Sharon Parmet, MS, Writer; Cassio Lynm, MA, Illustrator; Richard M. Glass, MD, Editor
JAMA. 2004;291(24):3076. doi:10.1001/jama.291.24.3076.

Male sexual dysfunction is one of the most common health problems affecting men and is more common with increasing age. Male sexual dysfunction can be caused by physical or psychological problems.

MAIN TYPES OF MALE SEXUAL DYSFUNCTION

Low libido (sexual interest)

Erectile dysfunction (ED, difficulty achieving or maintaining an erection)

Premature ejaculation (reaching orgasm [sexual climax] too quickly)

Delayed or inhibited orgasm

Physical abnormalities of the penis.

CAUSES OF MALE SEXUAL DYSFUNCTION

Problems in the relationship with the sexual partner can lead to sexual dysfunction.

Lowered levels of the male hormone testosterone (a condition known as hypogonadism) can cause low libido or ED.

Certain drugs, such as antidepressants and blood pressure medications, can cause sexual dysfunction.

Erectile function can be impaired by a stroke or by nerve damage from diabetes or surgery.

Disorders affecting blood vessels, such as atherosclerosis (hardening of the arteries) and high blood pressure, are risk factors for ED.

Other possible causes of sexual dysfunction include smoking, obesity, kidney problems, depression, anxiety disorders, and alcoholism.

DIAGNOSING MALE SEXUAL DYSFUNCTION

If you think you are experiencing male sexual dysfunction, see your doctor.

Your doctor will ask you to describe the problem and will ask questions to help determine whether the cause is physical, psychological, or a combination of both.

A general physical examination, including examination of the penis and testicles, will be performed, and other tests may be done to evaluate your health.

TREATING MALE SEXUAL DYSFUNCTION

For psychological causes of sexual dysfunction, such as relationship problems, counseling, either individually or as a couple, may be beneficial. Sexual therapy with a therapist who specializes in sexual dysfunction may also help.

Depression or anxiety disorders may need treatment.

Any physical problems that may be affecting sexual function should be addressed.

If a medication is interfering with sexual function, it may be possible to change or discontinue the medication.

Prescription medications that treat erectile dysfunction may help a man achieve and maintain erections.

Hormonal treatment, such as testosterone replacement therapy, may help with hormone imbalances that are contributing to sexual dysfunction.

FOR MORE INFORMATION

American Association of Clinical Endocrinologists

904/353-7878
http://www.aace.com

American Urological Association

http://www.UrologyHealth.org

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