Some argue that men’s sexual health is a major determinant of their well-being and should be emphasised to the younger generation. However, with sexual health becoming a huge topic of conversation, it is important for men to learn the different common problems they can face and how these could be effectively managed. Proactively managing some of these can result in better sexual health and a better quality of life.
Common Men’s Sexual Health Issues
1. Erectile Dysfunction (ED)
Erectile dysfunction (ED) is the most common sexual health problem in men, affecting about 30 million US males. Erectile dysfunction is the inability to achieve or maintain an erection that is sufficient for satisfactory sexual performance. Physical health problems, psychological factors, and lifestyle choices all play a role.
The sciences show that ED may be more prone to occur during conditions such as diabetes, cardiac health problems, and bodyweight difficulties. Men who have diabetes, the rate of erectile dysfunction (ED) is three times higher than in men without this condition, according to a study published in the Journal of Sexual Medicine. Additionally, psychological variables like anxiety, depression, and distress also influence erectile function to a great extent.
2. Low Libido
A lack of an active sex life, which is also known as a low libido and experienced by men, is another common problem. According to a study conducted by the Endocrine Society, up to 15 percent of men experience low desire, mediated by hormonal or psychological factors as well as relationship problems. Hypogonadism (low testosterone): Low testosterone can cause a decrease in libido. Some of the symptoms associated with low testosterone, according to research from the Mayo Clinic, include loss of muscle mass as well as depression and fatigue.
3. Premature Ejaculation
As per estimates, it occurs in between 20-30 percent of men at some time or the other. This problem presents itself when a man ejaculates sooner than he would like to during sexual intercourse. Both partners may feel dissatisfied, making it the leading cause of concern for many and causing anxiety or embarrassment to those dealing with such frustration on a regular basis.
Premature Ejaculation can be psychological, physiological, or a combination of both. Stress, anxiety, and issues with the relationship frequently contribute to this scenario, though it might also be due to neurological or hormonal reasons. There are treatment options available from behavioural techniques to medications that can help better manage this condition.
4. Peyronie’s Disease
Peyronie’s disease: In this case of Peyronie’s, the plaque that forms remains in place, preventing a full erection or causing curvature. It occurs in about 1 out of every 100 men and can lead to impotence. The exact origin of Peyronie’s disease is unknown, but it is thought to either be associated with injury or trauma that occurs on the penis.
In severe cases of Peyronie’s disease, medication, injections, or surgery may be necessary to correct the curvature. A report published in Urology found that men with Peyronie’s disease may be well served by penile traction therapy to aid in penis length preservation and curvature correction.
Remedies for Men’s Sexual Health Issues
Treatment for Erectile Dysfunction
Natural remedies for ED can take place over a lifestyle change, a therapy session, or perhaps a prescription medication. For example, exercising regularly, eating a balanced diet, and staying at a healthy weight can all help prevent ED. A study also published in the Journal of Urology found that men who were physically active but at a low level fared better with erectile function.
Since ED can be addressed by phosphodiesterase type 5 (PDE5) inhibitors such as Viagra (sildenafil), Cialis (tadalafil), and Levitra (vardenafil), these medications help open up blood vessels for better flow to the penis. Another 2017 review from the British Journal of General Practice reported that these medications work in up to 70-80% of cases.
Solutions for Low Libido
The best way to treat low libido is usually a combination of various methods. It will be a matter of treating the root cause, which could be anything from a hormonal imbalance to chronic illnesses. Men with low testosterone levels might be recommended to undergo hormone replacement therapy to help boost libido and sexual function.
Psychological support can also help those men who are stressed or anxious and have presented with libido so low that impotence develops in the presence of enough medical interventions. Cognitive-behavioural therapy has been shown to improve sexual desire in men with psychological problems, as released in a study published in the Archives of Sexual Behavior (Improving low sexual desire and erectile functioning in eugonadal consulters reporting problems: a randomised controlled trial of cognitive behaviour therapy enhanced with bCBT).
