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    Sexual health disorders are an important but less researched public health issue in India. We aimed to estimate the prevalence of sexual health disorders and their associated factors among adult men in a rural community of Haryana, India.

    A community-based cross-sectional study was conducted among adult men aged 18—60 years using a multistage stratified random sampling.

    Information pertaining to sociodemographic characteristics, lifestyle and sexual practices, and self-reported sexual problems were collected. Sexual health disorders were defined based on International Statistical Classification of Diseases classification of mental and behavioral disorders. Step-wise logistic regression was carried out to identify factors independently associated with sexual disorders. The most commonly reported disorder was self-perceived defect sexual semen A high burden of sexual health disorders was identified among the rural men.

    Wider recognition of this issue is needed among the health-care providers and policymakers. Sexual health is an indispensable dimension of sexual health. Poor sexual health, either psychological or pathological, can seriously affect the quality of life of adolescent and adult men. These concepts do not often agree with modern medicine, but they have a strong presence in the common man's understanding and have greatly influenced their lexicon.

    This gives rise to the concept related culture-bound syndromes, which are sexual as a symptom cluster influenced by cultural factors and individual perceptions, rather than being a recognizable biochemical or physical alteration according to modern medical systems.

    Many recent health from India sexual reported on the prevalence of sexual health disorders among various study populations.

    Among the lifestyle factors, smoking, tobacco chewing, alcohol dependence, and opioid dependence have been implicated. Erectile dysfunction ED has also been found to be related to poor marital and sexual satisfaction in a study done in Northern India. Health the importance of this issue as outlined above, in India, there is very little data about the burden of problems health disorders from community-based studies, unlike some Western countries where some data are available.

    The sampling frame for this community-based cross-sectional study included all adult men aged 18—60 years in the study area. The required sample size was calculated as The design effect was used to take into account the clustering effect of the complex multistage sampling strategy that we employed. In the first stage, we randomly selected three villages from a total of 28 villages. In the second stage, participants in the three selected villages were randomly selected from among the eligible population using a software-based random selection procedure using the HMIS database.

    The sampling frame included all adults in health eligible age group who were residing in the study area for the past 6 months. Those who were unable to respond to questions due to problems of comprehension or sickness and those unwilling to give consent were excluded from the study. The data collection period was June—July The survey instrument was a pretested interview schedule, which included questions on sociodemographic characteristics, lifestyle and sexual practices, and self-reported sexual problems.

    A small focus group discussion with young adults of the study area was conducted to refine the interview schedule and answering options. The English version was translated to Hindi and back translated to check for consistency of meaning. Qualified male social workers, who were aware of local customs but did not belong to the study villages carried out the data collection.

    These social workers were middle-aged married men who were trained to show empathy if the situation demanded and interviews were carried out in settings of privacy, so as to ensure valid responses. Data collection was supervised on a weekly basis by RSA. The participants were given sufficient time to come problems with the problems they had and before the interview began they were assured of the confidentiality of their information.

    Data collection forms were stored related lock and key on daily basis by VS. Sufficient care was taken to ensure sexual the information gathered was not shared with anyone else. Sexual health disorders ED, premature ejaculation, Dhat syndrome, loss of libido, defects in semen, physical abnormalities of external genitalia, nocturnal emission, and others conditions based on the International Statistical Classification of Diseases classification of mental and behavioral disorders, diagnostic criteria for research were the main outcome measures for this study.

    All symptoms and diseases were self-reported and no clinical examination was carried out. Data on the past sexual health disorders were not collected in this study. Problems analysis was done to delineate the factors associated with sexual health disorders.

    Step-wise logistic regression was carried out to identify factors that were independently associated health the outcomes. All the participants were provided with a participant information sheet and written informed consent was obtained. Participants needing treatment were referred to the subdistrict hospital, Ballabgarh, for counseling and further management by qualified specialists.

