Common Sexual Dysfunctions in Men

In men, sexual dysfunction refers to the difficulty in performing intercourse. Sexual dysfunction encompasses a variety of disorders that affect the following aspects.

• Sexual desire (libido)
• Ability to achieve or maintain an erection (erectile dysfunction or impotence)
• Ejaculation capacity
• Ability to achieve an erection without a deformity in the penis
• Ability to achieve an orgasm

The best sexologist in Delhi states that sexual dysfunction can be a consequence of certain physical or psychological factors. Most sexual problems are due to a combination of physical and psychological factors. A physical problem can lead to the appearance of psychological problems (such as anxiety, depression or emotional stress) that, on the other hand, may aggravate the physical problem. Sometimes, some men press themselves or feel pressured by their partner to perform sexually adequately, and become anxious when they cannot do it (sexual performance anxiety). Sexual performance anxiety can cause problems and make a man’s ability to enjoy sex much worse.

Ejaculatory disorders are the most frequent sexual dysfunctions in men, says sexologist in Delhi. The disorders include

• Premature ejaculation, before or shortly after penetration into the vagina ( premature ejaculation )
• Ejaculation in the bladder ( retrograde ejaculation )
• Inability to ejaculate ( anejaculation )

The erectile dysfunction is common in middle-aged men and elderly. Some also have reduced libido.

Psychological Causes of Sexual Dysfunctions

• Anger with the couple
• Anxiety
• Depression
• Lack of harmony or annoyance in the relationship with the couple
• Fear of pregnancy, dependence on another person or loss of control
• Feelings of indifference towards sexual practices or towards the couple
• Culpability
• Inhibitions or ignorance of sexual behavior
• Anxiety about sexual failure (concern about performance during intercourse)
• Previous traumatic experiences related to sexual activity (for example, rape, incest, sexual abuse or previous sexual dysfunction)

Normal male sexual function

Normal sexual function is a complex interaction that involves the participation of both the mind and the body. The nervous, circulatory and endocrine (hormonal) systems interact with the mind to produce a sexual response. A delicate and balanced interaction between these systems controls the male sexual response, says sexologist doctor in Delhi.

The desire (also called sexual stimulation or libido) is the impulse to want to have sex. It can be triggered by thoughts, words, sights, smells or touch. According to top sexologist in Delhi, desire leads to the first stage of the sexual cycle, excitement.

Then sexual arousal occurs. During arousal, the brain sends nerve signals through the spinal cord to the penis. The arteries that supply blood to the erectile tissues (corpora cavernosa and corpus spongiosum) respond by becoming wider (relaxation and dilation). The arteries markedly increase blood flow to these areas, which become congested with blood and expand. This expansion exerts a pressure that compresses the veins of the penis, which normally evacuate the blood from the penis, but which now retard the flow of blood and thus raise the blood pressure inside the penis. The high pressure in the penis produces the erection and the rigidity. It also increases muscle tension throughout the body, says sex specialist in Delhi.

In the plateau phase, excitement and muscular tension intensify.

The orgasm is the peak or climax of sexual excitement. In the orgasm, the muscular tension in the whole body increases more, the muscles of the pelvis contract and then the ejaculation ensues.

The ejaculation occurs when nerve stimulates muscle contractions in the male reproductive organs: the seminal vesicles, prostate, and epididymal duct vas deferens. These contractions cause the semen to penetrate the urethra. The contraction of the muscles that surround the urethra increases the impulse of the semen out of the penis. The neck of the bladder also contracts and prevents the semen from moving back and going towards the bladder.

Although ejaculation and orgasm often occur simultaneously, they are separate phenomena. Ejaculation without orgasm can occur infrequently. Likewise, orgasm can occur without ejaculation, especially before puberty or as a side effect of certain medications (such as antidepressants) or after surgery (such as removal of the colon or prostate), says best sex doctor in Delhi. Usually, orgasm is usually very pleasant.

In the resolution phase, the body returns to the state prior to the excitement. Once the ejaculation or orgasm is reached, the arteries of the penis constrict and the smooth muscle of the corpora cavernosa and corpus spongiosum contracts, thereby reducing the blood supply and increasing its output, so that the penis recovers the flaccidity (detumescence). After an orgasm a second erection cannot be achieved for some time (refractory period), often about 20 minutes or less in young men, but more so in older ones, because it usually increases with age, says the best sexologist doctor in Delhi.