Sexual Dysfunction in Male

Sexual dysfunction is difficulty experienced by an individual or partners during any stage of a normal sexual activity, including physical pleasure, desire, preference, arousal or orgasm.

Male sexual dysfunction (MSD) affects 10–25% of middle-aged and older people, and female sexual dysfunction occurs with similar frequency.

Demographic changes, the popularity of newer treatments, and greater awareness of sexual dysfunction by patients and society have led to increased diagnosis and associated health care expenditures for the management of this common disorder.

Because many patients are reluctant to initiate discussion of their sex lives, physicians should address this topic directly to elicit a history of sexual dysfunction.

Causes

1. Physical Causes:

Cardiovascular Issues: Conditions such as high blood pressure, heart disease, and blocked blood vessels can impair blood flow to the penis, affecting erectile function.
Diabetes: High blood sugar levels can damage nerves and blood vessels, leading to erectile dysfunction (ED).
Hormonal Imbalances: Low testosterone levels, thyroid disorders, or an imbalance in other hormones can contribute to sexual dysfunction.
Neurological Disorders: Conditions like Parkinson’s disease, multiple sclerosis, or stroke can affect nerve function and lead to sexual problems.
Chronic Kidney Disease: Kidney failure can lead to erectile dysfunction and loss of libido due to hormone imbalances and reduced blood flow.
Obesity: Excess weight, especially around the abdomen, can impact blood flow, hormone levels, and overall sexual health.
Medications: Certain drugs, such as antidepressants, antihypertensives, and some painkillers, can have sexual side effects.

2. Psychological Causes:

Stress and Anxiety: Mental stress and anxiety about sexual performance can interfere with arousal and erectile function.
Depression: Depression can lead to a loss of interest in sex, decreased arousal, and erectile dysfunction.
Relationship Issues: Communication problems, unresolved conflicts, or lack of emotional intimacy with a partner can impact sexual desire and performance.
Guilt or Shame: Feelings of guilt related to sexual experiences or personal beliefs about sexuality can result in performance anxiety and dysfunction.
Trauma: Past sexual abuse, psychological trauma, or unresolved emotional issues can negatively affect sexual function.

3. Lifestyle Factors:

Excessive Alcohol Consumption: Heavy drinking can interfere with sexual arousal, leading to erectile dysfunction and reduced libido.
Drug Use: Recreational drugs like cocaine, marijuana, and heroin can affect sexual function by disrupting the balance of chemicals in the brain and body.
Smoking: Smoking can damage blood vessels and reduce circulation, leading to erectile dysfunction.
Lack of Physical Activity: Sedentary lifestyle and lack of exercise can affect cardiovascular health, which in turn impacts sexual function.
Poor Diet: A diet high in processed foods, sugar, and fats can lead to obesity and cardiovascular problems, both of which contribute to sexual dysfunction.

4. Age-Related Factors:

Age: As men age, testosterone levels naturally decline, and changes in sexual function, such as erectile dysfunction, become more common.
Reduced Blood Flow: Aging can lead to decreased blood flow to the penis, causing difficulty achieving or maintaining an erection.

Types

Sexual Dysfunction may Classified in to 4 categories

Sexual Desire Disorder or Hypoactive sexual desire disorder

Decreased libido is characterized by a lack or absence for some time of sexual desire or libido for sexual activity or of sexual fantasies.

Causes:

Decrease in the production of testosterone in men
Ageing
Fatigue
Medications (such as the SSRIs) or psychiatric conditions, such as depression and anxiety.

Sexual Arousal Disorder

Sexual arousal disorders were previously known as impotence in men, though these have now been replaced with less judgmental terms.

Impotence is now known as erectile dysfunction.

For people of all genders, these conditions can manifest themselves as an aversion to and avoidance of sexual contact with a partner.

In men, there may be partial or complete failure to attain or maintain an erection, or a lack of sexual excitement and pleasure in sexual activity.

There may be physiological origins to these disorders, such as decreased blood flow or lack of vaginal lubrication. Chronic disease can also contribute, as well as the nature of the relationship between the partners.

