If you are having sexual difficulties or just plain not enjoying sex, you are not alone. Your urologist has heard many such stories and you can report your issues without shame or embarrassment. Men can encounter a wide variety of issues and there are several strategies available that might help you enjoy sex.
There are 4 types of male sexual dysfunction:
- Decreased Libido or Loss of Interest in Sex
- Erectile Dysfunction
- Ejaculation Disorders
- Orgasmic Disorders
You can feel uninterested in sex and unresponsive to sexual stimuli. Sex seems completely removed from your mind. Many people who feel this way rarely engage in sex.
Erectile dysfunction occurs when you cannot get or maintain an erection during sexual intercourse. In the past, erectile dysfunction was referred to as impotence, but this term has disappeared from the medical community because it was unfairly judgmental. In television ads, it is usually referred to as ED.
Perhaps because the incidence of erectile dysfunction rises with age and the population is aging, we hear more about this type of male sexual dysfunction than any other form. Also, the availability of oral medications and devices that can aid erectile dysfunction has also made this the most talked-about type of sexual dysfunction. That said, many insurers do not pay for oral medications for ED and the medications are extremely costly for most people.
There are different types of ejaculation disorders. Premature ejaculation occurs rapidly, much faster than what is desired by the man or his partner. Retrograde ejaculation occurs when the semen from the prostate flows backwards into the bladder. Ejaculatory insufficiency refers to insufficient semen volume, which may be a result of retrograde ejaculation.
If you have an orgasmic disorder, you may not be able to achieve an orgasm and reach climax during sex. This may be due to decreased penile sensation or other factors.
Carson CC, Kirby RS, Goldstein I. Textbook of erectile dysfunction. 2nd ed. New York, NY:Informa HealthCare, 2008.
Eyler AE, Biggs WS. Medical human sexuality in family medicine practice. In Rakel RE: Textbook of Family Medicine. Philadelphia, Pa: Saunders Elsevier; 2007: chapter 55.