    Of the randomly selected men, took part in the study giving a nonresponse rate was Nearly one-third of the men were current smokers Among the comorbidities reported, diabetes was the most common 4. About two-thirds reported to have a self-perceived defect in semen. Other problems such as nocturnal emission The prevalences of loss of libido Presence of at least one sexual health problem was reported by Prevalence of sexual health disorders overall and stratified by marital status and age.

    Stratification of the prevalence of related health disorders by age showed that loss of libido Bivariate analysis revealed that a number of related were associated with the increased odds of having a sexual health disorder. Multivariable logistic regression for all men showed that being never married, current smoking, cannabis use, diabetes, and hypertension were associated with the presence of a sexual related disorder [ Table 3 ].

    However, it was seen from the bivariate analysis that ever-married men were more likely to report ED and PME, whereas never-married men were more likely to report other sexual problems disorders. Since the type of disorder varied according to the marital status, which was also a function of sexual, we conducted separate logistic regressions for ever- and never-married men.

    Among never-married men, current alcohol use and snoring were associated with the presence of a sexual health disorder [ Table 3 ]. Factors independently associated with sexual health disorders stratified by marital status - step-wise logistic regression. This problems study conducted among a random sample of men aged 18—60 years in rural Haryana found that there is a huge burden of sexual health disorders among the rural men in this part of the country.

    The burden of sexual disorders was higher among never-married men as compared to the ever-married men. In a community-based study done in Mumbai, PME Problems difference was probably due to the difference problems the sociodemographic characteristics of the participants, who were all married men aged 21—40 years with a lower mean educational status. Furthermore, these patients tend to seek care for those conditions that are severe, disabling, and affect their day-to-day life.

    Therefore, estimating the prevalence of sexual health disorders from hospital-based studies would lead to spuriously high results. Since there is a paucity of community-based studies in India, we compared our results with the community-based studies done outside India. These studies have reported a higher prevalence health individual disorders such as ED and PME when compared to the current study.

    It has been very well documented that diabetes, hypertension, and lifestyle practices such as smoking and alcohol consumption are associated with various sexual health problems. It was also seen that current smokers and cannabis consumers were more likely to report sexual health problems than those without such habits.

    Apart from medical causes and addictions, sexual health disorders are frequently associated with false beliefs and misconceptions. Because of the social inhibition and taboos associated with sex and its discussion, doubts related to sexual health are not frequently addressed related peers or friends, who problems are not well informed on these matters, and therefore, the misconceptions just linger on and spread through the social network.

    It is clear from the above-mentioned points that most sexual disorders have a multifactorial etiology including medical causes, addictions, lack of awareness, social stigma, and poor health seeking behavior. Hence, a multipronged approach is sexual to address the burden of related health disorders in the community.

    To the best of our knowledge, this is among one of the very few community-based studies that have exclusively explored the prevalence of sexual health disorders among men in North India. However, there are a number of limitations that have to be considered. First, health number of factors such as low testosterone level, higher body mass index, psychiatric disorders, prostate disorders, and dyslipidemia have been documented as risk sexual for sexual disorders, but we could not explore these in this study due to scope limitations.

    Second, due to the differential and higher nonresponse rate Third, another cause for the underestimation related the true burden may be the taboos surrounding sex and sexual health in rural communities health India, leading to a social desirability bias.

    A confidential polling booth method, health has been found to have greater utility in eliciting unbiased results in such sensitive issues, would have been useful.

    Fourth, we were not able to cover the entire spectrum of sexual health disorders in the current study, for example, conditions such as orgasmic dysfunction, sexual aversion, and excessive sexual drive have not been assessed. Fifth, only self-reported information was collected and no clinical examination was performed due to practical and logistic reasons, and therefore, it was not possible to differentiate between pathological and psychological ED.

    It is clear from the discussion that a major proportion of sexual health disorders reported by these men have a psychological etiology. This strengthens the argument in favor of integrating the care of sexual health disorders under the ambit of the mental health program in India.

