Sexual Problems in Men

A sexual problem, or sexual dysfunction, refers to a problem during any phase of the sexual response cycle that prevents the man or couple from experiencing satisfaction from the activity. The sexual response cycle has four phases: excitement, plateau, orgasm, and resolution.s

While research suggests that sexual dysfunction is common (43% of women and 31% of men report some degree of difficulty), it is a topic that many people are hesitant to discuss. Fortunately, most cases of sexual dysfunction are treatable, so it is important to share your concerns with your partner and doctor.

Men's sex problems include:

• Erectile dysfunction - sometimes called impotence - is a problem getting and keeping an erection for sex
• Premature ejaculation, this is coming sooner than he'd like to during sex
• Retrograde ejaculation, where the ejaculation goes into the bladder instead of out of the penis
• Less interest in sex, loss of sex drive or libido.

What causes men's sexual problems?

• Men's sex problems may be due to:
• Physical causes, including diabetes, heart disease and other long-term health conditions
• Alcohol abuse
• Drug abuse
• Medication side-effects, including some antidepressants
• Stress
• Anxiety
• Depression
• Worries over sexual performance, unrealistic expectations about sexual performance
• Relationship problems
• Low testosterone
• Past traumatic sexual experiences.

What is sexual dysfunction in males?

Sexual dysfunction is any physical or psychological problem that prevents you or your partner from getting sexual satisfaction. Male sexual dysfunction is a common health problem affecting men of all ages, but is more common with increasing age. Treatment can often help men suffering from sexual dysfunction. The main types of male sexual dysfunction are:

• Erectile dysfunction (difficulty getting/keeping an erection)
• Premature ejaculation (reaching orgasm too quickly)
• Delayed or inhibited ejaculation (reaching orgasm too slowly or not at all)
• Low libido (reduced interest in sex)

Low libido (reduced interest in sex) What causes sexual dysfunction in males?

Physical causes of overall sexual dysfunction may be:

• Low testosterone levels
• Prescription drugs (antidepressants, high blood pressure medicine)
• Blood vessel disorders such as atherosclerosis (hardening of the arteries) and high blood pressure
• Stroke or nerve damage from diabetes or surgery
• Smoking
• Alcoholism and drug abuse

Psychological causes might include:

• Concern about sexual performance
• Marital or relationship problems
• Depression, feelings of guilt
• Effects of past sexual trauma
• Work-related stress and anxiety

How does sexual dysfunction affect men?

The most common problems men face with sexual dysfunction are troubles with ejaculation, getting and keeping an erection, and reduced sexual desire.

Ejaculation disorders

Problems with ejaculation are:

• Premature ejaculation (PE) - ejaculation that occurs before or too soon after penetration
• Inhibited or delayed ejaculation - ejaculation does not happen or takes a very long time
• Retrograde ejaculation - at orgasm, the ejaculate is forced back into the bladder rather than through the end of the penis

The exact cause of premature ejaculation (PE) is not known. While in many cases PE is due to performance anxiety during sex, other factors may be:

• Stress
• Temporary depression
• History of sexual repression
• Low self-confidence
• Lack of communication or unresolved conflict with partner

Studies suggest that the breakdown of serotonin (a natural chemical that affects mood) may play a role in PE. Certain drugs, including some antidepressants, may affect ejaculation, as can nerve damage to the back or spinal cord.

Physical causes for inhibited or delayed ejaculation may include chronic (long-term) health problems, medication side effects, alcohol abuse, or surgeries. The problem can also be caused by psychological factors such as depression, anxiety, stress, or relationship problems.

Retrograde ejaculation is most common in males with diabetes who suffer from diabetic nerve damage. Problems with the nerves in the bladder and the bladder neck force the ejaculate to flow backward. In other men, retrograde ejaculation may be a side effect of some medications, or happen after an operation on the bladder neck or prostate.

