Male Sexual Problems and solution – Dr S.R. Vaid
Information on Sexual Health and Male Sexual Problems: Male sexual problems are a serious issue that requires careful consideration. According to statistics, a significant number of men are affected by sexual problems in today’s time. Sexual health is an essential part of every individual’s life and forms the basis of a happy marital life. Without it, the concept of social life is incomplete.
In today’s world, male sexual problems have become quite common and affect not only one’s sexual life but also overall well-being. Sexual problems are often related to various health issues that impact a person’s overall health. Ignoring these problems can be detrimental to one’s health.
As soon as sexual problems are noticed, it is essential to seek the help of a sexologist doctor immediately. In this article, we will discuss information about sexual health, the various male sexual problems, their types, diagnosis, treatment, and more.
Dr. S. R. Vaid
Male Sexual Problems – Purusho Ke Gupt Rog
Male sexual problems refer to the inability of men to engage in sexual intercourse with their partners. Typically, sexual incapacity can significantly impact the quality of life. Therefore, any form of sexual problem should be taken seriously, and immediate advice should be sought from a qualified medical professional.
Types of Male Sexual Problems
In today’s fast-paced life, approximately 1 in 10 men faces sexual problems, such as premature ejaculation or erectile dysfunction, among others. Sexual problems can affect any individual. The most common sexual problems that affect men include:
- Erectile Dysfunction (Impotence)
Erectile dysfunction is a condition that occurs in men when a person is unable to achieve an erection. Erection is the process of making the penis erect and firm. Therefore, the failure to achieve an erection during sexual intercourse is known as erectile dysfunction or impotence. In most men, the primary cause of this problem can be either physical or psychological.
Physical conditions like heart disease, diabetes, and high blood pressure can contribute to erectile dysfunction. Additionally, factors such as alcohol, smoking, and certain medications can also be responsible for erection failure.
- Premature Ejaculation
Premature ejaculation is a very common issue in men, causing ejaculation to occur before the desired time. This problem can be distressing for the individual and their partner because there is no specific time limit for ejaculation. Premature ejaculation happens when a person loses control during ejaculation. While it is not a serious problem, it can become a significant issue when ejaculation occurs regularly before the desired time.
This issue is usually caused by psychological factors, such as stress, anxiety, or depression, which can affect sexual performance and control.
- Loss of Sex Drive or Low Libido
Low libido or loss of sex drive is related to a decrease or absence of sexual desire. In simple terms, this issue refers to a lack of interest in sexual activity. It can vary greatly from person to person, with some individuals experiencing it to a significant degree. Low libido is a problem that arises primarily due to psychological factors and tends to become more serious over time.
Sexual desire, or libido, is primarily influenced by hormonal and brain-related factors. For sexual desire to be present, there is a need for normal levels of testosterone (the male hormone) in the bloodstream and an attraction to one’s partner in the brain.
Therefore, mental stress, brain disorders, depression, and other serious illnesses that affect brain hormones can be causes of low libido.
- Priapism or Prolonged Erection
Priapism, or prolonged erection, refers to the condition where an erection in the male genitals persists for an extended period. In other words, prolonged erection is a problem where the penis remains erect for an extended duration during arousal, or when an erection lasts for two hours or more. This condition is often very painful.
Priapism is a medical emergency. If left untreated within 24 hours, it can cause permanent damage to the penis. Priapism, or prolonged erection, occurs due to the inability of blood to either flow out of the penis or return to it. The causes of priapism include blood disorders, penile injury, or certain medical conditions, such as the use of certain medications, alcohol, or illicit drugs.
- Delayed Ejaculation
Some individuals can only ejaculate after a prolonged period of sexual arousal, even if they have normal desire and an erection. In some cases, men may have difficulty achieving ejaculation altogether, and this condition is referred to as delayed ejaculation.
The condition of delayed ejaculation is characterized by the following symptoms:
- Inability to ejaculate even after 30 to 60 minutes of trying.
- Ejaculation not occurring for up to half an hour during sexual intercourse.
Delayed ejaculation can be caused by various factors, including the use of certain medications such as antidepressants, steroids, painkillers, and some drugs prescribed for high blood pressure and heart conditions.
- Nightfall
Nightfall, also known as “Swapnadosh” in Ayurveda, is a common issue among men, particularly affecting those between the ages of 18 to 30. Nightfall refers to the involuntary discharge of semen during sleep, either at night or in the morning. This discharge of semen during sleep is usually attributed to hormonal changes in the body. During adolescence, hormonal changes associated with sexual desires can lead to arousal and, at times, reach its peak by the end of the night. This can increase the likelihood of experiencing nightfall or “Swapnadosh.”
Apart from hormonal changes, another significant contributor to nightfall is often considered to be masturbation. Engaging in pornography and especially participating in sexual chats during the night can contribute to this issue. Erotic and sexual dreams during adolescence typically trigger nightfall problems.
