Male Sexual Dysfunction Specialist

Greater Hartford Urology Group

Urologists & Erectile Dysfunction Specialists located in Hartford, CT & Enfield, CT

Sexual dysfunction can affect men of all ages, but is especially common in older men. The most common problems related to sexual dysfunction include ejaculation disorders, erectile dysfunction and inhibited sexual desire. These issues can often be corrected by treating the underlying causes.

Male Sexual Dysfunction Q & A

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).

SYMPTOMS AND CAUSES

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.

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)

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.

DIAGNOSIS AND TESTS

How is male sexual dysfunction diagnosed?

Your doctor may begin the diagnosis process with a physical exam. Physical tests may include:

  • Blood tests to check your testosterone levels, blood sugar (for diabetes) and cholesterol.
  • Blood pressure check.
  • Rectal exam to check your prostate.
  • Examination of your penis and testicles.
  • Other tests can show if you have problems with blood flow to the penis.

Your doctor may also ask questions about your symptoms and your medical and sexual history. Though these questions may seem very personal, do not be embarrassed. It is important to answer honestly so the best treatment can be recommended.

MANAGEMENT AND TREATMENT

How is male sexual dysfunction treated?

Many cases of sexual dysfunction can be corrected by treating the mental or physical problems that cause it. Treatments include:

  • Medications: Drugs that help improve sexual function by increasing blood flow to the penis. Sildenafil (Viagra®), vardenafil (Levitra®), and tadalafil (Cialis®) are safe and effective for most men.
  • Hormone therapy: Low levels of testosterone raised by hormone replacement therapies that include injections, patches or gels.
  • Psychological therapy: A psychological counselor to help you address feelings of anxiety, depression, fear or guilt that may affect sexual function.
  • Mechanical aids: Vacuum devices and penile implants that can help some men with erectile dysfunction.

To learn more about how Greater Hartford Urology Group can address your men’s health issues, schedule a visit today by calling the office or using the online booking tool.