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Sexual Health: Sexual Problems in Men

A sexual problem, or sexual dysfunction, refers to a problem during any phase of the sexual response cycle that prevents the individual or couple from experiencing satisfaction from the sexual activity. The sexual response cycle has four phases: excitement, plateau, orgasm, and resolution.

While research suggests that sexual dysfunction is common (43% of women and 31% of men report some degree of difficulty), it is a topic that many people are hesitant to discuss. Fortunately, most cases of sexual dysfunction are treatable, so it is important to share your concerns with your partner and doctor.

What Causes Sexual Problems?

Sexual dysfunction can be a result of a physical or psychological problem.

Physical causes: Many physical and/or medical conditions can cause problems with sexual function. These conditions include diabetes, heart and vascular (blood vessel) disease, neurological disorders, hormonal imbalances, chronic diseases such as kidney or liver failure, and alcoholism and drug abuse. In addition, the side effects of certain medications, including some antidepressant drugs, can affect sexual desire and function.
Psychological causes: These include work-related stress and anxiety, concern about sexual performance, marital or relationship problems, depression, feelings of guilt, and the effects of a past sexual trauma.

Who Is Affected by Sexual Problems?

Both men and women are affected by sexual problems. Sexual problems occur in adults of all ages. Among those commonly affected are those in the geriatric population, which may be related to a decline in health associated with aging.

How Do Sexual Problems Affect Men?

The most common sexual problems in men are ejaculation disorders, erectile dysfunction, and inhibited sexual desire.

What are ejaculation problems:

There are different types of ejaculation disorders, including:

Premature ejaculation -- This refers to ejaculation that occurs before or soon after penetration.
Inhibited or retarded ejaculation -- This is when ejaculation is slow to occur.
Retrograde ejaculation -- This occurs when, at orgasm, the ejaculate is forced back into the bladder rather than through the urethra and out the end of the penis.

In some cases, premature and inhibited ejaculation are caused by a lack of attraction for a partner, past traumatic events and psychological factors, including a strict religious background that causes the person to view sex as sinful. Premature ejaculation, the most common form of sexual dysfunction in men, often is due to nervousness over how well he will perform during sex. Certain drugs, including some anti-depressants, may affect ejaculation, as can nerve damage to the spinal cord or back.

Retrograde ejaculation is common in males with diabetes who suffer from diabetic neuropathy (nerve damage). This is due to problems with the nerves in the bladder and the bladder neck that allow the ejaculate to flow backward and into the bladder. In other men, retrograde ejaculation occurs after operations on the bladder neck or prostate, or after certain abdominal operations. In addition, certain medications, particularly those used to treat mood disorders, may cause problems with ejaculation. This generally does not require treatment unless it impairs fertility.


What Is Erectile Dysfunction?

Also known as impotence, erectile dysfunction is defined as the inability to attain and/or maintain an erection suitable for intercourse. Causes of erectile dysfunction include diseases affecting blood flow, such as atherosclerosis (hardening of the arteries); nerve disorders; psychological factors, such as stress, depression, and performance anxiety (nervousness over his ability to sexually perform); and injury to the penis. Chronic illness, certain medications, and a condition called Peyronie's disease (scar tissue in the penis) also can cause erectile dysfunction.

What Is Inhibited Sexual Desire?

Inhibited desire, or loss of libido, refers to a decrease in desire for, or interest in sexual activity. Reduced libido can result from physical or psychological factors. It has been associated with low levels of the hormone testosterone. It also may be caused by psychological problems, such as anxiety and depression; medical illnesses, such as diabetes and high blood pressure; certain medications, including some anti-depressants; and relationship difficulties.
 

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Hi, Terrie

What kind of sexual disfunctions can be expected related to diabetes? I´m really concerned about this.

Cheers!
 

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Hi, Terrie
What kind of sexual disfunctions can be expected related to diabetes? I´m really concerned about this.
Cheers!

Hi Javis: :) Always Good to see you.

All the sexual problems mentioned in the article above are
linked to Diabetes unfortunately. That is why I thought it
was important to post it.

Impotence(Erectile Dysfunction)ED is common in Diabetic men
after having many years of uncontrolled Diabetes. That is another
good reason for men to get and keep their sugars in the Good
range most of the time.

I could find an article to explain how it occurs, if you want.
 

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This is really good information about erectile dysfunction in diabetes. Am also a diabetic parent and I’m also suffering from ED. My doctor prescribes me levitra for this, but I’m also interested about your remedies.I should try it. You can find DIABETES AND LEVITRA BENEFITS at levitrabliss.com

That is unfortunate but I do hope that it works well for you, if that is your choice.
 

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Hello: :)

Thank you for your post.

There are so many reasons and/or causes for ED including Hypoganadism(Andropause). So it is complicated getting it sorted out. A Man doing his Best to get his sugars under control if he can and perhaps psychological and/or help with depression are actually worth more than some of the drugs for ED, if it is not too late. If that is not possible then other alternatives for sexual satisfaction are certainly welcome.

Actually, this is the real Levitra site. Erectile Dysfunction treatment at Levitra

The thread by SimplytheBest called "Sexual Dysfunction and Diabetes" in this "Complication" section near the bottom is also informative.

Since we are here, we can mention other drugs and treatments such as Viagra, Cialis, shots for low testosterone due to Hypoganadism may help, surgery, constriction rings, the penile pump(as Richard mentioned), injections, etc.
 

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Hello,

I am new this forum. I am 32 years old. Its been 10 months, since I was diagnoised with Diabetes. I was under insulin shots for 3 months and came out of it by controlling it in oral medication, diet and exercise. So, for the last seven months its been under control with just metformin and actos. Only the last 3 weeks the readings are getting little higher (between 120 - 140).

But for the last 3 days I am having this sexual problems, Erectile dysfunction (couldnt sustain it). I have researched about it a lot, everybody says it can happen only if you have uncontrolled sugar levels and at much older age.

I am just 32 and sugarlevel is not that bad. Why do I have it?
I just got married a year ago (my first anniversary is in another 2 weeks).
Please advice. Any insight on this is highly appreciated.

Thanks,
Raj
 
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