Male Sexual problems
(Male Sexual Dysfunction)
The male sexual problems are one of the most important health issues in modern societies. The US National Health and Social Life Survey (NHSLS) suggest that about 31% of men suffer from a sexual dysfunction in their lifetime.
Male sexual dysfunction can be divided into three categories: hypogonadism, erectile dysfunction ED, and ejaculatory disorders.
Erectile dysfunction (ED) is defined as the inability to attain or maintain an erection of sufficient to permit satisfactory of sexual intercourse. ED is recognized as a common male sexual problem which affects on quality of life and overall health of a man.
Symptoms of Erectile Dysfunction
Symptoms of ED include:
- Face difficulty in obtaining an erection during sexual activity
- Difficulty in maintaining an erection until the completion of sexual activity
- Decrease in erectile rigidity
Major Causes of Erectile Dysfunction
- Age factor
t is established that ED risk increases with the age. It is reported that ED incidences accrue 2% of men in aged 20–39y,  53% in men aged 40 to 55 y. Another study indicates overall prevalence of ED in men aged 20-75 years was 16%.
There is an association between smoking and erectile dysfunction. It is well established that smoking is one of the causes of erectile dysfunction.
· DM (diabetes mellitus)
Diabetes is one of an organic cause of erectile dysfunction. The rate of ED in diabetes patients is high than those without. Maybe this rate relates to age factor and poor glycogenic control.
There is a strong relation between ED, CVD, and hypertension. It is reported that men with vascular diseases strongly associated with hypertension, 71% MD Patient also had ED. 
· Psychological Factors
The psychological factor is also one of the major causes of ED. It can play an import role to increase the risk of erectile dysfunction. Psychological factor include:
Disorder of Ejaculation
Ejaculation is defined as a passage of seminal (sperm) fluid from its storage location, through ejaculatory duct and out into the urethra. After that, from the urethra, the sperm are ejected into the vagina.
- Premature Ejaculation (PE)
Premature ejaculation (PE) is defined as a deficient of ejaculatory control or regularly occurs prior to vaginal penetration. It interferes with sexual or emotional satisfaction.
- Delayed Ejaculation
Delayed ejaculation (DE) is characterized by a man’s inability to ejaculate in a reasonable period under normal sexual motivation
- Retrograde Ejaculation
Retrograde ejaculation (RE) occurs when the semen intended for propulsion out the urethral meatus is directed backwards into the urinary bladder.
Anorgasmia is an Inability to achieve an orgasm during conscious sexual activity. AE specifically refers to the lack of ejaculation that may or may not be coupled with an orgasm.
Effects of Disorder of ejaculation
Ejaculatory disorders can lead to:
- Sexual dysfunction
- Distress, bother
Hypogonadism is a medical term which refers to decreased functional activity of the gonads. The gonads play an important role in producing hormones (testosterone, progesterone, estradiol, anti-mullerian hormone, progesterone, activin inhibin b) and gametes (eggs or sperm).
Hypogonadism is a condition in which the body does not produce enough hormones which affect on the intrinsic disease of the testes primarily and on the dysfunction of the pituitary secondary.. It is important to mention that male hypogonadism is also a specific condition in which the body does not produce enough testosterone hormones. It is well established that low testosterone can lead to the absence of secondary sex characteristics such as low sexual desire, reduce libido and infertility.