Up to 10 percent of men experience some form of sexual dysfunction, such as low libido, erectile dysfunction, impotence, or problems with ejaculation. How men can improve their sexual performance . can reduce risk factors for heart conditions and improve sexual function and overall health. Sexual health refers to a state of well-being that lets a man fully participate in and enjoy sexual activity. A range of physical, psychological, interpersonal, and.
Many men would agree with Woody Allen's implication that their penis is their favourite organ. This is certainly apparent to clinicians who deal with human. Learn more from WebMD about common sexual problems in men and how which may be related to a decline in health associated with aging. There are plenty of male enhancement pills on the market, but there are many simple ways Basically, what's good for your heart is good for your sexual health.
Sexual health refers to a state of well-being that lets a man fully participate in and enjoy sexual activity. A range of physical, psychological, interpersonal, and. There are plenty of male enhancement pills on the market, but there are many simple ways Basically, what's good for your heart is good for your sexual health. Up to 10 percent of men experience some form of sexual dysfunction, such as low libido, erectile dysfunction, impotence, or problems with ejaculation.
This is certainly apparent to clinicians who deal with human sexuality and who see men whose penises are not behaving as they should. Our concepts of sexual problems and their assessment and treatment must reflect this fact if we sexual to effectively deliver the help that our patients desperately seek. It is convenient to consider sexual problems as dichotomies organic or psychogenic, primary or secondary, male or femalebut such distinctions are often inaccurate and health.
The presence of a problem is a subjective perception influenced by many factors. However, there is no doubt that for most men sexuality is a highly rated aspect of their quality of life. The proportion sexual men who actually seek help is unknown. For many men this male difficult, and their presentation may be hesitant or disguised in terms of another complaint. The first and crucial step in managing a sexual problem is to engage the patient with an interested and sympathetic attitude.
Problems are more likely to occur in men who are known to their general practitioner because of sexual or mental illness or because of their advancing age; in such cases an established good relationship will facilitate communication. Given the evolutionary importance of sexual activity, it is not surprising that it can be adversely affected by almost all forms of ill health.
However, we must remember that we can add to this sexual morbidity by the treatments we dispense. Iatrogenic problems are common and are important, if only because sexual affect cooperation with treatments. In the general population the perceived association between physical health and sexual functioning is weak, but in the clinical setting the relation is more male and several disorders have been linked with sexual problems.
Invasive procedures, such as abdominal, pelvic, or genital surgery can lead to erectile dysfunction, usually by damage to peripheral nerves. Male pain may be experienced after vasectomy because of formation of cysts around the severed vas.
Depression, anxiety, and schizophrenia are commonly associated with reduced desire and arousal. Mania male hypomania can be accompanied by hypersexuality. However, the assumption, common even among professionals, that people with severe mental illnesses do not need or want satisfying sexual relationships is unfounded.
Alcohol is commonly believed to enhance sexuality. Although this is probably true for some men, its inhibitory effects on arousal and its often undesirable behavioural effects are well documented. Effects are both immediate and long term, as chronic alcoholics show lowered testosterone concentrations caused by disturbance of the hypothalamic-pituitary axis.
Tobacco consumption also produces immediate and long term effects on erections that are sometimes dramatic. It is surprising that impotence is not cited more often as a persuasive reason for giving up smoking. Ageing is characterised by physiological, pathological, behavioural, and psychosocial changes that can all affect sexual functioning, and it is difficult to disentangle sexual individual effects. There has been relatively little research into sexuality in old age, but available surveys show that health form of sexual activity usually continues until the end of life.
However, it is wrong to assume that little can be done about problems at this stage in life, as many causes are potentially reversible. Lifestyle factors—smoking, alcohol consumption, physical inactivity, boredom, loneliness. Research into factors affecting sexual arousal in men has revealed interesting and clinically relevant observations, and the emerging picture is consistent though far from complete.
Anxiety does not have a consistent effect on arousal. It reduces arousal in sexual with sexual male but increases arousal in men without. Anxiety related to thoughts of sexual failure have an adverse effect, whereas anxiety associated with novelty or threat is more likely to sexual arousal.
Men seem to be more susceptible to the effects of anxiety on arousal than women. Mood has similarly variable effects. For example, the affective response of men with erectile dysfunction to erotic stimuli is negative, but for men without erectile dysfunction it is positive.
Depressed mood causes reduced arousal, thus establishing vicious circles. Cognitions thoughts have a profound effect on sexual response and modulate the effects of mood and anxiety.
Understanding these sources in any individual is interesting, but the work of cognitive psychologists shows that changing undesirable cognitions is achieved by helping the person to identify and challenge these thoughts this is the basis for cognitive therapy, which is used to treat a wide range of mental health problems.
A common example of unhelpful thoughts, particularly in young men, is concern about the size and shape of their penis.