Erectile dysfunction (ED)

Erectile dysfunction (ED) is the inability to get and keep an erection for sexual intercourse. ED is quite common, with studies showing that about one half of American men over age 40 are affected. Causes of ED include:

• Diseases affecting blood flow such as hardening of the arteries
• Nerve disorders
• Stress, relationship conflicts, depression, and performance anxiety
• Injury to the penis
• Chronic illness such as diabetes and high blood pressure
• Unhealthy habits like smoking, drinking too much alcohol, overeating, and lack of exercise.

Low libido (reduced sexual desire)

What Are Ejaculation Disorders?

• Low libido means your desire or interest in sex has decreased. The condition is often linked with low levels of the male hormone testosterone. Testosterone maintains sex drive, sperm production, muscle, hair, and bone. Low testosterone can affect your body and mood.
• Reduced sexual desire may also be caused by depression, anxiety, or relationship difficulties. Diabetes, high blood pressure, and certain medications like antidepressants may also contribute to a low libido.

What causes low libido?

• Many causes have been identified as contributing to the diminishment of sexual desire. They include:
• Medications
• Alcoholism
• Depression
• Fatigue
• Hypoactive sexual disorder
• Recreational drugs
• Relationship problems
• Other sexual dysfunction (fear of humiliation)
• Sexual aversion disorder
• Systemic illness
• Testosterone deficiency
• Stress
• Lack of time
• History of sexual abuse
• Hormonal problems such as hyperthyroidism

Sexual problems & the Unani treatment

People or individual, experiencing dissatisfaction in sexual life due to any sex related problem, known as sexual dysfunction, and it is estimated that around 31% men and 43% women (approx.) are suffering from sexual problems.

Anyone can suffer from a sexual disorder in their whole married life, such as erectile dysfunction to low libido in male as well as female. There are many ways to prevent and treat these dysfunctions to restore normal sexual health and enjoy the life at its fullest. These problems are not limited to, low libido, arousal problem in women or ejaculation or erectile dysfunction in men, infect there can be a many more.

There could be countless reasons of sexual disorders but there are also many ways to sort them out, certain medical conditions, hormonal changes, medicines, stress, anxiety, lack of proper diet and other factors may cause sexual problems in men and women as well.

How to deal with sexual problems?

Any sexual dysfunction may give rise to the issue of dissatisfaction and the unhappiness in the married life of the people, so it is necessary to discuss the concerns with your physician, to get diagnosed accurately, avoiding smoking and alcohol, managing depression, anxiety and stress, and lastly is discussing such intimate issues openly with your partner to unlock the door of happiness.

Treatment of sexual disorders in Unani System Unani system is quite famous for the marital health issues and majority of the sex related problem are found treatable and there is hardly any sexual problem that cannot be prevent or controlled by the Unani treatment, whether it is impotency or low libido etc. We are aware that Unani system of medication strongly focus on the body's own healing process instead of disturbing or suppressing the natural bio rhythm, just like allopathic medication used to do, and that's how Unani treatments and medications are entirely different from others.

In Unani system, treatments are based on the person's temperament, stress, emotional and physical health, thus any imbalance in these, may cause various sexual disorders, and the treatments work to restore normalcy to provide everlasting sexual health. The Unani system provides many treatments to deal with sexual disorders including healing therapies, powerful and unique combinations of herbal medications, counseling and diet correction or restrictions. Unani treatment also includes regimental therapy to detoxify or remove the waste materials from the body; it purifies blood and improves defense mechanism or immunity. This therapy includes a Turkish bath, leeching or hijama (cupping method), exercise, venesection and massages. But in any case surgery is always the last option.

Unani treatments are highly beneficial for the sexual problems, any common issue can be easily treated by the effective use of alternative medicines without any side effect, even the infertility can be treated and sexual strength can be enhanced. In the early part of the treatment light dose of the medications derived from natural minerals and raw herbs (Tribulus terrestris, Zingiber officinalis, Boswellia serrata and many more) are given and the effect is noticed, after that dose variation is done and high dose is given if needed. Balance is made to restore all the four humors (blood, phlegm, black bile & yellow bile), which is the entire base of Unani

system, to treat the root cause or addressing any health issue on the deepest level to improve sexual health.

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