Sexual Problems


Impotence is the failure to achieve an erection, a condition faced by an increasing number of men. The first component you need to achieve an erection is a normal, intact male sexual organ. Secondly, a normal amount of circulating hormones is necessary. Third, a man must have an intact nerve supply and blood flow to the male sex organ. Finally, normal erections require a healthy psychological response to the arousing stimuli, coupled with a relaxed state of mind.

Impotence is almost always treatable, a resounding majority of patients will respond to one of the available treatments. Unfortunately, many men will not seek treatment due to the nature of this problem. Impotence is an extremely common condition and is very treatable.

Loss Of Sexual Desire

One cannot generalize as to why someone is experiencing a low level of sexual desire. Loss of libido can have a variety of causes, some psychological, some not. Perhaps the leading cause of lost sexual desire is stress and fatigue. Most often, the condition is temporary and returns when the stressful period ends, or the person is able to get appropriate rest.

Sex can arouse a lot of anxiety in some people who are unsure of themselves or fear humiliation. For someone who has never had sex or has had a bad experience with sex, the anxiety level can be overwhelming. One may fear that they will not be able to become aroused or excited and fail their partner. Alternatively, one might fear the consequences of sexual activity (pregnancy or STDs). Fear of the sexual situation because of failure or negative consequences can decrease their interest in sexual activity.

One who is angry at their partner can express this frustration through a lack of sexual desire. It may be difficult to engage in sexual activity when unresolved conflicts persist. Any negative feelings toward your partner may be incompatible with the prospect of sexual intimacy which decreases your level of arousal.

This phenomenon often occurs in the case of “closeted” gay men and women. While actual sexual desire may be quite high for members of their appropriate sexual orientation, many people ashamed or insecure about their sexuality will still force themselves to desire the wrong sex. Often closeted individuals marry and have children while still suffering from lack of sexual desire for their spouses. Others may be disturbed by their fantasies or fetishes and may wish to forget them by repressing their sexual desire.

The loss of libido can be a psychological process whereby the brain systematically relabels stimuli which were once erotic as non-erotic. Sexually appealing stimuli in the environment are no longer associated with arousal. With the help of a registered sex therapist, this psychological condition can often be overcome.

Not all the causes of low sexual desire are psychological in nature. Low sexual desire in older men can be caused by a low level of the hormone androgen. Hormonal deficiency can sometimes be treated with hormone injections. Consult your doctor or sex therapist for all the answers.

Anything that adversely affects your metabolism will undoubtedly cause some lack of sexual desire. This may include an accident, trauma or illness that causes a metabolic disturbance.

Different drugs have different effects on sexual desire. You should read the label or ask your doctor or pharmacist about the effects of any pharmaceutical

Unable To Achieve Orgasm

There are a number of reasons why a woman may not be able to achieve orgasm, some physical others psychological.
– Inadequate stimulation,
– Medication treating another illness,
– Injury or accident which affects gential receptiveness,
– Conditions which interrupt nerve supply to the genitals,
– Stress or anxiety,
– Relationship problems,
– Depression,
– Cultural or religious guilt associated with sex.

Being comfortable with your body is the first step to becoming orgasmic. Explore your beautiful body by yourself and be secure in all your minor flaws. We all have them, why should you be any different?

A wonderful first step is to take an evening to yourself and explore your body. Draw yourself a nice warm bath and then let any tension fade away. Next head into your bedroom and lock the door. Take a personal mirror and explore your genitals. Unlike men, women’s genitals are hidden from their eyes. So take a moment to see what your partner sees. Explore your beauty. Once you’re more comfortable an orgasm will be much easier to achieve.

If you’ve never masturbated before, then this is a good time to start. Allow yourself to totally relax and get wrapped up in the moment. Concentrate on the sensations that feel extremely pleasurable. Remember the techniques you used and teach them to your partner.

You should feel relaxed and comfortable so that you can fully appreciate sexual intimacy with yourself or your partner. In ideal circumstances you should be relaxed and stress free. For many women, the late evening is the worst time to engage in sexual activity. If you’re tired and wound up from a hectic day, wait for a relaxed Sunday afternoon when the kids are out of the house. It is okay for you to touch yourself during sexual intimacy with a partner. Self stimulation is encouraged, and often accentuates the feeling of intercourse.