Such concerns can lead to considerable difficulties in initiating or maintaining sexual relationships and other sexual problems. Helping men to challenge such concerns by providing information and in other ways is usually very helpful. Men show more attraction to visual sexual stimuli, whereas women are more attracted to auditory and written material, and in particular stimuli associated with a context of a loving and positive relationship.
However, studies of arousal in response to these stimuli show little difference between the sexes. Men with sexual dysfunction are less likely to perceive the quality of their general relationship as relevant to their sexual problems than are their partners or health with sexual problems. Paradoxically, they are health likely to describe improvement in their general relationship in response to successful treatment for sexual problems.
Although health is politically controversial, there is health evidence that habituation affects health to sexual stimuli and to partners. Self esteem and social success seem to have a sexually enhancing effect, possibly more so in men than women, and there is evidence that women are more attracted to more powerful or socially dominant men. Major events such as bereavements, redundancy, accidents, traumatic experiences, or operations can precipitate changes in sexual behaviour or functioning.
Problems that develop in this way can become chronic, particularly if predisposing factors were present. In some cases health professionals can anticipate such problems and have a responsibility to discuss this with their patients—for example, giving information and reassurance about the health of vasectomy or prostatectomy.
Anxieties about the risks of sexual activity after myocardial infarction are common, and advice and reassurance must be given to patients without waiting for them health ask see previous chapter. For many men, a properly functioning penis is fundamental to their self esteem. Priapus weighing his penis—from a fresco in sexual Villa dei Vetii, Pompeii, first century. Concern about the size and shape of the penis is a common problem, particularly in young men. The Lacedaemonian Ambassadors by Aubrey Beardsley.
Urology ; Arch Sex Behav ; J Urol ; J Consult Clin Male ; Annu Rev Sex Res ; The lithograph by Reunier and the painting from the Kama Sutra are reproduced with permission of the Bridgeman Male Library. Sexual Gregoire is consultant psychiatrist at the Old Manor Hospital, Salisbury, and honorary senior lecturer at health University of Southampton. National Center for Biotechnology InformationU.
Journal List BMJ v. Alain Gregoire. Copyright and License information Disclaimer. This article has been cited by other articles in PMC. Physical causes of male sexual problems Peripheral vascular disease Diabetes Multiple sclerosis Spinal injury Spinal or brain surgery Hormonal or endocrine abnormalities Pelvic disease, trauma, or surgery Genital abnormality, disease, or surgery Consumption of alcohol, tobacco, and prescribed and illicit drugs.
Comorbidity Given the evolutionary importance of sexual activity, it is not surprising that it can be adversely affected by almost all forms of ill health. Physical morbidity In the general population the perceived association between physical health and sexual functioning is weak, but in the clinical setting the relation is more obvious and several disorders have been linked with sexual problems. Side effects of treatment Invasive procedures, such as abdominal, pelvic, or genital surgery can lead to erectile dysfunction, usually by damage to peripheral nerves.
Many drugs have been associated with male male dysfunctions. Recreational drugs Alcohol is commonly believed to enhance sexuality. Effects of ageing Ageing is characterised by physiological, pathological, behavioural, and psychosocial changes that can all affect sexual functioning, and it is difficult to disentangle their individual effects.
Sexual changes associated with health Decreased frequency of activity Decreased arousal in response to psychological stimuli Decreased tactile sensitivity of penis Increased refractory period after orgasm Increased rates of erectile dysfunction with age Decreased rates of premature ejaculation. Psychological factors Research into factors affecting sexual arousal in men has revealed interesting and clinically relevant observations, and the emerging picture is consistent though far from complete.
Mood Mood has similarly variable effects. Cognitions Cognitions thoughts have a profound effect on sexual response and modulate the effects of mood and anxiety. Thoughts and erectile dysfunction Men without erectile Men with erectile dysfunction dysfunction Estimate of quality of own erection Accurate Underestimate Erectile response to distraction Decrease Increase Erectile response to sexual demands Increase Decrease. Ways of challenging unhelpful thoughts Am I confusing belief with fact?
Is this belief a helpful way to think about sexual issue? What evidence is there that this belief is true? Would other people see things in this way? Would I apply the same belief to other people in the same circumstances? Am I ignoring evidence that this belief may not be true?
Am I falling into the trap of overgeneralising or overstating the issue? Nature of sexual stimulus Men show more attraction to visual sexual stimuli, whereas women are more attracted to auditory and written material, sexual in particular stimuli associated with male context of a loving and positive relationship.
Relationship Men with male dysfunction are less likely to perceive the quality of their general relationship as relevant to their sexual problems than are their partners or women with sexual problems.
Habituation Although it is politically controversial, there is considerable evidence that male affects responsiveness to sexual stimuli and to partners. Dominance and self esteem Self esteem and social success seem to have a sexually enhancing effect, possibly more so in men than women, and there is evidence that women are more attracted to more powerful or socially dominant men. Life events Major events such as bereavements, redundancy, accidents, traumatic experiences, or operations can precipitate changes in sexual behaviour or functioning.
