Male sexual disorders

Sexual dysfunction is defined as any physical or psychological issue that prevents you or your partner from experiencing sexual fulfillment. Male sexual dysfunction is a common medical issue that affects men in general, but it becomes more common as they get older, explains Dr. Anirban Biswas- MD, a famous sexologist in delhi.

What are the types of sexual disorders in males?

The following are the most common types of male sexual dysfunction according to the best sexologist in delhi:

• Erectile dysfunction (difficulty obtaining and maintaining an erection).

• Premature Ejaculation - ejaculation occurs too soon (reaching orgasm too quickly).

• Delayed Ejaculation - ejaculation was slowed or stopped (reaching orgasm too slowly or not at all).

• Hypoactive sexual desire disorder, or HSDD- a lack of libido (reduced interest in sex).

• Dyspareunia (painful sex), is painful sexual intercourse.

What are the causes of sexual problems?

Sexual weakness indicates that there are some underlying health issues. It could be due to physical, mental, or psychological factors. A man who smokes and drinks excessively increases his chances of sexual weakness.

Physical causes:

1. testosterone deficiency (Low libido or low desire).

2. Prescription medications (antidepressants, high blood pressure medicine).

3. Atherosclerosis (hardening of the arteries) and high blood pressure are examples of blood vessel disorders.

4. Diabetes or surgery can cause a stroke or nerve damage.

5. Smoking.

6. Alcoholism and drug addiction

7. Prostate cancer

8. Multiple sclerosis

Mental Factors

Recently, Males and females have both developed mental disorders as a result of the Corona-virus. During pandemic and lock-down conditions, erectile dysfunction in men and sexual disorders in women have been observed to rise at our sexology clinic at CR Park in south delhi. The constant stress of job loss, business closure, uncertainty about the future, and immediate concerns is wreaking havoc on mental health.

"The erection process is influenced by one's mental health. A relaxed body and mind are required to initiate the erection process. A thought enters the mind, and this thought activates the central nervous system, allowing blood to flow to the male organ. No one can have an erection without the participation of the mind", says our sexologist doctor.

Psychological factors

Concerns regarding sexual performance

Problems in a marriage or relationship.

Feelings of guilt and depression

The consequences of past sexual trauma.

Anxiety and stress at work

What is the most common factor responsible for Erectile Dysfunction(ED)?

Diabetes, high blood pressure, excessive smoking, and alcohol all wreak havoc on the blood vessels. The impaired blood vessels are unable to support the blood flow required for the erection. Smoking causes plaque formation in the blood vessels. Plaque formation obstructs blood circulation from and towards the heart. It disrupts the normal flow of blood through the male organ. As a result, even when a man is fully aroused, the blood flow is insufficient for an erection.

Sexual dysfunctions are defined as “a cluster of related disorders that are characterized by a deficiency in the ability to experience sexual excitement or the ability to respond to sexual stimuli or both. ”- Dr. Anirban Biswas- MD, one of the best sexologist in delhi.

How common is Premature Ejaculation( PE)?

The lifetime prevalence of PE is approximately 30 to 40 percent in men. The incidence of PE in men under 50 is 2 to 5 percent per year, increasing to 5 to 10 percent per year after age 50.

Men with PE are at increased risk of cardiovascular disease and premature death and are less likely to participate in sexual activity.

What is the role of depression in sexual disorders?

The lifetime prevalence of depression is approximately 16 to 20 percent in women compared to about 7 percent in men diagnosed with sexual disorders, as per Dr. Sudeshna Biswas - famous lady psychiatrist, psychotherapist & relationship counselor in delhi. The incidence of major depressive episodes (MDE) is estimated to be increasing at the rate of 15 percent per year.

What are the major female sexual disorders?

• female sexual interest/arousal disorder.

• erectile dysfunction or ED.

• vaginismus, which is an involuntary spasm of the vagina, occurs during sexual activity and leads to pain or pressure.

• clitoral pain.

• vaginal dyspareunia.

• pelvic floor dysfunction.

What are psycho-sexual & compulsive sexual disorders and who manages them?

According to Dr. Sudeshna- Compulsive sexual behavior is defined as “persistent and recurrent behaviors that are not in line with the individual’s sexual values or norms. They include:

• Sexual deviation, including fetishism and transvestic fetishism, which are classified as paraphilia.

• Sexual compulsivity is classified as an impulse control disorder.

• Sexual addictions,

• HyperSexual interest/arousal disorders, and

• Sexual disorders not otherwise specified, which are conditions in which the symptoms of sexual dysfunctions do not fit any of the other categories.

These problems require a proper psychiatric evaluation and counseling like CBT etc.

What is the treatment of sexual disorders?

Sexual dysfunctions are treated with psychotherapy and pharmacotherapy.

Psychotherapy can be either individual or group. Psychosocial counseling, such as sex therapy addresses the underlying causes of sexual problems.

Pharmacological treatments, such as psychotropic medication (e.g. antidepressants, etc.) or testosterone boosters & supplements.

Fertility treatments, Male fertility treatments with natural hormone enhancers have been used to help men to achieve the optimal number of sperm cells in their ejaculate.

Conclusion :

Men with sexual dysfunction usually have a wide range of problems that may have an effect on their sexual health. They may have problems in erection, ejaculation or in their ability to achieve or maintain an erection.