Sexual Dysfunction in Men

Sexual dysfunction in men can take many forms, affecting erection, ejaculation, orgasm or libido.

Here are the main sexual problems observed in men:

• Erectile dysfunction, defined as the inability to achieve and/or maintain erection
• Unexplained and prolonged loss of sexual desire (or libido)
• Ejaculation-related disorders, including premature ejaculation, inability to ejaculate, or retrograde ejaculation (ejaculation into the bladder)
• Inability to reach orgasm
• Peyronie's disease, in which the penis curves during erection, which can be painful

Causes and triggers

There are several possible causes to these sexual problems. Here are a few of them:

Treatment

Prior to treating any sexual dysfunction, it is important to address the underlying cause whenever possible, with guidance from your health care professional. Here are some examples:

• Treating the underlying condition with medication (e.g., antidepressants or testosterone)
• Adopting healthier lifestyle habits
• Consulting a psychologist or sex therapist
• Adjusting current prescriptions

In addition of these approaches, other measures can be taken if necessary, according to the type of sexual dysfunction:

• Erectile dysfunction - oral medications such as sildenafil (Viagra), penile injections, pumps, or prostheses
• Premature ejaculation - certain medications, such as antidepressants or a topical anesthetic cream, may help
• Peyronie's disease - surgery may be necessary

Living a healthy lifestyle is the best prevention:

• Limit alcohol consumption
• Avoid smoking
• Stay physically active
• Eat a healthy diet
• Maintain good sleep hygiene

When should I see a health care professional?

Consult your health care provider in the following cases:

• You are not satisfied with your sexual life;
• You experience recurrent episodes of erectile dysfunction, as this may indicate another serious health condition.