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Common Conditions | Sexual Healthcare

There are physical, psychological, and relationship causes that can impact a person’s ability to orgasm. 

Physical causes

  • Serious illnesses such as multiple sclerosis
  • Gynecological issues such as hysterectomy
  • Prescription and over-the-counter medications  
  • Alcohol and smoking
  • Aging

Psychological causes

  • Stress
  • Mental health issues
  • Poor body image
  • Guilt about enjoying sex
  • Cultural and religious beliefs
  • Embarrassment
  • Past sexual or emotional abuse

Relationship issues

  • Lack of connection with your partner
  • Poor communication of sexual needs and preferences
  • Infidelity or lack of trust
  • Unresolved conflicts
  • Partner violence

The primary symptom of anorgasmia is the failure to climax during sex. Some people may also experience a decreased intensity of orgasms, take longer than usual to achieve orgasms, and experience pain in the lower abdomen or pelvic region during sex.

Common treatments include: View
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There is no known cause for premature ejaculation. However, doctors have theorized that there might be biological and psychological/emotional factors that play a role in this condition.

Biological factors

  • Unusual hormone levels
  • Irregular levels of neurotransmitters in the brain
  • Infection in the prostate or urethra
  • Genetic traits

Psychological/emotional factors

  • Stress
  • Depression
  • Anxiety
  • Sexual abuse
  • Poor body image

The primary symptom of this condition is the inability to delay ejaculation for more than one minute during the start of sexual intercourse. But premature ejaculation can also happen in other forms of sexual situations, such as masturbation. 

There are two classifications for premature ejaculation. 

  • Lifelong: Lifelong premature ejaculation means that a man experiences this condition almost all of the time. 
  • Acquired: Acquired premature ejaculation means that a man is only recently experiencing ejaculatory problems.

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Even though there is no specific cause for delayed ejaculation, there are a variety of factors that affect this condition.

Psychological factors include:

  • Anxiety, depression, and other mental health conditions
  • Traumatic experience
  • Relationship stress
  • Anger

Medications and other substances include:

  • Some antidepressants
  • Some high-blood pressure medications
  • Some anti-seizure medications
  • Alcohol

Physical causes include:

  • Birth defects that affect the male reproductive system
  • Urinary tract infection
  • Neurological diseases
  • Hormone-related conditions

Delayed ejaculation happens when a man needs more than 30 minutes of sexual stimulation to reach orgasm and ejaculate. Sometimes, the problem manifests during sex with a partner, but it can also happen during masturbation. 

Common treatments include: View
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There are several possible reasons for erectile dysfunction. Some of the most common reasons are certain health conditions such as:

  • Cardiovascular disease
  • Diabetes
  • Hypertension
  • High cholesterol
  • Obesity
  • Hormone imbalances
  • Kidney disease
  • Parkinson’s disease
  • Multiple sclerosis
  • Peyronie’s disease (development of scar tissues inside the penis)
  • Sleep disorders

Aside from these physical causes, erectile dysfunctions also happen because of tobacco, alcohol, and drug use and consumption of certain prescription medications (especially for high blood pressure and mental illness). Damage to the pelvic area because of injury or surgery can also cause erectile dysfunction.

The main symptom of erectile dysfunction is trouble getting an erection. But other symptoms include difficulty in maintaining an erection during sexual activities and having reduced interest in sex. 

ED can be related to other sexual disorders for men, such as premature ejaculation, delayed ejaculation, and anorgasmia.

Common treatments include: View
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These are a few potential causes for low libido in men: 

  • Testosterone: Because testosterone levels play a part in a man’s sex drive, when testosterone levels decrease, your desire for sex also decreases. 
  • Medications: Taking certain medications can lower testosterone levels such as blood pressure medications, chemotherapy treatments, and opioid pain relievers. 
  • Restless Legs Syndrome (RLS): This syndrome is the uncontrollable urge to move your legs. A study found that men with RLS are at a higher risk of developing erectile dysfunction than those without RLS.
  • Depression: People with depression experience a reduced or complete lack of interest in activities they once found pleasurable, including sex.
  • Chronic illness: If people have a chronic health condition, such as type 2 diabetes or high blood pressure, sex is likely low on their priority list. 
  • Sleep problems: Studies have found that men with sleep apnea or restricted sleep had decreased testosterone levels.
  • Stress: Stress can disrupt hormone levels in men and women.   
  • Drugs and alcohol: These can reduce testosterone levels which can reduce sex drive and desire.

Some symptoms and signs of low libido include: 

  • Depression
  • Anxiety
  • Fatigue

Common treatments include: View
Speak with a Canadian Pharmacist

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