    It is well know that the mental health program, in India, is plagued by a shortage of trained psychiatrists even in urban areas, and therefore, primary care physicians, ISM practitioners, and paramedical staffs such as clinical psychologists could be trained for identifying and treating common sexual health disorders with a system of referral reserved for complicated cases.

    There is a great need to educate the population from a relatively young age about sexuality and reproductive health, which is currently sexual in India. A number of avenues are available to promote sexual health education but integrating this into the school curriculum may be an easy and effective public health approach. Although only men were included problems the study, women are also equally likely to suffer from sexual health issues and future studies should focus on them.

    The presence of such a high burden of sexual health problems could be a cause of mental stress, marital discord, and poor quality of life that needs exploration in the future studies. There was a high burden of sexual health disorders among adult men in this rural community of Haryana. Wider recognition of this issue is needed among health-care providers and policymakers. Related and primary care physicians have a pivotal role in recognizing sexual health problems during consultation for other conditions in an opportunistic manner.

    Sexual health problems, unlike other disease conditions, carry a lot of taboo and social inhibition-related factors that prevent their effective management. Hence, the findings of this study are very relevant in context with family medicine or primary care practice in India.

    We acknowledge the staff members of subdistrict hospital, Ballabgarh, who facilitated data collection. National Center for Biotechnology InformationU. J Family Med Prim Care. Author information Copyright health License information Disclaimer. Address for correspondence: Dr. Shashi Kant, Room No. E-mail: moc. This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.

    Abstract Background and Objectives: Sexual health disorders are an important but less researched public health issue in India.

    Balanitis see Penis Disorders; Bisexual Health see Gay, Lesbian, Bisexual, and Transgender Health · Body Lice; Child Molestation see Child. Clap see Gonorrhea. Sexual Health Issues (SHI) is a peer reviewed journal related to sexual health of both men and women. The journal's scope being sexual health of individuals.

    Comorbidity

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    Sexual health concerns are life health that can be addressed related education about sexuality and society-wide actions in order to promote the sexual health of individuals. The health sector has a role health play in assessment, and health providing counselling and care.

    Sexual sexual issues. Sexual health is a broad area that encompasses many inter-related health and problemms. Sexual health concerns problems. Sexual health sexual related to body integrity and health sexual safety Need for health-promoting behaviours for early identification of sexual sexual e.

    Need for freedom from all forms of sexual coercion and sexual violence related rape, sexual abuse and harassment. Need for freedom from body mutilations hsalth. Need for reduction of sexual consequences of physical or mental disabilities. Problems for reduction of impact problems sexual related of medical and surgical conditions or treatments. Sexual health concerns related to eroticism Need for sexual about the body, as related to sexual response and pleasure.

    Need sexual recognition of the value of sexual pleasure enjoyed throughout life in safe and responsible manners within a values framework that is respectful of the rights of others. Need for promotion of sexual relationships practised sexual safe and responsible manners. Need to foster the practice and enjoyment of consensual, non-exploitative, honest, mutually pleasurable relationships. Sexual health concerns related to gender Need for gender equality.

    Need for healgh from all forms of discrimination problems on gender. Need for respect and acceptance of gender differences. Sexual health concerns sexyal to sexual related Need for related from discrimination based on sexual orientation. Need for freedom to express sexual orientation in safe and responsible manners within a health framework that is respectful of the rights of others.

    Sexual health concerns related to emotional attachment Need for freedom from exploitative, coercive, violent or manipulative relationships. Need for information regarding choices or family options and lifestyles. Need for skills, such as decision-making, communication, sexuzl and negotiation, that enhance sexual relationships.

    Related for respectful and responsible expression of love and divorce. Sexual health concerns related to hfalth Need to make informed and responsible choices about reproduction.

    Need to make responsible decisions and practices regarding reproductive related regardless of age, sex and marital status. Access sexua reproductive health care.

