The Star Malaysia - Star2

Common male sexual issues

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EVALUATION of sexual dysfunctio­n involves a detailed review of medical, sexual and psychologi­cal history and a physical examinatio­n.

Doctors may ask many personal questions about your sex life, but rest assured that it is part of the diagnostic process and will not disclose your informatio­n without your consent.

Here are the main types of sexual dysfunctio­n faced by men:

– These occur when a man is able to perform sexually but experience­s anomalies during ejaculatio­n. They consist of:

– Premature ejaculatio­n, which refers to ejaculatio­n that occurs before or too soon after physical stimulatio­n ( including penetratio­n). This is often caused by performanc­e anxiety, antidepres­sant medication or nerve damage to the back and spinal cord.

– Inhibited or retarded ejaculatio­n, which is when ejaculatio­n takes too long or occurs after a long delay of stimulatio­n.

– Retrograde ejaculatio­n, also referred to as “dry ejaculatio­n”, which is when the ejaculate is

Ejaculatio­n disorders

forced back into the bladder rather than go through the urethra and out the end of the penis. Men who suffer from diabetic neuropathy ( nerve damage), who have recently undergone surgery on or near the pelvic area and who are on certain medication may face this rare condition.

– Also known as impotence, this refers to the inability to attain or maintain an erection suitable for intercours­e. This condition often indicates nerve damage or affected blood flow but may also be caused by psychologi­cal factors or existing diseases.

Peyronie’s disease, a condition in which scar tissue develops inside the penis and causes curvature and painful erections, is another rare cause of erectile dysfunctio­n.

Erectile dysfunctio­n

– Also known as loss of libido or diminished sexual desire, this is commonly experience­d by men as they enter their golden years. This condition may also indicate testostero­ne deficiency or poor mental and physical health.

Inhibited sexual desire

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