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Sex Disorders

  • Small or thin Penis
  • Low sexual desire or libido
  • Difficult ejaculation
  • Lack of sexual enjoyment
  • Erectile Dysfunction ED
  • Premature Ejaculation PE
  • Peyronie’s Disease
  • Painful Sex
  • Priapism or Painful Erection
  • Unusual Sexual Preferences
  • Bored of Sex
  • Sexual anxiety and low sexual confidence
  • Night Falls / Nocturnal Emission
  • Spermatorhea
  • Dhat
  • Inability To Consummate After Marriage
  • Sexual Fitness
  • Other condition

For sexual orientation like homosexuality / lesbianism see – Types of Sexuality in section Sex Infopedia.

Small or thin Penis

The average penis size when erect is about 5 – 6 inches. Anything between 3 – 5 inches is not considered as small and those with this size can have good sex and satisfy their partner well. Less than 3 inches in erect state can be called as small penis or micropenis. Size of penis can vary in terms of length and thickness. Small size is usually associated with diminished sexual confidence, embarrassment, relationship problems and depression.

Common causes:

  • Idiopathic
  • Endocrine and Hormonal Disorder
  • Result of some medicines or surgery
  • Excess fatty body can make penis appear small

Treatment:

  • Counseling to remove sexual anxiety
  • Hormonal treatment
  • Treatment of underlying cause
  • Surgery in some cases
  • Holistic treatment like acupuncture, homeopathy

Low sex desire or low libido

Low sex desire or low libido is a common condition. This can affect sexual satisfaction and relationship. In addition this can result in low self esteem and depression.

Common causes:

  • Diseases like diabetes, anemia
  • Hormonal disorders, low testosterone
  • Obesity
  • Hyperprolactinaemia
  • Medication like tranquilizers
  • Alcoholism and drug abuse
  • Stress, anxiety and depression
  • Low self esteem
  • Sex abuse
  • Negativity related to sex
  • Poor relationship or sexual conditions
  • Disorder of sexual centre in brain
  • Sexual anxiety or guilt

Treatment:

  • Treatment of underlying cause
  • Counseling and psychotherapy of underlying cause
  • Sex therapy
  • Hypnotherapy
  • Holistic medicine like acupuncture, homeopathy, yoga

Absent, difficult or delayed ejaculation and orgasm

It is not uncommon. The ejaculation may be delayed or completely absent. In retrograde ejaculation it occurs in reverse flow. This creates self doubt, frustration, lack of sexual satisfaction, discord in relationship and depression. A large number experience occasionally or develop secondarily.

Common causes

  • Medical conditions like diabetes
  • Hormonal imbalance
  • Genital trauma or surgery
  • Neurological defect
  • Drug addiction
  • Psychiatric disorder as well as medication
  • Relationship problems
  • Sexual fears and myths
  • Strict conservative moral education
  • Disorder of sexual centre in brain
  • Sexual anxiety or guilt

Treatment:

  • Treatment of underlying cause
  • Counseling and psychotherapy
  • Sex therapy
  • Hypnotherapy
  • Holistic medicine like acupuncture, homeopathy, yoga

Lack of enjoyment during sex

Also called male sexual arousal disorder. It is a disorder characterized by inability to attain sexual excitement or to maintain arousal until the completion of a sexual activity. There is inadequate lubrication normally present during sexual activity. These are of many types: Lifelong or for short period, all situation or situation specific, with cause or without cause.

Common causes:

  • Poor early sexual experience
  • Stress, fatigue and general health status
  • Psychological disorders and poor self esteem
  • Sexual beliefs and cultural impact
  • Relationship problems
  • Disorder of sexual centre in brain
  • Sexual anxiety or guilt
  • Addictions like alcoholism or drugs
  • Hormonal disorders
  • Hyperprolactenaemia
  • Hypoactive sexual desire disorder
  • Neurological complaints
  • Reaction to certain psychiatric drugs

Treatment

  • Treatment of underlying cause
  • Hormone therapy
  • Counseling and psychotherapy
  • Sex therapy
  • Hypnotherapy
  • Holistic medicine like acupuncture, homeopathy, yoga

Erectile Dysfunction or impotence

Erectile dysfunction ED or impotence is a condition in which men find it difficult to attain or sustain erection of penis for satisfactory sexual intercourse. It is said that more than half of men between 20 – 60 years of age suffer from this at least once in their life time. This may be alone or coupled with early ejaculation. Needless to say it is the major cause of anxiety and depression in males.

