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Male Sexual Dysfunctions

Erectile Dysfunctions (Impotence)



Erectile Dysfunction is the inability to have or to maintain an erection during sexual intercourse. This is a very common problem in men, in fact, estimates show that almost 50% of men have this problem at some point during their life. However, this dysfunction is not normal in younger males and usually occurs after the age of 50. The common causes of erectile dysfunctions could be; fatigue, alcohol, smoking, some medications, diabetes, hormone imbalance, etc. The first course of treatment is identifying and treating the underlying physical or psychological problems that could be causing the dysfunction. When this fails, other solutions like Viagra, Penile Implants etc are considered.


Premature Ejaculation



This is the inability to control or delay ejaculation as long as the individual wishes, resulting in distress for the individual or his partner. It is estimated that over 33% of men experience premature ejaculation. The leading causes of this dysfunction are associated with stress and anxiety, prostate problems, testosterone imbalance, high blood pressure etc. One of the most common method of treatments suggested, is the withdraw or squeezing of the penis during sexual intercourse (just before ejaculation) to stop stimulation and thus prevent premature ejaculation or by serotonergic anti-depressants or SSRIs (eg: Seroxat, Prozac, Cipramil, Zoloft).


Inhibited or Delayed Ejaculation



  • Inhibited Ejaculation - This is when the penis is erect but the man is unable to ejaculate. However, the man might still be able to experience an orgasm without ejaculating. Only about 4-9% of men complain of this dysfunction.
  • Delayed Ejaculation - This is when the men is unable to ejaculate easily during sexual intercourse. In fact, it may take the man around 45 minutes until he is able to ejaculate.
    Anxiety can interfere with a man's ejaculatory reflex and this can be overcome namely by distracting the man or providing extra stimulation.


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