Additionally, the condition post-orgasm illness syndrome (POIS) may cause symptoms when aroused, including adrenergic-type presentation; rapid breathing, paresthesia, palpitations, headaches, aphasia, nausea, itchy eyes, fever, muscle pain and weakness and fatigue.

Duration

From the onset of arousal, symptoms can persist for up to a week in patients.

The etiology of this condition is un known, however it is believed to be a pathology of either the immune system or autonomic nervous systems.

It is defined as a rare disease by the NIH but the prevalence is unknown. It is not thought to be psychiatric in nature, but it may present as anxiety relating to coital activities and thus may be incorrectly diagnosed as such. There is no known cure or treatment.

Erectile dysfunction

Erectile dysfunction or impotence is a sexual dysfunction characterized by the inability to develop or maintain an erection of the penis.

Causes:

Damage to the Nervi erigentes which prevents or delays erection, or
Diabetes
Cardiovascular disease, which simply decreases blood flow to the tissue in the penis, many of which are medically treatable.
Psychological or physical. Psychological erectile dysfunction can often be helped by almost anything that the patient believes in; there is a very strong placebo effect.
Erectile dysfunction from vascular disease is seen mainly amongst older individuals who have atherosclerosis.
Vascular disease is common in individuals who have diabetes, peripheral vascular disease, hypertension and those who smoke. Anytime blood flow to the penis is impaired, erectile dysfunction is the end result.

other causes

Drugs Individuals who take drugs that lower blood pressure or antipsychotics, antidepressants, sedatives, narcotics, antacids or alcohol can have problems with sexual function and loss of libido.
Hormone deficiency is a relatively rare cause of erectile dysfunction.
In individuals with testicular failure, as in Klinefelter syndrome, or those who have had radiation therapy, chemotherapy or childhood exposure to mumps virus, the testes may fail and not produce testosterone. Other hormonal causes of erectile failure include brain tumors,
hyperthyroidism

, hypothyroidism or disorders of the adrenal gland.

Orgasm Disorder

Anorgasmia

Anorgasmia is classified as persistent delays or absence of orgasm following a normal sexual excitement phase in at least 75% of sexual encounters. The disorder can have physical, psychological, or pharmacological origins. SSRI antidepressants are a common pharmaceutical culprit, as they can delay orgasm or eliminate it entirely. A common physiological culprit of anorgasmia is menopause; one in three women report problems obtaining an orgasm during sexual stimulation following menopause.

Premature Ejaculation

Premature ejaculation is when ejaculation occurs before the partner achieves orgasm, or a mutually satisfactory length of time has passed during intercourse. There is no correct length of time for intercourse to last, but generally, premature ejaculation is thought to occur when ejaculation occurs in under two minutes from the time of the insertion of the penis. For a diagnosis, the patient must have a chronic history of premature ejaculation, poor ejaculatory control, and the problem must cause feelings of dissatisfaction as well as distress the patient, the partner or both.

Historically attributed to psychological causes, new theories suggest that premature ejaculation may have an underlying neurobiological cause which may lead to rapid ejaculation.
Post-orgasmic Disorder

Post-orgasmic disorders cause symptoms shortly after orgasm or ejaculation. Post-coital tristesse (PCT) is a feeling of melancholy and anxiety after sexual intercourse that lasts for up to two hours. Sexual headaches occur in the skull and neck during sexual activity, including masturbation, arousal or orgasm.

Other factors

In men, post orgasmic illness syndrome (POIS) causes severe muscle pain throughout the body and other symptoms immediately following ejaculation. The symptoms last for up to a week.
POIS may involve adrenergic symptoms: rapid breathing, paresthesia, palpitations, headaches, aphasia, nausea, itchy eyes, fever, muscle pain and weakness and fatigue.
The etiology of this condition is unknown; but it may present as anxiety relating to coital activities and thus may be incorrectly diagnosed as such. There is no known cure or treatment.
Dhat syndrome is another condition which occurs in men. It is a culture-bound syndrome which causes anxious and dysphoric mood after sex, but is distinct from the low-mood and concentration problems (acute aphasia) seen in post orgasm illness syndrome.

