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Sexual dysfunction (SD) in men is difficulty that one experiences during any stage of the sexual act – desire and excitement, arousal or plateau, orgasm, or resolution. Also called sexual malfunction, SD prevents a male, and consequently even his partner, from enjoying sexual activities. Thus, understanding male sexual dysfunction should be dealt with by both the male and the female in a relationship.                                Sexual difficulties vary from one person to another. On the onset, problems may occur early in a person’s sex life or after previously experiencing an enjoyable and satisfying sex

life. In terms of rate and phase, trouble may develop gradually over
time or may occur suddenly as a total or partial inability to
participate in one or more stages of the sexual act. Lastly, causes may
be physical, psychological, or both.
                        
   The two most popular forms of sexual malfunction that bother males are those concerning erection and ejaculation.

   THE DISTURBINGLY SOFT SIDE OF THE ISSUE: ERECTILE DYSFUNCTION (ED)

   When a man sees, hears, or feels something "sexually stimulating,"
the brain sends out a signal that makes muscles in the penis relax.
When this happens, the corpora cavernosa, two tubes that run the length
of the penis, fill with blood. The penis then expands and gets hard.

   As corpora cavernosa expand, they press against the veins that carry
out blood out of the penis. Blood is trapped in these tubes and the
penis stays erect. A consistent problem in getting or keeping an
erection sufficient for completing sexual intercourse indicates ED.

   Erectile difficulties occur when medications; health conditions;
psychological or physical factors; and lifestyle or habits interfere
with blood’s flowing to and filling up of the corpora cavernosa.

   Medication
   - Risk factors include some medications taken for depression or high blood pressure.

   Health Conditions
   - Depression, high blood pressure, cholesterol deposits in the blood
vessels, nephritis (inflammation of the kidneys), or liver disease
restrict your blood flow by causing damage to blood vessels, nerves,
smooth muscle, or fibrous tissue involved in getting - and keeping - an
erection.
   - Men with heart disease are twice as likely as other men to develop ED
   - Diabetic males are at risk of ED four times than others.

   Psychological factors
   - Performance anxiety, financial problems, marital woes, and other
factors may affect one’s ability to have or maintain an erection. If,
because of any of these factors, a man continues to fear not being able
to have an erection, he may develop persistent psychological impotence.
   - When erectile dysfunction is caused by psychological factors, the
male can achieve erections when sleeping or early in the morning before
going to the bathroom but cannot achieve an erection when making love.

   Physical Factors
   - Physiological stress can all play a role in starting, maintaining, or worsening erectile dysfunction.

   Habits and Lifestyle
   - Chronic alcoholism, excessive smoking, or exploitative drug use
can all play a role on and can influence one’s erection capability.

   Addressing ED depends on the cause or causes. Taking in oral
supplements like Poten-zhi is an option. Other ED patients resort to
urethral suppository, vacuum pump, rubber constriction ring, inflatable
implants, or special medication through injection.

   The
most common form of SD, premature ejaculation (PE) is a term coined to
ejaculate that occurs too soon - shortly after erection or sometimes
even before penetration. The abnormally abrupt discharge of semen
troubles a growing number of young men, but is also experienced by some
older chaps. This condition, sexual medical scientists say, has to do
with 1) persistent or recurring ejaculation following minimal
stimulation; 2) ejaculation that occurs before, on, or shortly after
penetration; or 3) discharge of ejaculate occurring before both
partners wish in the majority of sexual encounters. These symptoms have
caused a lot of distress for one or both partners in a relationship.
Only few, however, seek treatment.

   PE can occur in all sexual situations, The levels of PE differ from one man to another. Doctors classify PE as either Primary premature ejaculation - if you’ve experienced the problem for as long as you’ve been sexually active; or Secondary premature ejaculation - if you developed the condition after having had previous, satisfying sexual relationships without ejaculatory problems.

   Doctors diagnose cases of PE based on one’s detailed sexual history.
This is to know whether the cause of ejaculatory troubles is based on psychological problems (anxieties, guilt), early sexual experiences (rushed-through sexual encounters, hurried climax), or biological factors (hormone levels, sensitivity of genitalia).

   After a thorough examination, your doctor may then advise to deal
with your PE problem through sexual therapy, medication, or
psychotherapy.

   One may have occasional or temporary erection problems. Just the
same, an ejaculate may come out prematurely at one point. Any of these
incidents should not be confused with ED or PE. But, for better
understanding of what is and what is not an indication of both
conditions, a healthcare professional’s advice should be the first
option.