Common Sexual Problems
Understanding challenges in marital life and effective treatment strategies
Understanding Sexual Health in Marriage
In society, marriage is expected to fulfill sexual, procreative, and emotional needs. However, many couples face difficulties in sexual intercourse — especially on the first night or later in life.
While sexual desire is instinctual, sexual behavior is learned. Lack of education, anxiety, or physical issues can lead to unconsummated marriages, infertility, or divorce.
Sexual dysfunction deeply affects self-image, confidence, and marital harmony.
Common Sexual Problems
Premature Ejaculation
Lack of control over ejaculation, occurring sooner than desired.
Treatments: Exercises, therapy, medications.
Erectile Dysfunction
Difficulty getting or maintaining an erection.
Causes: Physical (diabetes, heart disease) or psychological.
Low Libido
Reduced sexual desire — normal unless causing distress.
No treatment needed if not problematic.
Retarded Ejaculation
Taking too long to climax or inability to climax.
Affects sexual performance and satisfaction.
Diabetes & Impotence
Diabetic men are at higher risk, especially if uncontrolled.
Consult a doctor for evaluation.
Smoking & Sexual Health
Smoking damages blood vessels and causes impotence in middle age.
Quitting improves sexual function.
Treatment Strategies
Drugs can help with erectile dysfunction, premature ejaculation, etc.
- Oral medications (e.g., Sildenafil)
- Injections or penile implants
- Vacuum erection devices
Note: Medication alone doesn’t fix psychological causes.
Common causes include:
- Performance anxiety
- Fear of failure
- Guilt or poor self-esteem
- Lack of sexual knowledge
- Poor communication with partner
Sex therapy, counseling, and education are highly effective.
Keep an open mind. Let your doctor decide the best treatment.
Patients who insist only on medicines often achieve little when the root cause is emotional or behavioral.
Combination therapy (medicine + counseling + education) gives the best results.