sexual difficulties
The causes of sexual difficulties can be physical, psychological, or both.
Emotional factors affecting sex include both interpersonal problems (such as marital/relationship problems, or lack of trust and open communication between partners) and psychological problems within the individual depression, sexual fears or guilt, past sexual trauma, and so on).
Physical factors include drugs (alcohol, nicotine, NARCOTICS, as stimulants, antihypertensives, antihistamines, psychotherapeutic drugs); injuries to back, an enlarged prostate gland, problems with blood supply, nerve damage (as in spinal cord injuries); disease (diabetic neuropathy, multiple sclerosis, tumors, and, rarely, tertiary syphilis); failure of various organ systems (such the heart lungs); endocrine disorders (thyroid, pituitary, adrenal gland problems); hormonal deficiencies (low testosterone, estrogen, or androgens); and some birth defects.
Sexual dysfunction disorders are generally classified into four categories:
-sexual desire disorders
-sexual arousal disorders
-orgasm disorders
-and sexual pain disorders
Sexual dysfunction is more common in people who abuse alcohol and drugs.
These are most common sexual problems in men.
Premature ejaculation -- This refers to ejaculation that occurs before or soon after penetration.
Erectile dysfunction is defined as the inability to attain and/or maintain an erection suitable for intercourse.
ISD (Inhibited sexual desire) Inhibited desire, or loss of libido, refers to a decrease in desire for, or interest in sexual activity.
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