1) Partial Impotence/ Impotence
Impotence, often called erectile dysfunction, is the inability to achieve or maintain an erection long enough to engage in sexual intercourse.
Under normal circumstances, when a man is sexually stimulated, his brain sends a message down the spinal cord and into the nerves of the penis. The nerve endings in the penis release chemical messengers, called neurotransmitters, that signal the corpora cavernosa (the two spongy rods of tissue that span the length of the penis) to relax and fill with blood. As they expand, the corpora cavernosa close off other veins that would normally drain blood from the penis. As the penis becomes engorged with blood, it enlarges and stiffens, causing an erection. Problems with blood vessels, nerves, or tissues of the penis can interfere with an erection.
2) Erectile Dysfunction (E.D)
Erectile dysfunction (ED) may be defined as the consistent inability to achieve or maintain an erection sufficient to permit satisfactory sexual intercourse. The word "consistent" is included in the definition because most men experience transient episodes of ED that are temporary and usually associated with fatigue , anger, depression or other stressful emotions. The use of the formerly used term "impotence" has been virtually abandoned because of its inherent stigma of weakness and lack of power.
3) Premature Ejaculation (PME)
Premature ejaculation occurs when male sexual climax (orgasm) occurs before a man wish it or too quickly during intercourse to satisfy his partner.
Premature ejaculation is the most commonly reported sexual complaint of men and couples. The highest number of complaints is among teenage, young adult, and sexually inexperienced males. Increased risk is associated with sexual inexperience and lack of knowledge of normal male sexual responses.
Causes and symptoms
There are several reasons why a man may ejaculate prematurely. For some men, the cause is due to an innate reflex or psychological predisposition of the nervous system. Sometimes it can be caused by certain drugs, such as non-prescription cold medications. Psychological factors, such as stress, fear, or guilt can also play a role. Examples of psychological factors nclude guilt that the sexual activity is wrong or sinful, fear of getting caught, or stress from problem at work or home. In general, symptoms are hen a male reaches climax in less than two minutes or when it occurs before the male or couple want it to occur.
4) Softening of organ
a) before intercourse
b) during intercourse
c) soon after discharge
5) Low/ Imbalance sexual hormone level (Testosterone)
Testosterone, often referred to as the male hormone although females do produce small amounts of the hormone as well, is a hormone that is produced in the testicles. It is responsible for the growth and development of the sex and reproductive organs in men. Additionally, testosterone contributes to the deepening of a man’s voice during puberty, fat distribution, and bone mass. Testosterone also helps to keep a man’s energy levels up as well as encourage his sex drive and fertility.
Much like women, whose production of estrogen and progesterone taper off as they age, testosterone levels begin to decline as a man gets older. These naturally-occurring low testosterone levels can contribute to a decreased sex drive in older men. Yet, low testosterone levels earlier in life are not natural and can produce many unwanted physical changes, including infertility. A common culprit for these falling testosterone levels : hypogonadism.
6) Lack of Sexual desire due to depression, stress and anxiety.
7) Testicular pain/ disorders.
Testicular infection or torsion is a group of disorders in which testicular pain is a primary symptom.
Disorders associated with testicular infection or Pain include epididymitis, orchitis, testicular trauma, and testicular torsion. Epididymitis is an inflammation of the epididymis, the structure that is the first part of the duct draining the testicle. Orchitis is an inflammation of one or both of the testicles. These disorders may be caused by numerous bacterial and viral organisms. Epididymitis is the most common cause of scrotal or testicular pain in individuals over 18 years of age. Testicular torsion is a twisting of the spermatic cord, artery and vein, which cuts off the blood supply to the testicle and surrounding structures within the scrotum. If not corrected promptly, the tissues of the testicle will die.
Diagnosis and surgery should take place within 6 hours. If surgery is delayed more than 6 hours, the testicle will often need to be removed. Testicular torsion is the most common cause of scrotal or testicular pain in boys and non-sexually active adolescents. The majority of cases of testicular torsion are in boys less than 6 years of age.
• Sudden onset of testicle pain (in one or both testicles) with or without a previous event
• Scrotal swelling
• Extreme tenderness to pressure on the testis
Specific to orchitis and epididymitis
• Chills or chilling sensation
• Discharge (fluid) from penis
Additional symptoms that may occur
• Testicle lump
• Blood in the semen
• Nausea and vomiting
• Light-headedness or fainting
• Blood in the semen
• Pain with urination
• Pain with intercourse or painful ejaculation
• Groin pain
8) Wet dreams (Night Fall).
Chances are that you had a "wet dream" — something that can be embarrassing and confusing to teen guys, but is completely normal. A wet dream is also known as a nocturnal emission. Nocturnal means "at night" and emission means "discharge." This makes sense because a wet dream is when semen (the fluid containing sperm) is discharged from the penis during ejaculation while a guy's asleep. Usually wet dreams occur during dreams that have sexual images. Sometimes guys wake up from a wet dream, but sometimes they sleep through it.
Wet dreams begin during puberty when the body starts making more testosterone, the major male hormone. Although some guys may feel embarrassed or even guilty about having wet dreams, they can't be controlled and you can't stop them from happening — most guys experience them at some point during puberty and even sometimes as adults.
9) Lack of Libido
Lack of sex drive (lack of libido) is common in women, but quite rare in men. Even men with who have difficulty maintaining an erection (erectile dysfunction) usually have a normal sex drive. However, some men do find that their interest in sex diminishes as they get older. And a very few have never experienced any sexual desire in their lives.
How common is lack of libido in men?
Lack of libido in men is far less common than erectile dysfunction – with which it should not be confused. Most men with lack of libido can achieve erections, but have lost the desire to have sex.
What are the causes of lack of libido in men?
As is the case with women, lack of desire in men can be of either physical or psychological origin.
• Alcoholism – quite common.
• Abuse of drugs such as cocaine.
• Obesity – quite common; slimming down will often help.
• Anaemia - unusual, unless the man has been bleeding for any reason.
• Hyperprolactinaemia – a rare disorder where the pituitary gland produces too much of the hormone
• Prescribed drugs – particularly Proscar (finasteride), a tablet used for prostate problems.
• Low testosterone level - contrary to what many people think, this is rare, except in cases where some
injury or illness has affected the testicles.
• Any major disease such as diabetes.
• Depression – very common.
• Stress and overwork.
• Hang-ups from childhood.
• Latent homosexuality.
• Serious relationship problems with your partner.
10) Low Sexual desire due to Diabetes, Alcoholism/ Drugs or excessive intercourse /excessive masturbation.