Common causes:

  • Diseases like diabetes, high blood pressure and their medication
  • Drugs like anti depressants
  • Hormonal disorders
  • Addictions like smoking and alcoholism
  • Neurological causes
  • Blood flow causes
  • Psychological causes stress and other disorders
  • Sexual anxiety
  • Post surgery
  • Due to Aging
  • Kidney failure
  • Obesity
  • Disorder of sexual centre in brain

Treatment

  • Treatment of underlying cause
  • Quit smoking and alcohol
  • Improve diet, reduce stress and exercise regularly
  • Hormone therapy
  • Counseling and psychotherapy
  • Sex therapy
  • Hypnotherapy
  • Holistic medicine like acupuncture, homeopathy, yoga

Premature Ejaculation PE or Early Ejaculation

Premature ejaculation is the condition when a man ejaculates and reaches orgasm mostly within one minute of sexual penetration and with minimal penile stimulation. It has also been called early ejaculation, rapid ejaculation, rapid climax or premature climax. It is estimated that about 30% of men suffer this problem at least some point during their sexual life.

Common causes:

  • Excessive masturbation
  • Sexual anxiety
  • Poor early sexual experience
  • Disorder of sexual centre in brain
  • Alcoholism
  • High nerve stimulation
  • Prostatitis
  • Relationship problems
  • Low self esteem

Treatment

  • Treatment of underlying cause
  • Quit alcohol
  • Hormone therapy
  • Local anesthetic agents
  • Medication like short acting SSRI or Tramadol
  • Use of thick condoms
  • Apply light pressure on perineum before ejaculation
  • Pull down testes a bit before ejaculation
  • Slow down sex pace
  • Shift mind to non sexual thoughts
  • Control ejaculation using stop start technique
  • Squeeze gently part of penis where glans meets shaft just when about to ejaculate
  • Develop PC muscle contraction as one do in holding urine
  • Counseling and psychotherapy
  • Sex therapy
  • Hypnotherapy
  • Holistic medicine like acupuncture, homeopathy, yoga

Peyronie’s Disease

Peyronie’s disease is a connective tissue disorder of penis with growth of fibrous plaques causing  pain, abnormal curvature, erectile dysfunction, indentation, loss of girth and shortening of penis.

Common causes:

  • Idiopathic or unknown cause
  • Injury
  • Anti hypertension drugs
  • Aging

Treatment

  • Vitamin E
  • Medication like colchicines
  • Surgery
  • Physical therapy
  • Counseling and psychotherapy
  • Sex therapy
  • Holistic medicine like acupuncture, homeopathy, yoga

Dyspareunia or Painful Sex

In this condition the sexual intercourse is painful, the cause may be physical or psychological. There is complaint of recurrent or persistent genital pain before, during, or after sexual intercourse that is not caused exclusively by lack of lubrication or by vaginismus. It can be generalized or situational.

Common causes:

  • Insufficient lubrication
  • Irritation, injury or trauma
  • Inflammation or infection
  • Surgery or medical treatment
  • Stress, anxiety or depression
  • History of sexual abuse

Treatment

  • Treatment of underlying cause
  • Counseling and psychotherapy
  • Sex therapy
  • Hypnotherapy
  • Holistic medicine like acupuncture, homeopathy, yoga

Priapism or Painful Erection

Priapism is a persistent and usually painful erection for more than four hours and occurs without sexual stimulation. In this condition erect penis does not return to its flaccid state due to trapped blood in penis which does not drain. This is emergency and can cause ischemia, gangrene, disfigured penis and erectile dysfunction.