Sexual pain Disorder

In men, structural abnormalities of the penis like Peyronie’s disease can make sexual intercourse difficult and/or painful. The disease is characterized by thick fibrous bands in the penis that lead to excessive curvature during erection.
It has an incidence estimated at 0.4–3% or more, is most common in men 40–70, and is of uncertain cause.
Risk factors include genetics, minor trauma (including that occurring during cystoscopy or transurethral resection of the prostate), chronic systemic vascular diseases, smoking, and alcohol consumption.
Priapism is a painful erection that occurs for several hours and occurs in the absence of sexual stimulation. This condition develops when blood gets trapped in the penis and is unable to drain.
If the condition is not promptly treated, it can lead to severe scarring and permanent loss of erectile function. The disorder is most common in young men and children. Individuals with sickle-cell disease and those who use certain medications can often develop this disorder.

Causes:

Anxiety Disorder
Panic disorder
Aging
Prostatic Trouble
Injury to spinal cord

Sign and Symptoms

Sexual dysfunction in males refers to a condition where there are issues with sexual performance or satisfaction. It can involve problems with desire, arousal, or orgasm. Here are some common signs and symptoms of male sexual dysfunction:

1. Erectile Dysfunction (ED)

Difficulty achieving or maintaining an erection sufficient for sexual activity.
Reduced frequency or inability to achieve an erection.
Inconsistent erections during sexual activity.

2. Low Libido (Sexual Desire)

A marked decrease in interest or desire for sexual activity.
Lack of sexual fantasies or thoughts.
Disinterest in initiating sexual activity with a partner.

3. Premature Ejaculation

Ejaculation that occurs too quickly during sexual activity, often within one minute of penetration.
Inability to control ejaculation, leading to frustration and distress for both partners.
Frequent ejaculation before the partner is satisfied.

4. Delayed Ejaculation

Difficulty achieving orgasm or ejaculating, even though sexual arousal is present.
Ejaculation may be delayed or not occur at all during sexual intercourse.
This may cause frustration, anxiety, or relationship problems.

5. Anorgasmia (Inability to Orgasm)

Difficulty or inability to reach orgasm despite adequate sexual stimulation.
This can occur even when the individual feels sexual arousal and pleasure.

6. Painful Intercourse (Dyspareunia)

Experiencing discomfort or pain during or after sexual intercourse.
Painful erections or ejaculation may occur, leading to avoidance of sexual activity.

7. Reduced Sexual Satisfaction

A general sense of dissatisfaction or disappointment with sexual experiences.
Feelings of frustration or emotional distress related to sexual performance or partner satisfaction.

8. Psychological Symptoms

Anxiety, depression, or stress related to sexual performance.
Feeling of inadequacy, low self-esteem, or shame regarding sexual ability.
Emotional withdrawal from sexual or intimate relationships.

9. Changes in Hormonal Levels

Decreased testosterone levels, which can cause a reduction in sexual desire, performance, and energy.
Symptoms related to hormonal changes may also include fatigue, mood swings, and irritability.

10. Changes in Physical Appearance

Decreased muscle mass or increased body fat, often associated with low testosterone, which can impact sexual function.
Low energy or chronic fatigue, leading to less interest in sexual activity.

11. Relationship Issues

Tension, miscommunication, or unresolved conflicts with a partner that may contribute to sexual dysfunction.
Lack of emotional connection or intimacy can also affect sexual performance.

what to eat

1. Leafy Greens (Spinach, Kale, Arugula)

Benefits: These vegetables are rich in nitrates, which can help improve blood flow by dilating blood vessels. Better circulation can lead to improved erectile function.
Nutrients: Folate, which supports blood flow and heart health.