A study found that very few women — around 18 percent — experience an orgasm from intercourse alone. According to the same findings, Men who want to last longer during intercourse can try the start-stop technique. To use this technique, stop sexual activity every time ejaculation feels imminent. Breathe deeply and start again slowly, then stop to delay ejaculation for as long as desirable.
This method can train the body to hold off ejaculation and help a man to feel more comfortable with not ejaculating, even during intense sexual activity. If a person has been with one partner for a long time, sex can begin to feel routine, and it may seem increasingly difficult to feel excited, remain focused, or please the partner.
It may help to try a new sexual activity or position or to have sex in a different location. Also, talking about sexual fantasies can make sex more exciting. This can help people to feel more connected, and the excitement of the new activity can carry into the bedroom. Anxiety and stress can make it hard to get or maintain an erection.
These feelings can also distract people from sexual intimacy. If a man feels anxious about how he will perform sexually, he may feel less excited about sex and less engaged during it.
Smoking cigarettes can lead to high blood pressure and other heart-related problems that cause erectile issues. Smoking is also independently linked to erectile dysfunction. A analysis of 13 studies on smoking and sexual performance found that quitting smoking often improves sexual function and reduces erectile dysfunction. If issues related to sex have created tension or worry, it is best to bring this up with a partner.
Working together on a solution can help a man to feel less isolated and address any concern or guilt. A partner may be able to ease fears about sexual dysfunction, and they may have practical suggestions.
Issues outside the bedroom can lead to sexual dysfunction. For example, a man who feels that a partner criticizes them too much may feel anxious during sex, leading to less satisfying experiences. Communication that focuses on feelings, not blame, can help partners to address relationship challenges. Some people also benefit from relationship or sex therapy. Being physically active can reduce risk factors for heart conditions and improve sexual function and overall health.
Conditions such as high blood pressure, heart disease , and diabetes can damage nerves and change the amount of blood that flows to the penis. This can make it more difficult to get or maintain erections. In addition, some men find that regular exercise improves their mental health , reducing anxiety and helping them to feel better about their bodies.
Men can also benefit from exercising the muscles involved in arousal and ejaculation. The following exercise may help:. Mindfulness is the practice of becoming more aware in the present moment. It is a popular form of meditation for beginners, and it may improve sexual function. Research published in suggests that mindfulness-based therapies can change negative attitudes about sex, improve sexual relationships, and help people to be more present during sexual activity.
Mindfulness and meditation can also help to manage stress unrelated to sexual activity. This can indirectly address sexual dysfunction and improve a man's ability to focus in the moment. Some herbal remedies may improve sexual satisfaction, especially if erectile dysfunction is a concern. In , researchers published a review of 24 trials involving herbal remedies as treatments for erectile dysfunction.
Ginseng provided significant improvements, while a type of pine called Pinus pinaster and the maca root, or Lepidium meyenii , showed early positive benefits. Other herbs, namely saffron and Tribulus terrestris , did not show clear results. However, results of a small study published in indicated that Tribulus terrestris may help with erectile dysfunction. Before trying herbal remedies, speak with a doctor. Official organizations no not regulate herbal supplements, and they can have side effects or interact with medications.
It is important to see a healthcare provider who is knowledgeable about supplements and who can monitor the progress of symptoms. Erectile dysfunction is often due in part to psychological factors. These can include:. Individual counseling can help a man to address the role of these and other factors in sexual satisfaction.
Relationship counseling can help partners to speak openly about sexuality without shame or judgment. When a man has an underlying health issue, for example, counseling can help him to cope with the stress of erectile dysfunction while communicating about options with a partner.
Several medications can help with sexual function, including popular drugs, such as Viagra and Cialis. Both of these are damaging to sexual desire and performance. Talking to your partner about your stress can also calm you down, while strengthening your relationship at the same time. Stress can also trigger bad habits, such as smoking or alcohol consumption, which can harm your sexual performance. What you rely on to unwind, such as smoking and consuming alcohol, could also affect sexual performance.
While studies suggest that a little red wine can improve circulation, too much alcohol can have adverse effects. Stimulants narrow blood vessels and have been linked to impotence. Cutting down or quitting smoking is one of the first steps to improve performance. Replacing bad habits with healthy ones, such as exercise and eating well, can help boost sexual health. This hormone helps us sleep but also quiets our sexual urges. Less melatonin means the potential for more sexual desire.
Getting outside and letting the sun hit your skin can help wake up your sex drive, especially during the winter months when the body produces more melatonin. While sex is the best way to practice for sex, masturbation can also help you improve your longevity.
However, how you masturbate could have detrimental effects. If you rush through it, you could inadvertently decrease the time you last with your partner. Talking about this beforehand can help ease any awkwardness if you need to slow down during a heated moment. Alternating pace or focusing on your partner while you take a break can make for a more enjoyable experience for both of you. Do you have low testosterone? Several foods are potentially beneficial for increasing your testosterone level — and a few of them may surprise you….
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