Male Sexual Disorders
Sexual problems are often psychological in origin. They may also be due to physical disease, so a thorough medical examination by a qualified medical practitioner will always be advised. As a fully qualified psycho-sexual therapist, I can help you with most sexual difficulties which do not have a physical cause. However, it is fair to say that many physical conditions may improve once any underlying psychological problems have been addressed. Psychological factors may include stress, anxiety, depression, Fear of pregnancy, unsatisfactory relationship or a traumatic sexual experience.
Below is a list of commonly presented psycho-sexual difficulties. If you are suffering from a difficulty not listed please telephone the number at the bottom of this page or send your enquiry by email where I will do my best to help.
Erectile failure: The failure to achieve an erection or to maintain it long enough for intercourse or other sexual activity to reach a satisfactory completion. Erectile failure is usually caused by psychological factors such as stress, anxiety or guilt. Some cases of erectile failure may be caused by a physical disorder such as diabetes, altered circulation, spinal cord damage, excessive use of alcohol and various drugs.
Premature ejaculation: Ejaculation occurs before the male feels he is “ready”. Most males with this problem experience premature ejaculation every time they attempt intercourse, although not necessarily during masturbation.
Withheld ejaculation: The male can ejaculate but chooses not to during intercourse, though he does not usually know why. Masturbation is usually satisfactory.
Retrograde ejaculation: The neck of the bladder, which normally closes during ejaculation, stays open. As a result the semen is passed into the bladder instead of being expelled from the penis. Retrograde ejaculation may be caused by prostrate surgery, some medications or neurological disease.
Penetration anxiety: The male can sustain an erection until the moment of penetration.
Inability to ejaculate: The male cannot ejaculate during intercourse, though can via masturbation.
Erectile and Ejaculatory pain: Most frequently due to a physiological condition. Please consult your Doctor.
Fetish: A strong sexual attraction to an object or concept that draws energy from the “normal” sex drive. Almost all normal males will have a fetish of some kind which may include parts of the body such as feet, hair or ears. Shoes, rubber or leather garments may also be used to achieve sexual arousal.
Priapism: A painful, persistent erection that does not go down after sexual activity. This is usually a physiological condition. Please consult your doctor as soon as possible.
Obsession: The individual pursues sexual activity during every available opportunity and often takes considerable risks to achieve it.