongst blood vessels, nerves and the penis, required for having and maintaining an erection.

Types of Sexual Dysfunction

  • Low libido: Also known as lack of sexual desire, low libido is common in men with low testosterone levels and those who are not attracted to their female partner at all. Alcohol and drug consumption, as well as smoking, are found to be contributing factors in lowering sex drive.
  • Erectile Dysfunction: Occurring as a result of obesity, high blood pressure and cholesterol, smoking, diabetes and prostate cancer treatment, erectile dysfunction (ED) is a sexual dysfunction where the man is unable to acquire or maintain an erection to satisfy his partner. Men require blood to rush to the penile chamber in order to get and hold an erection. Fortunately, there are numerous erectile dysfunction supplements locking the blood in the penile region to help with better quality and longer lasting erections.
  • Premature Ejaculation: Affecting approximately 20% to 30% of all men, premature ejaculation happens when the ejaculation of semen during sexual intercourse takes place before or immediately after penetration, which can cause significant distress in a couple’s sex life.
  • Orgasmic Disorder: This is the persistent or recurrent inability to reach an orgasm, despite lengthy sexual contact and sexual stimulation.

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