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Understanding Sexual Dysfunction In Men – Causes, Effects, And Solutions

Leela is a an expert in the field of Tantra with over 20 years of experience of working with people in one on one sessions, couples and groups. She is the founder of 'Waves Tantra'. Leela is available for in person or zoom sessions.

 
Executive Contributor Leela Samashti

Sexual dysfunction in men is a complex issue that affects a significant portion of the male population. In the USA, 50 % of men between the age of 40 and 70 are experiencing some form of sexual dysfunction. It encompasses a range of problems related to sexual health, including Erectile Dysfunction (ED), Premature Ejaculation (PME) and low libido. Understanding the causes, effects, and potential solutions is crucial for addressing these issues and promoting better sexual health and a happier relationship. 


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What is male sexual dysfunction?

Sexual dysfunction is often characterized by an inability to achieve or maintain an erection, experience ejaculation at the desired time, or maintain sexual desire. According to various studies, it is estimated that around 30 million men in the United States experience some form of sexual dysfunction. These issues are not only physical but can also have psychological, relational, and emotional dimensions.


Causes of sexual dysfunction

The causes of sexual dysfunction in men can be categorized into physical, psychological, and lifestyle factors:


1. Physical causes


  • Chronic health conditions: Diabetes, hypertension, and cardiovascular diseases can impair circulation and nerve function, leading to erectile problems.

  • Hormonal imbalances: Low testosterone levels can contribute to decreased libido and erectile issues.

  • Medications: Some medications for hypertension, depression, and other conditions may have side effects that impact sexual function.

  • Substance abuse: Alcohol, tobacco, and illicit drugs can disrupt normal sexual function.


2. Psychological causes


  • Anxiety and stress: Performance anxiety and stress related to work or relationships can significantly impact sexual performance. Many men worry about their ability to perform sexually, which can create a self-fulfilling prophecy. Anxiety about getting or maintaining an erection, lasting long enough, or pleasing a partner can lead to actual performance issues.

  • Depression: Mental health issues such as depression can reduce interest in sex and affect overall well-being.

  • Lack of confidence: a sense of insecurity or uncertainty about one’s ability to perform sexually, which can stem from various factors, including previous experiences, societal pressures, and personal beliefs.

  • Relationship issues: Problems in a relationship, such as poor communication or unresolved conflicts, can contribute to sexual dysfunction.


3. Lifestyle factors


  • Poor diet: A diet lacking essential nutrients can affect overall health and libido.

  • Lack of exercise: Sedentary lifestyle can lead to poor cardiovascular health, impacting sexual performance.


Age and sexual dysfunction


1. Erectile Dysfunction (ED)


  • 20s to 30s: Approximately 2-10% of men in this age group experience ED, often linked to psychological factors rather than physical ones.

  • 40s: The prevalence of ED increases, affecting around 10-20% of men.

  • 50s: Studies suggest that up to 30-40% of men may experience ED in this age range.

  • 60s and Older: The prevalence can rise to 50-70% of men, with higher rates associated with chronic health issues.


2. Premature ejaculation


  • This condition affects a significant number of younger men, though studies suggest it can persist into older age. Estimates indicate that 20-30% of men report experiencing premature ejaculation at some point in their lives.


Relationship status and sexual dysfunction


1. Single men


  • Single men may experience sexual dysfunction due to factors such as anxiety, lack of experience, or stress related to dating. Studies suggest that single men are more likely to report issues like performance anxiety and lower sexual confidence, which can lead to difficulties related to sexual function.


2. Men in committed relationships or marriage


  • Research indicates that married men tend to have a lower prevalence of sexual dysfunction compared to their single counterparts, which may be attributed to higher relationship satisfaction, increased intimacy, and better communication.

  • However, some studies have shown that sexual dysfunction can still be prevalent among married men, particularly due to stress, relationship issues, and the natural aging process. Estimates suggest that about 30-50% of men in long-term relationships may experience some form of sexual dysfunction, especially if there are underlying relationship or health issues.


Effects of sexual dysfunction

The ramifications of sexual dysfunction extend beyond the physical experience of sex. Men may experience:


  • Emotional distress: Feelings of inadequacy, shame, embarrassment, and frustration are common, which can lead to anxiety and depression.

  • Relationship strain: Sexual difficulties can create tensions and conflicts within intimate relationships, potentially leading to separation or divorce.

  • Reduced quality of life: The inability to engage in satisfying sexual activity can decrease overall life satisfaction and happiness.


