Male
Infertility –
Sexual
Dysfunction

Male sexual dysfunction can be related to medical conditions and psychological issues including stress. In some cases, age plays a part. Although age-related changes in male fertility are not as pronounced as those in the female; sex drive, sexual function and the ability to conceive can be diminished by changes in the testes, the quality of sperm and hormone-related problems. Still, men continue to produce sperm and can conceive at ages well beyond the age at which women experience menopause and the end of fertility.

Many males produce plentiful, high quality sperm but they experience problems ejaculating. With premature and delayed ejaculation, timing prevents orgasm and the release of sperm into the vagina during intercourse. Retrograde ejaculation is when semen is released backwards, into the bladder. This can be a result of trauma, nerve damage or other problems from prostate or lower back surgery, birth defects and diseases including diabetes and multiple sclerosis. Retrograde ejaculation also is linked to certain prescription drugs, including those for depression and high blood pressure.

Treatment Options For Sexual Dysfunction

• Medication – may be available to address sexual dysfunction depending on the nature of the problem and the cause. Fertility medications can be prescribed to restore hormonal balance, increase the sex drive, restore sexual function or improve performance. Oral medications may be effective in improving retrograde ejaculation by helping the bladder neck close during ejaculation.
• Surgery – recommended in cases where sexual dysfunction results from scarring, blockages or growths that can be removed surgically.
• Insemination – in cases involving retrograde ejaculation, sperm may be found in the urine. If healthy sperm can be extracted, insemination is an option. In cases where timing is the problem, collection of sperm through masturbation and insemination may be recommended.
• Therapy – “performance anxiety” that contributes to several forms of sexual dysfunction can be addressed with therapy directed at the cause and/or focused on techniques to reduce stress and restore sexual confidence and function.