There are several causes of sexual dysfunction in men, the many symptoms of which include lack of desire, inability to orgasm, delayed orgasm, premature ejaculation and inability to become erect. Often, the cause is physical in nature; a host of underlying health conditions can negatively impact the penis’s ability to do its thing. Doctors generally seek out a physical source for sexual dysfunction first. If none is identified, they will likely begin considering potential psychological issues. Since sexual activity is an important part of both overall well-being for most men and of penis health, it’s important for those affected with sexual dysfunction to seek treatment.

Some common psychological factors that may impair sexual function include depression, anxiety and stress. But there are other causes potentially related to past trauma or relationship troubles that men should be aware of. Below, men can learn about two forms of sexual dysfunction that may be rooted in the past or related to present fears that need to be addressed.

Male Orgasmic Disorder

Men with male orgasmic disorder either take a very long time to achieve orgasm during sexual contact or are unable to altogether. In order to count as a psychological disorder, this sexual dysfunction has to cause a man significant distress. Many men with the condition feel anxiety, guilt or shame around their orgasm difficulties.

Male orgasmic disorder, when psychologically rooted, can be caused by common depression, anxiety and stress. Other precipitating psychological factors include:

- Relationship issues with a particular sexual partner

- Past trauma involving sex, such as rape or sexual abuse

- An upbringing heavy on sexual taboos

- Fear of getting a partner pregnant

- Fear of catching a sexually transmitted infection

Treating these deep-rooted problems is best done with the help of a trained therapist. Relationship counseling may help couples who are having issues. A therapist can also help men work through fears, guilt and shame that may exist around sex.

Another method of treatment involves a form of sex therapy in which a couple takes steps toward release during intercourse. The couple starts by working toward the man achieving orgasm with his partner from non-penetration; then, they work on his ability to release on the outside of the vagina (or buttocks); finally, they work up to finishing internally.

Sexual Aversion Disorder

Sexual aversion disorder is more than a lack of desire to have sex. The latter can occur for several reasons, from low levels of testosterone to simply being tired. When a man has sexual aversion disorder, his lack of desire is bound up with negative emotions about genital contact, such as disgust, shame or guilt. Men with the condition may suffer panic attacks or high levels of anxiety when in sexual situations.

This condition may be a lifelong phenomenon or may occur after a traumatic incident. It might manifest consistently with all potential sexual partners, or be limited to one or some. The psychological causes of sexual aversion disorder are mostly the same as those for male orgasmic disorder: relationship problems, cultural taboos and traumatic events such as sexual abuse. Psychotherapy and couples counseling are usual methods of treatment.

Getting in Touch with the Penis

While pursuing therapy, men with one of the above conditions might want to take some time to get in touch with their penises in an effort to build comfort with their bodies. At the same time, they can improve overall organ health by applying a penis health crème (health professionals recommend Man1 Man Oil). While certainly not a treatment for deep-seated psychological issues around sex, applying the lotion every day can get a man used to regular touch. The product also contains Shea butter and vitamin E, which keep the skin smooth and soft, making it more inviting.