Painful Intercourse

Sex should never be painful. If you are having pain during sex, stop. Sex is supposed to be pleasurable, and pain indicates that something is wrong. In many cases, your partner’s actions can cause pain, such as going too fast or penetrating from an awkward position. Never hesitate to ask your partner to slow down or move to make you more comfortable.

Another common cause of pain during sex is the lack of natural lubrication in the vagina. Antihistamines or other medication may be the cause of this problem. Additionally, natural changes in the vagina during menopause may cause a reduction in natural lubrication. Or, in some cases, more foreplay may be required to produce a sufficient amount of vaginal lubrication. Adding a water-based lubricant to the proceedings may help alleviate this problem. Failure of the vagina and uterus to respond to sexual arousal can also cause discomfort. The vagina may be too snug for intercourse or the uterus may not be raised so that the penis comes in contact with the cervix during penetration.

The muscles near the vaginal opening may also be the cause of some discomfort during intercourse. Various problems can occur depending on the state of these muscles. Vaginismus is a condition in which these muscles are extremely tight and causes intercourse to be painful. One way to determine whether vaginismus is a problem, is for the woman to examine herself with her fingers. If she feels that the vaginal walls are tighter than normal, then it may be vaginismus. Vaginismus is not a permanent condition. It is usually caused by nervousness or anxiety. Make sure that you engage in foreplay before intercourse. This will help you produce a healthy amount of lubrication, and should help you to relax.

Peyronies Disease

Peyronie’s disease, first described by French doctor Francois de la Peyronie in 1743, results in a curvature of an erect penis. The cause of this condition is the development of a rigid lump or plaque on the penis. Most frequently this plaque develops on the upper side of the shaft, causing the penis to bend upward during erection. When the rigid lump develops on the other side of the shaft, the penis will bend downward.

The most common problem for men with Peyronie’s disease is that intercourse becomes painful. Treatment therefore most often focusses on restoring the patient’s ability to engage in sex play with his partner.

Many patients will experience an improvement in their condition with no treatment at all. Experts typically suggest that a patient wait for 1 to 2 years before suggesting that this condition be treated surgically. Surgery is normally performed on only those who are unable to engage in sexual intercourse with their partner.

Because the cause of the disease is not yet known, it has been difficult to develop a treatment. Currently surgery is the only treatment recognized to cure the disease.Please consult your Urologist for a more complete list of treatment options.

Premature Ejaculation

Premature ejaculation is one of the most common sexual problems. The condition is most often described as being an inability to delay ejaculation to a point when it is mutually desirable for both partners. The definition of when ejaculation is premature is subjective. While some men have trouble controlling their orgasm upon entry, others consider 5-10 minutes of copulation too little time. How long a man is able to last is not the important factor in diagnosing premature ejaculation. The crucial issue is if a man is satisfied with the length of coitus.

Most men have experienced this problem at some time in their life. Premature ejaculation was once thought to be caused by drugs or certain infections such as urethritis, but popular wisdom suggests it is more psychological in nature. The exact cause of the condition, however, still remains a mystery.

Premature ejaculation often occurs during the first experiences with sex, and in this case is most commonly attributed to anxiety. The majority of men gradually learn to control their orgasm, and have no lasting effect. Some men will develop a longer-term anxiety toward sex, which can cause a prolonged experience with premature ejaculation.

The best way to fighting premature ejaculation is learning how to identify and control the sensations leading up to orgasm. The Masters and Johnson method does just that. The Masters and Johnson method requires a great deal of patience and practice, but is very effective. Follow the steps below.

You may want to start with masturbation. Begin by bringing yourself to a point relatively close to climax, and stop, allowing yourself to relax before starting again. Each time you do this, bring yourself closer and closer to orgasm until you cannot control it any longer. Repeating this procedure a number of times on different occasions will help you learn where your point of climax is. Once you have an idea about your “point of no return” you should be able to direct stimulation from your partner leading up to orgasm.


Priapism is a condition in which a male develops a permanent erection. If your erection lasts for an unusual period of time and is unrelated to sexual contact, go directly to the emergency department of the nearest hospital. Although this can be a potentially embarrassing situation, waiting to correct priapism may result in permanent damage.

penile injection therapy for impotence
physical trauma to the penis or surrounding region
diseases which thicken the blood like leukemia or sickle-cell anemia
cancerous growth around the penis preventing outflow of blood
in some cases there is no known cause

The physician will choose a different treatment depending on the severity of the priapism. Medication, or minor surgery to remove the old blood from the penis are the most common treatment options.