More than half of all couples in South Africa experience issues with male sexual health at some point. Sexual dysfunction can have a significant psychological impact, leading to sadness, anxiety, and crippling feelings of inadequacy, even while it rarely poses a threat to physical health. Inform your doctor about any male sexual issues, especially erectile dysfunction, as these may point to a higher risk of vascular disease.

Erectile dysfunction, often known as impotence, is the inability to achieve or sustain an erection that is strong enough to support sexual activity.

Ejaculation that happens too soon in the course of sexual interaction, leaving the other partner unsatisfied, is known as premature ejaculation.


Male orgasmic disorder is the inability to have the orgasm (climax) with a partner, to do so without prolonged sexual contact, or to do so while engaging in intercourse. Sometimes, oral sex or masturbation are the only ways to experience orgasm.

Sexual desire that is repressed or underactive: a complete absence of interest in engaging in sexual activity.

Retrograde ejaculation: During an orgasm, the semen goes backward into the bladder rather than coming from the tip of the penis.

Priapism is an uncommon disorder that causes persistent erections without accompanying sexual desire. It is potentially harmful and calls for quick medical intervention.


Your disease is deemed “situational” rather than “generalised” (occurring regardless of the circumstances or partner) if your sexual problem only manifests itself in a certain set of situations or only with specific sexual partners.

Many of these sexual disorders will manifest themselves in men at some point in their lives. In fact, 25% of all attempted sexual encounters are required for a diagnosis of sexual dysfunction, according to some experts.


What Causes Male Sexual Problems?

Because the sexual response is so complex, involving multiple factors, there are many causes of sexual dysfunction including physical and psychological causes.

An erection involves the nervous and vascular systems (the network of arteries and veins) and appropriate levels of hormones, so problems with any of these systems can interfere with sexual functioning. Common physical causes of sexual dysfunction include the following:

  • Hypogonadism, in which the testicles do not produce enough testosterone
  • Thyroid disorders
  • Adrenal lesions
  • Noncancerous pituitary growths that increase levels of a hormone called prolactin
  • Diseases that affect the nervous system, including strokes, spinal cord injuries, multiple sclerosis, long-standing diabetes, and Parkinson’s disease
  • Damage following pelvic surgery
  • Any serious and debilitating diseases that result in intense fatigue, including emphysema, chronic bronchitis, heart disease, cirrhosis, cancer, and kidney failure
  • Conditions that affect the penis directly, such as Peyronie’s disease or injury to the penis itself or to the arteries, veins, or nerves that supply the penis

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