Male sexual dysfunction and infertility are often confused with each other. However, they are two very different conditions. Erectile dysfunction, the inability to develop or maintain an erection during sexual intercourse, may have either psychological or biological roots. In contrast, infertility is strictly a biological problem: the inability to produce sperm capable of making a woman pregnant. A sexual gymnast may be infertile and, conversely, a fully fertile man may lack any kind of sexual charge.
Masturbation is a considered a natural and safe (both physically and emotionally) way for men and women to express sexuality and may help promote self-awareness, self-acceptance, and self-confidence. By exploring ones own body visually and by touch, this knowledge can be carried over to provide for a stronger and satisfying sexual relationship with ones partner by opening lines of communication regarding what their body responds to best.
Libido: Libido is the conscious component of sexual function. Decreased libido manifests as a lack of sexual interest or a decrease in the frequency and intensity of sexual thoughts, either spontaneous or in response to erotic stimuli. Libido is sensitive to testosterone levels as well as to general nutrition, health, and drugs.
Type of Male Impotence: -
• Arteriogenic impotence: The arteries supply blood to the penis. When arteries narrow, they fail to bring in sufficient blood to the penis resulting in erectile dysfunction. It mainly occurs in elderly people. Those who are diabetic or have high blood pressure are also prone to it. Arteriogenic impotence due to injuries is common but often goes unnoticed because of ignorance. • Impotence from Diabetes Mellitus: Impotence is very common among diabetics. A study showed around 50% of diabetics as patients of male impotence. • Mixed impotence: More than one factor can cause impotence in men. It could be physical factors as well as psychological factors. Mixed impotence refers to this form of impotence. • Endocrinology impotence: When there is an imbalance of sex hormones in the blood stream, erection doesn’t occur. Nearly 5 to 10% of men suffer from Endocrinology impotence. • Psychogenic impotence: Sometimes, the problem lies entirely in the mind. There will be no physical factors accompanying erectile dysfunction. This is a state of psychogenic impotence. People often undergo bouts of depression and anxiety.
Hypoactive sexual disorder: - A persistently reduced sexual drive or libido, not attributable to depression where there is reduced desire, sexual activity and reduced sexual fantasy.
Sexual aversion disorder: - An avoidance of or aversion to genital sexual contact
Premature ejaculation: - Ejaculation occurring with only minimal stimulation, either before penetration or soon afterwards, in either case ceratinly before the patient wishes it. Again the GP must take into account the patient's age, previous sexual experience, extent of sexual stimulation and 'novelty' of the sexual partner.
Dyspareunia (not due to general medical condition): - Recurrent pain associated with intercourse, but in women not due to vaginismus, poor lubrication, and in women and men not due to drugs or other physical causes
Secondary sexual dysfunction: - Dysfunction secondary to illness eg hypothyrodism, mental disorder eg depression, or drugs eg fluoextine.
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