What are the Common Causes of Sexual Health Issues in Men?

What are the Common Causes of Sexual Health Issues in Men?
Published : Feb 05, 2024
Last Updated : Apr 14, 2025

Common causes of sexual health issues in men include hormonal imbalances (low testosterone), psychological factors (stress, anxiety, depression), chronic health conditions (diabetes, heart disease), medications, poor lifestyle habits, and relationship problems.

These can lead to erectile dysfunction, low libido, and premature ejaculation, like sexual dysfunctions.

Understanding what’s behind sexual health challenges is the first step toward improvement.

In this blog, we’ll explore key causes of male sexual dysfunction, how they affect your sexual performance and well-being.

Also, explore the solutions available to help you regain confidence and satisfaction.

What are the Most Common reasons behind male sexual problems?

Here are some of the most common reasons which lead to sexual problems among males:

Low libido 

When a man has a low libido, he starts experiencing decreased interest in sexual activity. 

It is common to lose interest in sexual activity from time to time because of the variation in libido levels. 

A man starts facing the issue of low libido when he suffers from physical as well as psychological problems. 

You need to know that low libido means low sexual desires, low stamina, and dull sexual sessions as well.  This problem can last long if you do not address the issue with the right treatment. 

Low testosterone

Testosterone is considered an important male hormone and is produced in the testicles. It plays a vital role in muscle building, bone mass, and stimulating sperm production. 

Remember that your sexual drive completely depends upon testosterone levels. You start experiencing low sexual desire if there is a decrease in testosterone levels. 

However, you need to consult the doctor and start taking the necessary medicines to increase testosterone levels. 

Discover the impact of low testosterone on males' lives.

Medicines

You need to know that the intake of certain medicines can cause a decrease in your testosterone levels. 

This will also lead to low libido and make you suffer from male sexual problems such as erectile dysfunction. 

Blood pressure drugs like beta-blockers and ACE inhibitors often prevent you from experiencing penile erections and ejaculation. 

Some of the medications that are responsible for lowering testosterone levels include:

  • Opioid pain relievers like morphine and oxycodone
  • Antifungal drugs such as ketoconazole
  • Some antidepressants

In case you are experiencing the effects of low testosterone levels, then make sure you contact the doctor immediately. 

Explore drugs which can lead to erection problems

Restless legs syndrome

Restless legs syndrome is mainly an uncontrollable desire to move your legs.

Being a man, if you are suffering from RLS, then you are at a greater risk of suffering from erectile dysfunction. 

ED is a condition when a man is not able to get or maintain an erection during sexual activity. 

If RLS occurrences take place at least five times per month, then you have 50% more chances to suffer from ED. 

However, men without RLS have a low chance of facing the problem of erectile dysfunction. 

Chronic illness

When you are not well or have a deficiency of vitamins due to chronic health conditions, it is obvious to have low sexual desires. 

Some serious illnesses, like cancer, often decrease sperm production. 

Certain diseases are responsible for lowering your libido levels, like:

  • High cholesterol
  • Type 2 diabetes
  • High blood pressure
  • Obesity or Abdominal Fat
  • Chronic lung, kidney & heart disease and liver failure

It is always better to talk with your doctor to get the right treatment for your chronic illness. 

Find out how obesity is linked to Erectile dysfunction.

Depression 

Always remember that depression has a great impact on your overall life. 

People experiencing depression often have less interest in activities that offer pleasure, including sexual intercourse. 

Some of the antidepressants often lead to the problem of low libido:

  • Serotonin-norepinephrine reuptake inhibitors like duloxetine
  • Selective serotonin reuptake inhibitors, including fluoxetine and zoloft (sertraline)

In case you are facing the problem of low libido because of taking antidepressants, then contact the doctor quickly. 

Aging 

As men age and are in their late teens, testosterone levels that are connected to libido are at their maximum.

As you age, your body can take a long time to have orgasms, ejaculate, and become stimulated. 

You will experience that your erections are not hard, and the male reproductive organ also takes a long time to become erect. 

But don’t worry, because you can now easily find medicines to address all these male sexual issues. 

Sleep issues

Nonobese men suffering from obstructive sleep apnea often face the problem of low testosterone levels. 

As a result, they start experiencing decreased sexual activity as well as decreased libido. 

You need to know that almost one-third of men suffering from sleep apnea have decreased levels of testosterone. 

If you are one of them, consult your doctor once and get the right treatment immediately. 

Know how sleep can affect your sex life.

Alcohol 

Consumption of alcohol regularly decreases the production of testosterone and even leads to reduced sexual activity.

Alcohol not only decreases your sexual desire but also has a great effect on your overall health, causing serious diseases. 

To meet your sexual requirements effectively, it is necessary to avoid or limit the intake of alcohol. 

So, if you wish to treat men's sexual issues, then it is necessary to pay attention to the underlying problems. 

Can alcohol lead to ED? Know the truth

How is a sexual Dysfunction diagnosed in males?

Doctors use various tests to diagnose the root cause of any sexual dysfunction among males.

It includes blood tests (to check hormone levels, diabetes, or heart issues), urine tests, and nocturnal erection tests.

Also, they conduct psychological assessments or interviews, which help identify mental health factors like stress, anxiety, or depression.

To distinguish between physical and mental causes, doctors often compare results from physical exams and lab tests with psychological evaluations.

For example, if nighttime erections are normal but sexual performance is impaired, the cause is likely psychological.

Prevention & Early Intervention for sexual problems among males

Healthy habits like regular exercise, a balanced diet, stress management, avoiding smoking and excessive alcohol can help in preventing.

Also, maintaining healthy relationships supports long-term sexual health.

Early screening can detect underlying conditions like diabetes, heart disease, or low testosterone.

It can help reduce the risk of sexual dysfunction through timely treatment and lifestyle changes.

When to Seek Professional Help:

You should see a urologist or sex therapist if you experience ongoing issues like erectile dysfunction, low libido, pain during sex, or difficulty maintaining arousal.

Open conversations with your partner and healthcare provider reduce stigma, improve diagnosis, and lead to more effective treatment.

Getting the right treatment at the right time may help in the effective management of your sexual health.

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Faq

A man may lose sexual activity due to certain reasons, including:

  • Low testosterone
  • Erectile dysfunction
  • Mental health issues
  • Relationship stress
  • Substance use
  • Medications that reduce libido or affect sexual performance

Weak erections or ED can make a man weak in bed. These issue may occur due to poor blood flow, diabetes, atherosclerosis, or mental health issues like stress or performance anxiety.

An expert assesses male sexual health by examining several factors and tests. A doctor may check for medical history, physical exams, blood tests for testosterone, STI screening, and evaluation of prostate function and erectile performance.

Yes, Viagra improves erections by boosting blood flow to the penile. Viagra works only under your sexual stimulation, and it is meant to be used before sexual activity. If it’s ineffective, dosage adjustments or alternative treatments may help. Always consult a doctor.

Viagra is generally safe but can cause side effects like low blood pressure or flushing. You should use Viagra with caution, especially in older adults or those with heart issues.