2. Oysters and Zinc-Rich Foods

Benefits: Oysters are high in zinc, a mineral important for testosterone production. Adequate levels of zinc are associated with healthy sperm production and sexual function.
Other sources: Red meat, pumpkin seeds, chickpeas, and cashews.

3. Dark Chocolate (70% Cocoa or Higher)

Benefits: Dark chocolate contains flavonoids, which improve blood circulation and can help with erectile dysfunction. It also promotes the release of serotonin and endorphins, which can enhance mood and reduce stress.
Moderation is key, as too much sugar can have the opposite effect.

4. Pistachios

Benefits: Pistachios are rich in antioxidants and can improve blood circulation. They have been shown to help with erectile dysfunction by improving blood vessel function and reducing cholesterol levels.
Nutrients: Healthy fats, fiber, and vitamin B6.

5. Tomatoes

Benefits: Tomatoes are a great source of lycopene, a powerful antioxidant that can improve sperm quality and motility. Lycopene also helps prevent oxidative stress, which can negatively affect sexual function.
Other sources: Red bell peppers, watermelon, and pink grapefruit.

6. Berries (Strawberries, Blueberries, Raspberries)

Benefits: Berries are high in antioxidants and vitamins, which improve blood circulation and help maintain healthy blood vessels. They may help combat erectile dysfunction by promoting healthy endothelial function.
Nutrients: Vitamin C, flavonoids, and fiber.

7. Garlic

Benefits: Garlic contains allicin, a compound that can help dilate blood vessels and improve circulation. Better circulation can enhance erectile function.
Other sources: Onions, leeks, and shallots.

8. Fatty Fish (Salmon, Mackerel, Sardines)

Benefits: Fatty fish are rich in omega-3 fatty acids, which improve blood flow, reduce inflammation, and increase heart health. They may also help with sperm health and erectile function.
Nutrients: Omega-3 fatty acids, vitamin D, and protein.

9. Watermelon

Benefits: Watermelon contains citrulline, an amino acid that relaxes and dilates blood vessels, similar to how Viagra works. This can help improve blood flow to the penis and aid in treating erectile dysfunction.
Nutrients: Vitamin C, lycopene, and citrulline.

10. Beets

Benefits: Beets are high in nitrates, which improve blood circulation and can help with erectile dysfunction by increasing nitric oxide levels in the body.
Other sources: Celery, arugula, and radishes.

11. Avocados

Benefits: Avocados are rich in healthy fats, particularly monounsaturated fats, which support heart health and circulation. A healthy heart is crucial for maintaining good sexual function.
Nutrients: Healthy fats, vitamin E, and B vitamins.

12. Nuts (Almonds, Walnuts, Brazil Nuts)

Benefits: Nuts contain a variety of nutrients, including healthy fats, antioxidants, and minerals like zinc and magnesium, which support testosterone levels and improve circulation.
Nutrients: Omega-3 fatty acids, magnesium, and antioxidants.

13. Ginger

Benefits: Ginger has anti-inflammatory properties and can improve blood flow. It has also been used as a natural remedy for erectile dysfunction due to its ability to increase nitric oxide levels.
Nutrients: Antioxidants, vitamins, and minerals.

14. Eggs

Benefits: Eggs are rich in protein and healthy fats, and they provide essential nutrients like zinc, which supports testosterone levels and reproductive health.
Nutrients: Protein, vitamin B12, zinc, and omega-3 fatty acids.

15. Pomegranate

Benefits: Pomegranates are high in antioxidants and have been shown to improve blood circulation and reduce oxidative stress. They may also enhance sperm quality and erectile function.
Nutrients: Polyphenols, vitamin C, and antioxidants.

16. Water

Benefits: Staying hydrated is essential for overall health, including sexual function. Dehydration can impair circulation and lead to reduced libido and energy levels.
Recommendation: Aim to drink plenty of water throughout the day.

Diet and regimen

Diet for Sexual Dysfunction in Males

1. Foods to Include:

A. Nutrient-Rich Vegetables

Leafy greens (spinach, kale, arugula) – High in nitrates that help improve blood circulation.
Beets – Rich in nitrates that improve blood flow and may help with erectile function.
Broccoli – Supports overall hormone balance and contains fiber to promote heart health.
Carrots and sweet potatoes – Rich in beta-carotene and antioxidants for overall health.

