Male Hypoactive Sexual Desire Disorder in the DSM five is characterized by a deficiency or absence of sexual fantasy and desire for sexual activity (Criteria A). The disturbance must cause marked distress or interpersonal difficulties (Criteria B). The dysfunction is not better accounted for by any other axis one disorder and is not due exclusively to the direct physiological effects of a substance (including medication) or general medical condition (Criteria C). This disorder is common in both men and women and some clinicians consider this disorder to be the primary complaint of males over 50 who seek treatment (DeVault, 1994). Common contributing factors include abnormalities in testosterone and prolactin. Masters and Johnson in 1979 described this as a coping mechanism that protects the individual from the aftermath of unpleasant feelings associated with the diagnosis of another sexual problem. Treatment might include an array of interventions from hormonal therapy or medication adjustments that also include relationship counseling that focus on reducing anxieties within the coupleship.
Delayed ejaculation has been a catchall phrase that tends to include disorders in omission and orgasm (Jannini&Lenzi, 2005). For most males there is a prevalence of time, omission, and orgasm being experienced as one event that includes involuntary rhythmic pelvic muscle contractions, intense pleasure genital sensations, and an expulsion of semen. This clinical presentation refers to the persistent difficulty or inability to achieve orgasm despite the open practice these apparent) presence of adequate desire, arousal, and stimulation. Most commonly, the term typically refers to a condition in which a man is not able to ejaculate with his partner, even though he is able to achieve and maintain an erection. Most importantly, the male is typically able to ejaculate during masturbation or sleep (nocturnal omissions or wet dreams). Like other sexual dysfunctions, this could be lifelong or acquired, and at times generalized or specific.
Erectile disorder (previously known as “impotence”) is a persistent or recurrent inability to obtain, or maintain until completion of the sexual activity, and adequate correction (Criteria A). The disturbance must cause marked distress or interpersonal difficulties (Criteria B). The dysfunction is not better accounted for by another Axis I disorder and is not due exclusively to the direct physiological effects of a substance (including medications) or a general medical condition (Criteria C). This condition occurs in the excitement phase of the sexual response cycle and is present in some form in 20 to 30 million men in United States each year (Epperly& Moore, 2000, p. 3662). You live into two categories: primary and secondary erectile disorder. The first category is associated with males were never attained an erection sufficient for intercourse. The second category is associated with males who have had in erections efficient for intercourse in the past but are now unable to have an erection (Masters et al., 1995). When this difficulty persists 25% of the time or more according to Masters and Johnson erectile dysfunction should be considered. Secondary erectile disturbances are more common (Masters and Johnson, 1979) and less complex to treat. They are usually related to situational factors such as birth of a child, lack of privacy, loss of a job, work pressures, or financial stressors (Masters et al., 1998). Contributing factors could include endocrine deficiencies (for example; low testosterone levels), vascular diseases (for example, arteriosclerosis), and neurological diseases (for example multiple sclerosis, diabetes, renal failure) (Wincze& Carey, 2001). There are additional factors that could include the physiological effects of medication, alcohol, and narcotics that impact male erectile disorder (Masters and Johnson , 1970). Males may also experience erectile problems due to the cognitive distortions/interfering thoughts that proceed or occur during sexual relations ( Wincze& Carey, 2001, P. 144). These thoughts could be associated with images of partners being disappointed, worries about firmness of erection or distinct feelings of anxiety.