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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
  • Guilt feelings about sex
  • Ambivalence toward women
  • 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
  • Psychological causes, including depression or interpersonal 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)

Can Medication Cause Sexual Problems?

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

Psychological Factors in Sexual Problems

Psychological factors play an important role. You may find it difficult to enjoy a sexual relationship if:

  • You are under a lot of stress
  • Your relationship is troubled
  • You have a history of traumatic sexual encounters (rape or incest)
  • You were raised in a family with strict sexual taboos
  • You're afraid of getting your partner pregnant or of contracting a sexually-transmitted disease
  • You have negative feelings (including guilt, anger, fear, low self-esteem, and anxiety)
  • You are depressed
  • You are severely fatigued

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