B. Lean Protein and Healthy Fats

Fatty fish (salmon, mackerel, sardines) – Rich in omega-3 fatty acids, which support heart health and blood circulation.
Chicken breast and turkey – Provide lean protein to support muscle mass and hormone regulation.
Eggs – Provide protein, vitamin B12, and healthy fats for overall sexual health.

C. Whole Grains

Oats and quinoa – Rich in fiber, which helps regulate blood sugar levels, and also contains B vitamins for energy.
Brown rice and whole wheat bread – Provide complex carbohydrates that support sustained energy.

D. Fruits

Watermelon – Contains citrulline, which helps with blood circulation by increasing nitric oxide levels.
Berries (blueberries, strawberries) – Rich in antioxidants that support vascular health and reduce inflammation.
Pomegranate – Known for its antioxidant properties, it helps improve blood flow and sexual health.

E. Nuts and Seeds

Almonds and walnuts – High in healthy fats, magnesium, and zinc, all of which are important for testosterone production.
Pumpkin seeds – Rich in zinc, which plays a crucial role in sexual function.
Chia seeds and flaxseeds – Provide omega-3 fatty acids, which promote better circulation.

F. Healthy Oils

Olive oil – High in monounsaturated fats, which support healthy cholesterol levels and hormone production.
Avocado – Packed with healthy fats, vitamin E, and potassium, supporting circulation and heart health.

G. Hydration

Water – Staying hydrated is essential for overall health, energy levels, and sexual function.
Aim for at least 8 cups of water per day, and limit sugary or caffeinated beverages.

H. Herbs and Spices

Garlic – Contains allicin, which can help improve blood circulation.
Ginger – Supports blood flow and has anti-inflammatory properties.
Ginseng – Some studies suggest that ginseng can help improve erectile function and increase libido.
Turmeric – Contains curcumin, which has anti-inflammatory properties and supports overall cardiovascular health.

Sample Diet Plan for a Day

Breakfast:

Oatmeal with chia seeds, topped with blueberries, a handful of walnuts, and a splash of almond milk.
1 boiled egg for protein.

Mid-Morning Snack:

A small handful of almonds or pumpkin seeds.
A glass of water or green tea.

Lunch:

Grilled chicken breast with a side of steamed broccoli and quinoa.
A mixed green salad (spinach, arugula, tomatoes, and cucumbers) with olive oil and lemon dressing.

Afternoon Snack:

Pomegranate seeds or carrot sticks with hummus.
A glass of water or herbal tea.

Dinner:

Grilled salmon or mackerel with a side of roasted sweet potatoes and steamed beets.
A small portion of brown rice or quinoa.
A side salad with avocados, olive oil, and a variety of vegetables.

Before Bed:

A small bowl of Greek yogurt with a drizzle of honey and flaxseeds.

Regimen for Sexual Dysfunction in Males

1. Exercise Routine

A. Cardiovascular Exercise (3-5 times per week)

Benefits: Improves blood circulation, cardiovascular health, and overall energy.
Examples: Brisk walking, jogging, cycling, swimming, or dancing.
Aim for 30 minutes of moderate-intensity exercise on most days of the week.

B. Strength Training (2-3 times per week)

Benefits: Increases muscle mass, supports hormone production (including testosterone), and boosts metabolism.
Examples: Weightlifting, resistance bands, bodyweight exercises (e.g., push-ups, squats, lunges).
Focus on full-body exercises and compound movements (e.g., squats, deadlifts, bench press).

C. Kegel Exercises (Daily)

Benefits: Strengthens pelvic floor muscles, which can improve erectile function and stamina.
How to do: Contract the muscles used to stop the flow of urine, hold for 5 seconds, and then relax. Repeat 10-15 times, 2-3 sets daily.

