Many men have sexual problems. They become more common as men age.

Problems can include:

• Erectile dysfunction
• Reduced or lost interest in sex
• Problems with ejaculation
• Low testosterone

Stress, illness, medicines, or emotional problems may also be factors. Occasional problems with sexual function are common. If problems last more than a few months or cause distress for you or your partner,

The main types of male sexual dysfunction are:

• Erectile dysfunction (difficulty getting/keeping an erection)

• Premature ejaculation (reaching orgasm too quickly)

• Delayed or inhibited ejaculation (reaching orgasm too slowly or not at all)

• Low libido (reduced interest in sex)

How does sexual dysfunction affect men?

The most common problems men face with sexual dysfunction are troubles with ejaculation, getting and keeping an erection, and reduced sexual desire.

Ejaculation disorders

Problems with ejaculation are:

• Premature ejaculation (PE) — ejaculation that occurs before or too soon after penetration

• Inhibited or delayed ejaculation — ejaculation does not happen or takes a very long time

• Retrograde ejaculation — at orgasm, the ejaculate is forced back into the bladder rather than through the  end of the penis
The exact cause of premature ejaculation (PE) is not known.

While in many cases PE is due to performance anxiety during sex, other factors may be:
• Stress
• Temporary depression
• History of sexual repression
• Low self-confidence
• Lack of communication or unresolved conflict with partner

While male sexual dysfunction cannot be prevented, dealing with the causes of the dysfunction can help you better understand and cope with the problem when it happens. To help maintain good sexual function:

• Follow your doctor’s treatment plan for any of your medical/health conditions

• Limit your alcohol intake

• Quit smoking

• Communicate better and more often with your partner