Sexual dysfunction and sexual desire disorders can affect anyone-both men and women- and occur at any age. Supposed to be fulfilling, a lack of sexuality may be very distressing for a couple. The ideas, thoughts and feelings are at least as important as the physical manifestations of sexual dysfunction.

Erectile dysfunction

 We can diagnose erectile dysfunction when there is a repeated inability to have an erection or to maintain an adequate erection for intercourse. It should not be confused with the isolated or occasional erectile failure which, although often experienced and so  annoying can be quite normal. The vast majority of men experience such periods of temporary erectile dysfunction at one stage of their lives. Erectile dysfunction affects approximately 20% of men aged 50 to 59 years, a proportion that increases with age and disease. It is however a well proven fact that a healthy man can remain sexually active well into old age.

Other Causes of Sexual Dysfunction

Once exclusively associated with women, the failure of sexual desire affects men as well in addition to erectile dysfunction. An infinite number of factors can interfere with desire. Culture, values, economic and social context are just a few. In fact, a genuine desire disorder is diagnosed when loss of libido occurs for no apparent reason and persists over time. In general, the factors involved in erectile dysfunction can also alter the taste for sexual activity.

Premature ejaculation

 We can diagnose this sexual disorder when, in a systematic and uncontrolled manner, a male ejaculates at the slightest excitement, often even before he is able to penetrate his or her partner. The phenomenon may also occur during masturbation. Again, this situation may arise in a normal healthy individual, and it occurs in most men at one time or another. In premature ejaculation, the phenomenon is not temporary. It is rather a constant behavioural problem. This sexual disorder affects about one third of the men, making it the most common sexual disorder.

In addition to premature ejaculation, there are other disorders of ejaculation, which are much rarer. Examples include delayed ejaculation, where the man has difficulty ejaculating or does so only if intercourse is very long.

Peyronie's disease

This was described for the first time in 1743 by the French surgeon François de la Peyronie. The disease is characterized by a deformity of the erect penis, which can be very painful and can prevent normal sexual intercourse. It affects about 1% of men. This disease can in some cases, lead to erectile dysfunction. It is usually secondary to an injury which causes adhesions in the penile tissue.

Symptoms of Erectile Dysfunction

Inability or difficulty having an erection

An erection that is not firm enough to allow penetration.

Inability to maintain an erection after penetration.

Most men treated for erectile dysfunction are able to regain a satisfactory sexuality. To do this, the cause of the malfunction and the risk factors must be identified by a physician. If the dysfunction is not related to a specific health problem, treatment may include an improved lifestyle, a cognitive-behavioral therapy or consulting a sex therapist and sometimes medication.