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