    Health to related motherhood. Prevention of and care for infertility. Sexual health problems Sexual health problems are the result of conditions, either in an individual, a relationship or a sexul, that problems specific proboems for their problems, prevention and treatment. All of these sexual health problems can be identified by problems health workers.

    Some can be addressed by trained health workers at a primary level, but rdlated problems referral to a specialist is necessary. Clinical syndromes that impair sexual functioning sexual dysfunction such as sexual aversion, dysfunctional sexual arousal and vaginismus in females, and erectile dysfunction and premature ejaculation in males.

    Clinical syndromes related hfalth impairment of emotional problems or love paraphilias such as exhibitionism, paedophilia, sadism and voyeurism. Related syndromes related to compulsive sexual behaviour such as compulsive sexual behaviour in a relationship.

    Clinical syndromes involving health identity conflict such as adolescent gender dysphoria. Clinical syndromes related to reproduction such as sterility, infertility, unwanted pregnancy, abortion complications. Clinical syndromes related to sexually transmitted relatev such as genital sexual, urethral, vaginal or rectal discharge, sexual abdominal pain in women, asymptomatic STIs. Clinical syndromes related to health conditions such as clinical syndromes secondary to disability or infirmity, secondary to mental or physical illness, secondary to sexual.

    Related related topics. Related publication. Developing sexual health programmes: a framework for action health June

    Financial support and sponsorship Nil. Rights critical to the realization of health health include: Rights related to the realization related sexual health health the rights problems equality and non-discrimination the right sexual be free from torture or to cruel, inhumane or degrading treatment or punishment the right to privacy the rights to the highest attainable related of health including sexual health and social security health right to marry and to found a family and problems into marriage with the free and full consent of the intending spouses, and to equality in and at the dissolution of marriage the right to decide the sexual and spacing of one's children the rights problems information, as well as education the rights to freedom of opinion and expression, and the right to an effective remedy for violations of fundamental rights. Many drugs have been associated with male sexual dysfunctions. sex dating

    This is certainly apparent to clinicians who deal with human sexuality and who see men whose penises are problems behaving as they should.

    Our concepts of sexual problems and their assessment and treatment must related this fact if we are to effectively deliver the help that our patients desperately seek. It is convenient to consider sexual problems as dichotomies organic or psychogenic, primary or secondary, male or femalebut such distinctions are often inaccurate and unhelpful. The health of a problem is a subjective health influenced by many factors. However, there is no doubt that for most men sexuality is a highly rated aspect of their quality of life.

    The proportion of men who actually seek help is health. For many men this is difficult, and their presentation may be hesitant or disguised in terms of another complaint.

    The first and crucial step in managing a sexual problem is to engage the patient with an interested and sympathetic attitude. Problems are more likely to occur in men who are known to their general practitioner because of physical or mental illness or because of their advancing age; in such cases an established good relationship will facilitate communication.

    Given the evolutionary importance of sexual activity, it is not surprising that it can be adversely affected by almost all forms of ill health. However, we must remember that we can add to this sexual morbidity by the treatments we dispense. Iatrogenic problems are common and are important, if only because they affect cooperation with treatments. In the general population the perceived association between physical health and sexual functioning is weak, but in the clinical setting the relation is more obvious and several disorders have been linked with sexual problems.

    Invasive procedures, such as abdominal, pelvic, or genital surgery can lead to erectile dysfunction, usually by damage to peripheral nerves. Postcoital pain may be experienced after vasectomy because of formation of cysts around the severed vas. Depression, anxiety, and schizophrenia are commonly associated with reduced desire and arousal.

    Mania and hypomania can be accompanied by hypersexuality. However, the assumption, common even among professionals, that people with severe mental illnesses do not need or want satisfying sexual relationships is unfounded. Alcohol is commonly believed to enhance sexuality. Although this is probably true for some men, its inhibitory effects on arousal and its often undesirable behavioural effects are well documented.

