You Are Not Alone

January 19, 2022
Sexual Disorders

Sexual dysfunction or sexual disorders in men are more common than you think. The stigma associated with it, however, results in many individuals not reaching out for professional assistance. Sexual dysfunction affects men of all ages.

There are various problems associated with sexual dysfunction, some physical, others, psychological. The most common types of sexual dysfunction include ejaculation disorders such as premature ejaculation (PE), erectile dysfunction (ED), and inhibited sexual desire or low libido.

Some of the causes of sexual dysfunction include stress (such as from work, or family concerns), psychological concerns such as depression, anxiety, and OCD, relationship issues, sexual trauma, medical conditions such as diabetes and heart disease, substance abuse (drug and alcohol use), and the usage of certain medications.

It is advisable to seek professional help from a psychiatrist, psychologist, and/or an andrologist to understand the cause behind sexual dysfunction. Experts suggest professional help for those that have symptoms of sexual dysfunction such as difficulty in obtaining and maintaining an erection, premature or delayed ejaculation, lack of libido, and pain during intercourse.

However, as mentioned above, the stigma associated with sexual dysfunction results in men feeling embarrassed and insecure. This causes them to suffer in silence, leading to instances of unconsummated marriages, fertility concerns, undiagnosed medical conditions, and worsening relationship issues.

It is important to remember that if you experience symptoms of sexual dysfunction, you are not alone. The following statistics should help you grasp the commonality of sexual dysfunction in men, along with understanding that these disorders are in fact not only treatable but should be treated.

Did you know?

1. PE alone affects about 20–30% of men in the sexually active age group. [Narrative Review: PE]
2. About 42% of men and 51% of women have experienced some sort of dysfunction during sex. [Highlights Natsal-3]
3. More than 50% of men over the age of 40 experience erectile dysfunction (ED). [ED Disease Management]
4. Upto 50% of men with diabetes experience ED. [Systematic Review & Meta- Analysis: Prevalence Of ED in Diabetes]
5. Studies reveal that 35–75% of men with diabetes will develop ED, about 10–15 years earlier than their non-diabetic counterparts. [Diabetes and Erectile Dysfunction. Clin Diabetes]

Seeking professional help is the best way to diagnose the cause behind sexual dysfunction symptoms and have them treated accurately. Rest assured, there are various ways to treat conditions causing sexual dysfunction symptoms, from counseling and exercise to medications and psychosexual therapy.

Understanding that you are not alone is the first step. The second would be doing something about it.

Medically reviewed by Dr. Sandip Deshpande.

Sexual health is as important as physical and mental health. In most cases, one consultation can go a long way. Personlised, discreet and judgement free treatment at your fingertips - book an online consultation with one of Allo’s leading experts.

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Erectile Dysfunction
Erectile Dysfunction

Erectile Dysfunction is defined as the inability to sustain an erection sufficient for sexual intercourse. The condition can affect anyone at any age.

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Causes

Remember - the blood flow (BF), the nerve supply, and the balance of sex hormones - a concern in any of these can lead to Erectile Dysfunction. Erectile Dysfunction can be caused by a physical (a ‘hardware’ problem) or psychological (mental health effects) - mental health can play a huge part.

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Did you know that Erectile Dysfunction can be an indication of cardiovascular concerns? Chronic health conditions affecting blood flow can lead to Erectile Dysfunction.

Premature Ejaculation
Premature Ejaculation

If a man lasts less than 2 minutes after penetration (all or most of the time), and/or if it leads to frequent dissatisfaction for him or his partner, he may have Premature Ejaculation.

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Causes

The causes of Premature Ejaculation include:
(1) Physical Factors: Medical conditions, chronic health conditions, or sexual disorders are some physical causes of Premature Ejaculation.
(2) Psychological Factors: Depression, Anxiety 

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Fact Check

Did you know that Erectile Dysfunction can be a cause of Premature Ejaculation?

Premature Ejaculation can lead to other sexual dysfunctions, but that is not a wide-known fact.

Vaginismus
Vaginismus

Vaginismus is a condition in which the muscles in the vagina tighten up during penetration.

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Causes

Vaginismus is commonly caused by psychological factors. Women don't have control over the tightening, and it can be uncomfortable. Due to the physical discomfort, the anxiety or fear response gets worse, and this can lead to a cycle of avoidance.

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Fact Check

Did you know that there are four types of Vaginismus?

(1) Primary Vaginismus

(2) Secondary Vaginismus

(3) Situational Vaginismus

(4) Global Vaginismus

Low Sexual Desire
Low Sexual Desire

Low sexual desire, commonly referred to as low libido, is a decrease in sex drive.

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Causes

Individuals that experience low sexual desire due to various causes are impacted physically, mentally, and emotionally by the symptoms the condition can cause.

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Fact Check

Like other most common sexual disorders, low sexual desire can be influenced by many aspects, such as hormonal imbalance, increased age, side effects of medications, chronic illnesses, and addictive or compulsive behavior.

Couple Sex Problems
Couple Sex Problems

This would include concerns with infertility and/or conception. Sexual disorders such as Erectile Dysfunction, Premature Ejaculation, and Vaginismus can lead to challenges with pregnancy attempts.

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Causes

There could be various causes of infertility, such as sexual dysfunctions, chronic illnesses, and mental health conditions leading to low sexual desire and a low sperm count. A sexual health professional should evaluate the causes of failed pregnancy attempts because there can be a variety of causes.

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Porn Addiction
Porn Addiction

Porn addiction refers to a person becoming excessively dependent on pornography leading to a disruption in their everyday life. This could include their job, relationships and at times, their day-to-day lifestyle.

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Causes

The causes behind porn addiction could be:

(1) Negative sexual experiences

(2) Incorrect understanding of porn and its uses

(3) Initially trying to learn about sexual experiences, resulted in dependency

(4) Experiencing mental health disorders such as OCD (an anxiety disorder) or depression

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Watching porn isn’t a bad thing, nor should it be associated with any shame. However, compulsive porn watching can have negative effects on your sexual, physical and mental health.

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