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Male Sexual Dysfunction

Male Sexual Dysfunction. Premature Ejaculation Erectile Dysfunction Hypoactive Sexual Desire Disorder Ejaculatory Inhibition. Premature Ejaculation. It is the most common male sexual dysfunction The clinical determination is based on client self report

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Male Sexual Dysfunction

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  1. Male Sexual Dysfunction • Premature Ejaculation • Erectile Dysfunction • Hypoactive Sexual Desire Disorder • Ejaculatory Inhibition

  2. Premature Ejaculation • It is the most common male sexual dysfunction • The clinical determination is based on client self report • 30% of men report chronic premature ejaculation • There is a current trend to medicalize erectile dysfunction (ED) • Medication should be used in addition to therapy • Therapist utilized assessment and interventions to break the connection between high arousal and quick orgasm

  3. Premature Ejaculation Cont’d • Education is important • Both men and women have unrealistic expections about the amount of time spent in intercourse • 15-45 minutes is typical • Getting men to view women as an intimate sexual friend is important to therapy • There are exercise that allow for ejaculatory control • Men and women that are able to communicate comfortably about sexual feelings, techniques and request prevent relapse

  4. Erectile Dysfunction (ED) • Erectile dysfunction can be the result of surgery, illness and medication • ED can be the result of Prostate surgery, unmanaged diabetes, or spinal cord injury • The recommended treatment is couple sex therapy adjunct with a medical assessment of vascular, neurological, and hormonal functioning • Drinking, smoking and drug abuse contribute to erectile dysfunction

  5. Erectile Dysfunction (ED) Cont’d • It is important for clinicians to get an honest assessment of when the man functional • Encourage self report of sensitive and secret patterns such as masturbating, viewing pornography, cybersex, an affair etc. • It is important to change the from the adolescent expectation of 100% easy automatic predictable erections to a realistic conceptualization that intimacy, pleasure, and eroticism flow to erection and intercourse 85%

  6. Hypoactive Sexual Desire Disorder(HSDD) • HSDD is a secondary dysfunction for most men • it is the cause of ED or ejaculatory inhibition • Resulting from the anxiety from failed intercourse experience and sexual avoidance • HSDD affects approximately 15% of me • HSDD as a primary dysfunction affects less than 10% of men • The causes range from testosterone deficiency to rigid family or religious messages • Some men are afraid of sexual failure, have a history or sexual trauma, or are guilty of or are ashamed about sexuality

  7. Hypoactive Sexual Desire Disorder(HSDD) Cont’d • Treatment is similar to that of female desire disorder • The male sexual voice focuses on intimate, pleasure-oriented sexuality

  8. Ejaculatory Inhibition • Is the least common but the most misunderstood • It is more common in men over 50 • Therapeutic strategy focused on both partners to value intimate, interactive sexuality

  9. Resources • American Association of Sexuality Educators Counselors and Therapists • http://www.aasect.org/default.aspx

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