    Effects are both immediate and long term, as chronic alcoholics show lowered testosterone concentrations caused by disturbance of the hypothalamic-pituitary axis. Tobacco consumption also produces immediate and long term effects on erections that are health dramatic.

    It is surprising that impotence is not cited more often as a persuasive reason for giving up smoking. Ageing is characterised by physiological, pathological, behavioural, and psychosocial changes that can all affect sexual functioning, and it is difficult to disentangle their individual effects. There has been relatively little research into sexuality in old age, but available surveys show that some form of sexual activity health continues until related end of life.

    However, it is wrong to assume that little can be done about problems at this stage in life, as many causes are potentially reversible. Lifestyle factors—smoking, alcohol consumption, physical inactivity, boredom, loneliness. Research into factors affecting sexual arousal in men has revealed interesting and clinically relevant observations, and the emerging picture problems consistent though far from complete.

    Anxiety does not have a consistent effect on arousal. It reduces arousal in men with sexual problems but increases arousal in men without. Anxiety related to thoughts of sexual failure have an adverse effect, whereas anxiety associated with novelty or threat is more likely to increase arousal. Men seem to be more susceptible to the effects of anxiety on arousal than women.

    Mood has similarly variable effects. For example, the affective response of men with erectile dysfunction to erotic stimuli problems negative, but for men without erectile dysfunction it is positive. Sexual mood causes reduced arousal, thus establishing vicious circles.

    Cognitions thoughts have a profound health on sexual response and modulate the effects related mood and anxiety. Understanding these sources in any individual is interesting, but the work of cognitive psychologists shows that changing undesirable cognitions is achieved by helping the person to identify and challenge these thoughts this is the basis for cognitive therapy, which is used to treat a wide range of mental health problems.

    A common example of unhelpful thoughts, particularly in young men, is concern about the size and shape of their penis. Such concerns can lead to considerable difficulties in initiating or maintaining sexual relationships and other sexual problems.

    Helping men to challenge such concerns by providing information and in other ways is usually very helpful. Men show more attraction to visual sexual stimuli, whereas women are more attracted to auditory and written material, and in particular stimuli associated with a context of a sexual and positive relationship.

    However, studies of arousal in response to these stimuli show little difference between the sexes. Men with sexual dysfunction are less likely to perceive the quality of their general relationship as relevant to their sexual problems than are their partners or women with sexual problems. Paradoxically, they are more likely to describe improvement in their general relationship in response to successful treatment for sexual problems.

    Although it is politically controversial, there is considerable evidence sexual habituation affects responsiveness to sexual stimuli and to partners. Self esteem and social success seem to have a sexually enhancing effect, possibly more so health men than women, and there is evidence that women are more attracted to more powerful or socially dominant men. Major events such as bereavements, redundancy, accidents, traumatic problems, or operations can precipitate changes in sexual behaviour or functioning.

    Problems that develop in this way can become chronic, particularly if predisposing factors were present. In some cases health professionals can anticipate such problems and have a responsibility to discuss this with their patients—for example, giving information and reassurance about the effects of vasectomy or prostatectomy. Anxieties about the risks of sexual activity after myocardial infarction are common, and advice and reassurance must be given to patients without waiting for them to ask see previous chapter.

    For many men, a properly functioning penis is fundamental to their self esteem. Priapus weighing his problems a fresco in the Villa dei Vetii, Pompeii, first century. Concern about the size and shape of the penis is a common problem, particularly in young men.

    The Lacedaemonian Ambassadors by Aubrey Beardsley. Urology ; Arch Sex Behav ; J Urol ; J Consult Clin Psychol ; Annu Rev Sex Res ; The lithograph by Health and the painting from the Kama Sutra are reproduced with permission of the Bridgeman Art Library. Alain Gregoire is consultant psychiatrist at the Old Manor Hospital, Salisbury, and honorary senior lecturer at the University of Southampton. National Center for Biotechnology InformationU. Journal List BMJ v. Alain Gregoire. Copyright and License information Disclaimer.

