Male Sexual Dysfunction

What is Male Sexual Dysfunction?

Sexual dysfunction is any type of problem that keeps you or your partner from being sexually satisfied. It can happen to men at all ages, although it becomes more likely as you get older.

Male Sexual Dysfunction Symptoms

The most common kinds of sexual problems men face are erectile dysfunction, ejaculation problems, and low libido.

Erectile Dysfunction

Also known as impotence, erectile dysfunction (ED) means difficulty getting or keeping an erection for intercourse. ED is quite common. Studies show it affects about half of American men over 40.

Ejaculation Problems

There are three types of possible ejaculation problems:

  1. Premature ejaculation — reaching orgasm too early, before or soon after penetration.
  2. Delayed or inhibited ejaculation — reaching orgasm too slowly or not at all.
  3. Retrograde ejaculation — ejaculating into the bladder rather than through the end of the penis.

Low Libido

If your libido is low, you have little or no desire for sex. This is especially likely to be a problem if your level of desire has decreased recently or over time.

Causes of Male Sexual Dysfunction

Normal sexual responses in both men and women are complex interactions of your mind and your nervous, circulatory, and hormonal systems. Male sexual dysfunction can be caused by physical or psychological problems.

Physical causes may be:

  • Low testosterone levels or other hormonal imbalances
  • Heart or blood vessel disease, such as clogged arteries, and high blood pressure
  • Nerve disorders
  • Diabetic nerve damage
  • Obesity
  • Chronic kidney or liver diseases
  • Smoking
  • Prescription drugs (antidepressants, high blood pressure medicine, antihistamines)
  • Heavy drinking or long-term drug use
  • Parkinson’s disease
  • Multiple sclerosis
  • Treatments for prostate cancer or enlarged prostate
  • Injury to the penis

Psychological causes might include:

  • Relationship problems
  • Depression, anxiety
  • Past sexual trauma or feelings of guilt over sex
  • Work-related stress
  • Low self-confidence
  • Nervousness over sexual performance


Your doctor will likely begin by asking questions about your current symptoms, as well as your medical and sexual history. Given the topic, the questions will get personal, but don’t be embarrassed. Answering accurately is important.

You will also probably have a physical exam that could include an examination of your penis and testicles, a rectal exam to check your prostate, a blood pressure check, and blood tests for hormone levels, blood sugar, and cholesterol. Depending on the results, your doctor may recommend a treatment or send you to a specialist such as a urologist, endocrinologist, sex therapist, or other counselor to treat any underlying physical or psychological problems.

Male Sexual Dysfunction Treatment

If your testosterone levels have declined with age, you may benefit from hormone replacement therapy. Testosterone replacement is the most common treatment and may provide relief from many symptoms. Other hormones and supplements can be added — like pregnenolone, DHEA, aromatase inhibitors, chrysin, or trace minerals — to increase the effectiveness of replacement therapy or to treat specific symptoms.

There are hormone combinations that can be particularly helpful if you have diabetes or other conditions, and medications that can be prescribed to help you maintain a healthy erection when you need it. Other medications, including oxytocin, may help increase your desire for sex if that has declined.

How Belmar Can Help

Belmar compounds bioidentical hormones and male sexual health medications in a variety of dosage forms, strengths, and combinations to help you feel more like yourself again. Dosage forms include injectable pellets, regular and sublingual tablets, blended creams, and injectables. We’re focused on ensuring your doctor has the right medication to fit your specific needs so that you can enjoy the best health and lifestyle possible.

If you are having any problems with sexual functioning, contact us for more information and start a conversation with your doctor. Together, you can decide if a compounded prescription might be the right treatment for you.

Contact Belmar Pharma Solutions

Learn More

If you’re a patient, we’re here to help you fill prescriptions or provide you the information you need to work with your doctor to help decide if a compounded prescription might be a good treatment for you.

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