Sexual dysfunction is established when an individual is not satisfied with the present sexual life and performance during a sexual intercourse or failure to last longer in bed. Male impotence may include erectile dysfunction, infertility, premature ejaculation, retrograde ejaculation, low libido as well as andropause. According to a latest study on male impotence, nearly 30 million men suffer from different sexual dysfunctions that vary from mild to acute. In most cases, male impotence is an age-related phenomenon as the occurrence of male sexual dysfunction enhances drastically with age. In other words, as men age they endure low libido, lack of ejaculation control, male impotence or infertility and failure to last longer in bed.

Erectile Dysfunction (ED)

Erectile dysfunction is a male impotence that relates to the failure of a man to achieve and/ or sustain a penile erection to last longer in bed during a sexual intercourse. Most cases of erectile dysfunction is associated with vascular, neurologic and hormonal disorders, drug abuse and occasionally psychologic conditions. In fact, over 20 million men below the age of 18 are affected by this male impotence, while occurrence of partial or complete erectile dysfunction is approximately 50 per cent in men aged between 40 and 70 years. Primary erectile dysfunction, i.e., the man has never been able to attain or sustain erections, is rare and is just about always owing to psychological causes, such as guilt, fear of intimacy, depression, and/ or severe anxiety. Usually, erectile dysfunction is secondary, i.e., a man who could previously achieve and sustain erections, but no longer can. This male impotence increases with age, but is curable in most cases. Impotence cures include oral phosphodiesterase inhibitors or apomorphine, intraurethral or intracavernosal prostaglandins, mechanical pump devices and surgical implants.

Premature Ejaculation (PE)

This male impotence is the continual or repeated experience of ejaculation with nominal sexual stimulation before or shortly after penetration. In such cases, men do not have any ejaculation control and it, therefore, takes place before they want it to occur. This male impotence may occur owing to physical factors like diabetes, hypertension, and alcohol abuse, smoking or taking medications like antidepressants, antipsychotics, diuretics and beta-blockers. Multiple sclerosis or spinal injury may also result in a man losing ejaculation control or last longer in bed. It is very common in younger, inexperienced males, but declines with age. Preventing premature ejaculation is possible through evaluating the age, novelty of partner or situation, frequency of sexual activity and other factors that can affect the orgasm control. Simply explaining why this male impotence occurs, assuring the person or couple that it is a normal part of the male sexual response, and providing techniques that may help the man to learn how to last longer in bed may stop premature ejaculation. Besides, there are a number of premature ejaculation medicines, including the latest wonder prescription drug Dapoxetine, also help in preventing premature ejaculation.

Male Infertility

Male infertility or male impotence is an extensive and multifaceted area. Actually, a male aspect is associated with approximately 60 per cent instances of any couple’s sterility. While 40 per cent infertility cases are mainly male impotence, 20 per cent are combined male and female factors. Hence, when a couple is having problems in conceiving, it is worthwhile to examine the woman as well as the man. There are several causes for this type of male impotence, including dilation of varicoceles veins, hormonal abnormalities, seminal fluid abnormalities, ductal system problems, immunological infertility, testicular failure, cryptorchidism (having a single testis) and the man’s inability to last longer in bed. In addition, many couples with infertility have factors relating to intercourse, including failure to achieve or maintain a penile erection, stop premature ejaculation, absence of ejaculation, retrograde ejaculation, lack of appropriate timing of intercourse and too much of masturbation. Even a number of drugs have a negative impact on sperm production, thereby resulting in male impotence. Infections in men’s reproductive tract, including the prostate (prostatitis), of the epididymis (epididymitis), or of the testes (orchitis) is also responsible for male impotence. Importantly, more than 50 per cent men suffering from this male impotence can be cured through semen analysis and proper sperm enhancement and ejaculation medications. Men with poor semen analyses whose conditions are not treatable may still have the option of using advanced reproductive techniques to achieve a pregnancy, while even those men with no sperm in the ejaculate may be able to have some living sperm procured from them through other methods and achieve a pregnancy using advanced reproductive techniques.

Andropause

This male impotence is an emotional and physical transformation that many men endure as they age. It may be noted that while symptoms like low libido, poor energy levels and diminishing potency and loss of muscle are usually related with the aging process, they are also linked with considerable hormonal changes. In fact, the production of hormones gradually reduces in the testes as men age resulting in low libido, lack of ejaculation control and failure to last longer in the bed. This male impotence is known by different terms, including male climacteric andropause, late onset hypogonadism, or androgen decline in the aging male (ADAM). Andropause is quite common in aging men and is approximately 2 to 5 per cent in men between the 40-49 age group and around 2 to 30 per cent in men in the age group of 50 to 59 years. Androgens are also known to have an effect on muscle, bone, the central nervous system, prostate, bone marrow, and improve sexual performance in men. The impotence cure for andropause is often very effective. This impotence cures include restoration of sexual functioning, increased libido, increased sense of well-being, prevention of osteoporosis by optimizing bone density, restoration of muscle strength, and improved mental functioning.