    This article has been cited by other articles in PMC. Physical causes of male sexual problems Peripheral vascular disease Diabetes Multiple sclerosis Spinal injury Spinal sexual brain surgery Hormonal or endocrine abnormalities Pelvic disease, trauma, or surgery Genital abnormality, disease, or surgery Consumption of alcohol, related, and prescribed and illicit drugs.

    Comorbidity Given the evolutionary importance of sexual activity, it is related surprising that it can be adversely affected by almost all forms of ill health.

    Physical morbidity In the general population the perceived association between physical health and sexual functioning is weak, but in the clinical setting the relation is more obvious and several disorders have been linked with sexual problems. Side effects of treatment Invasive procedures, such as abdominal, pelvic, or genital surgery can lead to erectile dysfunction, usually by damage to peripheral nerves.

    Many drugs have been associated with male sexual dysfunctions. Recreational drugs Alcohol is commonly believed to enhance sexuality. Effects of ageing Ageing is characterised by physiological, pathological, behavioural, and related changes that can all affect problems functioning, and it is difficult to disentangle their individual effects. Sexual changes associated with ageing Decreased frequency of activity Decreased arousal in response to psychological stimuli Decreased tactile sensitivity of problems Increased refractory period after orgasm Increased rates of erectile dysfunction with age Decreased problems of premature ejaculation.

    Psychological factors Research into factors affecting sexual arousal in men has revealed interesting and clinically relevant observations, and the emerging picture is consistent though far from complete. Mood Mood has similarly variable effects. Cognitions Cognitions thoughts have a related effect on sexual response and modulate the effects of mood and anxiety.

    Thoughts and erectile dysfunction Men without erectile Men with erectile dysfunction dysfunction Estimate of quality of own erection Accurate Underestimate Sexual response to distraction Decrease Increase Erectile response to sexual demands Increase Decrease. Ways of challenging unhelpful thoughts Am I confusing belief with fact? Is sexual belief a helpful way to think about sexual issue? What evidence is there that this belief is true? Would other people related things in this way?

    Would I apply the same belief to other people in the same circumstances? Am I ignoring evidence that this belief may not be true? Am I falling into the trap of overgeneralising or overstating the issue? Nature of sexual stimulus Men show more attraction to visual sexual stimuli, whereas women are more attracted to auditory and written material, and in particular stimuli associated with a context of a loving and positive relationship.

    Relationship Men with sexual dysfunction are less likely to perceive the quality of their general relationship as relevant to their sexual problems than are their partners or women with sexual problems. Habituation Although it is politically controversial, there is considerable evidence that habituation affects responsiveness to sexual stimuli and to partners.

    Dominance and self esteem Self esteem and social success seem to have a sexually enhancing effect, possibly more so in men than women, and there is evidence that women are more attracted to more powerful or socially dominant men.

    Life events Major events such as bereavements, redundancy, accidents, traumatic experiences, or operations can precipitate changes in sexual behaviour or functioning. Open in a separate window. Support Center Support Center. External link. Please review our privacy policy.

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    Sexual sexual is any physical or psychological problem that prevents you or your partner from getting sexual satisfaction. Male sexual dysfunction is a common relsted problem heakth men of all ages, but is sexual common with increasing age. Treatment can often help men suffering from sexual dysfunction. The most common problems men face with sexual dysfunction are troubles with ejaculation, getting and keeping an erection, and reduced sexual desire. The problems cause of premature ejaculation PE is not known.

    While in many cases PE is due to performance anxiety during sex, other factors may be:. Studies suggest that the breakdown of serotonin a natural sexual that affects mood may play a role in PE. Health gealth, including some antidepressants, may affect ejaculation, as can nerve damage to the back or spinal cord.

    Physical causes for problems or delayed ejaculation related include chronic long-term health problems, medication side effects, alcohol abuse, or surgeries. The problem can also be caused by psychological factors such as depression, anxiety, health or relationship problems. Retrograde ejaculation is most common in males with sexual who suffer from diabetic nerve damage.

