Sexual Dysfunction In Men

Erectile dysfunction is not the only type of male sexual dysfunction, despite what all the TV ads for ED drugs would have you believe. The two other common types of sexual dysfunction in men are ejaculation disorders and inhibited sexual desire, also called “reduced libido” or “hypoactive sexual desire.”

Two less common male sexual dysfunctions are painful sex, or “dyspareuina,” and problems with orgasm, also called “male orgasmic disorder” or “anorgasmia.”

Erectile Dysfunction

Erectile dysfunction is the inability to achieve an erection. The condition has many possible causes, ranging from heart disease or high blood pressure to nerve problems or psychological issues. According to the Cleveland Clinic, heart disease or related blood vessel disease causes 30 to 50 percent of cases of erectile dysfunction.

Ejaculation Problems

Premature ejaculation occurs when a man ejaculates before or soon after penetration. This male sexual dysfunction is the most common sexual problem in men, according to MedicineNet. Although its exact cause is unknown, premature ejaculation usually involves both psychological and physical issues.

Another ejaculation problem is inhibited or retarded ejaculation, in which ejaculation is either very slow to occur or does not occur at all.

In those with retrograde ejaculation, semen goes into the bladder instead of leaving through the penis during orgasm. Also called a dry orgasm, retrograde ejaculation can cause men to be infertile but is otherwise not harmful.

Hypoactive Sexual Desire

According to Meuleman and Van Lankveld (2004), a lack of sexual desire in men is often misdiagnosed as erectile dysfunction. The condition is formally called hypoactive sexual desire.

Male Orgasmic Disorder

In male orgasmic disorder, or “anorgasmia, either orgasm does not occur following normal sexual excitement or it takes an unusually long time, and this situation causes the man distress or interpersonal difficulty.

Dyspareunia in Men

Although dyspareuina in men is much less common than in women, factors that can cause painful sex include:

  • A “bowed” erection
  • Penile skin allergies
  • Prostate gland infection
  • Testicle infection
  • Tight foreskin.

Sexual Dysfunction Treatment

Although drugs such as Viagra, Levitra and Cialis are common sexual dysfunction treatments for men, these drugs do have potentially serious side effects that should be discussed with a healthcare provider.

Also, if the underlying cause is a medical condition such as heart disease, the first line of sexual dysfunction treatment is to treat the medical condition. Hormone imbalance can lead to male sexual dysfunction, and testosterone therapy is available.

Although some men have difficulty admitting to psychological issues, feelings of anxiety, fear or guilt or a history of abuse can affect sexual function. Working with a therapist or trained counselor can help. Becoming more educated about sex and talking with your partner may help you deal with sexual issues. You owe it to yourself and your partner to address your needs and concerns about sex.


Cleveland Clinic. (n.d.). Sexual dysfunction in males. Retrieved July 13, 2010, from

MedicineNet. (n.d.). Sexual problems in men. Retrieved July 10, 2010, from

Merck. (n.d.). Sexual dysfunction in men. Retrived July 13, 2010, from

Meuleman, E. J. H., & Van Lankveld, J.D.M. (July, 2004). Hypoactive sexual desire disorder: An underestimated condition in men. Retrieved July 13, 2010, from

Preda, A. (February 26, 2009). Anorgasmia, Male. Retrieved July 13, 2010, from