Solutions and treatment options

Addressing sexual dysfunction is essential for improving the quality of life and maintaining healthy relationships. There are several approaches to treatment:


1. Lifestyle changes


  • Healthy nutrition: A balanced diet rich in fruits, vegetables, lean proteins, fish and unsaturated fat like seeds, olive oil or avocado can improve overall health and sexual function.

  • Regular exercise: Physical activity can enhance mood, reduce stress, and improve cardiovascular health.


2. Medical treatments


  • Medications: Drugs such as phosphodiesterase type 5 inhibitors (e.g., Viagra, Cialis) can effectively treat erectile dysfunction symptoms.

  • Hormone therapy: For those with low testosterone levels, hormone replacement therapy may be recommended.


3. Therapy and counseling


  • Psychosexual therapy: Therapy focusing on psychological and relational factors can help address underlying issues and improve sexual functioning.

  • Couples counseling: Working with a therapist can help couples communicate better and resolve relationship problems that affect sexual health.


4. Support Groups

Joining support groups can help men share experiences and coping strategies, reducing feelings of isolation.


Can Tantra help with sexual dysfunction in men?

Yes, Tantra can potentially be helpful for male sexual dysfunction in various ways. Tantra is a practice that encompasses meditation, yoga, and rituals, focusing on the connection between mind, body, and spirit. Here are several ways in which Tantra may aid in addressing male sexual dysfunction:


1. Enhancing awareness and mindfulness

Tantric practices emphasize mindfulness and present-moment awareness, which can help reduce anxiety related to sexual performance. By focusing on the sensations and experiences of the body, individuals may alleviate stress and increase relaxation during intimacy. Tantra teaches “embodiment”: being fully present and grounded in one’s body and dropping from the chattering the mind into the temple of your body. 


2. Promoting emotional connection

Tantra encourages deeper emotional and spiritual connections within oneself and thus between partners. This enhanced intimacy can help reduce anxiety and boost confidence, leading to a deeper sense of connection and satisfaction.


3. Improving communication

Tantric practices often involve open communication between partners about desires, boundaries, and preferences. This openness can foster trust and comfort, alleviating fears and apprehensions that may contribute to sexual dysfunction.


4. Breath and energy flow

Tantric Breath Techniques can help generate more self-awareness, embodiment, grounding and control over one’s sexual energy. Tantra can teach you “Energy orgasms” (for both; men and women) that are void of a physical ejaculation and therefore can be experienced multiple times.


5. Increasing sensitivity and pleasure

Tantra teaches individuals to connect with their bodies and enhance sensory experiences. This may help men become more attuned to their own sexual responses, increasing their capacity for pleasure and helping address issues like low libido.


6. Meditation and stress relief

Regular meditation, which is a part of Tantra, can help reduce overall stress and anxiety. Lower stress levels may contribute to better sexual function, as mental and emotional well-being are crucial components of sexual health.


7. Exploring alternative intimacy practices

Tantric practices encourage exploration beyond conventional sexual intercourse, focusing on the overall experience of intimacy. This can help men feel less pressure to perform and open them up to more fulfilling sexual experiences.


Conclusion

Sexual dysfunctions in men are a lot more common than many think. You are not alone if you are experiencing any off the conditions described in this article. 


Rather than hiding out in shame and fear that there is something wrong with you, please talk to friends, loved ones and your health provider to find the help and support you need.

 

If you would like to find out if Tantra can help you, please get in touch with me here.


Every challenge in life can be an opportunity to learn and grow. 


Visit my website for more info!

Read more from Leela Samashti

 

Leela Samashti, Tantra Therapist & Coach

Leela began studying the Art of Tantra, Meditation and Somatic Therapy since 1990. Her trainings stretch from Trauma Healing to Sexual Decoditioning, Breath and Energy work to Rebalancing, Shamanic Breathwork and Lomi Lomi massage. Leela has worked with thousnads of men, women and couples as well as groups.

 

Sources:


  1. American Urological Association (AUA): AUA provides resources and guidelines regarding urological health, including sexual dysfunction.

  2. National Institutes of Health (NIH): NIH has a variety of research and publications on sexual health and dysfunction.

  3. Mayo Clinic: The Mayo Clinic offers detailed articles on sexual dysfunction, its causes, symptoms, and treatment options.

  4. Cleveland Clinic: This institution provides information about erectile dysfunction and other aspects of men's sexual health.

  5. WebMD: WebMD is a well-known health information platform that covers various topics, including men's sexual health and dysfunction.

  6. The Journal of Sexual Medicine: This is a peer-reviewed journal that publishes research on sexual health and dysfunction.


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