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    Understanding Male Sexual Problems -- the Basics

    What Causes Male Sexual Problems? continued...

    Premature ejaculation (PE) is usually not due to physical causes, although the problem is sometimes linked to a neurological disorder, prostate infections, or urethritis.

    Possible psychological causes of sexual dysfunction include:

    • Anxiety
    • Guilty feelings about sex
    • Sexual aversion disorder
    • Learned behavior pattern of rapid ejaculation seen with frequent masturbation or infrequent sexual activity

    Erection problems can be caused by:

    Painful intercourse usually has physical causes such as these:

    Lack of sexual desire may be due to any of these factors:

    • Physical illness
    • Hormonal abnormality (usually low testosterone levels)
    • Medications that affect libido
    • Alcohol or recreational drug abuse
    • Psychological causes, including depression or relationship problems, which a therapist may help identify

    Retrograde ejaculation may occur in men from these causes:

    • Prostate or urethral surgery
    • Medication that keeps the bladder neck open
    • Diabetes (which can injure the nerves that normally close the bladder during ejaculation)

    Priapism may be caused by:

    Can Medication Cause Sexual Problems?

    Many medications have been implicated in sexual dysfunction, causing inhibited sexual desire and/or erectile dysfunction, such as:

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