2. Sleep and Stress Management

A. Sleep (7-9 hours per night)

Benefits: Adequate sleep is crucial for hormonal balance, energy levels, and overall sexual health.
Try to maintain a consistent sleep schedule, avoiding excessive screen time before bed.

B. Stress Reduction Techniques (Daily)

Benefits: Chronic stress can negatively impact libido and sexual performance.
Techniques: Deep breathing, meditation, yoga, mindfulness, and journaling.
Physical relaxation: Try relaxation methods like progressive muscle relaxation or taking warm baths to reduce tension.

C. Mindfulness and Communication in Relationships

Benefits: Stress related to performance anxiety or relationship issues can contribute to sexual dysfunction.
Action: Engage in open communication with your partner. Practice mindfulness during intimacy, focusing on the emotional connection rather than performance.

3. Supplements (If Recommended by a Healthcare Professional)

L-arginine: A precursor to nitric oxide, which helps with blood flow.
Zinc: Essential for testosterone production and sexual health.
Vitamin D: Supports hormone balance and can improve libido.
Panax Ginseng: May help improve erectile function and sexual desire.
Maca Root: Traditionally used to boost libido and energy levels.

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Homeopathic Medicines for Sexual Dysfunction in Male :

The homeopathic remedies (medicines) given below indicate the therapeutic affinity but this is not a complete and definite guide to the homeopathy treatment of this condition. The symptoms listed against each homeopathic remedy may not be directly related to this disease because in homeopathy general symptoms and constitutional indications also taken into account for selecting a remedy.

Medicines:

Agaricus

It is a best acting medicine in MSD.
Furthermore, External itching of sexual organs.
Frequent continued erections; additionally great desire for an embrace, with slight ability and insufficient seminal emission, every embrace followed by great debility and languor.
Profuse night-sweats also sometimes burning itching of skin, complaints after sexual debauchees.
Lastly, In women itching and irritation of pudendum, with strong desire for sexual intercourse; great selfishness, forgetfulness and indifference; very strong bearing-down feeling.

Agnus Castus

Diminished sexual instinct, after an embrace he feels easy and light.
In detail, Complete prostration and impotence.
Semen watery also deficient; penis so relaxed that voluptuous fancies excite no erections.
Testes cold, swollen, hard also painful.
Impotence, with gleet, especially with those who frequently had gleet; additionally pollutions from irritable weakness with prostatorrhoea; prostatic juice passes with hard stool.
Premature old age in young person from abuse of sexual functions, with melancholy, apathy, mental distraction, self-contempt, general debility, also Spermatorrhoea of old sinners, though impotent,

Anacardium

Basically Sexual debility; nervous prostration following sexual emissions.
Moreover, Weakness of memory and general temporary feebleness of brain- force; hypochondriasis, sullen mood, dread of labor.
Difficult digestion; weakness of stomach, relieved by eating, but all the symptoms return in a few hours.
Frequent urging to stool without being able to accomplish anything; discharge of prostatic fluid with the stool, also after emission of urine.

Argentum Metallicum

Effects of onanism; seminal emissions; almost every night, without erection.
Atrophy of penis.

Argentum nitricum

Erections, but they fail when coition is attempted; embrace is painful, as if urethra were put upon a stretch and is sensitive at orifice.
Want of sexual desire, the genital organs having shriveled; frequent nightly emissions, sometimes with lascivious dreams.

Aurum Metallicum

Testes mere pendent shreds, either frequent nightly emissions or nightly erections without emission, or nightly erections and pollutions, without subsequent weakness.
Discharge specifically of prostatic fluid from a relaxed penis, with settled suicidal melancholia in MSD.
Lastly, Sterility from lowered vitality of the parts with great mental depression.

Baryta Carb

Diminution of sexual desire also great weakness of the genital organs in persons addicted to the excessive use of stimulating drinks.
Numbness of genitals; erections while riding, with impotence in MSD.
Cloudy urine with yellow sediment; heaviness in small of back and loins.
Small retracted testicles with pulsations between shoulders.
Hypertrophy especially of prostate; sweat about scrotum.