Hypoactive Sexual Desire Disorder

Hypoactive Sexual Desire Disorder (HSDD) is a deficit or absence of sexual fantasies and low libido. This male impotence is considered a disorder if it causes suffering for the man or problems in the man’s relationship with his sex partner. It must be determined that this male impotence is not the result of another psychological disorder which is the primary problem. If the sexual partner of a man with suspected hypoactive sexual desire disorder feels that this is a problem within the relationship, that concern should be sufficient for him to seek psychological consultation. Features associated with this male impotence include physical illness, hormone deficiencies, stress, insomnia, erection problems, low libido and retarded ejaculation. HSDD can be present in adolescents and can continue all through a person’s life. Many times, however, the low libido occurs during adulthood, often times following a period of stress. This impotence cure depends in some part on the duration of the problem and its causes. If it is the result of attitudes and experiences of a long-standing nature, changing how patients think and feel about the problem and their sexuality is crucial.

Don’t be surprised if the term retrograde ejaculation sounds alien to you, for most people are not familiar with this unusual male sexual dysfunction. Unlike in the case of other cases of male impotence, this is a condition where the semen is discharged into the bladder instead of being ejaculated out through the penis. According to many, the male sexual dysfunction is a result of a glitch in the urethra. In normal healthy males, the valves between the bladder and the urethra contract during orgasm with a view to avoid urine from leaking into the ejaculate and also averting semen from entering the bladder. In the case of retrograde ejaculation, the malfunction of the muscles that shuts the bladder permits the entire or part of the semen to travel back (retrograde) into the bladder during ejaculation. In such instances of male impotence, very less semen comes out from the penis. It may be mentioned here that being very acidic, urine can kill sperm rendering the semen produced by a man useless at making a baby. Most people with retrograde ejaculation do not have any semen discharge through the normal route – penis tip – and so it cannot be produced for in-vitro fertilization (IVF) in the normal method.

Symptoms

While the amount of semen ejaculated by a man during a sexual intercourse varies from one person to another, normally a healthy male discharges approximately half to one teaspoon of semen during orgasm. However, men suffering from retrograde ejaculation have a very poor semen discharge and may even experience a dry orgasm or a climax without semen ejaculation. Retrograde ejaculation neither has any effect on a man’s aptitude to attain and/ or sustain penile erection nor does it deprive him of an orgasm. However, retrograde ejaculation may result in infertility as the semen is often not able to reach his sexual partner’s uterus. It may be mentioned here that in the United States this male impotence is responsible for about one per cent of all male sterility. It is difficult to state how long retrograde ejaculation would last in a man, as it depends on the precise cause of the male impotence. If the male impotency is a result of an adverse aftereffect of medication, retrograde ejaculation is likely to be cured as soon as the physician changes the man’s drugs. Contrarily, if the condition is caused owing to acute nerve or muscle damage, this male impotence is likely to be permanent.

Causes

There are numerous causes for this uncommon male impotence. In fact, retrograde ejaculation may happen following surgeries like urethral or prostate surgery, autonomic nerve injury related to diabetes, spinal cord injury or multiple sclerosis, taking different medicines, especially drugs taken for treating high blood pressure or depressions. This male impotence may also occur owing to damage due to surgery of the bladder muscles or the nerves that run these muscles. In addition, 10 to 15 per cent men who have had transurethral prostatectomy or removal of the prostrate tissues in the urethra are likely to have retrograde ejaculation. Even prostatectomy or surgery to remove the entire prostate gland, either for cancer or benign enlargement has a 40 to 90 per cent chance of retrograde ejaculation after the process.

Prevention

Keeping a check on blood sugar levels will also help a diabetic man to prevent retrograde ejaculation. A man on medication for high blood pressure or mood disorder should talk to his doctor if taking those drugs can cause this male impotence and if it does then the physician may suggest some other medicines to prevent retrograde ejaculation. Men may prevent retrograde ejaculation by adopting the new and modestly insidious forms of prostrate surgery for enlarged prostates, barring cancer. In fact, the United States National Institutes of Health have been using these new procedures such as transurethral needle ablation of the prostrate (TUNA) and transurethral microwave thermotherapy (TUMT) as they ensure high success rates as well as adverse side effects like retrograde ejaculation. Albeit these new surgery processes help to prevent retrograde ejaculation, they may not be suitable for all patients.

Cure

It is interesting to note that most men suffering from retrograde ejaculation do not require any specific impotence cure. If this male impotence is a result of side effects of medications, the physician simply needs to change the drugs and this will prevent retrograde ejaculation or result in the impotence cure. In some men suffering from retrograde ejaculation, assurance and support that this male impotence is neither a sign of cancer nor a serious problem proves to be sufficient for impotence cure. However, treatment is required in cases where this male impotence leads to infertility and if retrograde ejaculation associated to a mild nerve or bladder problem, drugs may be used for impotence cures. It has been found that medication helps around 40 per cent of men suffering from retrograde ejaculation to attain impotence cure and experience normal ejaculation. On the other hand, if the retrograde ejaculation is owing to an acute damage of the nerves or bladder muscles, it is unlikely that there is any impotence cures.

Wrapping Up

However, people suffering from this male impotence and wanting to father a child need not feel dejected. If you find that you ejaculate little or no semen, contact a fertility expert and they will be able to fulfill your desires. In the instance of an acute retrograde ejaculation, the fertility expert will collect the man’s semen from his urine and use a washed sperm for an aided-fertilization process. There are basically three most commonly used assisted-fertilization procedures for retrograded ejaculation – intrauterine insemination, in-vitro fertilization and intracytoplasmic sperm injection.