Common Causes

  • Blood disorders like sickle cell anemia, leukemia
  • Side effect of certain medication like those used in treatment of erectile dysfunction, anti depressant, blood thinner
  • Drug addiction and alcohol
  • Injury
  • Blood clot
  • Poisonous venom like scorpion or black widow spider
  • Idiopathic or unknown cause

Treatment

  • Treatment of underlying cause
  • Ice packs
  • Surgical ligation
  • Intracavernous injection
  • Surgical shunt
  • Aspiration
  • Holistic treatment like acupuncture, homeopathy

Unusual Sexual Preferences

See – Sexual Perversions

Examples

  • Voyeurism
  • Sadomasochism
  • Exhibitionism
  • Fetishism etc

Treatment

  • Counseling and psychotherapy
  • Sex therapy
  • Hypnotherapy
  • Holistic medicine like homeopathy

Bored of Sex

See – Sexual Aversion

Treatment

  • Counseling and psychotherapy
  • Sex therapy
  • Hypnotherapy
  • Holistic medicine like homeopathy

Sexual anxiety and low sexual confidence

It is the status of having high performance anxiety and low self confidence in terms of sexual abilities. The person is always worried, shuns company and suffers from depression. Person may move towards sexual fantasy or sexual perversions.

Common causes:

  • Media hype
  • Pornography
  • Poor self image
  • Sexual abuse
  • Relationship breakup
  • Other failures of life

Treatment

  • Counseling and psychotherapy
  • Sex therapy
  • Hypnotherapy
  • Holistic medicine like homeopathy

Night Falls / Nocturnal Emission

Night fall or nocturnal emission or wet dream is spontaneous orgasm, involving erection and ejaculation during sleep for a male or lubrication of the vagina for a female. It may be with or without sexual dreams. It is said that almost 80 % of population has this, the frequency may vary. It should not be considered as a disorder until and unless it occurs excessively. Excess masturbation is said to increase its occurrence.

Treatment

  • Counseling and psychotherapy
  • Sex therapy
  • Hypnotherapy
  • Holistic medicine like acupuncture, homeopathy

Spermatorhea

It is the condition in which there is excessive involuntary ejaculation. It may be associated with fatigue and sexual weakness.

Common causes:

  • Excess sexual thinking and fantasizing
  • Excess masturbation

Treatment

  • Counseling and psychotherapy
  • Sex therapy
  • Holistic medicine like acupuncture, homeopathy

Dhat

Dhat is a condition in which male patient complaints of fatigue, weakness, anxiety, loss of appetite, guilt, sexual dysfunction, premature ejaculation or impotence. There is belief that there is passing of semen or whitish discharge in urine while urinating or defecating.

Some of the conditions that can cause this are

  • Idiopathic or no cause
  • Chylliuria
  • Cowper’s gland infections
  • Crystalluria
  • Urethritis
  • Prostatitis
  • Pyuria
  • Proteinuria

Treatment

  • Counseling and psychotherapy
  • Sex therapy
  • Holistic medicine like acupuncture, homeopathy

 Failure to consummate after marriage

Inability to establish sexual intercourse after marriage occurs in many couples. The cause can be in man or woman. It can be physical or psychological.

  • Erectile dysfunction
  • Structural abnormality of sexual organs
  • Vaginismus
  • Fear or myths related to sex
  • Lack of sexual knowledge and skills
  • Problems of sexual orientation
  • Sexual perversions

Treatment

  • Treatment of underlying cause
  • Counseling and psychotherapy
  • Sex therapy
  • Hypnotherapy
  • Holistic medicine like acupuncture, homeopathy, yoga

Other Conditions

There can be a number of other conditions which may affect sexual functioning and relationship. Some are:

  • Tight penis skin, Phimosis & paraphimosis
  • Pain in testes
  • Curvature of penis
  • Prominent blue veins on penis
  • Hidden testecles

Treatment

  • Treatment of underlying cause
  • Counseling and psychotherapy
  • Sex therapy
  • Holistic medicine like acupuncture, homeopathy, yoga