One of the crucial integral parts of men’s quality of life is sexual health. However, nowadays, sexual problems of different nature are very common. The reasons for it are numerous – from poor ecology and unhealthy lifestyle to psychological problems, stresses, and crisis of the institution of marriage. In medical terms, all types of sexual problems are often referred as sexual dysfunction. In general, sexual dysfunction is commonly described as a man’s inability to get satisfied in his intimate life. The reasons for dissatisfaction can be physiological as well as psychological. The most common types of sexual dysfunction are the following:
• Lack of sexual desire (low libido). This means that a man does not feel a sex drive in respect of his partner, or does not want sex at all. However, the diagnosis will much depend on whether the patient himself is satisfied with his sexual life or not. All the people are different, and their level of activity is also different. If a couple has sex once a month and both partners are fully satisfied, it is OK. If a patient feels uncomfortable in this situation, he may need treatment. The most common cause of low libido is low testosterone level, and the latter is often associated with the age. Other reasons include smoking, drinking, drugs taking and psychological problems, such as depressions or problems in interpersonal relationships. The treatment will depend on the nature of the disorder.
• Erectile dysfunction (ED) is the inability of reaching/maintaining an erection in spite of a normal sexual desire. In most cases, ED is a sign of some more serious disorders in the organism, for example, problems with the heart or with hormones. As for the treatment, erectile dysfunction can be cured if its cause is eliminated completely. Otherwise, symptomatic treatment is used. The best-known drugs are PDE-5 inhibitors, for example, Cialis – a highly effective medicine of new generation.
• Premature ejaculation is a common problem of young men. This is ejaculation after a minimal sexual stimulation or without it. At an older age, premature ejaculation can occur after a long sexual abstinence. However, in some cases, it can be caused by neurological or endocrine disorders. For example, PE may be an early sign of diabetes or benign prostatic hyperplasia. Another reason is hypersensitivity of the penis. The treatment will depend on the cause and may include psychiatric therapy, special exercises as well as medication treatment, usually with serotonin inhibitors or antidepressants.
• Orgasm disorders usually include physiological inability to reach orgasm in spite of a normal sexual desire, good erection, and correspondent physical stimulation. This disorder occurs quite rarely and is usually caused by some psychiatric or neurological disorders or taking certain drugs, such as alpha-blockers or antidepressants. The treatment will be individual in every certain case and can involve as psychiatric therapy as medication treatment.