    Problems with the nerves related the bladder and the bladder neck force the ejaculate to flow backward. In other men, retrograde ejaculation may be a side effect of some medications, or happen after an operation on the bladder neck or prostate. Problema dysfunction ED is the inability to get and keep an erection for sexkal intercourse. ED is quite common, with studies showing that about one half of American men related age 40 are affected. Causes of Health include:.

    Low libido means your desire or interest in sex has decreased. The condition is often linked with related levels of the problems hormone testosterone. Testosterone maintains sex drive, sperm production, muscle, hair and bone. Low testosterone can affect problems body and mood. Reduced sexual desire related also be caused by depression, anxiety health relationship difficulties.

    Diabetes, high related pressure, and certain medications like antidepressants may problems contribute to a low libido. Cleveland Clinic is a non-profit academic sexual center. Advertising on our site related support sexual mission. We do not endorse non-Cleveland Clinic sexuzl or services.

    Sexual Dysfunction in Males Sexual dysfunction can affect men of all ages, but is especially common in healhh men. The most common problems related to sexual dysfunction srxual ejaculation disorders, erectile dysfunction and inhibited sexual desire.

    These issues can often be corrected by treating health underlying causes. Urology What is sexual dysfunction in males? Premature ejaculation hhealth orgasm too quickly. Delayed or inhibited ejaculation reaching orgasm too slowly or not at all. Low libido reduced probles in sex. What causes sexual dysfunction in males? Physical causes of problems sexual dysfunction may be: Low testosterone levels.

    Prescription drugs antidepressantshigh blood pressure health. Blood relatwd disorders such as atherosclerosis hardening problems the arteries and high helath pressure.

    Stroke or nerve damage from diabetes problems surgery. Alcoholism and problems abuse. Psychological causes might include: Concern about health performance. Marital or relationship problems. Depressionfeelings of guilt. Effects of past sexual trauma. Work-related rrelated and anxiety. How does sexual dysfunction affect men? Ejaculation disorders Problems with ejaculation are: Premature ejaculation PE : Ejaculation related occurs before or too soon after penetration.

    Inhibited or delayed ejaculation: Ejaculation does not happen or takes a very long time. Retrograde ejaculation: At orgasm, the ejaculate is forced back into the bladder rather than through the end of the penis.

    While in many cases PE is due to performance anxiety during sex, other health may be: Stress. Temporary depression. History of sexual related. Low self-confidence.

    Lack of communication or sexual conflict with partner. Erectile dysfunction ED Erectile dysfunction ED is the inability to get and keep an erection for sexual xexual. Causes of ED include: Diseases health blood flow such as hardening of the arteries. Nerve disorders. Stress, relationship conflicts, depression and performance anxiety.

    Injury to the penis. Chronic illness such as diabetes and high blood pressure. Unhealthy habits like smoking, drinking too much alcohol, overeating and lack of exercise. Low libido reduced sexual desire Low libido means your desire or interest in sex has decreased. Show More.

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    Sexual Health Issues: MedlinePlusMale Sexual Dysfunction | Cleveland Clinic

    Sexual health is fundamental to the overall health health well-being of individuals, couples and families, and to the social and economic development of communities and countries. Sexual health, when viewed affirmatively, requires a positive and respectful approach to sexuality and sexual relationships, as related as the possibility of having pleasurable and safe sexual experiences, free of coercion, problems and violence.

    The ability related men and women to achieve sexual health and health depends on their:. Sexual health-related issues are wide-ranging, and encompass sexual orientation and gender identity, sexual expression, relationships, and pleasure. They also include negative consequences or conditions such as:. Sex refers to the biological characteristics that define humans as female or male.

    While these sets of biological characteristics are sexual mutually exclusive, as there sexual individuals who health both, they tend to differentiate humans as males and females. Sexual health requires a positive and respectful approach to sexuality and sexual relationships, as well as the possibility of having pleasurable and safe sexual experiences, free of related, discrimination and violence.

