Male Sexual Dysfunction: Signs, Causes, and Treatments

Male sexual dysfunction is more common than many think, encompassing issues such as erectile dysfunction, low libido, or premature or delayed ejaculation. While occasional performance-related concerns are normal, persistent sexual dysfunction may indicate an underlying health condition requiring medical attention. Understanding the causes, recognizing the symptoms, and knowing when to seek medical treatment are essential steps in improving sexual health and overall well-being.

What causes male sexual dysfunction?

Male sexual dysfunction can happen due to a combination of physical, psychological, and lifestyle factors. Identifying the root cause is a medical doctor's first step in providing effective treatment. For instance, restricted blood flow due to hypertension, atherosclerosis, or high cholesterol can make it difficult to achieve or maintain an erection. Similarly, high blood sugar levels associated with diabetes can damage nerves and blood vessels, resulting in erectile dysfunction and reduced sexual sensation. Other common causes of male sexual dysfunction include:

• Certain medications prescribed for depression, hypertension, and prostate conditions
• Psychological factors like stress, anxiety, depression, and past trauma
• Neurological conditions, such as multiple sclerosis
• Performance anxiety and relationship issues
• Testosterone deficiencies and thyroid disorders

Other times, male sexual dysfunction stems from lifestyle factors. Substance use, including alcohol, tobacco, and recreational drugs, can impair sexual performance by affecting hormone levels and blood circulation. A sedentary lifestyle, poor diet, and lack of exercise can also contribute to a patient's condition.

Male sexual dysfunction: Signs and symptoms

The symptoms of male sexual dysfunction vary by patient and the underlying cause. One of the most reported symptoms is erectile dysfunction, the inability to achieve or maintain an erection firm enough for sexual intercourse. Some patients experience premature ejaculation, which occurs sooner than desired, often within a minute of penetration. Others face delayed ejaculation, making it difficult or impossible to reach orgasm despite adequate stimulation. Low libido, marked by a reduced interest in sexual activity, may stem from hormonal imbalances or psychological distress.

Pain or discomfort during intercourse can also occur. This symptom may indicate infections, nerve damage, or conditions such as Peyronie's disease, which causes penile curvature.

Treating male sexual dysfunction

Healthy lifestyle changes can improve male sexual function, primarily by enhancing cardiovascular health and circulation. This may involve adopting a balanced diet, exercising regularly, and maintaining a healthy weight. Managing stress, limiting alcohol, and quitting smoking further help by preventing circulation and nerve-related impairments.

However, medical intervention may be necessary when lifestyle changes are not enough to resolve symptoms. Depending on the severity and cause of the dysfunction, a doctor may recommend counseling and therapy, medication, or surgical procedures.

Counseling and therapy

For patients whose male sexual dysfunction is linked to psychological factors, therapy can be highly effective. A medical doctor may refer the patient to a mental health specialist for one of several types of therapy. Cognitive behavioral therapy (CBT) helps identify and change negative thought patterns contributing to performance anxiety and sexual distress. In contrast, sex therapy and couples therapy offer guidance to address sexual concerns and improve communication between partners.

Medication

A medical doctor may prescribe medication to help manage male sexual dysfunction by improving blood flow, hormonal balance, or nerve function. Phosphodiesterase type 5 inhibitors, such as sildenafil, tadalafil, and vardenafil, enhance blood circulation to the penis, assisting with erectile function. Testosterone replacement therapy may be prescribed to those with low testosterone levels, improving libido, energy levels, and sexual performance. A doctor can discuss whether medication could be an option in an appointment.

Surgical procedures

Surgery is generally a last resort after other treatment options have been exhausted. A common option is penile implant surgery, which involves placing inflatable or semi-rigid devices in the penis to facilitate erections. Another option is vascular surgery, which restores healthy blood flow by repairing or bypassing blocked arteries. On the other hand, nerve-sparing procedures are designed to aid those with nerve damage caused by trauma or previous surgeries. For those with severe penile curvature from Peyronie's disease, corrective surgery can improve both comfort and sexual function.

Take control of your sexual health

Male sexual dysfunction can be a distressing condition, but effective treatments are available. Seeking medical advice early can help minimize its impact on your life. Whether treatment involves lifestyle changes, therapy, medication, or surgical intervention, a tailored approach can restore confidence and improve overall well-being. To take the first step toward better sexual health, contact our Fresno office today for an appointment.

Request an appointment here: https://omgwellnessmd.com or call Optimal Medical Group at (559) 425-1118 for an appointment in our Fresno office.

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