MALE SEXUAL PROBLEMS & amp; SOLUTIONS. WNHO Institute of Sexology, Pune PG Diploma, Fellowship in Sexology & amp; Psychosexual Medicine, Institutional Certification ACS, USA Call 9822006427. Erectile dysfunction (Impotence) is the inability to get and keep an erection more than need to penetrate few minutes. Impotence- is a Common Problem among men is characterized by the inability to sustain an erection sufficient for sexual intercourse or the inability to achieve penetration. Impotence can vary. It can involve a total inability to achieve an erection or ejaculation, an inconsistent ability to do so, or a tendency to sustain only very brief erections/not firm enough for sex. Improved by Home stimulation Thoracic Lumbar Stimulation by TENS +EMS Shockwave therapy. Kegel's Exercises Stop & amp; Flow exercise during urination. Suraya Namaskar Yogic Exercise. Work at the Subconscious level. During Orgasm period, think about your favorites game or hobby… Male orgasmic disorder-Definition- Persistent or recurrent delay in, or absence of, orgasm following a normal sexual excitement phase during sexual activity. Formerly this was known as Inhibited male orgasm. Master and Johnson called it ejaculation incompetence and Helen's singer Kaplan called it Retarded Ejaculation. Prakash Kothari has categorized it into Delayed Orgasmic Response [DOR] and Impaired Orgasmic Response [I.O.R.]. Absent ejaculation is also known as Anejaculation. In this disorder, a male cannot reach orgasm during intercourse, although he can ejaculate from a partner's manual or oral stimulation. Some males can reach coital orgasm only after prolonged and intense noncoital stimulation. Some have ejaculation during sleep but not during the waking stage. In judging whether the orgasm is delayed, the clinician should consider the person's age and whether the stimulation is adequate in focus intensity and duration. Many coitally orgasmic males are aroused at the beginning of a sexual encounter but trusting becomes a chore rather than a pleasure. The Couple may present with infertility of unknown cause. The Couple may present with infertility of unknown cause. The disorder may result in the disturbance of existing marital and sexual relationships. A. Sexual Desire Disorders: Hypoactive sexual Desire Disorder Sexual Aversion Disorder B. Sexual Arousal Disorders: Male erectile Disorder (Impotence) Female sexual Arousal Disorder (Frigidity) C. Orgasmic Disorders: Male orgasmic Disorder (Inhibited male Orgasm) Premature Ejaculation Female Orgasmic Disorder (Inhibited Female Orgasm) D. Sexual Pain Disorders: in females Vaginismus Dyspareunia E. Common Functional Problems: Penis anxiety Masturbation guilt Dhat syndrome Unconsummated marriage Myths & amp; Misconception about Sexuality etc. F. Paraphilias: Homosexuality Transvestism Exhibitionism Fetishism Pedophilia Sadism Masochism etc. G. Gender Identity Disorder Transsexualism H. Sexual Dysfunction due to General Medical Conditions Diabetes Hypertension Heart attack Endocrinal diseases Psychiatric illness Malignancy Pregnancy Menopause ect. Retarded or absent ejaculation: It is less common and has several possible organic causes. However, it may be caused entirely by psychological or emotional factors that are amenable to behavior therapy psychotherapy. Retrograde ejaculation: Is due to bladder neck incompetence. It invariably occurs after transurethral resection of the prostate and may appear in diabetic autonomic neuropathy or para-aortic lymphadenectomy. Delayed ejaculation: or Failed emission due to spinal trauma and surgical procedures such as radical prostatectomy, proctocolectomy, or para-aortic lymphadenopathy. Inhibited ejaculation Is the psychological variant of delayed ejaculation. Ejaculation usually occurs rapidly with solitary masturbation but not during intercourse. Many psychological factors may be responsible, including fear of pregnancy, guilt, and depressed or repressed hostility towards the partner. Painful ejaculation: can be caused by acute genitourinary infection, particularly acute prostatitis or seminal vasculitis. It may also have a psychogenic basis. Infection can treat with antibiotics, NSAIDs, prostatic decongestants, e.g., Bromhexine, and indicated prostatic massage. Non-Medicinal Treatment for ED & amp; PE. Vibrator, Meridian Stimulator, VED. Stop & amp; Start Technique. At first, the exercise of step 1 is begun, and when erection is achieved, the female assumes the above female position and places the penis in the vagina. She remains motionless. When the man feels impending ejaculation, he asks her to dismount. The man may go to the toilet or lie until the excitement subsides. It should be repeated for about 15 minutes before going on to the next stage, where the procedure is the same as above, but this time the female moves to and fro gradually instead of remaining motionless. When the man feels the ejaculatory urge, he asks her to stop. When the excitation has subsided, the process is repeated. • Once the ejaculatory control is achieved by the above methods, it would be possible to have sexual intercourse.