Belladonna

Increased sexual desire, with great inclination to masturbation.
Nocturnal emission of semen, during relaxation of penis.
Sexual desire decreased, weakness and relaxation of genitals; nymphomania, especially during pregnancy.

Berberis

Suppressed sexual desire; during coition too weak also too short thrill, ejection too soon.
Coldness and numb feeling in prepuce and glans; scrotum shrunken, cold, with pressure in testicles; too speedy ejaculation of semen, the desire is weak also soon passes away.
Swelling and stitching-tearing pains in spermatic cords, pain extending down into testicles and especially to the epididymis.
All in all, Suppressed sexual desire in women, with long-delayed thrill and often cutting and stitching in the parts during coition; vagina painful to touch.

Bufo Rana

Longs for solitude, to give himself up to his vice; quick ejaculation, without thrill, with spasms and painful uneasiness of the limbs.
Frequent nocturnal emissions, followed by debility; slow emission, or entirely absent; aversion to coitus; impotency.
Imbecility with loss of all decency; masturbation or coitus causes convulsions, simulating those of epilepsy, usually followed by profound sleep; inclination to touch the genitals.

Calcarea Carb

Bad effects of early masturbation, night- sweats follow every emission, or after marriage, every coitus is followed by weakness of mind and body.
Increased sexual desire provokes emission, but unusual weakness follows indulgence, and ejaculation is tardy; burning and stinging while semen discharges during coition pressing pain in head and back.
Lassitude and weakness in lower extremities; sweats easily.

Calcarea Phos

Erections while riding in a carriage, without sexual desire; shooting through perineum into penis.
Voluptuous feeling, as if all female genitals were filling up with blood, she feels all parts pulsating, with increased sexual desire; nymphomania just before menses and in young married people.

Cannabis Indica

Satyriasis, erections while riding, walking, and also while sitting still, not caused by amorous thoughts.
Violent painful erections; sexual desire increased in both sexes.

Cantharis

Seminal emissions at night, followed by a disagreeable burning heat all over body.
Great anxiety, heaviness, inability to sleep for the rest of the night; nightly emissions followed by shivering lasting for an hour or two and sleeplessness for that night.
Partial blindness for an hour or two after an emission.
Great despondency, inability to apply himself to work and thus life becomes a burden.
Frightful satyriasis, violent painful priapism, discharge of blood instead of semen.
Over sensitiveness of all female parts; pruritus, with strong sexual desire; itching in vagina; pernicious consequences of masturbation.

Carbo Veg

Onanism during sleep; frequent pollutions without any sensation.
Continual erections at night, without any voluptuous sensations of fancies.
Seminal discharge too soon during coitus, followed by roaring in head; prostatic discharge while straining at stool.

Coffea

Excessive sensitiveness about genitals especially vulva, with voluptuous itching; would like to rub or scratch, but parts are too sensitive.
Male sexual organs much excited without seminal emission and with dry heat of body.
Nocturnal emissions followed by great languor and irritability.

Conium

Premature dementia, atrophy of testicles.
Bad effects from suppressed sexual desire or from excessive indulgence.
Painful seminal emission instead of the normal pleasurable thrill.
Sexual desire without erection or with an insufficient one, pollutions, with subsequent excitement of the sexual desire, even when merely dallying with women.
Discharge of prostatic juice during every motion, without lascivious thoughts.

Hyoscyamas

In both sexes sexual desire excessive, lascivious, exposes pudenda.
Excited sexual desire without excitement of the fancy; masturbation with smutty talk.
Specifically indicated medicine for Sexual dysfunction.

Lachesis

Onanism, with epilepsy.
Nocturnal emission, with a thrill of delight.
Excessive sexual desire, with constant erection at night; emissions, with profuse night-sweats; emissions, with cheerful disposition and feeling of ease on waking, succeeded by an increased mental concentration; semen has a pungent smell.

