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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:

  • Penile trauma
  • Medical conditions such as sickle cell disease, leukemia, gout, diabetes
  • Certain medications

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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