- Spermatorrhea, Dhatu (Dhat) Rog
Spermatorrhea, also known as “Dhatu Rog” in Hindi, is a pathological condition in which a person experiences involuntary discharge of seminal fluid without any sexual activity. This condition is divided into two categories: (1) “Meng Yi,” in which the patient exhibits spermatorrhea during sleep, often accompanied by dreams, and (2) “Hua Jing,” in which the patient experiences seminal discharge without dreams, or it occurs during the daytime.
If a person experiences spermatorrhea two or three times a week, along with symptoms such as dizziness, weakness, leg weakness, back pain, and insomnia, it is considered a pathological disorder.
Spermatorrhea can be caused by emotional imbalance, excessive sexual activity, and excessive alcohol consumption, all of which can lead to imbalances in the heart, liver, spleen, and kidneys.
Causes of Male Sexual Problems (Sexual Disorders)
Male sexual problems or sexual disorders can have various physical or psychological causes. These include:
Physical Causes:
- Chronic Diseases: Conditions like diabetes, heart disease, and vascular diseases can lead to sexual problems in men.
- Neurological Disorders: Conditions affecting the nervous system can have an impact on sexual function.
- Hormonal Imbalance: Imbalances in hormone levels can affect sexual health.
- Substance Abuse: Misuse of alcohol and drugs, including certain medications, can contribute to sexual issues.
Psychological Causes:
- Stress and Anxiety: Mental stress, anxiety, and performance pressure can lead to sexual problems.
- Marital Issues: Relationship problems within a marriage or partnership can affect sexual satisfaction.
- Depression: Depression can negatively impact sexual desire and function.
- Emotional Trauma: Past sexual trauma or experiences of risk can lead to concerns about sexual performance.
These are some of the common physical and psychological factors that can contribute to male sexual problems. It’s essential to identify and address the underlying causes to seek appropriate treatment and support.
Diagnosis of Sexual Problems
The diagnosis of sexual problems or “gupt rog” in men begins with a comprehensive medical, sexual, and psychological history. Afterward, a thorough physical examination is conducted. Since there can be various causes of sexual problems, each diagnostic process may be necessary. In some cases, the patient’s sexual partner may also be involved in the assessment process.
Medical, psychological, and sexual histories play a significant role in diagnosing sexual problems or “gupt rog.” Therefore, it is essential for the patient to provide all information to the healthcare provider without hesitation. The doctor may ask several questions about the patient’s sexual history.
In addition to this, a complete physical examination, including external genitalia such as the penis, scrotum, and the perineum between the scrotum and anus, can be thoroughly examined. The physician may recommend certain tests to gather information about the functioning of the sexual blood vessels or neurological system, aiding in the identification of precise causes of sexual issues.
Furthermore, to diagnose the causes of sexual problems in men, the following tests may be included:
- Testing of testosterone levels
- Blood tests for glucose (for diabetes) and cholesterol
- Blood pressure check
- Rectal examination for prostate evaluation
Additionally, examinations of the penis and testicles may also be conducted. Taking into account all the accurate causes, the treatment process can be initiated.
Treatment for Male Sexual Problems
Male sexual problems, whether of psychological or internal physical origin, can be treated by addressing the specific underlying causes in men. The treatment of “gupt rog” in men depends on identifying all the exact causes involved. The treatment process may include the following:
- Medical Treatment – This involves addressing physical conditions that contribute to sexual problems, such as high blood pressure, heart disease, or other chronic illnesses.
- Medications – The doctor may recommend medications to address sexual problems. Drugs like Cialis, Levitra, Staxyn, or Viagra can assist in improving erections. Medications like Promescent may be used to treat premature ejaculation.
- Hormones – Testosterone replacement therapy may be employed to treat men with low testosterone levels. Additionally, therapy to regulate brain hormones may also be considered.
- Psychological Therapy – Mental health conditions such as anxiety, fear, depression, and other psychological factors can impact sexual performance and be the cause of sexual problems. Therefore, a mental health professional can help improve these mental conditions and treat sexual problems.
Prevention of Male Sexual Problems
Lifestyle changes can be useful in preventing male sexual problems, improving them, and assisting in their treatment. Adopting a healthy lifestyle can prevent sexual problems in men. Therefore, to reduce the risks of sexual problems in men, the following measures can be taken:
- Adopt a healthy lifestyle.
- Engage in regular physical exercise.
- Consume alcohol in moderation.
- Avoid smoking.
- Ensure that emotional factors and disorders such as stress, depression, and anxiety do not develop. Immediate efforts should be made to eliminate mental disorders.
- Maintain healthy relationships with partners.
- Avoid having multiple sexual partners and practice safe sexual intercourse.