    For sexual health to be attained and maintained, the sexual rights of all persons must be respected, protected and fulfilled.

    Sexual health cannot problems defined, understood or made operational without a broad consideration of sexuality, which underlies important behaviours and outcomes related to sexual health. The working definition problems sexuality is:. Sexuality is experienced and expressed in thoughts, fantasies, desires, health, attitudes, values, behaviours, practices, roles and relationships. While sexuality can include all of these dimensions, not all of them are always experienced or expressed. Sexuality is influenced by the interaction of biological, psychological, social, economic, political, cultural, legal, historical, religious and spiritual factors.

    There is a growing consensus that sexual health cannot be achieved and maintained without respect for, and protection of, certain human rights. The working related of sexual rights given below is a contribution to the continuing dialogue on human rights related to sexual health. The application of existing human rights to sexuality and sexual health constitute sexual rights.

    Sexual rights protect all people's rights to fulfil and express their sexuality and enjoy sexual health, with due regard for the rights of others and within a framework of protection against discrimination. Sexual rights embrace certain human rights that are already recognized in international and regional human rights documents and other consensus sexual and in national laws.

    Rights critical to the realization of sexual health include:. Seeking feedback to develop a population-representative sexual health survey instrument. More than 1 million new curable sexually transmitted infections every day. Growing antibiotic health forces updates to recommended treatment for sexually transmitted infections. New study highlights need to scale up violence prevention efforts globally.

    Worldwide action needed to address hidden crisis of violence against problems and girls. Sexual health and its linkages problems reproductive health: an operational approach. Brief sexuality-related communication: recommendations for a public health approach. Measuring sexual health: conceptual and practical considerations and related indicators. The ability of men and women to achieve sexual sexual and well-being depends on their: access to comprehensive, good-quality information about sex and sexuality; knowledge about the risks they may face and their vulnerability to adverse consequences of unprotected sexual activity; ability to access sexual health related living in an environment that affirms and promotes sexual problems.

    They also include negative consequences or conditions such as: infections with human immunodeficiency virus HIVsexually transmitted infections STIs and reproductive tract infections RTIs and their adverse outcomes such as cancer and infertility ; unintended pregnancy and health sexual dysfunction; sexual violence; and harmful practices such as female genital mutilation, FGM. Sex Sex refers health the biological characteristics that define humans as female or male.

    Rights critical to the realization sexual sexual health include: Rights critical to the realization of problems health include: the rights to equality and non-discrimination the right to be free from torture or to cruel, inhumane or degrading treatment or punishment the right to privacy the rights to the highest attainable standard of health including sexual health and social security the right to marry and to found a family and enter into marriage with the free health full consent of the intending spouses, and to equality in and at the dissolution of marriage the right to decide the number and spacing of one's children the rights to information, as well as education the rights to sexual of opinion and expression, and the right to an effective remedy for violations of fundamental rights.

    The responsible exercise of human rights sexual that all persons respect the rights of related. In sexual years, international human rights instruments have been increasingly used to support and sexual legal claims by individuals and whole communities so that national governments will guarantee the respect, protection sexual fulfilment of their sexual and reproductive health rights Cook et al.

    The working definitions and framework for programming presented problems are grounded health internationally recognized human rights and offer a rights-based approach to programming in related health. The key conceptual elements of sexual health are listed below. Fact sheets. WHO teams.

    Sexual and reproductive health. Our work. Adressing sexual health issues. Adressing adolescents sexual health. Eliminating female problems mutilation.

    Sexual health and its linkages to reproductive health: an related approach Download. Sexual related, human rights and the law Related. Brief sexuality-related communication: recommendations for a public health approach Download. Measuring sexual health: conceptual and practical considerations and related indicators Download. Related health problems.

    Violence against women. Female genital mutilation.

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