Sexual Dysfunction

Sexual dysfunction in men is a common problem, affecting a large number of men and becoming more common as men age. Sexual dysfunction is defined as any physical or psychological problem that prevents you or your partner from being sexually satisfied, and includes conditions like:

  • Erectile dysfunction (ED) – difficulty having or keeping an erection
  • Ejaculatory dysfunctions – problems with ejaculation that include:
    • Premature ejaculation – reaching orgasm too quickly
    • Delayed ejaculation or anejaculation – reaching orgasm too slowly or not at all
  • Low testosterone
  • Low libido – decreased interest in sex.

Causes Of Male Sexual Dysfunction

Sexual dysfunction in men can be caused by both physical and/or psychological causes. One or more conditions can result in problems with sexual function and satisfaction.

Physical causes of sexual dysfunction include:

  • Low testosterone levels
  • High blood pressure
  • Diabetes
  • Prescription drugs – selective serotonin reuptake inhibitor (SSRI) antidepressants, high blood pressure medications
  • Stroke
  • Liver failure
  • Drug use/abuse

Psychological causes of sexual dysfunction include:

  • Anxiety or concern about sexual performance
  • Relationship problems
  • Stress
  • Depressive symptoms / depression

How Might A Man Experience Sexual Dysfunction

Most commonly, men with sexual dysfunction will have problems with having or keeping an erection (erectile dysfunction), reduced sexual desire / low libido, and problems with ejaculation and orgasm.

Erectile Dysfunction

Erectile Dysfunction (ED) is the inability to either get or keep an erection that is good enough for intercourse. ED is very common, and more men have ED as they get older. In fact, about 50% of men over 40 have some form of ED, and over 70% of men who are 70 years old or older have ED.

The causes of ED include:

  • Psychological issues, such as performance anxiety and stress, and relationship issues
  • Blood flow disorders, such as hardening of the arteries (arteriosclerosis)
  • Diabetes
  • High blood pressure
  • Nerve disorders
  • Low testosterone levels
  • Smoking
  • Obesity
  • Injury to the penis
  • Pelvic surgery, such as removal of the prostate or bladder
  • Other surgeries, such as transurethral resection of the prostate

Read more about ED causes and treatment options here.

Low Libido (Reduced Sexual Desire)

Low libido is a decreased interest in sex. Often, this is linked to low testosterone levels, as testosterone is important in maintaining the sex drive, erections, muscle mass, energy levels, hair, and bone density. Low libido can also be caused by depression, certain medications such as antidepressants, and relationship issues, as well as by diabetes.

Read more about low libido in men here.

Ejaculatory Disorders

Ejaculation problems include the following:

  • Premature Ejaculation (PE) – which is ejaculation that occurs before a man wants it to
  • Delayed Ejaculation (DE) – which is ejaculation that occurs later than a man wants it to
  • Anejaculation – which is the absence of ejaculation / orgasm
  • Retrograde Ejaculation – which is the presence of orgasm, but the absence of ejaculate because the ejaculate is pushed into the bladder rather than out the tip of the penis

Read more about ejaculatory disorders and premature ejaculatory solutions here.

Let our fellowship-trained physicians at Utah Men’s Health help you find the best solution. Make an appointment today!