Psychological factors like stress can also contribute, as can certain medications. Picture: Creative Commons

Whether rooted in reasons physical, neurological or psychological, it’s important to treat intimate health issues just as you would any other: quickly, and with expert insight from a qualified practitioner.

Realistically, however, a misplaced sense of embarrassment sees too many of us delay seeking help for eminently treatable problems. Anecdotally, men are guiltier of this than women.

Here’s a lowdown of the most common issues men should look out for: Be aware, watch for symptoms and don’t delay seeking treatment. After all, your pleasure depends on it!

Like physical conditions, psychological ones are not to be treated lightly. If intimacy is raising a red flag, seek help to tackle the root cause. 

Erectile Dysfunction

While it’s totally normal to occasionally struggle to achieve and maintain an erection – with anything from performance anxiety to too much booze to blame – consistent episodes may point to more serious underlying health conditions. They include prostatitis, diabetes, hypertension or other cardiovascular conditions.

Psychological factors like stress can also contribute, as can certain medications. Although commonly mis-associated with advancing years, it’s far from an inevitability of age. What’s more, a 2013 study published in the Journal of Sexual Medicine found that one in four men newly diagnosed with ED are under 40 years of age.

Premature Ejaculation

A common complaint among men of all ages, premature ejaculation impacts about 30 percent of all men according to a 2006 study published by the International Journal of Impotence Research. When it occurs regularly, it’s understandably distressing for guys – and their partners. Some pitch the cutoff time at under one minute – others less – but wherever he falls on the spectrum, help is available.

While the inborn biological background for PE isn’t wholly understood – it includes abnormal levels of testosterone, neurotransmitters, as well as reflexes – it can also be a symptom of thyroid problems, as well as inflammation of the prostate and urethra. In other words, get it checked out!

Delayed Ejaculation

The opposite of PE, delayed ejaculation means a diminished – or non-existent – ejaculatory reflex. For some, that may equate to a total inability to orgasm. It can be extremely upsetting, and should not be ignored. One study puts sufferer’s duration of intercourse at “25 or 30 minutes.”

Definitions vary, and an orgasm rarely results – for either party. If this is happening to you, do speak up! Like other sexual problems, medications may be to blame and might be replaceable with a comparable drug. For others, DE is a symptom – and aggravator – of anxiety, fear, trauma or depression. Whatever the cause, a first step is communicating the problem to a partner or medical practitioner.

Loss of Libido

Perhaps the most difficult to define of the lot, and certainly the hardest to explain is diminished desire: it does affect some men – seniors in particular – for all kinds of reasons. Nonetheless, I’d be remiss not to mention that sex, in part for all its oxytocin-emitting effects, is really, really good for you, particularly in advanced years!

Hormonal causes such as low levels of testosterone might be behind reduced libido, and depression is also a key culprit with desire a valid barometer of overall mental health. Diseases such as diabetes, as well as conditions like obesity, high blood pressure, and high cholesterol can also play a part. Don’t let desire needlessly dwindle – talk to a doctor now.

STIs

Far from an exclusively male problem, STIs don’t discriminate. Not matter age or orientation, sexually transmitted infections and diseases impact everything from pleasure and quality of life, to fertility and lifespan.

Unlike most others on this list, however, they’re on the one hand largely avoidable – wear a condom, and get tested regularly! – Regularly, by the way, meaning at least once a year if you’re non-monogamous, even if you use condoms every time. But, in certain cases such as an antibiotic-resistant strain of so-called ‘super gonorrhea,’ frighteningly untreatable.

For the most part, however, this isn’t the case, and common STIs can be quickly, easily and painlessly dealt with. Just go get checked out.


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