Male Sexual Health & Function

A sexual problem (sexual dysfunction) refers to any problem that is encountered during any phase of the sexual encounter that prevents the individual or couple from experiencing satisfaction from sexual activity. Although 31% of men report some degree of difficulty, it's a topic many hesitate to discuss. Most cases are treatable, so it’s important to share your concerns with your partner and your doctor.

Sexual problems can be the result of an underlying physical or psychological issue, ranging from diabetes, blood vessel disease, neurological disorder, hormonal imbalance, kidney or liver disorder, alcoholism and drug abuse, to work-related stress and anxiety, concern about sexual performance, marital/relationship problems, depression, and feelings of guilt.

The most common sexual problems in men are ejaculation disorders (premature, inhibited or retarded, and retrograde ejaculation), erectile dysfunction (impotence - the inability to attain or maintain an erection), and inhibited sexual desire. Loss of libido can be caused by low levels of the hormone testosterone, and physical or psychological factors.

Diagnosis typically begins with taking a thorough history, and testing (blood tests, vascular assessment and sensory testing) to rule out medical issues. Many cases can be corrected by treating the underlying physical or psychological problems, and may include medical treatment, medication, hormones, education and communication.

If you have concerns, talk with Dr. Shalita.