Men’s sexual problems can result from either physical (anatomical and hormonal) or psychological factors. Often sexual problems are symptoms of other health problems. Sexual problems are common and can affect up to one half of couples at some time. If the sexual problem occurs only under certain circumstances or with a certain partner, then they are considered situational rather than generalized which occur regardless of circumstances. Men’s sexual problems may also be acquired if they have had normal sexual relations in the past as opposed to a lifelong sexual problem.

There are six major categories of men’s sexual problems, which involve maintaining and keeping an erection, ejaculating too rapidly and difficulty reaching orgasm. The first and perhaps most common is erectile dysfunction, which is an inability to obtain or maintain an erection during sex. Premature ejaculation is the inability to delay orgasm and ejaculation as opposed to male orgasmic disorder, which is the inability to reach orgasm. Inhibited sexual desire is a lack of interest in sex or the absence of sexual desire. Retrograde ejaculation occurs when the semen moves backward into the bladder during orgasm. Priapism is a prolonged erection not associated with sexual desire. Two more minor sexual problems for men are Peyronie’s disease, which is characterized by the formation of plaque under the skin on one side of the penis and dyspareunia or pain during intercourse.

Men’s sexual problems that are more psychological in nature include sexual boredom, lack or fear of intimacy, low desire, conflict in the relationship, generalized anxiety or depression, and cultural conditioning.

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