Andrology & Sexual Health · Ludhiana, Punjab

Categories of Male Sexual Dysfunction

A detailed look at the five major categories of male sexual dysfunction — their causes, symptoms, and how they affect sexual health and quality of life.

Five major categories of male sexual dysfunction

01

Erectile Dysfunction (ED)

Inability to achieve or maintain an erection firm enough for sexual intercourse. ED can be physical, psychological, or a mix of both.

Physical Causes

  • Diabetes
  • High blood pressure
  • Heart disease
  • Hormonal imbalance (low testosterone)
  • Obesity, smoking, alcohol
  • Neurological disorders
  • Penile blood flow problems

Psychological Causes & Symptoms

  • Stress & performance anxiety
  • Depression
  • Relationship issues
  • Weak or lost erections
  • Needing more stimulation
  • Reduced morning erections
02

Premature Ejaculation (PE)

Ejaculation that occurs too early, usually within 1 minute, leading to dissatisfaction for one or both partners.

Causes

  • Anxiety & performance pressure
  • Over-sensitivity
  • Hormonal imbalance
  • Thyroid disorders
  • Inflammation of urethra or prostate

Symptoms

  • Inability to delay ejaculation
  • Ejaculation before or shortly after penetration
  • Feeling of loss of control
03

Low Libido (Low Sexual Desire)

Reduced interest in sexual activity, often linked to hormonal, psychological, or lifestyle factors.

Causes

  • Low testosterone
  • Stress or depression
  • Chronic illness
  • Relationship issues
  • Medications (antidepressants, BP meds)
  • Sleep problems

Symptoms

  • Reduced desire
  • Avoiding sexual intimacy
  • Little interest or pleasure in sex
04

Ejaculatory Disorders

Includes delayed ejaculation, retrograde ejaculation, and painful ejaculation — each with distinct causes and treatments.

Types & Causes

  • Delayed — neurological issues, medications
  • Retrograde — semen flows back into bladder; caused by diabetes, surgeries
  • Painful — prostatitis, seminal vesicle infection, urethral inflammation
05

Male Infertility-Related Sexual Problems

Sexual dysfunction directly affects fertility. Common issues include inability to maintain erection during the fertile window and difficulty with semen collection.

Common Issues

  • Erection failure during fertility attempts
  • Difficulty ejaculating during semen collection
  • Poor semen quality (count, motility, morphology)
  • Varicocele
  • Hormonal disorders

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