โรคหย่อนสมรรถภาพทางเพศในชาย (Sexual Dysfunction in Men) สาเหตุ การตรวจวินิจฉัย และการรักษา

Sexual Dysfunction in Men

Sexual dysfunction can affect men of all ages, but is especially common in older men. The most common problems related to sexual dysfunction include ejaculation disorders, erectile dysfunction

Share

Common Male Sexual Problems

  1. Erectile dysfunction
  2. Diminished libido
  3. Ejaculation Disorders
    • Premature ejaculation
    • Delayed or inhibited ejaculation
  4. Peyronie's disease (Penile curvature)


Causes of Sexual Dysfunction in Men

  • Decreased blood flow
    The reduced blood flow to the penis can result from aging, smoking, medications, and health problems such as hypertension, diabetes, and obesity. It is also the first sign of future heart attack because the reduction of the blood flow in the penile arteries can occur before the decrease of blood flow to other organs, including the heart. 

  • Neurological conditions
    Health issues such as spinal cord injury, stroke, penile trauma, diabetes, or prostate surgery can cause penile nerve damage.

  • Medications
    Medications such as opioids, beta-blockers, or antidepressants can interfere with the nervous system or lower testosterone levels.  

  • Performance anxiety and depression
    Men can feel depressed due to a decline in sexual function from aging. They may feel too embarrassed to discuss it with a doctor and start to lose interest in sexual activities and have diminished libido.

  • Penile trauma during sexual intercourse
    It can lead to the development of fibrous scar tissue causing curved and possibly painful erections. Around 7% of men experience this abnormal penile curvature which can cause pain and inability to have sexual intercourse, especially when the curvature is more than 60 degrees. 

Sexual Dysfunction in Men - Causes, Diagnosis and Treatment


Diagnosis

  • History taking: Your doctor will ask some personal questions such as:
    • Does your sexual dysfunction happen gradually or suddenly?
    • Are there erections during the night or after waking up in the morning?
    • Do you experience erectile dysfunction with masturbation?
    • Do you have health conditions such as obesity, diabetes, hypertension, or hyperlipidemia?
    • Do you have depression or anxiety?
    • Do you smoke or drink alcohol?

  • Physical examination 
    • Feel the pulses in the groin and feet
    • Check for gynecomastia 
    • Examine the penis, testicles, and prostate

  • Blood tests
    Check blood sugar, cholesterol, thyroid hormones, and testosterone levels. Sexual dysfunction can result from low testosterone and low or elevated thyroid hormones. These tests can screen and identify more severe health issues, such as a growth in the pituitary gland or malfunction of the gonads.


Treatments

  • Lifestyle modifications such as improving your exercise, diet, and sleep quality can help lower stress and anxiety. 
  • Quit smoking and drinking alcoholic beverages.
  • Vacuum-assisted erection devices increase the blood flow in the penis and create erections. 
  • Collagenase injections can improve penile curvature. Collagenase is an enzyme that can break down collagen and remove scar tissue in the penis.

Article by

Published: 08 Feb 2023

Share

Related Doctors

  • Link to doctor
    Assoc.Prof.Dr Sittiporn Srinualnad

    Assoc.Prof.Dr Sittiporn Srinualnad

    • Surgery
    • Urology
    Urology
  • Link to doctor
    Dr Viroon  Donavanik,MD,FACR

    Dr Viroon Donavanik,MD,FACR

    • Surgery
    • Radiation Oncology
    • Urology
    Prostate Cancer, Prostate Brachytherapy
  • Link to doctor
    Dr Vasun Setthawong

    Dr Vasun Setthawong

    • Surgery
    • Urology
    Urology
  • Link to doctor
    Dr Akanae Wongsawat

    Dr Akanae Wongsawat

    • Surgery
    • Urology
    Living and Deceased Donor Kidney Transplant, Minimally Invasive Urological Surgery, Endoscopic Urological Surgery, Urinary Tract Stone Surgery, Erectile Dysfunction Treatment, Aging Male
  • Link to doctor
    Dr Supachai Sathidmangkang

    Dr Supachai Sathidmangkang

    • Urology
    • Urology
  • Link to doctor
    Dr Vichai  Hongpaitoon

    Dr Vichai Hongpaitoon

    • Surgery
    • Urology
    Urology
  • Link to doctor
    Dr Tanet Thaidumrong

    Dr Tanet Thaidumrong

    • Surgery
    • Urology
    Urology
  • Link to doctor
    Dr Vichai Charoenwongse

    Dr Vichai Charoenwongse

    • Surgery
    • Urology
    Urology
  • Link to doctor
    Dr Paibul Boonyapanichskul

    Dr Paibul Boonyapanichskul

    • Surgery
    • Urology
    Urology, Genito-Urinary
  • Link to doctor
    Asst. Prof. Dr Sarayuth Viriyasiripong

    Asst. Prof. Dr Sarayuth Viriyasiripong

    • Surgery
    • Urology
    Urology
  • Link to doctor
    Dr Sonthidetch Sivilaikul

    Dr Sonthidetch Sivilaikul

    • Surgery
    • Urology
    Urology, Neuro Urology
  • Link to doctor
    MedPark Hospital Logo

    Prof. Dr Kittinut Kijvikai

    • Surgery
    • Urology
    Urology
  • Link to doctor
    Dr Apirak Santi-ngamkun

    Dr Apirak Santi-ngamkun

    • Surgery
    • Urology
    Voiding Dysfunction, Laparoscopic Urologic Surgery