Lycopodium

Mental, nervous and bodily weakness due to Sexual dysfunction.
Impotence; penis small, cold and relaxed; erections feeble.
Falls asleep during an embrace, excessive and exhausting pollutions; desponding, grieving, extremely sensitive.
Weakness of memory; pale, wretched complexion.
Weak digestion; the old man’s balm, strong desire, but cannot get up an erection.

Natrum Mur

Deficient nutrition and dirty, flaccid, torpid skin.
Genital organs smell badly and strongly; feeling of weakness in sexual organs,
Sexual instinct dormant, with irrational emission during an embrace.
Frequent nocturnal emissions in spite of frequent embraces; after sexual excesses physical weakness, even paralysis.
Scrotum relaxed flabby, emission of prostatic fluid without erection when thinking of sexual things.

Nux Vomica

Bad effects from early masturbation.
Headache, backache, difficulty in walking due to Sexual dysfunction .
Frequent involuntary emissions at night, especially towards morning.
Bad effects from sexual excesses and abuse of liquors; easily excited desire, but during an embrace the penis becomes relaxed; increase of smegma.

Picric Acid

It is best indicated medicine in MSD.
Violent, strong, and long-lasting erections, with fear it would rupture the penis, followed by profuse seminal emissions.
Great sexual desire; violent erections all night, preventing sleep.
Great weakness and heaviness of lower limbs; impotence.
Penis relaxed and shrunken; coldness of genitals.

Platina

Satyriasis, sexual desire excessive, with violent erections, especially at night.
Nymphomania, worse especially in the lying-in state.
Either Tingling or titillation from the genitals up into the abdomen.
Painful sensitiveness and continual pressure in the region of the mons veneris also genital organs.
Besides this, Masturbation in young boys who have been seduced into it, embrace with little pleasure and very brief.
All in all, Constant erections at night without seminal emissions, or often without amorous dreams.

Sarsaparilla

Painful seminal emissions specifically at night; painful emissions, excited even in daytime without sexual feeling.
Lascivious dreams with erections wake him up, with headache, prostration and vertigo.
In detail, Inclination to coitus, with restless sleep and frequent emissions, spermatic cords swollen.
Sexual excitement makes them ache and sensitive; besides this bloody pollutions; offensive odor about genitals.

Selenium

Seminal weakness, with erethism also nervous exhaustion.
Voluntary or involuntary seminal emissions are followed by irritability, mental confusion, headache.
Almost paralytic weakness of spine.
Involuntary escape of prostatic fluid, dribbling of semen during sleep and after stool also urination.
Aggravation during the relaxation; impotence, lewd thoughts, but physically unable; erections slow, insufficient.
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What is Sexual Dysfunction in Male ?

Sexual dysfunction is difficulty experienced by an individual or partners during any stage of a normal sexual activity, including physical pleasure, desire, preference, arousal or orgasm.

Homeopathic Medicines used by Homeopathic Doctors in treatment of Sexual Dysfunction in Male ?

Agaricus
Agnus Castus
Aurum Metallicum
Baryta Carb
Bufo Rana
Cannabis Indica
Hyoscyamas

Which Foods can help to cure Sexual Dysfunction in Male ?

Cocoa and dark chocolate
Fruits and vegetables
Nuts and grains
Tea
Wine

What are the 5 types of Sexual Dysfunction in Male ?

Hypoactive sexual desire disorder
Sexual Arousal Disorder
Erectile dysfunction
Orgasm Disorder
Sexual pain Disorder

What are the reasons of Sexual Dysfunction in Male ?

Decrease in the production of testosterone in men
Ageing
Fatigue
Medications
Psychiatric conditions (depression and anxiety)

Give the symptoms of Sexual Dysfunction in Male ?

Trouble getting an erection
Trouble keeping an erection
Reduced sexual desire

Reference

[1]Harrison-s_Principles_of_Internal_Medicine-_19th_Edition-_2_Volume_Set

[2] Homoeopathic Therapeutics By Lilienthal

[3] https://en.wikipedia.org/wiki/Sexual_dysfunction