Psychological sexual disorders

May 17, 2016

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A sexual problem, or sexual dysfunction, refers to a problem during any phase of the sexual response cycle that prevents the man or couple from experiencing satisfaction from the activity. The sexual response cycle has four phases: excitement, plateau, orgasm, and resolution.

While research suggests that sexual dysfunction is common (43% of women and 31% of men report some degree of difficulty), it is a topic that many people are hesitant to discuss. Fortunately, most cases of sexual dysfunction are treatable, so it is important to share your concerns with your partner and doctor.

What Causes Male Sexual Problems?

Sexual dysfunction in men can be a result of a physical or psychological problem.

  • Physical causes: Many physical and medical conditions can cause problems with sexual function. These conditions include, and vascular ( vessel) disease, neurological disorders, hormonal imbalances, chronic diseases such as or, and and . In addition, the side effects of certain medications, including some drugs, can affect sexual desire and function.
  • Psychological causes: These include work-related stress and, concern about sexual performance, marital or relationship problems, , feelings of guilt, and the effects of a past sexual trauma.

Who Is Affected by Sexual Problems?

Both men and women are affected by sexual problems. Sexual problems occur in adults of all ages. Among those commonly affected are those in the geriatric population, which may be related to a decline in health associated with aging.

How Do Sexual Problems Affect Men?

The most common are ejaculation disorders, , and inhibited sexual desire.

What Are Ejaculation Disorders?

There are different types of ejaculation disorders in men, including:

  • : This refers to ejaculation that occurs before or soon after penetration.
  • Inhibited or retarded ejaculation: This is when ejaculation is slow to occur.
  • Retrograde ejaculation: This occurs when, at orgasm, the ejaculate is forced back into the rather than through the urethra and out the end of the .

In some cases, premature and inhibited ejaculation are caused by psychological factors, including a strict religious background that causes the person to view as sinful, a lack of attraction for a partner, and past traumatic events. Premature ejaculation, the most common form of sexual dysfunction in men, often is due to nervousness over how well he will perform during . Certain drugs, including some, may affect ejaculation, as can to the spinal cord or back.

Retrograde ejaculation is common in males with who suffer from. This is due to problems with the nerves in the and the bladder neck that allow the ejaculate to flow backward. In other men, retrograde ejaculation occurs after operations on the bladder neck or, or after certain abdominal operations. In addition, certain medications, particularly those used to treat, may cause problems with ejaculation.

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