Controlling Premature Ejaculation
A variety of methods have been created to aid in the control of premature ejaculation. Amongst the behavioural techniques, the “stop-start” technique and “squeeze” method are used to train men for handling their ejaculation. A study by the Journal of Sexual Medicine showed that these strategies can help men better control early ejaculation.
If needed, medications may be recommended to control early ejaculation. Paroxetine is a selective serotonin reuptake inhibitor (SSRI) for premature ejaculation and many other SSRIs by far are used off-label to treat it. Researchers publishing in Sexual Medicine found that, at least for men with premature ejaculation, taking SSRIs could lengthen intercourse.
Together with the patient, the doctor will agree on which treatment option is most suitable and beneficial.
Treating Peyronie’s Disease
Once men with Peyronie’s disease are diagnosed, treatment of symptoms will vary depending on the pain level in each individual case. Most cases of Peyronie’s disease are mild, so doctors often just suggest watching and waiting since the condition often improves without treatment. More severe cases may be treated with:
- Medications: Collagenase clostridium can be used via intralesional injections to reduce curvature.
- Surgery: Men with substantial deformity or erectile dysfunction may undergo surgery.
- Penile Traction Therapy: This is a non-surgical process that utilises a device designed to stretch out the penis and ultimately help straighten it. A recent study in the journal Andrology suggested that penile traction might make some progress in curvature and length alike.
The Role of Lifestyle Modifications in Sexual Health
Lifestyle modifications go a long way in managing sexual health, besides medical remedies. A healthier lifestyle can not only help improve sexual function but also general health.
1. Regular Exercise
There are many good reasons to get enough exercise, including better sex. It helps with heart health, makes us happier, and gives us more energy. One study published in the American Journal of Medicine found that men who regularly exercised reported fewer sexual problems and greater satisfaction with their relationships.
2. Balanced Diet
A good diet, packed with fruits, vegetables, whole grains, and lean proteins, can improve sexual health. Some foods, particularly those rich in antioxidants, have been shown to have a positive effect on blood flow and erections. The Journal of Urology published a study that linked high intakes of fruits and vegetables to a lower prevalence of erectile dysfunction.
3. Stress Management
Sexual wellness and stress go hand-in-hand. Stress can also cause sex to be less enjoyable and sabotage your libido. Practices like mindfulness, meditation, and some yoga techniques are proven to relieve stress and enhance sexual well-being. For instance, a study published in the journal Psychological Science found that practising mindfulness led to greater sexual satisfaction among people who reported experiencing relationship stress.
4. Avoiding Harmful Substances
Avoiding recreational drugs and limiting alcohol intake can also promote better sexual health. Sex-related issues caused by over-consumption of alcohol or substance abuse can lead to sexual dysfunction and reduced desire. A study by the National Institute on Alcohol Abuse and Alcoholism stated that heavy alcohol drinking may cause ED, leading to an unsatisfactory sex life.
Promoting Sexual Health Awareness and Education
Helping to raise sexual health awareness and educating men on the treatments available is certain to elevate levels of sexual well-being among the general male population. It is clear that comprehensive sexual health education is needed to remove the stigma and shame associated with men seeking help for sexual health concerns.
1. Promoting Open Conversations
If we became more open to discussing reproductive health among our families, in schools, and even at the community level, there would be an element of understanding and acceptance. Studies also indicate that individuals who feel comfortable discussing sexual health topics with their trusted networks are more likely to seek care.
2. Accessing Resources
To address the problem, resources around sexual health like clinics, support groups, and educational materials that provide information about men’s sexual problems or disorders are needed. If you are struggling with your sexual health, organizations such as the American Urological Association and the Sexual Medicine Society of North America can provide valuable information and support.
Reaching out for help regarding men’s sexual health will guide you toward effective solutions, saving you from unnecessary shame and leading to real solutions with the right blend of education, lifestyle changes, and medical interventions.
